Department of Nutrition and Dietetics, Faculty of Health Sciences, Izmir Kâtip Çelebi University, Izmir, Türkiye.
Department of Nutrition and Dietetics, Faculty of Health Sciences, Erciyes University, Kayseri, Türkiye.
Eat Weight Disord. 2024 May 4;29(1):32. doi: 10.1007/s40519-024-01661-9.
This study aimed to investigate the potential relationships between the use of different section of food label, and healthy and pathological aspects of orthorexia among adults.
This cross-sectional study was conducted using an online survey (n = 1326). Inclusion criteria were being 19-64 years and graduated from at least primary school. Pregnant and lactating women were excluded. Data were collected using questionnaire including socio-demographic variables, lifestyle factors, body weight and height, frequency of reading different sections of food label ("always", "when buying a food for the first time", "when comparing similar packaged foods", "rarely", "never"), food label literacy, and Teruel Orthorexia Scale. Participants were categorized as nutrition facts panel-users, ingredients list-users or claim-users if they read at least one item from the relevant parts.
The proportions of nutrition facts, ingredients list, and claims sections users were 72.3%, 76.3%, and 79.9%, respectively. Both healthy and pathological aspects of orthorexia were associated with reading food labels. The healthy orthorexia had the strongest association with using the ingredients list (OR 1.76, 95% CI 1.41-2.20), whereas the orthorexia nervosa showed the highest association with using nutrition facts panel (OR 1.48, 95% CI 1.20-1.81). While women, physically active participants and those with higher food label literacy were more likely to use all sections of food labels; older age, having children, and chronic disease increased the likelihood of using claims and ingredients list (p < 0.05). Besides, following a diet was associated with higher use of nutrition facts and ingredients list (p < 0.05).
The study demonstrates that food label users have higher orthorexia tendencies compared to non-users. Of the food label sections, healthy orthorexia showed the strongest association with use of the list of ingredients, while pathological orthorexia showed the strongest association with use of the nutrition facts panel.
Level V, cross-sectional study.
本研究旨在探讨不同食品标签部分的使用与成年人饮食偏执和健康及病理方面之间的潜在关系。
这是一项横断面研究，通过在线调查（n=1326）进行。纳入标准为 19-64 岁，至少完成小学教育。排除孕妇和哺乳期妇女。使用问卷收集数据，包括社会人口统计学变量、生活方式因素、体重和身高、阅读不同食品标签部分的频率（“总是”、“第一次购买食品时”、“比较类似包装食品时”、“很少”、“从不”）、食品标签读写能力和特鲁埃尔饮食偏执量表。如果参与者阅读了相关部分的至少一个项目，则将其归类为营养成分表使用者、成分列表使用者或声称使用者。
营养成分表、成分列表和声称部分使用者的比例分别为 72.3%、76.3%和 79.9%。饮食偏执的健康和病理方面都与阅读食品标签有关。健康饮食偏执与使用成分列表的关联最强（OR 1.76，95%CI 1.41-2.20），而饮食神经症与使用营养成分表的关联最高（OR 1.48，95%CI 1.20-1.81）。然而，女性、身体活跃的参与者和具有较高食品标签读写能力的参与者更有可能使用食品标签的所有部分；年龄较大、有子女和患有慢性疾病会增加使用声称和成分列表的可能性（p<0.05）。此外，遵循饮食与更高的营养成分表和成分列表使用率相关（p<0.05）。
该研究表明，与非使用者相比，食品标签使用者的饮食偏执倾向更高。在食品标签部分中，健康饮食偏执与使用成分列表的关联最强，而病理饮食偏执与使用营养成分表的关联最强。
五级，横断面研究。
