Flor-Alemany, MartaNestares, TeresaJimenez, Nuria MarinBaena-Garcia, LauraAparicio, Virginia A2023-05-032023-05-032022-03-22Flor-Alemany M, Nestares T, Jiménez NM, Baena-García L, Aparicio VA. Associations between Sociodemographic Factors, Lifestyle Behaviors, Pregnancy-Related Determinants, and Mediterranean Diet Adherence among Pregnant Women: The GESTAFIT Project. Nutrients. 2022 Mar 24;14(7):1348http://hdl.handle.net/10668/21464We examined sociodemographic factors, lifestyle behaviors, and pregnancy-related determinants associated with adherence to the Mediterranean diet (MD) during pregnancy. A total of 152 Caucasian pregnant women were included in this cross-sectional study. Dietary habits and MD adherence were assessed with a food frequency questionnaire. Physical activity (PA) levels and physical fitness (PF) components (cardiorespiratory fitness, relative muscle strength, and flexibility) were objectively measured. A clustered overall PF index was calculated. Participants with a high MD adherence were older, had a lower body mass index (BMI), spent more time in moderate−vigorous PA, had a greater overall PF, cardiorespiratory fitness, and relative muscle strength compared to participants with low MD adherence (all, p< 0.05). When we explored factors associated with improved MD adherence with logistic regression analysis, we found that the following factors: lower pre-pregnancy BMI (OR = 2.337; p = 0.026), meeting PA recommendations (OR = 2.377; p = 0.045), higher relative muscle strength (OR = 2.265; p = 0.016), and higher overall PF (OR = 5.202; p = 0.004) increased the chances to adhere to the MD. Older age, lower BMI, greater PF, and meeting PA recommendations were associated with higher MD adherence. These factors should be considered for a better design of educational programs and guidelines focused on improving materno–fetal health status during pregnancy.enAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/Mediterranean dietDiet qualityGestationPhysical activityPhysical fitnessCross-sectional studiesDiet, mediterraneanFemaleHumansLife stylePregnancyPregnant womenSociodemographic factorsresearch article35405961open accessDieta mediterráneaEmbarazoEstilo de vidaEstudios transversalesFactores sociodemográficosMujeres embarazadas10.3390/nu140713482072-6643PMC9003033https://www.mdpi.com/2072-6643/14/7/1348/pdf?version=1648097844https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9003033/pdf