Department of Nutrition and Dietetics, Faculty of Health Sciences, Erzurum Technical University, 25050 Erzurum, Türkiye.
Department of Nutrition and Dietetics, Faculty of Health Sciences, Gazi University, 06490 Ankara, Türkiye.
Medicina (Kaunas). 2024 Jul 24;60(8):1196. doi: 10.3390/medicina60081196.
: The global rise in obesity presents a significant public health challenge, with Turkey exhibiting one of the highest obesity rates in Europe. Body image dissatisfaction (BID) and lower food literacy (FL) have been associated with obesity, yet their interplay remains underexplored. This study aimed to investigate the relationship between body mass index (BMI), body image dissatisfaction, and FL in adults in Turkey. : In total, 759 women and 419 men aged 18-64 years old were included in this study. The mean age was 31.34 ± 11.92. A total of 1178 participants completed an online questionnaire assessing anthropometric measurements, BID, using the Stunkard Figure Rating Scale, and FL, using a validated questionnaire. The data were analyzed using descriptive statistics, correlation analysis, and mediation analysis to explore the relationships between variables in SPSS 24.0. : Women desired to be thinner more frequently than men, and those with negative BID were predominantly individuals with overweight or obesity. Moreover, those with higher FL scores were more likely to be satisfied with their bodies. Correlation analysis demonstrated a negative relationship between BMI and FL (r = -0.94; = 0.001) and a positive relationship between BMI and BID (r = 0.628; < 0.001). Mediation analysis revealed that FL mediated the relationship between BID and BMI (β = -2.281; lower limit = -3.334, upper limit = -1.228). : The findings highlight the importance of addressing BID and enhancing FL to mitigate obesity risk factors. This study contributes to understanding the complex interplay between BID, FL, and obesity, providing insights for public health interventions aimed at obesity prevention and management.
全球肥胖率上升带来了重大的公共健康挑战，土耳其是欧洲肥胖率最高的国家之一。身体意象不满（BID）和较低的食品素养（FL）与肥胖有关，但它们之间的相互作用仍未得到充分探索。本研究旨在探讨土耳其成年人的体重指数（BMI）、身体意象不满和 FL 之间的关系。
共有 759 名女性和 419 名年龄在 18-64 岁的男性参与了这项研究。平均年龄为 31.34 ± 11.92 岁。共有 1178 名参与者完成了一份在线问卷，评估了人体测量学测量、使用 Stunkard 体型评分量表评估的身体意象不满以及使用经过验证的问卷评估的 FL。数据使用 SPSS 24.0 进行描述性统计、相关分析和中介分析，以探讨变量之间的关系。
女性比男性更频繁地希望自己更瘦，而那些有负面身体意象不满的人主要是超重或肥胖者。此外，那些 FL 得分较高的人更可能对自己的身体感到满意。相关分析表明，BMI 与 FL 呈负相关（r = -0.94； = 0.001），BMI 与 BID 呈正相关（r = 0.628； < 0.001）。中介分析显示，FL 介导了 BID 和 BMI 之间的关系（β = -2.281；下限 = -3.334，上限 = -1.228）。
研究结果强调了解决 BID 和提高 FL 以减轻肥胖危险因素的重要性。本研究有助于理解 BID、FL 和肥胖之间的复杂相互作用，为旨在预防和管理肥胖的公共卫生干预措施提供了见解。
