Relationship between physical activity, social support and eating habits with self-perceived health

Authors

  • María Rosado Alvarez Universidad Católica de Santiago de Guayaquil(Ecuador)
  • Edgar Quezada Calle Universidad Católica de Santiago de Guayaquil(Ecuador)
  • Álvaro Diego Espinoza Burgos Universidad de Guayaquil (Ecuador)
  • Nelson José Rosado Alvarez Hospital Básico Dr. Oswaldo Jervis Alarcón (Ecuador)

DOI:

https://doi.org/10.47197/retos.v73.117564

Keywords:

Dietary habits, physical activity, self-rated health, social support, university

Abstract

Introduction: Self-rated health was a widely used indicator for integrating physical, social, and behavioral dimensions in the assessment of well-being, with physical activity, social support, and dietary habits identified as its main determinants.

Objective: The objective was to analyze the relationship between physical activity, social support, and dietary habits with self-rated health in adults from a private university in Guayaquil, Ecuador.

Methodology: A quantitative, non-experimental, cross-sectional, and correlational design was conducted with 199 participants aged 18 to 60 years. The FANTASTIC Questionnaire was applied, selecting the dimensions of physical activity, social support, and nutrition. Descriptive analyses were performed, followed by bivariate analyses using chi-square tests, and a logistic regression model adjusted for sex and age.

Results: Engaging in at least 30 minutes of daily physical activity was significantly associated with better self-rated health (ORa=2.70; 95% CI: 1.12–6.49; p=0.027). Social support showed a positive association at the margin of significance (ORa=2.09; p=0.062), while high consumption of ultra-processed foods was linked to a lower likelihood of reporting good self-rated health, although not statistically significant. The model presented adequate fit (Hosmer–Lemeshow p=0.62) and acceptable discriminative capacity (AUC=0.71).

Discussion: The findings were consistent with international studies highlighting the protective role of exercise and social support networks, as well as the adverse effects of ultra-processed food consumption on self-rated health.

Conclusions: Physical activity and social support emerged as key predictors of self-rated health, whereas the impact of ultra-processed food consumption required further exploration. This study provided useful evidence for the design of preventive interventions aimed at promoting healthy lifestyles.

References

Abreu, T. C., Mackenbach, J. D., Beulens, J. W. J., Vaartjes, I., & Kawachi, I. (2024). Family is all that matters: Prospective associations between structure, function, and quality of social relations and self-rated health in the National Social Life, Health, and Aging Project (NSHAP). SSM - Population Health, 28(101715), 101715. https://doi.org/10.1016/j.ssmph.2024.101715

Almonacid-Fierro, A. A., & Almonacid Fierro, M. A. (2021). Percepción de adultos mayores chilenos en relación a la salud y el ejercicio físico en pandemia Covid-19 (Perception of Chilean older adults in relation to health and physical exercise in pandemic Covid-19). Retos, 42, 947–957. https://doi.org/10.47197/retos.v42i0.89678

Alomari, W. D., & Almoraie, N. M. (2025). Ultra-processed food intake and its association with obesity risk factors, Mediterranean diet, and nutrient intake of adults. Frontiers in Nutrition, 12(1577431), 1577431. https://doi.org/10.3389/fnut.2025.1577431

Asante, S., & Karikari, G. (2022). Social relationships and the health of older adults: An examination of social connectedness and perceived social support. Journal of Ageing and Longevity, 2(1), 49–62. https://doi.org/10.3390/jal2010005

Bai, Z., Yang, J., Wang, Z., Cao, W., Cao, C., Hu, Z., & Chen, R. (2022). Association between social capital and self-rated health among community-dwelling older adults. Frontiers in Public Health, 10, 916485. https://doi.org/10.3389/fpubh.2022.916485

Batista, P., Neves-Amado, J., Pereira, A., & Amado, J. (2022). Application of the FANTASTIC Lifestyle Questionnaire in the academic context. Healthcare (Basel, Switzerland), 10(12), 2503. https://doi.org/10.3390/healthcare10122503

Cancino Cotrina, D. M., & Justiniano Flores, R. J. (2024). Apoyo social a estudiantes por organizaciones latinoamericanos: Revisión sistemática. Horizontes. Revista de Investigación en Ciencias de la Educación, 8(33), 920–930. https://doi.org/10.33996/revistahorizontes.v8i33.773

Chen, M.-L., Chen, L.-S., Chen, Y. T., & Gardenhire, D. S. (2022). The association of health-related factors with leisure-time physical activity among adults with COPD: A cross-sectional analysis. Healthcare (Basel, Switzerland), 10(2), 249. https://doi.org/10.3390/healthcare10020249

Denche-Zamorano, A., Pisà-Canyelles, J., Barrios-Fernandez, S., Pastor-Cisneros, R., Adsuar, J. C., Garcia-Gordillo, M. A., Pereira-Payo, D., & Mendoza-Muñoz, M. (2023). Is psychological distress associated with self-perceived health, perceived social support and physical activity level in Spanish adults with diabetes? Journal of Personalized Medicine, 13(5). https://doi.org/10.3390/jpm13050739

Dey, D., Haque, M. S., Islam, M. M., Aishi, U. I., Shammy, S. S., Mayen, M. S. A., Noor, S. T. A., & Uddin, M. J. (2025). The proper application of logistic regression model in complex survey data: a systematic review. BMC Medical Research Methodology, 25(1), 15. https://doi.org/10.1186/s12874-024-02454-5

Garrido Méndez, A., Poblete Valderrama, F., Matus Castillo, C., Toro Salinas, A., Álvarez Lepin, C., Concha Cisternas, Y., Rodriguez Rodriguez, F., Petermann Rocha, F., & Celis Morales, C. (2024). Percepciones y características de la práctica de actividad física durante la pandemia en adultos. Un estudio de caso en Chile (Perceptions and characteristics of adult physical activity during the pandemic. A case study in Chile). Retos, 56, 472–479. https://doi.org/10.47197/retos.v56.103863

Ibsen, B., Elmose-Østerlund, K., & Høyer-Kruse, J. (2024). Associations of types of physical activity with self-rated physical and mental health in Denmark. Preventive Medicine Reports, 37, 102557. https://doi.org/10.1016/j.pmedr.2023.102557

Jabbarzadeh-Ganjeh, B., Djafarian, K., & Shab-Bidar, S. (2024). Association of healthy eating index and self-rated health in adults living in Tehran: a cross-sectional study. BMC Public Health, 24(1), 1106. https://doi.org/10.1186/s12889-024-18568-w

Jung, S., Seo, J., Kim, J. Y., & Park, S. (2024). Associations of ultra-processed food intake with body fat and skeletal muscle mass by sociodemographic factors. Diabetes & Metabolism Journal, 48(4), 780–789. https://doi.org/10.4093/dmj.2023.0335

Konieczynski, E. M., Sahni, S., Jacques, P. F., & Naumova, E. N. (2025). Ultra-processed food and frailty: Evidence from a prospective cohort study and implications for future research. Nutrients, 17(16). https://doi.org/10.3390/nu17162631

Leal, A. C. G., Lopes, L. J., Rezende-Alves, K., Bressan, J., Pimenta, A. M., & Hermsdorff, H. H. M. (2023). Ultra-processed food consumption is positively associated with the incidence of depression in Brazilian adults (CUME project). Journal of Affective Disorders, 328, 58–63. https://doi.org/10.1016/j.jad.2023.01.120

Li, L., Dai, F., & Zhang, D. (2023). The effect of exercise intensity types on the self-rated health status of young-old comorbidities patients: a cross-sectional study in Guangdong, China. Frontiers in Public Health, 11, 1292712. https://doi.org/10.3389/fpubh.2023.1292712

Moral Moreno, L., Flores Ferro, E. ., Maureira Cid, F., & García Aparicio, A. (2025). Hábitos alimentarios y actividad física pospandemia en estudiantes universitarios de España y Chile: Impact of Physical Activity and Associated Factors. Retos, 67, 554–570. https://doi.org/10.47197/retos.v67.111026

Murillo-Llorente, M. T., Brito-Gallego, R., Alcalá-Dávalos, M. L., Legidos-García, M. E., Pérez-Murillo, J., & Perez-Bermejo, M. (2022). The validity and reliability of the FANTASTIC questionnaire for nutritional and lifestyle studies in university students. Nutrients, 14(16), 3328. https://doi.org/10.3390/nu14163328

Nehme, M., Schrempft, S., Baysson, H., Pullen, N., Rouzinov, S., Stringhini, S., Speccio Study Group, & Guessous, I. (2024). Associations between healthy behaviors and persistently favorable self-rated health in a longitudinal population-based study in Switzerland. Journal of General Internal Medicine, 39(10), 1828–1838. https://doi.org/10.1007/s11606-024-08739-1

Nyawornota, V. K., Adamba, C., Tay, D. A., Nyanyofio, O. C., Muomah, R. C., Chukwuorji, J. C., Nwonyi, S. K., Malete, L., Joachim, D., & Ocansey, R. T. (2024). Self-perception of health and physical activity levels among the youth and adults before and amidst the COVID-19 pandemic. Frontiers in Public Health, 12, 1298378. https://doi.org/10.3389/fpubh.2024.1298378

Passarelli-Araujo, H. (2023). The association between social support and self-rated health in midlife: are men more affected than women? Cadernos de Saude Publica, 39(12), e00106323. https://doi.org/10.1590/0102-311XEN106323

Rapinski, M., Raymond, R., Davy, D., Bedell, J.-P., Ka, A., Lubszynski, J., Lopez, P. J., Da Silva, E. F., Deghel, N. E., Macia, E., & Duboz, P. (2025). Associations between dietary diversity and self-rated health in a transverse study of four local food systems (French Guiana, Guadeloupe, Portugal and Senegal). BMC Public Health, 25(1), 823. https://doi.org/10.1186/s12889-025-21872-8

Rodríguez-Torres, Á.-F., Marín-Marín, J.-A., López-Belmonte, J., & Pozo-Sánchez, S. (2024). Análisis de la actividad física y la alimentación en estudiantes de Ecuador y la influencia del apoyo familiar e institucional. Retos, 54, 279–288. https://doi.org/10.47197/retos.v54.103479

Sampaio, J., Henriques, A., Ramos, E., Dias, I., Lopes, A., & Fraga, S. (2022). Influence of social adversity on perceived health status and depressive symptoms among Portuguese older people. International Journal of Environmental Research and Public Health, 19(11), 6355. https://doi.org/10.3390/ijerph19116355

Vaz, C. T., Coelho, D. M., Silva, U. M., Andrade, A. C. de S., López, F. G., Dueñas, O. L. S., Friche, A. A. de L., Diez-Roux, A. V., & Caiaffa, W. T. (2023). Social environment characteristics are related to self-rated health in four Latin America countries: Evidence from the SALURBAL Project. Health & Place, 83(103110), 103110. https://doi.org/10.1016/j.healthplace.2023.103110

Yana-Salluca, M., Estrada-Araoz, E. G., Yana-Salluca, N., Cutipa-Luque, R., Turpo-Puma, Z., Chura-Quispe, G., & Cruz-Laricano, E. O. (2025). Apreciación corporal y motivación hacia la práctica de la actividad física como predictores de los hábitos alimentarios en estudiantes universitarios del altiplano peruano. Retos, 68, 703–715. https://doi.org/10.47197/retos.v68.116117

Yuan, S., Zhu, T., Gu, J., Hua, L., Sun, J., Deng, X., & Ran, J. (2025). Associations of ultra-processed food intake and its circulating metabolomic signature with mental disorders in middle-aged and older adults. Nutrients, 17(9), 1582. https://doi.org/10.3390/nu17091582

Zhang, M., Rong, J., Liu, S., Zhang, B., Zhao, Y., Wang, H., & Ding, H. (2022). Factors related to self-rated health of older adults in rural China: A study based on decision tree and logistic regression model. Frontiers in Public Health, 10, 952714. https://doi.org/10.3389/fpubh.2022.952714

Zhou, J., Guo, W., & Ren, H. (2023). Subjective social status and health among older adults in China: the longitudinal mediating role of social trust. BMC Public Health, 23(1), 630. https://doi.org/10.1186/s12889-023-15523-z

Zhu, Y., Garcia-Larsen, V., Bromage, S., Martinez-Steele, E., Curi-Hallal, A. L., Rebholz, C. M., & Matsuzaki, M. (2025). Association between ultraprocessed food intake and self-reported arthritis. American Journal of Preventive Medicine, 68(6), 1109–1119. https://doi.org/10.1016/j.amepre.2025.02.010

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Published

21-10-2025

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Original Research Article

How to Cite

Rosado Alvarez, M., Quezada Calle, E., Espinoza Burgos, Álvaro D., & Rosado Alvarez, N. J. (2025). Relationship between physical activity, social support and eating habits with self-perceived health. Retos, 73, 873-882. https://doi.org/10.47197/retos.v73.117564