Zonguldak Bülent Ecevit University, Faculty of Health Sciences, Department of Pediatric Nursing, Zonguldak, Turkey.
Karabük University, Faculty of Health Sciences, Department of Pediatric Nursing, Karabük, Turkey.
J Pediatr Nurs. 2023 Jul-Aug;71:e120-e127. doi: 10.1016/j.pedn.2023.05.004. Epub 2023 May 18.
It was aimed to evaluate the effect of adolescents' nutritional literacy level on their heart health attitudes.
This is a descriptive and cross-sectional study. Data from 416 adolescents were obtained in the study. The Adolescent Nutrition Literacy Scale (ANLS) and the Cardiovascular Health Behavior Scale for Children (CHBSC) were completed by participants. The adolescents' demographic information, lifestyle, and diet habits were collected. The results were analyzed using descriptive statistics and multivariable regression.
The participants' mean scores of the ANLS and the CHBSC were as 68.30 ± 8.68 and 67.55 ± 8.45, respectively. It was determined that 88.7% of the adolescents had moderate attitudes towards heart health and that there was a weak and negative correlation between the ANLS and CHBSC scores (r = -0,207; p < 0.001). It was determined that there was a statistically significant difference in ANLS and CHBSC scores in terms of gender, Body Mass Index (BMI), fast food consumption frequency, what they primarily pay attention to in food, weekly exercise frequency, the amount of daily water consumption, general health status and reading the label of packaged products (p < 0.05). It was determined that exercising, general state of health, BMI, consumption of fast food, and reading the label of packaged products were key predictors of CHBSC scores. Additionally, exercising, consumption of fast food, and reading the label of packaged products were identified as key predictors of ANLS scores.
Our analysis suggests that higher levels of nutritional literacy are related to more positive attitudes towards heart health in adolescents. Additionally, our analysis identifies key predictors of both nutrition literacy and heart health behaviors.
School health nurses should consider the variables influencing these parameters to improve attitudes towards nutritional literacy and heart health in adolescents.
评估青少年营养素养水平对其心脏健康态度的影响。
这是一项描述性和横断面研究。本研究共纳入 416 名青少年。参与者完成了青少年营养素养量表（ANLS）和儿童心血管健康行为量表（CHBSC）。收集了青少年的人口统计学信息、生活方式和饮食习惯。采用描述性统计和多变量回归分析结果。
参与者的 ANLS 和 CHBSC 平均得分为 68.30±8.68 和 67.55±8.45。确定 88.7%的青少年对心脏健康有中度态度，并且 ANLS 和 CHBSC 得分之间存在微弱的负相关（r=-0.207；p<0.001）。性别、体重指数（BMI）、快餐消费频率、关注食物的主要内容、每周运动频率、每日饮水量、总体健康状况和阅读包装产品标签等方面的 ANLS 和 CHBSC 评分存在统计学差异（p<0.05）。确定运动、一般健康状况、BMI、快餐消费和阅读包装产品标签是 CHBSC 评分的关键预测因素。此外，运动、快餐消费和阅读包装产品标签被确定为 ANLS 评分的关键预测因素。
我们的分析表明，较高的营养素养水平与青少年对心脏健康的更积极态度有关。此外，我们的分析确定了营养素养和心脏健康行为的关键预测因素。
学校保健护士应考虑影响这些参数的变量，以改善青少年对营养素养和心脏健康的态度。
