Association between Nutrition Label Use and Chronic Disease in Korean Adults: The Fourth Korea National Health and Nutrition Examination Survey 2008-2009

Hong, Sung Woo; Oh, Seung-Won; Lee, Cheol Min; Kwon, Hyuktae; Hyeon, Jung Hyeon; Gwak, Jong Seop

doi:10.3346/jkms.2014.29.11.1457

Cited by 14 publications

(17 citation statements)

References 21 publications

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“…Third, our finding of no significant difference between the food label use/literacy of cancer-diagnosed respondents and that of other respondents contrasts with previous findings. An example is the reportedly stronger nutritional knowledge and more-frequent use of food labels by those having chronic illness like cardiovascular disease or type 2 diabetes [11, 22, 29]. What we observed, however, would indeed be consistent with a recent report that 50–70% of cancer survivors do not adhere to dietary recommendations [49].…”

Section: Discussionsupporting

confidence: 89%

Food Label Literacy and Use among US Adults Diagnosed with Cancer: Results from a National Representative Study

Amuta-Jimenez

Talwar

et al. 2018

J Canc Educ

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For those diagnosed with cancer, lifestyle factors including diet can be more important than ever. However, lack of nutrition-related knowledge can pose a significant barrier to healthy eating. Food labels guide consumers in selecting appropriate portion sizes-that is, caloric content-and ensuring adequate intake of nutrients. Data from the 2013-2014 HINTS were used to examine (a) differences in food label use and food label literacy between respondents ever had a cancer diagnosis and those never had a diagnosis; (b) sociodemographic correlates and health-related correlates of food label use and literacy, in a context of cancer diagnosis; and (c) potential association between food label use/literacy and each of two dietary choices, eating vegetables and fruits and limiting intake of sugary drinks, again, in a context of cancer diagnosis. Data was analyzed via SPSS version 24.0, and cross tabulations using Pearson's Chi-square test and logistic regressions. Income, gender and non-participation in support groups were associated with food label literacy (p<.05). Confidence to take care of self was associated with food label use (p<.05). Relationships were observed between using food labels and curtailing soda intake (b = -.368, p<.05), eating relatively more fruits (b = .558, p<.05), and eating relatively more vegetables (b = .558, p<.05). The overall models predicting consumption of soda [x2 (2) = 13.70, p = .001, Nagelkerke R-square = .059], of fruits [x2 (2) = 33.87, p < .001, Nagelkerke R-square = .136], and of vegetables [x2 (2) = 36.08, p < .001, Nagelkerke R-square = .144] was statistically significant. Implications for research and practice can be found in results linking food label use to better quality diets. They include the usefulness of nutrition education interventions targeting lower-income men with cancer diagnoses; one lesson should be the use of food labels.

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Section: Discussionsupporting

confidence: 89%

Food Label Literacy and Use among US Adults Diagnosed with Cancer: Results from a National Representative Study

Amuta-Jimenez

Talwar

et al. 2018

J Canc Educ

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“…The absence of differences in the frequency of consulting food labels between those with and without hypertension in this study was similar to the results reported in a representative sample of adults in South Korea. [9] However, frequent sodium consultation was more commonly reported by teachers with hypertension, even after adjusting for sociodemographic variables. This specific result is consistent with an observation in a study conducted in the United States, where adults with hypertension more often checked food labels for sodium or salt compared with adults without hypertension.…”

Section: Discussionmentioning

confidence: 99%

“…[8] On the other hand, a study conducted in Korea did not reveal a difference in the use of food labels by adults with hypertension, diabetes, or hyperlipidemia. [9] These dissimilarities may be because of the differences in the prevalence of risk factors, access to medical diagnosis, participation in annual health examinations, and sociocultural characteristics. Studies of these relationships in Brazil have not been found in our literature review.…”

Section: Introductionmentioning

confidence: 99%

“…[101314] A diagnosis of hypertension, among other factors, may contribute to the adoption of a healthier lifestyle to help control blood pressure levels, including restricting consumption of sodium, calories, and saturated fats and increasing consumption of fruits, vegetables, fibers, potassium, calcium, and magnesium. [15] Given that the practice of frequently consulting food labels is related to healthier food choices,[5] the high prevalence of hypertension among Brazilian teachers,[14] and the scarcity of studies examining the associations between chronic disease and this practice,[789] this study sought to examine the associations among nutritional label reading, medically diagnosed hypertension, and sociodemographic factors among elementary and secondary school teachers, a working group that, in Brazil, has a prevalence rate of hypertension similar to that of the general population.…”

Section: Introductionmentioning

confidence: 99%

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Reading the nutritional information on food labels among teachers with and without hypertension in Brazil

Sekiyama

Rodrigues

Mesas³

et al. 2019

Int J Prev Med

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Background: To examine the associations among nutritional label use, medically diagnosed hypertension, and sociodemographic factors among teachers. Methods: A cross-sectional study of elementary and secondary school teachers in Londrina, Paraná, Brazil, was conducted. Data regarding sociodemographic variables, hypertension diagnosis, and the reading of nutritional information on food/beverage labels were collected in 2012–2013. Associations were analyzed using Chi-square test or Fisher's exact test, and multivariate binary logistic regression models were used to adjust for possible confounders; odds ratios (ORs), 95% confidence intervals (CIs), and adjusted P values were calculated. Results: Of the 978 teachers interviewed, 15% were diagnosed with hypertension, and 62.5% read nutritional information in the 12 months prior to the survey (41% frequently or always). No differences were found between teachers with and without hypertension with regard to frequent reading (frequently/always) of nutritional labels. The frequent use of nutritional labels was significantly associated with female sex (OR = 1.39; 95% CI = 1.04–1.85) and the highest monthly family income level (OR = 1.82; 95% CI = 1.07–3.11). Teachers with hypertension reported checking for sodium more frequently than those without (adjusted P value = 0.040). Medical advice (adjusted P value <0.001) and choosing healthier foods (adjusted P value = 0.002) were the major reasons for reading labels provided by teachers with and without hypertension, respectively. Conclusions: Checking for sodium values on nutritional labels was significantly higher among teachers with hypertension, which most likely results from medical advice, and was the major reported reason for reading these labels.

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“…With the increased consumption of processed foods, the Korean government requires food labeling, per Articles 10 and 11 of the Food Sanitation Act, to help people reasonably choose processed food products. The food labeling system, which presents nutritional information for processed foods, was first implemented by Ministry of Health and Welfare announcement number 1994-28 in 1994, and since enactment with announcement number 95-67 in 1996 it has been revised more than 30 times to expand the scope of food items and nutrients and revise the terminology so as to promote better delivery of nutritional information and help consumers make reasonable choices 678…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Food Labeling Policy in Korea: Analyzing the Community Health Survey 2014–2017

Jung

2019

J Korean Med Sci

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Background As Koreans adopt more Westernized diets, consumer demands for processed food products are growing. The Korean government implemented a food labeling system to help people reasonably choose processed foods. This study investigated the utilization of these food labels among Koreans, as well as demographic differences between users and non-users of food labels, ultimately presenting foundational data for strategies to enhance dietary lifestyles by facilitating the use of food labeling. Methods Data from the 2014–2017 Community Health Survey were used. The Cochran-Armitage trend test was performed to investigate whether food labeling awareness and utilization increase over time; a data mining technique called decision tree analysis was then used to examine the effects of sociodemographic factors on the use of food labeling for each of the 4 years. Results Food labeling awareness increased by 4.5% over 4 years; the Cochran–Armitage trend test showed that this increase was statistically significant (χ 2 = 1,068.21; P < 0.001). Food labeling utilization increased significantly but marginally, by 0.3%, over 4 years (χ 2 = 20.154; P < 0.001). Decision tree analysis showed that food labeling users comprised mainly women in their 30s–50s currently in graduate school or with a graduate degree; the non-user group comprised mainly divorced/widowed/separated people in their 70s who were elementary school grads or below. Conclusion Education level, which could be related to health literacy, substantially affected the use of food labeling. Education level is a typical socioeconomic index, and if people who are less educated tend not to use food labeling, it can lead to health inequity. Thus, food labeling should be reformed with consideration of health literacy among the less-educated social classes. From a health communication perspective, images and pictures can boost consumers' understanding, which should be considered to improve comprehensibility of food labeling.

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Association between Nutrition Label Use and Chronic Disease in Korean Adults: The Fourth Korea National Health and Nutrition Examination Survey 2008-2009

Cited by 14 publications

References 21 publications

Food Label Literacy and Use among US Adults Diagnosed with Cancer: Results from a National Representative Study

Food Label Literacy and Use among US Adults Diagnosed with Cancer: Results from a National Representative Study

Reading the nutritional information on food labels among teachers with and without hypertension in Brazil

Evaluation of Food Labeling Policy in Korea: Analyzing the Community Health Survey 2014–2017

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