# Analyzing the Associations Between Mediterranean Diet Adherence, Body Mass Index, and Physical Performance in Youth Handball Players: A Clustering Approach

## TL;DR

This study explores how diet, body mass index, and physical performance are linked in young handball players using a clustering approach.

## Contribution

The novel use of clustering to identify distinct dietary and performance profiles among youth handball players.

## Key findings

- Cluster 1 had higher fast-food consumption and poorer dietary habits compared to Cluster 2.
- Cluster 2 showed better sprint and jump performance than Cluster 1.
- Findings suggest associations between diet adherence, BMI, and physical performance in youth athletes.

## Abstract

Background: Nutrition is a fundamental factor in the healthy growth and development of young athletes, as well as in supporting optimal sports performance. This study aimed to explore associations between Mediterranean diet adherence score, BMI and selected physical performance measures in youth handball players, by identifying distinct player profiles through a clustering approach. Methods: Thirty-five male youth handball players participated in the study. Mediterranean diet adherence was evaluated by means of a 16-item KIDMED questionnaire and total score, and physical performance was assessed using the countermovement jump (CMJ) test, the 505-change of direction test, linear straight sprints and isometric handgrip strength. Results: Cluster 1 goes more than one day a week to a fast-food restaurant, skips breakfast on more occasions and consumes sweets and candy more often. In addition, Cluster 2 showed better sprint (p = 0.019–0.053, ES = 0.39–0.47) and CMJ (p = 0.042; ES = 0.40) performance than Cluster 1. Conclusions: These findings present associations between dietary adherence, BMI, and selected physical performance measures in this specific cohort. Given the cross-sectional design and the small sample size, these findings should be interpreted with caution and do not allow causal inferences.