scholarly journals Nutrition Literacy Mediates the Relationships between Multi-Level Factors and College Students’ Healthy Eating Behavior: Evidence from a Cross-Sectional Study

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3451
Author(s):  
I-Ju Lai ◽  
Li-Chun Chang ◽  
Chia-Kuei Lee ◽  
Li-Ling Liao

College students experience new pressures and choices as they transition to independent living and can easily develop unhealthy eating habits, resulting in obesity and obesity-related chronic diseases in later life. This study aimed to test the hypothesis that nutrition literacy (NL) mediated the relationship between multi-level factors influencing healthy eating behavior identified from the social-ecological model and healthy eating behavior of college students. A four-part questionnaire was completed by 412 participants recruited from six different four-year universities in Taiwan (effective response rate = 85.8%). Data were analyzed using descriptive statistics, an independent samples t-test, hierarchical multiple regression, and mediation analysis. The results indicated that the students’ mean nutrition literacy score was 4.32 (SD = 0.78, range = 1–6). In the social-ecological framework, nutrition literacy significantly predicted healthy eating behavior (β = 0.28, p < 0.001; ΔF = 32.54, p < 0.001; ΔR2 = 0.05) with control variables of background, intrapersonal, interpersonal, environmental, and macrosystem factors. Nutrition literacy mediated the effects of seven factors on healthy eating behavior across four levels. These findings suggested that strengthening influential multi-level factors associated with healthy eating behavior not only enhanced NL, but also improved individuals’ healthy eating behavior.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hagos Amare Gebreyesus ◽  
Girmatsion Fisseha Abreha ◽  
Sintayehu Degu Besherae ◽  
Merhawit Atsbha Abera ◽  
Abraha Hailu Weldegerima ◽  
...  

Abstract Background Diet is central to the management of type 2 diabetes mellitus (T2DM). Depending on the stage of the disease at which the recommended diet is initiated, optimal adherence can reduce HbA1c by about 1 to 2%. However, evidence on eating behavior is generally scarce including in Ethiopia. The present study aimed to assess the eating behavior of adults with T2DM in North Ethiopia. Methods This cross-sectional study was conducted among 421 adults with T2DM from September to November 2019. Socio-demographic variables were collected using structured questionnaires; an asset-based wealth index was used to determine socioeconomic status. Three dimensions of eating behavior were assessed using Likert-type items: food selection, meal planning and calorie recognition. Raw Likert scores in each dimension were transformed to percent scales to maximum (%SM). Participants’ behavior in each dimension was categorized into healthy and unhealthy taking 66.7% SM score as a cutoff. Overall eating behavior was determined by aggregating ranks scored in the three dimensions. Correlates of overall eating behavior were identified using Chi-square test and multinomial logistic regression with statistical significance set at P-value < 0.05. Result Only 1% of the participants had overall healthy eating behavior. Yet, overall unhealthy eating was apparent in 54.4%. By dimensions, healthy eating behaviors in food selection, meal planning and calorie recognition were seen in 43.5, 7.4 and 2.9% participants, respectively. Factors that were positively associated with having healthy eating behavior in one dimension relative to unhealthy in all were: receiving nutrition education [AOR 1.73; CI 1.09, 2.74], female gender [AOR 1.78; CI 1.03, 3.08] & being in 26–44 age category [AOR 3.7; CI 1.56, 8.85]. But, being in the poor [AOR 0.42; CI 0.16, 1.32] or average [AOR 0.54; CI 0.19, 1.55] socioeconomic strata were negatively associated. However, only receiving nutrition education [AOR 3.65; CI 1.31, 10.18] was significantly associated with having healthy behavior in two eating dimensions over unhealthy in all. Conclusion In North Ethiopia, the overall eating behavior of adults with T2DM is extremely poor. Diverse and integrated approaches including nutrition education during consultation should be implemented to address the gap.


2021 ◽  
Author(s):  
Tannia Valeria Carpio-Arias ◽  
Santiago Piedra ◽  
Tomas Marcelo Nicolalde-Cifuentes ◽  
Diana Carolina Mogrovejo-Arias ◽  
María Victoria Padilla-Samaniego ◽  
...  

Abstract Purpose: To explore the effects of mobility restriction on the mental health of Ecuadorian young adults. Methods: The current is a cross-sectional study that included 8426 young adults. Socio-demographic and mental health data were collected through an online survey during May and June 2020 in Ecuador. Data on mobility was extracted from Google Mobility Reports. Four aspects of the participants’ mental health were evaluated: eating behavior (emotional eating), depression, sleep quality and sense of coherence using previously validated instruments. Data were analyzed using linear regression using R. Results: Mean age of the participants was 22.85 (SD = 4.43), most of whom were women (n = 5943, 70.53%). During mandatory confinement, mobility due to retail and recreation, to groceries and pharmacies, to parks, to transit stations, to workplaces were reduced by nearly 50%. In contrast, mobility to places of residence increased by nearly 20%. A reduction in mobility to workplaces was associated to less healthy eating behavior, depression and worse sleep quality. Less healthy eating behavior was also associated to decreased mobility due to recreation and retail and increased mobility to transit stations. Sense of coherence was not associated to changes on mobility. Women and youngsters more often showed depression, less healthy eating behavior, worse quality of sleep and lower sense of coherence. Conclusion: Mobility restrictions during COVID-19 pandemic has negative effects on people's mental health. Prevention and health promotion measures directed to ameliorate the effects of confinement on mental health should target risk populations including women and youngsters.


Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3258
Author(s):  
Minh H. Nguyen ◽  
Thu T. M. Pham ◽  
Dinh N. Vu ◽  
Binh N. Do ◽  
Hoang C. Nguyen ◽  
...  

Background: Healthy eating and physical activity are effective non-pharmacological approaches to boost immune function and contain the pandemic. We aimed to explore the associations and interactions between physical activity and healthy eating behavior with COVID-19-like symptoms (Slike-CV19S). Methods: A cross-sectional study was conducted on 3947 outpatients, from 14 February to 2 March 2020, at nine health facilities in Vietnam. Data collection included sociodemographic characteristics, healthy eating behavior (using the healthy eating score (HES) questionnaire), physical activity (using the short form international physical activity questionnaire), and Slike-CV19S. The associations and interactions were tested using logistic regression models. Results: Frequent intake of fruits (OR = 0.84; p = 0.016), vegetables (OR = 0.72; p = 0.036), and fish (OR = 0.43; p < 0.001) were associated with a lower Slike-CV19S likelihood, as compared with infrequent intake. Patients with higher HES levels (OR = 0.84; p = 0.033 for medium HES; OR = 0.77; p = 0.006 for high HES) or being physically active (OR = 0.69; p < 0.001) had a lower Slike-CV19S likelihood, as compared to those with low HES or physical inactivity, respectively. Patients with medium HES who were physically active (OR = 0.69; p = 0.005), or with high HES and physically active (OR = 0.58; p < 0.001), had a lower Slike-CV19S likelihood, as compared to those with low HES and physical inactivity. Conclusions: Healthy eating behavior and physical activity showed single and combinative impacts on protecting people from Slike-CV19S. Strategic approaches are encouraged to improve healthy behaviors, which may further contribute to containing the pandemic.


Author(s):  
Supiati Supiati ◽  
Djauhar Ismail ◽  
Retna Siwi P

<p>ABSTRACT</p><p>Background: Obesity is a health problem in developed countries as well as developing countries like Indonesia. National prevalence of overweight children aged 6-14 years is 9.5% in male and 6.4% in female. In Sulawesi Tenggara, there are 6.2% of male and 4.5% of female children who were overweight. Obesity in City of Kendari, there was an increase of obesity prevalence 0.15% in 2007 and 0.26% in 2008. Obesity can be influenced by various factors. It issuspected that eating behavior is a major factor, so we want to know, how big is the eating behaviors contribute to children’s obesity.</p><p>Objectives: To determine the relationship of eating behavior and incidence of childhood obesity in one favorite public elementary school in Kendari Sulawesi Tenggara Province.</p><p>Methods: This research was observational with cross sectional study design it was conducted in May 2010. Data was analysed using comparative test (chi square), and logistic regression.</p><p>Results: There was significant correlation between eating behavior and obese incidence (p&lt;0.01) with the power of prevalence ration (PR) was protective in their nature (PR= 1/0.12 = 8.3 In other words, the subject with healthy eating behavior had probability 8.3 times greater to not obese.</p><p>Conclusions: There was significant correlation between diet behavior and the obesity in the children with the power of correlation and prevalence ratio was protective. The subject with healthy diet behavior had probability of 8.3 times to avoid obese incidence compared to the subject with non healthy eating behavior.</p><p>KEYWORDS: eating behavior, obesity, elementary school children</p><p>ABSTRAK</p><p>Latar belakang: Obesitas merupakan masalah kesehatan di negara maju dan berkembang seperti Indonesia. Prevalensi nasional berat badan lebih anak usia 6-14 tahun pada laki-laki 9,5% dan pada perempuan 6,4%. Di Sulawesi Tengggara, prevalensi tersebut 6,2% pada laki-laki dan 4,5% pada perempuan. Obesitas di Kota Kendari meningkat setiap tahun yaitu 0,15% pada tahun 2007 dan 0,26% tahun 2008. Obesitas dapat dipengaruhi oleh berbagai faktor, diduga perilaku makan merupakan faktor utama, sehingga ingin diketahui seberapa besar pengaruh perilaku makan menyumbang terhadap kejadian obesitas.</p><p>Tujuan: Untuk mengetahui hubungan antara perilaku makan dan kejadian obesitas anak di SDN favorit Kota Kendari Provinsi Sulawesi Tenggara.</p><p>Metode: Jenis penelitian ini adalah penelitian observasional dengan rancangan penelitian cross- sectional yang dilaksanakan pada bulan Mei 2010. Analisis data menggunakan uji komparatif (chi square), dan regresi logistik.</p><p>Hasil: Ada hubungan terbalik antara perilaku makan dengan obesitas anak.P&lt;0,01 dengan kekuatan hubungan dan rasio prevalensi (RP)=1/0,12=83, yaitu subjek yang mempunyai perilaku makan sehat mempunyai peluang 8,3 kali lebih besar untuk terhindar dari terjdinya obesitas.</p><p>Kesimpulan: Ada hubungan yang sangat signifi kan antara perilaku makan dengan obesitas anak, dengan kekuatan hubungan dan rasio prevalensi yang bersifat protektif yaitu subjek yang mempunyai perilaku makan sehat mempunyai peluang 8,3 kali untuk terhindar dari terjadinya obesitas dibandingkan dengan anak yang berperilaku makan tidak sehat.</p><p>KATA KUNCI: perilaku makan, obesitas, anak sekolah dasar</p>


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