# Adopting the Mediterranean Diet: Motivational and Socio-Cognitive Processes in Young Adults

**Authors:** Marika Gentile, Luigi Tinella, Fabio Alivernini, Sara Manganelli, Fabio Lucidi, Laura Girelli

PMC · DOI: 10.3390/healthcare14040509 · Healthcare · 2026-02-17

## TL;DR

This study explores how motivation and social factors influence young adults' adherence to the Mediterranean Diet.

## Contribution

It integrates Self-Determination Theory and the Theory of Planned Behavior to explain diet adherence in emerging adults.

## Key findings

- Adherence to the Mediterranean Diet is linked to behavioral intention, perceived behavioral control, and intrinsic motivation.
- Integrated regulation indirectly affects intention through perceived behavioral control.
- The model explains 40% of intention variance and 16% of adherence variance.

## Abstract

Background/Objectives: Adherence to the Mediterranean Diet (MD) is associated with substantial physical and psychological health benefits, yet its adoption remains challenging during emerging adulthood. Although previous research has identified motivational and socio-cognitive determinants of specific eating behaviors, less is known about the psychological processes underlying adherence to the MD as a whole in youth. The present study examined the role of motivational factors derived from Self-Determination Theory (SDT) and key socio-cognitive variables from the Theory of Planned Behavior (TPB) in explaining adherence to the MD in young adults. Methods: A sample of 365 young adults (50.1% female; mean age = 21.74 years, SD = 5.86) completed an online questionnaire assessing motivational regulations, perceived behavioral control (PBC), behavioral intention, and adherence to the MD. Results: Structural equation modeling showed an excellent fit of the hypothesized model. Adherence to the MD was directly associated with behavioral intention (β = 0.18, p < 0.05), PBC (β = 0.24, p < 0.01), and intrinsic motivation (β = 0.22, p < 0.05). Behavioral intention was positively associated with PBC (β = 0.48, p < 0.001) and intrinsic motivation (β = 0.21, p < 0.05) and negatively associated with amotivation (β = −0.23, p < 0.05). Integrated regulation showed a significant indirect effect on intention via PBC. The model accounted for 40% of the variance in intention and 16% of the variance in adherence. Conclusions: The results suggest that interventions targeting this population should strengthen dietary intentions, enhance PBC, and foster autonomous motivation. The integrated model provides a useful framework for designing healthcare and public health interventions aimed at promoting healthy eating during emerging adulthood.

## Full-text entities

- **Genes:** DLAT (dihydrolipoamide S-acetyltransferase) [NCBI Gene 1737] {aka DLTA, E2, PBC, PDC-E2, PDCE2}
- **Diseases:** chronic diseases (MESH:D002908), overweight (MESH:D050177), type 2 diabetes (MESH:D003924), Obesity (MESH:D009765), depression (MESH:D003866), weight loss (MESH:D015431), anxiety (MESH:D001007), cardiovascular conditions (MESH:D002318), Alzheimer's (MESH:D000544), cancer (MESH:D009369), MD (MESH:D007161), SDT (MESH:D003643), Parkinson's (MESH:D010300), inflammation (MESH:D007249), injury to (MESH:D014947), metabolic syndrome (MESH:D024821)
- **Chemicals:** lipid (MESH:D008055), margarine (MESH:D008383), Olive oil (MESH:D000069463), Carbonated and/or sugared/ (-)
- **Species:** Lens culinaris (lentil, species) [taxon 3864], Gallus gallus (bantam, species) [taxon 9031], Meleagris gallopavo (common turkey, species) [taxon 9103], Lathyrus oleraceus (garden pea, species) [taxon 3888], Oryza sativa (Asian cultivated rice, species) [taxon 4530], Oryctolagus cuniculus (domestic rabbit, species) [taxon 9986], Homo sapiens (human, species) [taxon 9606], Cicer arietinum (chickpea, species) [taxon 3827]

## Full text

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## Figures

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## References

38 references — full list in the complete paper: https://tomesphere.com/paper/PMC12941141/full.md

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Source: https://tomesphere.com/paper/PMC12941141