Does nutrition knowledge level affect food group preferences and obesity in individuals aged 19 years and older?
Abstract
Aims: This study was conducted to determine the relationship between nutrition knowledge level, food group preferences, and obesity in individuals who applied to family health centers.
Methods: This study is a cross-sectional study and was conducted with individuals aged 19 years and over. The nutrition knowledge level of the individuals was determined with the nutrition knowledge test, anthropometric measurements were taken, and nutrition status was evaluated with a food frequency questionnaire and 24 hour-recall food consumption records. The data obtained from the study were analyzed with the SPSS 21.0
Results: Of the 1797 individuals who participated in the study, 70.5% were female, 22.0% were single, and 22.8% were university graduates. The mean nutrition knowledge score (NKS) was higher in singles (43.39±13.93) (p=0.001), university graduates (46.05±13.69) (p<0.001), and those who had previous knowledge about nutrition (42.95±13.83) (p<0.001). A significant difference was found between the mean NKS and body mass index (BMI) classification (p<0.05). Accordingly, it was observed that the nutrition knowledge scores of overweight and obese individuals were lower than those of normal-weight and underweight individuals. A negative correlation was found between NKS and body weight, BMI, waist circumference, and waist-to-height ratio (p<0.001). It was determined that the amount of meat-egg-legume group foods, butter, and olive oil consumed daily increased with the increase in NKS, while the amount of bread and cereal group foods (bread, rice, pasta, bagel, etc.) and margarine consumption decreased (p<0.05). In addition, food group preferences also differed according to the NKS level.
Conclusion: Since it has been determined that BMI is associated with a nutrition knowledge score, it is necessary to increase the level of knowledge about nutrition in order to prevent obesity and obesity-related diseases and consequently to increase well-being. Therefore, it is thought that it would be useful to organize awareness-raising education on adequate and balanced nutrition periodically in Family Health Centers.
Supporting Institution
None
References
- World Obesity Federation, World Obesity Atlas 2023. https://data.worldobesity.org/publications/?cat=19 (Accessed date:10.10.2023)
- Berghöfer A, Pischon T, Reinhold T, Apovian CM, Sharma AM, Willich SN. Obesity prevalence from a European perspective:a systematic review. BMC Public Health. 2008;8(1):1-10.
- Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. Türkiye Beslenme ve Sağlık Araştırması (TBSA). Sağlık Bakanlığı Yayın No: 1132; Ankara, 2019.
- López-Hernández L, Martínez-Arnau FM, Pérez-Ros P, Drehmer E, Pablos A. Improved nutrition knowledge in the obese adult population modifies eating habits and serum and anthropometric markers. Nutrients. 2020;12(11):3355.
- Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. Türkiye Beslenme Rehberi (TÜBER) 2022. Sağlık Bakanlığı Yayın No:1031, Ankara, 2022.
- Worsley A. Nutrition knowledge and food consumption:can nutrition knowledge change food behaviour? Asia Pac J Clin Nutr. 2002;11(3):579-585.
- Devlet Planlama Teşkilatı, Ulusal Gıda ve Beslenme Stratejisi Çalışma Grubu Raporu (Rapor No: 2670), Ankara, 2003.
- Sağlık Bakanlığı, Türkiye Halk Sağlığı Kurumu. Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı. Yayın No:773, Ankara, 2013.
- Leng G, Adan RAH, Belot M, et al. Conference on ‘new technology in nutrition research and practice’ Symposium 3: novel strategies for behaviour changes. the determinants of food choice. Proc Nutr Soc. 2017;76(3):316-327.
- Öktem Güngör E. Üniversite öğrencilerinde porsiyon algısı ve etkileyen faktörlerin belirlenmesi. Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, Beslenme ve Diyetetik Yüksek Lisans Tezi, Ankara, 2014.
- WHO WHO Consultation on Obesity (1999:Geneva, Switzerland) & World Health Organization. Obesity: preventing and managing the global epidemic: report of a WHO consultation. World Health Organization. Geneva, 2000. Available from: https://apps.who.int/iris/handle/10665/42330
- World Health Organization. Waist circumference and waist-hip ratio:report of a WHO expert consultation, Geneva, 8-11 December 2008. World Health Organization, Geneva, 2011. Available from: https://www.who.int/publications/i/item/ 9789241501491
- Ashwell M, Gibson S. Waist to height ratio is a simple and effective obesity screening tool for cardiovascular risk factors:Analysis of data from the British National Diet and Nutrition Survey of adults aged 19-64 years. Obes Facts. 2009;2(2):97-103.
- İşler S, Koç F, Özkoçak V. Obezitenin antropolojik açıdan değerlendirilmesi. SMART J. 2020;6(31):639-646.
- Mamtani MR, Kulkarni HR. Predictive performance of anthropometric indexes of central obesity for the risk of type 2 diabetes. Arch Med Res. 2005;36(5):581-589.
- Browning LM, Hsieh SD, Ashwell M. A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0.5 could be a suitable global boundary value. Nutr Res Rev. 2010;23(2):247-69.
- Ashwell M, Hsieh SD. Six reasons why the waist-to-height ratio is a rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message on obesity. Int J Food Sci Nutr. 2005;56(5):303-307.
- Ashwell M, Gibson S. Waist-to-height ratio as an indicator of ‘early health risk’:simpler and more predictive than using a ‘matrix’ based on BMI and waist circumference. BMJ open. 2016;6(3):e010159.
- Worsl, A. Nutrition knowledge and food consumption:can nutrition knowledge change food behaviour? Asia Pac J Clin Nutr. 2002;1(3):579-585.
- Vereecken C, Maes L.Young children’s dietary habits and associations with the mothers’ nutrition knowledge and attitudes. Appetite. 2010;54(1):44-51.
- Rose S, Pretto J, Paul C, Emmett B, Hensley M, Henskens F. Relationships between nutrition knowledge, obesity, and sleep disorder severity. J Sleep Res. 2016;25(3):350-355.
- Barbosa LB, Vasconcelos SML, Correia LO, Ferreira RC. Nutrition knowledge assessment studies in adults:a systematic review. Cien Saude Colet. 2016;21(2):449-462.
- Sharma SV, Gernand AD, Day RS. Nutrition knowledge predicts eating behavior of all food groups except fruits and vegetables among adults in the Paso del Norte region: Qué Sabrosa Vida. J Nutr Educ Behav. 2008;40(6):361-368.
- Carrillo E, Varela P, Fiszman S. Influence of nutrition knowledge on the use and interpretation of Spanish nutrition food labels. J Food Sci. 2012;77(1):H1-8.
- Lin W, Hang CM, Yang HC, Hung MH. 2005-2008 Nutrition and Health Survey in Taiwan:the nutrition knowledge, attitude and behavior of 19-64 years old adults. Asia Pac J Clin Nutr. 2011;20(2):309-318.
- Uysal Yeler G, Göktaş Z. Beslenme eğitiminin besin seçimi, kolesterol alım düzeyi ve vücut kompozisyonuna etkisi. SABİTED. 2023;3(1):1-9.
- Atasoy S, Güngör AE. Evaluation of nutrition knowledge level and obesity status of university students. TJFM&PC. 2022;16(2):340-349.
- Akkartal Ş, Gezer C. Is nutrition knowledge related to diet quality and obesity? Ecol Food Nutr. 2020;59(2):119-129.
- Valmórbida JL, Goulart MR, Busnello FM, Pellanda LC. Nutrition knowledge and body mass index:A cross-sectional study. Rev Assoc Med Bras. 2017;63(9):736-740.
- Dattilo M, Furlanetto P, Kuroda AP, Nicastro H, Coimbra Cruz PCF, Simony RF. Nutrition knowledge and its association with the body mass index. Nutrire: Rev Soc Bras Alim Nutr. 2009;34(1):75-84.
- Spronk I, Kullen C, Burdon C, O’Connor H. Relationship between nutrition knowledge and dietary intake. Br J Nutr. 2014;111(10):1713-1726.
- Dallongeville J, Marécaux N, Cottel D, Bingham A, Amouyel P. Association between nutrition knowledge and nutrition intake in middle-aged men from Northern France. Public Health Nutr. 2001;4(1):27-33.
- Frederick L, Hawkins ST. A comparison of nutrition knowledge and attitudes, dietary practices, and bone densities of postmenopausal women, female college athletes, and nonathletic college women. J Am Diet Assoc. 1992;92(3):299-303.
- Rash CL, Malinauskas BM, Duffrin MW, Barber-Heidal K, Overton RF. Nutrition-related knowledge, attitude, and dietary intake of college track athletes. Sport J. 2008;11:48-55.
- Akinmoladun OF, Oluyede OJ, Femi FA, Olatian OO, Nesamvuni CN. Association between nutrition knowledge, lifestyle, dietary practices and nutrition status among civil servants in western Nigeria. Afr J Food Agric Nutr Dev. 2021;21(10):18824-18838.
Abstract
References
- World Obesity Federation, World Obesity Atlas 2023. https://data.worldobesity.org/publications/?cat=19 (Accessed date:10.10.2023)
- Berghöfer A, Pischon T, Reinhold T, Apovian CM, Sharma AM, Willich SN. Obesity prevalence from a European perspective:a systematic review. BMC Public Health. 2008;8(1):1-10.
- Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. Türkiye Beslenme ve Sağlık Araştırması (TBSA). Sağlık Bakanlığı Yayın No: 1132; Ankara, 2019.
- López-Hernández L, Martínez-Arnau FM, Pérez-Ros P, Drehmer E, Pablos A. Improved nutrition knowledge in the obese adult population modifies eating habits and serum and anthropometric markers. Nutrients. 2020;12(11):3355.
- Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. Türkiye Beslenme Rehberi (TÜBER) 2022. Sağlık Bakanlığı Yayın No:1031, Ankara, 2022.
- Worsley A. Nutrition knowledge and food consumption:can nutrition knowledge change food behaviour? Asia Pac J Clin Nutr. 2002;11(3):579-585.
- Devlet Planlama Teşkilatı, Ulusal Gıda ve Beslenme Stratejisi Çalışma Grubu Raporu (Rapor No: 2670), Ankara, 2003.
- Sağlık Bakanlığı, Türkiye Halk Sağlığı Kurumu. Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı. Yayın No:773, Ankara, 2013.
- Leng G, Adan RAH, Belot M, et al. Conference on ‘new technology in nutrition research and practice’ Symposium 3: novel strategies for behaviour changes. the determinants of food choice. Proc Nutr Soc. 2017;76(3):316-327.
- Öktem Güngör E. Üniversite öğrencilerinde porsiyon algısı ve etkileyen faktörlerin belirlenmesi. Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, Beslenme ve Diyetetik Yüksek Lisans Tezi, Ankara, 2014.
- WHO WHO Consultation on Obesity (1999:Geneva, Switzerland) & World Health Organization. Obesity: preventing and managing the global epidemic: report of a WHO consultation. World Health Organization. Geneva, 2000. Available from: https://apps.who.int/iris/handle/10665/42330
- World Health Organization. Waist circumference and waist-hip ratio:report of a WHO expert consultation, Geneva, 8-11 December 2008. World Health Organization, Geneva, 2011. Available from: https://www.who.int/publications/i/item/ 9789241501491
- Ashwell M, Gibson S. Waist to height ratio is a simple and effective obesity screening tool for cardiovascular risk factors:Analysis of data from the British National Diet and Nutrition Survey of adults aged 19-64 years. Obes Facts. 2009;2(2):97-103.
- İşler S, Koç F, Özkoçak V. Obezitenin antropolojik açıdan değerlendirilmesi. SMART J. 2020;6(31):639-646.
- Mamtani MR, Kulkarni HR. Predictive performance of anthropometric indexes of central obesity for the risk of type 2 diabetes. Arch Med Res. 2005;36(5):581-589.
- Browning LM, Hsieh SD, Ashwell M. A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0.5 could be a suitable global boundary value. Nutr Res Rev. 2010;23(2):247-69.
- Ashwell M, Hsieh SD. Six reasons why the waist-to-height ratio is a rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message on obesity. Int J Food Sci Nutr. 2005;56(5):303-307.
- Ashwell M, Gibson S. Waist-to-height ratio as an indicator of ‘early health risk’:simpler and more predictive than using a ‘matrix’ based on BMI and waist circumference. BMJ open. 2016;6(3):e010159.
- Worsl, A. Nutrition knowledge and food consumption:can nutrition knowledge change food behaviour? Asia Pac J Clin Nutr. 2002;1(3):579-585.
- Vereecken C, Maes L.Young children’s dietary habits and associations with the mothers’ nutrition knowledge and attitudes. Appetite. 2010;54(1):44-51.
- Rose S, Pretto J, Paul C, Emmett B, Hensley M, Henskens F. Relationships between nutrition knowledge, obesity, and sleep disorder severity. J Sleep Res. 2016;25(3):350-355.
- Barbosa LB, Vasconcelos SML, Correia LO, Ferreira RC. Nutrition knowledge assessment studies in adults:a systematic review. Cien Saude Colet. 2016;21(2):449-462.
- Sharma SV, Gernand AD, Day RS. Nutrition knowledge predicts eating behavior of all food groups except fruits and vegetables among adults in the Paso del Norte region: Qué Sabrosa Vida. J Nutr Educ Behav. 2008;40(6):361-368.
- Carrillo E, Varela P, Fiszman S. Influence of nutrition knowledge on the use and interpretation of Spanish nutrition food labels. J Food Sci. 2012;77(1):H1-8.
- Lin W, Hang CM, Yang HC, Hung MH. 2005-2008 Nutrition and Health Survey in Taiwan:the nutrition knowledge, attitude and behavior of 19-64 years old adults. Asia Pac J Clin Nutr. 2011;20(2):309-318.
- Uysal Yeler G, Göktaş Z. Beslenme eğitiminin besin seçimi, kolesterol alım düzeyi ve vücut kompozisyonuna etkisi. SABİTED. 2023;3(1):1-9.
- Atasoy S, Güngör AE. Evaluation of nutrition knowledge level and obesity status of university students. TJFM&PC. 2022;16(2):340-349.
- Akkartal Ş, Gezer C. Is nutrition knowledge related to diet quality and obesity? Ecol Food Nutr. 2020;59(2):119-129.
- Valmórbida JL, Goulart MR, Busnello FM, Pellanda LC. Nutrition knowledge and body mass index:A cross-sectional study. Rev Assoc Med Bras. 2017;63(9):736-740.
- Dattilo M, Furlanetto P, Kuroda AP, Nicastro H, Coimbra Cruz PCF, Simony RF. Nutrition knowledge and its association with the body mass index. Nutrire: Rev Soc Bras Alim Nutr. 2009;34(1):75-84.
- Spronk I, Kullen C, Burdon C, O’Connor H. Relationship between nutrition knowledge and dietary intake. Br J Nutr. 2014;111(10):1713-1726.
- Dallongeville J, Marécaux N, Cottel D, Bingham A, Amouyel P. Association between nutrition knowledge and nutrition intake in middle-aged men from Northern France. Public Health Nutr. 2001;4(1):27-33.
- Frederick L, Hawkins ST. A comparison of nutrition knowledge and attitudes, dietary practices, and bone densities of postmenopausal women, female college athletes, and nonathletic college women. J Am Diet Assoc. 1992;92(3):299-303.
- Rash CL, Malinauskas BM, Duffrin MW, Barber-Heidal K, Overton RF. Nutrition-related knowledge, attitude, and dietary intake of college track athletes. Sport J. 2008;11:48-55.
- Akinmoladun OF, Oluyede OJ, Femi FA, Olatian OO, Nesamvuni CN. Association between nutrition knowledge, lifestyle, dietary practices and nutrition status among civil servants in western Nigeria. Afr J Food Agric Nutr Dev. 2021;21(10):18824-18838.
Details
| Primary Language | English |
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| Subjects | Public Health Nutrition |
| Journal Section | Original Article |
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| Early Pub Date | October 28, 2023 |
| Publication Date | October 29, 2023 |
| Published in Issue | Year 2023 Volume: 6 Issue: 6 |
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