Abstract:ObjectiveThe burden of overweight and obesity in adolescents is increasing rapidly. This study aimed to assess the association between nutrition literacy and overweight/obesity among adolescents in China.MethodsThis cross–sectional online study involving adolescents aged 10–18 years was conducted in September 2020 in 239 schools in Chongqing China. Overweight and obese adolescents were determined based on the International Obesity Task Force's recommended age–sex specific body mass index cutoff points. Nutriti… Show more
“…There are many studies addressing nutrition literacy and weight status. However, the results of these studies were inconsistent (2,11,42,43) . In some studies, nutrition literacy was inversely associated with overweight/obesity among adolescents (43) , while in others a positive relationship between nutrition literacy and BMI has been reported (11) .…”
Section: Discussionmentioning
confidence: 98%
“…However, the results of these studies were inconsistent (2,11,42,43) . In some studies, nutrition literacy was inversely associated with overweight/obesity among adolescents (43) , while in others a positive relationship between nutrition literacy and BMI has been reported (11) . This study showed no association between nutrition literacy and BMI, neck, waist, and hip circumference.…”
Objective:
To evaluate nutrition literacy status and its association with adherence to the Mediterranean Diet (MD), anthropometric parameters, and lifestyle behaviors among early adolescents.
Design:
Cross-sectional study. Nutrition literacy was evaluated using the “Adolescent Nutrition Literacy Scale”. Dietary intake was assessed by 24-hour food recall. The “Mediterranean Diet Quality Index” was used to evaluate adolescents’ adherence to the MD. Physical activity was assessed using the international physical activity questionnaire (IPAQ). Body weight, height, waist, hip, and neck circumference were measured.
Setting:
Four secondary schools in İzmir, Türkiye.
Participants:
The study included 1074 secondary school students.
Results:
Adolescents’ nutrition literacy was at a moderate level. Nutrition literacy scores were significantly lower in those who skip main meals. Adolescents with high nutrition literacy had higher intakes of fiber, protein, protein, calcium, potassium, magnesium, phosphorus, vitamin C, folate, and iron intake than those with low and moderate nutrition literacy (p<0.05). According to IPAQ, active adolescents had higher nutrition literacy scores than inactive adolescents. There was no significant difference in body mass index and anthropometric measurements of the adolescents according to their nutrition literacy level. Linear regression analysis showed that each unit increase in nutrition literacy increased adherence to the MD by 0.286 points (β = 0.286) and decreased total screen time by 0.182 points (β = -0.182).
Conclusions:
These findings showed that nutrition literacy among early adolescents was not optimal, and a higher nutrition literacy score was significantly associated with higher MD adherence, and healthy eating habits and lifestyle behaviors.
“…There are many studies addressing nutrition literacy and weight status. However, the results of these studies were inconsistent (2,11,42,43) . In some studies, nutrition literacy was inversely associated with overweight/obesity among adolescents (43) , while in others a positive relationship between nutrition literacy and BMI has been reported (11) .…”
Section: Discussionmentioning
confidence: 98%
“…However, the results of these studies were inconsistent (2,11,42,43) . In some studies, nutrition literacy was inversely associated with overweight/obesity among adolescents (43) , while in others a positive relationship between nutrition literacy and BMI has been reported (11) . This study showed no association between nutrition literacy and BMI, neck, waist, and hip circumference.…”
Objective:
To evaluate nutrition literacy status and its association with adherence to the Mediterranean Diet (MD), anthropometric parameters, and lifestyle behaviors among early adolescents.
Design:
Cross-sectional study. Nutrition literacy was evaluated using the “Adolescent Nutrition Literacy Scale”. Dietary intake was assessed by 24-hour food recall. The “Mediterranean Diet Quality Index” was used to evaluate adolescents’ adherence to the MD. Physical activity was assessed using the international physical activity questionnaire (IPAQ). Body weight, height, waist, hip, and neck circumference were measured.
Setting:
Four secondary schools in İzmir, Türkiye.
Participants:
The study included 1074 secondary school students.
Results:
Adolescents’ nutrition literacy was at a moderate level. Nutrition literacy scores were significantly lower in those who skip main meals. Adolescents with high nutrition literacy had higher intakes of fiber, protein, protein, calcium, potassium, magnesium, phosphorus, vitamin C, folate, and iron intake than those with low and moderate nutrition literacy (p<0.05). According to IPAQ, active adolescents had higher nutrition literacy scores than inactive adolescents. There was no significant difference in body mass index and anthropometric measurements of the adolescents according to their nutrition literacy level. Linear regression analysis showed that each unit increase in nutrition literacy increased adherence to the MD by 0.286 points (β = 0.286) and decreased total screen time by 0.182 points (β = -0.182).
Conclusions:
These findings showed that nutrition literacy among early adolescents was not optimal, and a higher nutrition literacy score was significantly associated with higher MD adherence, and healthy eating habits and lifestyle behaviors.
“…Since health literacy is a general construct, these more specific constructs could be more appropriate in predicting healthy food intake and obesity. In fact, some studies have already related nutrition literacy and food literacy to these outcomes [ 43 , 44 , 45 , 46 ]. More research, comparing the predictive value of health literacy and food/nutrition literacy, is certainly needed.…”
Section: Discussionmentioning
confidence: 99%
“…Other studies showed the influence of parents’ health literacy on children’s food intake [ 39 , 40 , 41 ]. More recently, since health literacy is a general construct, the constructs of food literacy and nutrition literacy emerged [ 42 ] and evidence showed an association between food/nutrition literacy and obesity [ 43 , 44 ] and fruit and vegetable consumption [ 45 , 46 ].…”
Adolescent obesity rates are increasing on an epidemic level and food intake is one of the most important causes of this condition. From an ecological perspective, food intake is, in turn, influenced by many factors that need to be considered. This study aims to evaluate the associations between socio-demographic factors (gender, family origin, socio-economic status, parent’s education level), which consist of social stratifiers, health literacy and family context, as independent variables, and food intake (consumption of fruits, vegetables, soft drinks and sweets and breakfast frequency) and outcomes (Body Mass Index category), as dependent variables. Data were retrieved from 2145 students (13 and 15 years old) from the Lombardy region (Italy) who participated in the 2018 edition of Health Behaviour in School-Aged Children (HBSC). Six multiple binary logistic regression models were used in this study. Fruit, vegetable and soft drinks consumption models were related to all three-factor levels. Breakfast consumption frequency was associated with socio-demographic variables. BMI category was associated with socio-demographic and family variables. The results confirmed the existence of social inequalities, the importance of health literacy in predicting healthy behaviours and the relevance of the family context. The study confirms the importance of the ecological approach to understanding food intake and overweight/obesity status in adolescents.
“…According to many solid evidences, NL has appeared as a critical factor in promoting and maintaining healthy dietary practices among adolescents, including food label use (7), higher dietary diversity (8), and nutrient intake adequacy (8). In addition, a higher prevalence of overweight and obesity was observed among nutritionally-illiterate adolescents (9). Not only improving nutrition outcomes but advocating for better FL and NL could help build resilience against food insecurity (FI) (10).…”
IntroductionFood and nutrition literacy are widely fundamental to improve the food security and reduce the double burden of malnutrition and iron deficiency in low- and middle-income countries.ObjectivesThis study aimed (1) to assess the nutrition literacy (NL) of Lebanese adolescents and their parents’ food literacy (FL), (2) to investigate the impacts of adolescents’ NL and parental FL on (a) the household food security, (b) the adolescents’ self-reported food security, and (c) the adolescents’ nutrition status with a focus on malnutrition and anemia.MethodsA national representative sample of 450 parent–adolescent dyads [parents: mean age ± standard deviation (SD) = 46.0 ± 7.0, mothers: 59.0%; adolescents: mean age ± SD = 15.0 ± 3.0, girls: 54.6%] were interviewed. Anthropometric and blood hemoglobin measurements were performed for adolescents. The Arab Family Food Security Scale and the Adolescent-Level Food Security Scale were used.ResultsAround 45.0% of the adolescents were nutritionally illiterate, and nearly half (47.8%) of parents had poor FL. Around 68.2 and 54.0% of the households and adolescents were food insecure, respectively. Moreover, 6.7, 4.7, 32.2, and 16.7% of the adolescents were stunted, thin, overweight/obese, and anemic, respectively. Poor parental FL increased the risk of household food insecurity (FI) by 2.7 times, p < 0.001. Adolescents’ nutrition illiteracy increased their FI risk by 60.0% (p = 0.02). The number of offspring, household income, crowding status, and participants’ residence also influenced the percentage of FI and malnutrition prevalence among households and adolescents.ConclusionImprovements in FL and NL are promising to mitigate FI malnutrition in Lebanon.
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