scholarly journals Development and validation of a food and nutrition literacy questionnaire for Chinese school-age children

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0244197
Author(s):  
Tan Liu ◽  
Xiao Su ◽  
Niuniu Li ◽  
Jing Sun ◽  
Guansheng Ma ◽  
...  

Background This study aimed to develop and validate the Food and Nutrition Literacy Questionnaire for Chinese School-age Children (FNLQ-SC). Methods A comprehensive literature review and qualitative study were initially performed to identify the dimensions and core components of food and nutrition literacy. A cross-sectional survey of 4359 school-age children was conducted, and junior middle school students were used to analyze the reliability and validity of the questionnaire (n = 2452). The reliability of the questionnaire was determined by internal consistency, the construct validity was assessed by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and the content validity was assessed by the Pearson correlation coefficient. Results From the literature review and qualitative methods, 19 core components of the FNLQ-SC were developed, including one dimension of food and nutrition knowledge and understanding, and four skill dimensions (ability of access, selection, preparing food and healthy eating). The overall FNLQ-SC questionnaire had acceptable internal consistency (Cronbach’s α = 0.698). The EFA of skill components extracted 5 factors that were included in the conceptual framework in a slightly different model, and the cumulative contribution of variance accounted for 50.60% of the overall variance. The CFA of skill components showed an acceptable fit in general and the root mean square error of approximation (RMSEA) was 0.070 (between 0.50 to 0.80). The communality was greater than 0.20 for all components. The Pearson correlation coefficients between each dimension and the overall questionnaire ranged from 0.370 to 0.877. The average FNLQ-SC score of all 4395 participants was 61.91 ± 9.22, and the score for the knowledge and understanding dimension was higher than that for the skill dimensions. Multiple linear regression analysis indicated that not only social demographic characteristics (being a girl, being an only child, living someplace other than at school, having an urban registered permanent residence status, being from an affluent family, and being cared for by parents/grandparents with a higher education level) but also the home food environment were predictors of food and nutrition literacy in school-age children (R2 = 0.226, F = 81.401, P<0.05). Conclusion The Food and Nutrition Literacy Questionnaire (FNLQ-SC) developed here had good reliability, and it can potentially be a useful instrument for assessing food and nutrition literacy among Chinese school-age children.

2020 ◽  
Author(s):  
Tan Liu ◽  
Xiao Su ◽  
Niuniu Li ◽  
Jing Sun ◽  
Guansheng Ma ◽  
...  

Abstract Background : This study aimed to develop and validate a Food and Nutrition Literacy Questionnaire for Chinese School-age Children (FNLQ-SC). Methods : A comprehensive literature review and a qualitative study were initially performed to identify food and nutrition literacy dimensions and core components. A cross-sectional survey was conducted in 4359 school-age children, and the junior middle school students were used to analyze the reliability and validity (n=2452). The reliability of the questionnaire was determined by internal consistency. The construct validity was assessed by exploratory factor analysis (EFA), and the content validity was assessed by Pearson correlation coefficient. Results : By literature review and qualitative methods, 19 core components of FNLQ-SC were developed, including five dimensions of food and nutrition knowledge, the ability of access, selection, preparing of food and healthy eating. The overall FNLQ-SC questionnaire had high internal consistency (Cronbach’s α = 0.698). The exploratory factor analysis of skill components extracted 5 factors which were included in the conceptual framework, but a little different model, and cumulative contribution of variance accounted to 50.60%. The commonality was more than 0.20 for all components. The Pearson correlation coefficients between dimensions and total questionnaire were from 0.370 to 0.877. For all 4395 students, the average FNLQ-SC score of all participants was 61.91 ± 9.22, the score of knowledge and understanding was higher than that of skill dimensions. Multiple linear regression analysis indicated not only the social demographic characteristics (girls, only child, non-resident in school, urban registered permanent residence, in a more affluent family, and cared by their parents/grandparents with a higher education level), but also the home food environment were the predictors of food and nutrition literacy in school-age children (R 2 =0.226, F =81.401, P <0.05). Conclusion : The developed Food and Nutrition Literacy Questionnaire (FNLQ-SC) had good reliability, and it could potentially be a useful instrument for assessing food and nutrition literacy for Chinese school-age children.


2021 ◽  
Author(s):  
Tan Liu ◽  
Xiao Su ◽  
Niuniu Li ◽  
Jing Sun ◽  
Guansheng Ma ◽  
...  

2020 ◽  
Author(s):  
Niuniu Li ◽  
Xiao Su ◽  
Tan Liu ◽  
Jing Sun ◽  
Wenli Zhu

Abstract Background Eating behavior is influenced by multiple factors and understanding the interplay of these factors is necessary to promote children’s healthy food choices. This study investigated the relations of family food environment (FFE) factors with food and nutrition literacy (FNL) in Chinese school-age children.Methods A total of 605 children aged 7 ~ 13 years from grade 1 to 5, and their caregivers participated in the cross-sectional study in Beijing of China during April 2019. The FFE was assessed by the validated Family Food Environment Questionnaire for Chinese School-age Children (FFEQ-SC). For the children of grade 3 to 5 (n = 260), the FNL, including cognitive and skill domains, was assessed by Food and Nutrition Literacy Questionnaire for Chinese School-age Children (FNLQ-SC). Both FFEQ-SC and FNLQ-SC were developed firstly for Chinese school-age children and had good reliability. The anthropometric data (height and weight) was derived from local health information management system for primary schools.Results Overall, 68.9% of the children’s families had higher level of FFE. The total FNL score of 260 children from grade 3–5 was 63.23 ± 10.32. Comparison of children’s FNL score among different levels of FFE showed the children with higher level of FFE, especially higher level of caregiver’s educational degree and FNL, were more likely to have significant higher FNL scores (P < 0.05). The multivariate analysis showed the children’s total FNL score was significantly related with family caregiver (β= -0.123, P = 0.04) and caregiver’s nutritional literacy (β = 0.210, P = 0.002). Furthermore, the children with higher level of caregiver’s nutritional knowledge were less likely to be overweight or obesity (OR = 0.043, P = 0.04).Conclusions and Implications: Family food environment, especially caregivers’ FNL, were significantly related with children’s FNL, even the risk of overweight. These findings highlight the importance of targeting nutritional knowledge of family caregivers to facilitate the children’s FNL to maintain good health.


2021 ◽  
Author(s):  
Niuniu Li ◽  
Xiao Su ◽  
Tan Liu ◽  
Jing Sun ◽  
Wenli Zhu

Abstract Background: Eating behavior is influenced by multiple factors and understanding the interplay of these factors is necessary to promote children’s healthy food choice. This study investigated the relations of family food environment (FFE) with food and nutrition literacy (FNL) in Chinese school-age children.Methods: A total of 605 children aged 7-13 years from Grade 1 to 5, and their caregivers participated in the cross-sectional study in Beijing of China during April 2019. The FFE was assessed by the validated Family Food Environment Questionnaire for Chinese School-age Children (FFEQ-SC). For the children of Grade 3 to 5 (n=260), the FNL, including cognitive and skill domains, was assessed by Food and Nutrition Literacy Questionnaire for Chinese School-age Children (FNLQ-SC). Both FFEQ-SC and FNLQ-SC were developed firstly for Chinese school-age children who had good reliability. The anthropometric data (height and weight) was derived from local health information management system for primary schools.Results: Overall, 68.9% of the children’s families had high level of FFE. The total FNL score of 260 children at Grade 3-5 was 63.2±10.3. Comparison of children’s FNL scores among different levels of FFE showed the children with higher level of FFE, especially higher level of caregiver’s educational degree and FNL, were more likely to have higher FNL scores (P<0.05). The multivariate analysis showed the children’s total FNL score was significantly related with family caregiver (β= -0.123, P=0.04) and caregiver’s nutritional literacy (β= 0.210, P=0.002). Furthermore, the children with higher level of caregiver’s nutritional knowledge were less likely to be overweighted or obesese (OR=0.043, P=0.04).Conclusions: Family food environment, especially caregivers’ FNL, was related with children’s FNL, even the risk of overweight. These findings highlight the importance of targeting nutritional knowledge of family caregivers to facilitate the children’s FNL to maintain good health.


2018 ◽  
Vol 14 (3) ◽  
pp. 182-188 ◽  
Author(s):  
Jing Zhang ◽  
Xinyue Li ◽  
Nicola Hawley ◽  
Zhijie Zheng ◽  
Zhen Zou ◽  
...  

Author(s):  
Hilary Ann Toccacelli Caldwell ◽  
Natascja A Di Cristofaro ◽  
John Cairney ◽  
Steven R Bray ◽  
Brian W. Timmons

The Physical Literacy Assessment for Youth (PLAY) Tools are a suite of tools to assess an individual’s physical literacy. The purpose of this study is to examine the psychometric properties of the PLAY Tools, including inter-rater reliability, internal consistency, validity and the associations between the tools. In this study, 218 children and youth (8.4- to- 13.7-years old) and a parent/ guardian completed the appropriate physical literacy assessments (i.e., PLAYbasic, PLAYfun, PLAYparent and PLAYself) and the Bruiniks-Oseretsky Test of Motor Proficiency (BOT-2). Inter-rater reliability for PLAYfun was excellent (ICC=0.94). The PLAYbasic, PLAYfun total, running and object control scores, and PLAYparent motor competence domain were higher in males than females, and PLAYfun locomotor skills were lower in males than females (p<0.05). Age was positively correlated with PLAYbasic and PLAYfun (r=0.14-0.32, p<0.05). BOT-2 was positively correlated with PLAYfun and PLAYbasic (r=0.19-0.59, p<0.05). PLAYbasic is a significant predictor of PLAYfun (R<sup>2</sup>=0.742, p<0.001). PLAYfun, PLAYparent and PLAYself were moderately correlated with one another. PLAYfun, PLAYparent and PLAYself demonstrated acceptable internal consistency (α=0.74-0.87, ω=0.73-0.87). The PLAY Tools demonstrated moderate associations between one another, strong inter-rater reliability and good construct and convergent validity. Continued evaluation of these tools with other populations, such as adolescents, is necessary. •In school-age children, the PLAY Tools demonstrated strong inter-rater reliability, moderate associations with one another, acceptable internal consistency and good construct and convergent validity.•The results suggest that that PLAY Tools are an acceptable method of evaluation for physical literacy in school-age children.


2009 ◽  
Vol 12 (1) ◽  
pp. 86-92 ◽  
Author(s):  
Yoon-Mi Hur ◽  
Yingfeng Zheng ◽  
Wenyong Huang ◽  
Xiaohu Ding ◽  
Mingguang He

AbstractStudies have reported that refractive errors are associated with premature births. As twins have higher prevalence of prematurity than singletons, it is important to assess similarity of the prevalence of refractive errors in twins and singletons for proper interpretations and generalizations of the findings from twin studies. We compared refractive errors and diopter hours between 561 pairs of twins and 3757 singletons who are representative of school-age children (7–15 years) residing in an urban area of southern China. We found that the means and variances of the continuous measurement of spherical equivalent refractive error and diopter hours were not significantly different between twins and singletons. Although the prevalence of myopia was comparable between twins and singletons, that of hyperopia and astigmatism was slightly but significantly higher in twins than in singletons. These results are inconsistent with those of adult studies that showed no differences in refractive errors between twins and singletons. Given that the sample size of twins is relatively small and that this study is the first to demonstrate minor differences in refractive errors between twins and singletons, future replications are necessary to determine whether the slightly higher prevalence of refractive errors in twins than in singletons found in this study was due to a sampling error or to the developmental delay often observed in twins in childhood.


2021 ◽  
Vol 3 (2) ◽  
pp. 58-65
Author(s):  
Claudia Claudia ◽  
Endang Purwaningsih ◽  
Siti Fitria Ulfah

Elementary school-age children still have the largest proportion of dental and oral health problems, one of which is caused by low knowledge about proper tooth brushing, knowledge can be increased through dental health education learning, including especially video media. The use of video media is considered to be able to increase the knowledge of correct brushing of teeth in elementary school children because it is able to display images and sounds so that children like it. The purpose of this study was to determine the effectiveness of using video media in increasing the knowledge of proper brushing of teeth in elementary school children. This type of research is a literature review. The search for journals was carried out in 2015-2020 on the Google Scholar, DOAJ, PubMed database in English and Indonesian. The results of this study showed an increase in student's knowledge after counseling with video media from the medium category to the good category so that research using video media was more effective. It can be concluded that the use of video media is effective in increasing the knowledge of correct brushing of teeth in elementary school children. Anak usia sekolah dasar masih memiliki proporsi terbesar masalah kesehatan gigi dan mulut, salah satunya yang disebabkan oleh rendahnya pengetahuan tentang menyikat gigi yang benar, pengetahuan dapat ditingkatkan melalui pembelajaran pendidikan kesehatan gigi termasuk khususnya media video. Penggunaan media video dinilai mampu meningkatkan pengetahuan menyikat gigi yang benar pada anak sekolah dasar karena mampu menampilkan gambar dan suara sehingga anak-anak menyukai. Tujuan Penelitian ini adalah untuk mengetahui efektivitas penggunaan media video dalam meningkatkan pengetahuan menyikat gigi yang benar pada anak sekolah dasar. Jenis penelitian ini adalah literature review. Pencarian jurnal dilakukan tahu 2015-2020 pada data base Google Scholar, DOAJ, PubMed dalam bahasa inggris dan indonesia Hasil penelitian ini adanya peningkatan pengetahuan siswa/i setelah dilakukan penyuluhan dengan media video dari kategori sedang menjadi kategori baik, sehingga penelitian menggunakan media video lebih efektif. Dapat disimpulkan bahwa penggunaan media video efektif untuk meningkatkan pengetahuan menyikat gigi yang benar pada anak sekolah dasar.  


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