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

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.