Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran.
Department of Community Nutrition, Faculty of Nutrition and Food Technology, and National Nutrition and Food Technology Research Institute (WHO Collaborating Center), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Nutr J. 2022 Jul 1;21(1):45. doi: 10.1186/s12937-022-00796-8.
BACKGROUND: Food and nutrition literacy is a key factor in shaping healthy dietary behaviors and may result in decreasing decrease the prevalence of overweight. Empirical research on food and nutrition literacy and its outcomes is limited, especially among children and adolescents. Thus, this study investigates the link between Food and Nutrition Literacy (FNLIT) with eating behaviors, academic performance, and overweight in 10-12 years old students in Tehran, Iran. METHODS: This study was performed through two phases: 1) Proposing a conceptual model of the relationship between FNLIT and its determinants and outcomes, based on the existing evidence and previous models, and 2) Testing the proposed FNLIT model through a cross-sectional study on 803 primary school students (419 boys and 384 girls, from 34 public and 10 private primary schools), aged 10-12 years using structural equation modeling. Demographic, socio-economic, and household food security characteristics were collected by interviewing the students and their mothers/caregivers using a questionnaire. FNLIT was measured by a self-administered, locally designed, and validated questionnaire. RESULTS: The fit indices suggested a reasonably adequate fit of the data to the hypothesized model (χ/df = 2.03, p < 0.001, goodness of fit index (GFI) = 0.90, adjusted goodness of fit index (AGFI) = 0.88, comparative fit index (CFI) = 0.91, incremental fit index (IFI) = 0.91, root mean square error of approximation (RMSEA) = 0.04, standardized root mean residual (SRMR) = 0.06). SES was directly and positively related to FNLIT and its subscale in students. FNLIT score had a positive direct (non-mediated) relationship with healthy eating behavior and academic performance. This pattern was strongly reversed in unhealthy eating behavior. There was a full mediation relationship between FNLIT and overweight/obesity via healthy eating behaviors. SES predicted academic performance partially through the mediating effect of Food Label Literacy (FLL). The results indicated that despite the direct relationship between SES and academic performance, an indirect but negative relationship existed with food insecurity. The finding also revealed the fully mediating role of Food Choice Literacy (FCL) in the relationship between demographic factors and healthy eating behaviors. Our study also found that Interactive Food and Nutrition Literacy (IFNL) protected unhealthy eating behaviors, and FCL predicted healthy eating behaviors in children. CONCLUSION: Our study draws attention to FNLIT, especially the skills domain, including IFNL, FCL, and FLL, as the most important determinant of healthy eating behavior, academic performance, and weight status in school-age children reduces social inequalities in children's development. To ensure an adequate level of FNLIT, educators should assess and plan to enhance food literacy skills in children and adolescents.
背景:食品和营养素养是塑造健康饮食行为的关键因素,可能会降低超重的发生率。关于食品和营养素养及其结果的实证研究有限,特别是在儿童和青少年中。因此,本研究调查了伊朗德黑兰 10-12 岁学生的食品和营养素养(FNLIT)与饮食行为、学业成绩和超重之间的关系。
方法:本研究分两个阶段进行:1)根据现有证据和先前模型,提出 FNLIT 与其决定因素和结果之间关系的概念模型;2)通过对 803 名小学生(34 所公立和 10 所私立小学的 419 名男生和 384 名女生)进行横断面研究,使用结构方程模型检验提出的 FNLIT 模型。通过对学生及其母亲/照顾者进行访谈,使用问卷收集人口统计学、社会经济和家庭粮食安全特征。FNLIT 通过自我管理、本地设计和验证的问卷进行测量。
结果:拟合指数表明,数据与假设模型的拟合程度相当合理(χ/df=2.03,p<0.001,拟合优度指数(GFI)=0.90,调整拟合优度指数(AGFI)=0.88,比较拟合指数(CFI)=0.91,增量拟合指数(IFI)=0.91,近似误差平方根(RMSEA)=0.04,标准化根均残差(SRMR)=0.06)。SES 直接且正向与学生的 FNLIT 及其子量表相关。FNLIT 分数与健康饮食行为和学业成绩呈正直接(非中介)关系。这种模式在不健康的饮食行为中被强烈逆转。FNLIT 通过健康饮食行为与超重/肥胖之间存在完全中介关系。SES 通过食品标签读写能力(FLL)的中介作用部分预测学业成绩。结果表明,尽管 SES 与学业成绩之间存在直接关系,但通过粮食不安全存在间接但负面的关系。研究结果还揭示了在人口统计因素与健康饮食行为之间,食品选择读写能力(FCL)的完全中介作用。我们的研究还发现,互动食品和营养素养(IFNL)保护了不健康的饮食行为,而 FCL 预测了儿童的健康饮食行为。
结论:本研究提请注意 FNLIT,特别是技能领域,包括 IFNL、FCL 和 FLL,作为决定学龄儿童健康饮食行为、学业成绩和体重状况的最重要因素,可以减少儿童发展方面的社会不平等。为了确保 FNLIT 的充足水平,教育工作者应该评估并计划增强儿童和青少年的食品读写能力技能。
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