Research Article
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The validity and reliability of the Turkish version of the Family Nutrition and Physical Activity screening tool

Year 2021, Volume: 34 Issue: 3, 319 - 326, 27.10.2021
https://doi.org/10.5472/marumj.1009125

Abstract

Objective: The aim of this study is to evaluate reliability and validity of the Turkish version of the Family Nutrition and Physical
Activity (FNPA-TR) screening tool. This study was conducted as a methodological research. The data were collected between May
and June 2018. The population of the study consisted of 1126 first and fourth grade students and their families in three primary public
schools that represent three socioeconomic statuses (high, medium, low) in Istanbul, Turkey.
Materials and Methods: Data were collected from 727 students and their families with an introductory information form and the
FNPA-TR screening tool. The validity of content scale was evaluated by comparing the relationship between FNPA-TR scores and
answers given to non-scale questions measuring the eating behaviour. In this study, Cronbach’s alpha, Kaiser-Meyer-Olkin, Varimax
rotation and ICC coefficients statistical tests were used to measure validity and reliability.
Results: The Cronbach alpha coefficient for the internal consistency of the scale was 0.724. The test-retest reliability coefficient of the
scale had a medium to very high level that ranged from 0.422 to 0.925. The Kaiser-Meyer-Olkin test result was found to be appropriate
as 0.771.
Conclusion: The study shows that the FNPA-TR scale is a valid and reliable measurement tool for the Turkish population.

References

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  • [5] Guidelines For Adolescent Nutrition Services. Stang J, Story M (eds). 2015. Available from: http://www.epi.umn.edu/let/ pubs/img/adol_preface_materials.pdf. (Accessed: September, 2020)
  • [6] Kansra AR, Lakkunarajah S, Jay MS. Childhood and adolescent obesity: a review. Front Pediatr 2021;12;8:581461. doi: 10.3389/fped.2020.581461.
  • [7] Herbenick SK, James K Milton J, Cannon D. Effects of family nutrition and physical activity screening for obesity risk in school-age children. J Spec Pediatr Nurs 2018 ; 23:e12229. doi: 10.1111/jspn.12229
  • [8] World Health Organization. Report Of The Commision On Ending Childhood Obesity. 2016. Availableform: http://apps. who.int/iris/bitstream/10665/204176/1/978.924.1510066_ eng.pdf. (Accessed: September, 2020)
  • [9] Tucker JM, Howard K, Guseman EH, Yee KE, Saturley H, Eisenmann JC. Association between the Family Nutrition and Physical Activity Screening Tool and obesity severity in youth referred to weight management. Obes Res Clin Pract. 2017 May-Jun;11(3):268-275. doi: 10.1016/j.orcp.2016.09.007.
  • [10] Stang J, Bonilla Z. Factors Affecting Nutrition and Physical Activity Behaviors of Hispanic Families With Young Children: Implications for Obesity Policies and Programs. J Nutr Educ Behav. 2018 Nov-Dec;50(10):959-967. doi: 10.1016/j. jneb.2017.08.005.
  • [11] Taverno Ross SE, Clennin MN, Dowda M, Colabianchi C, Pate RR. Stepping It Up: Walking Behaviors in Children Transitioning from 5th to 7th Grade. Int. J. Environ. Res. Public Health. 2018; Feb 3;15(2). pii: E262. doi: 10.3390/ ijerph15020262
  • [12] Toruner EK, Ayaz S, Savaser S. Parents’ perceptions about weights of their children. Hemar-G. 2014; 16(2): 11-20.
  • [13] Ihmels MA, Welk GJ, Eisenmann JC, Nusser SM. Development and preliminary validation of a Family Nutrition and Physical Activity (FNPA) screening tool. Int J Behav Nutr Phys Act. 2009; 6:14. doi: 10.1186/1479-5868-6-14
  • [14] Bailey-Davis L, Peyer KL, Fang Y, Kim JK, Welk GJ. Effects of Enhancing School-Based Body Mass Index Screening Reports with Parent Education on Report Utility and Parental Intent To Modify Obesity Risk Factors. Child Obes. 2017;13(2):164– 171. doi:10.1089/chi.2016.0177
  • [15] Karnik S, Kanekar A. Childhood obesity: a global public health crisis. Int J Prev Med 2012;3:1-7.
  • [16] Peyer KL, Welk GJ. Construct Validity of an Obesity Risk Screening Tool in Two Age Groups. Int J Environ Res Public Health. 2017 Apr 14;14(4):419. doi: 10.3390/ijerph14040419.
  • [17] Yurdalan SU, Sengir N, Isci E. Turkish Validity and Reliability of DREEM Questionnaire used in assessment of learning environment in physiotherapy and rehabilitation undergraduate education. JHMN 2020; 78: 8-17. doi: 10.7176/ JHMN/78-02
  • [18] Taber KS. The Use of Cronbach’s Alpha when developing and reporting research ınstruments in science education. Res Sci Educ 2018; 48: 1273–1296. https://doi.org/10.1007/ s11165.016.9602-2
  • [19] Wardle J, Camell S, Haworth CM, Plomin R. Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment. Am J Clin Nutr. 2008 Feb;87(2):398-404. doi: 10.1093/ajcn/87.2.398
  • [20] Herbert A, Gerry NP, McQueen MB et al. A common genetic variant is associated with adult and childhood obesity. Science. 2006 Apr;14;312(5771):279-83. doi: 10.1126/science.1124779
  • [21] Maes HH, Neale MC, Eaves LJ. Genetic and environmental factors in relative body weight and human adiposity. Behav Genet. 1997 Jul;27(4):325-51. doi: 10.1023/a:102.563.5913927
  • [22] Couch SC, Glanz K, Zhou C, Sallis JF, Saelens BE. Home food environment in relation to children’s diet quality and weight status. J Acad Nutr Diet. 2014;114(10):1569–1579.e1. doi:10.1016/j.jand.2014.05.015
  • [23] Conroy SM, Shariff-Marco S, Yang J et al. Characterizing the neighborhood obesogenic environment in the Multiethnic Cohort: a multi-level infrastructure for cancer health disparities research. Cancer Causes Control. 2018 Jan;29(1):167-183. doi: 10.1007/s10552.017.0980-1.
  • [24] Williams JE, Helsel B, Griffin SF, Liang J. Associations between parental BMI and the family nutrition and physical activity environment in a community sample, J Community Health 2017; 42:1233–1239 doi: 10.1007/s10900.017.0375-y
  • [25] Small M, Bailey-Davis L, Morgan N, Maggs J. Changes in eating and physical activity behaviors across seven semesters of college: living on or off campus matters. Health Educ Behav. 2013;40(4):435–441. doi:10.1177/109.019.8112467801
  • [26] Scharoun-Lee M, Kaufman JS, Popkin BM, et al. Obesity, race/ethnicity and life course socioeconomic status across the transition from adolescence to adulthood. JECH 2009;63:133- 139. doi: 10.1136/jech.2008.075721
  • [27] Gordon-Larsen P, Adair LS, Popkin BM. The relationship of ethnicity, socioeconomic factors, and overweight in US adolescents. Obes Res. 2003;11(1):121-129. doi: 10.1038/ oby.2003.20
  • [28] Wang Y, Zhang Q. Are American children and adolescents of low socioeconomic status at increased risk of obesity? Changes in the association between overweight and family income between 1971 and 2002. Am J Clin Nutr. 2006 Oct;84(4):707- 16. doi: 10.1093/ajcn/84.4.707
  • [29] Rossen LM Neighbourhood economic deprivation explains racial/ethnic disparities in overweight and obesity among children and adolescents in the USA. JECH 2014;68:123-129. doi: 10.1136/jech-2012-202245
Year 2021, Volume: 34 Issue: 3, 319 - 326, 27.10.2021
https://doi.org/10.5472/marumj.1009125

Abstract

References

  • [1] Maziak W, Ward KD, Stockton MB. Childhood obesity: are we missing the big picture? Obes Rev. 2008 Jan;9(1):35-42. doi: 10.1111/j.1467-789X.2007.00376.x.
  • [2] World Health Organization. Obesity and overweight. Key facts. 2018. Available from: http://www.who.int/mediacentre/ factsheets/fs311/en/. (Accessed: 21 March 2020)
  • [3] Monitoring the Growth of School Age Children (6-10 Age Group) in Turkey (TOÇBİ) Project Research Report, Ministry of Health, General Directorate of Basic Health Services, Hacettepe University Faculty of Health Sciences, Department of Nutrition and Dietetics, Ministry of National Education, Ministry of Health Publication No: 834;2011
  • [4] Public Health England, Chilhood Obesity Health Risks. 2013. Available from: http://www.noo.org.uk/NOO_about_obesity/ obesity_and_health/health_risk_child. (Accessed: 20 May 2020)
  • [5] Guidelines For Adolescent Nutrition Services. Stang J, Story M (eds). 2015. Available from: http://www.epi.umn.edu/let/ pubs/img/adol_preface_materials.pdf. (Accessed: September, 2020)
  • [6] Kansra AR, Lakkunarajah S, Jay MS. Childhood and adolescent obesity: a review. Front Pediatr 2021;12;8:581461. doi: 10.3389/fped.2020.581461.
  • [7] Herbenick SK, James K Milton J, Cannon D. Effects of family nutrition and physical activity screening for obesity risk in school-age children. J Spec Pediatr Nurs 2018 ; 23:e12229. doi: 10.1111/jspn.12229
  • [8] World Health Organization. Report Of The Commision On Ending Childhood Obesity. 2016. Availableform: http://apps. who.int/iris/bitstream/10665/204176/1/978.924.1510066_ eng.pdf. (Accessed: September, 2020)
  • [9] Tucker JM, Howard K, Guseman EH, Yee KE, Saturley H, Eisenmann JC. Association between the Family Nutrition and Physical Activity Screening Tool and obesity severity in youth referred to weight management. Obes Res Clin Pract. 2017 May-Jun;11(3):268-275. doi: 10.1016/j.orcp.2016.09.007.
  • [10] Stang J, Bonilla Z. Factors Affecting Nutrition and Physical Activity Behaviors of Hispanic Families With Young Children: Implications for Obesity Policies and Programs. J Nutr Educ Behav. 2018 Nov-Dec;50(10):959-967. doi: 10.1016/j. jneb.2017.08.005.
  • [11] Taverno Ross SE, Clennin MN, Dowda M, Colabianchi C, Pate RR. Stepping It Up: Walking Behaviors in Children Transitioning from 5th to 7th Grade. Int. J. Environ. Res. Public Health. 2018; Feb 3;15(2). pii: E262. doi: 10.3390/ ijerph15020262
  • [12] Toruner EK, Ayaz S, Savaser S. Parents’ perceptions about weights of their children. Hemar-G. 2014; 16(2): 11-20.
  • [13] Ihmels MA, Welk GJ, Eisenmann JC, Nusser SM. Development and preliminary validation of a Family Nutrition and Physical Activity (FNPA) screening tool. Int J Behav Nutr Phys Act. 2009; 6:14. doi: 10.1186/1479-5868-6-14
  • [14] Bailey-Davis L, Peyer KL, Fang Y, Kim JK, Welk GJ. Effects of Enhancing School-Based Body Mass Index Screening Reports with Parent Education on Report Utility and Parental Intent To Modify Obesity Risk Factors. Child Obes. 2017;13(2):164– 171. doi:10.1089/chi.2016.0177
  • [15] Karnik S, Kanekar A. Childhood obesity: a global public health crisis. Int J Prev Med 2012;3:1-7.
  • [16] Peyer KL, Welk GJ. Construct Validity of an Obesity Risk Screening Tool in Two Age Groups. Int J Environ Res Public Health. 2017 Apr 14;14(4):419. doi: 10.3390/ijerph14040419.
  • [17] Yurdalan SU, Sengir N, Isci E. Turkish Validity and Reliability of DREEM Questionnaire used in assessment of learning environment in physiotherapy and rehabilitation undergraduate education. JHMN 2020; 78: 8-17. doi: 10.7176/ JHMN/78-02
  • [18] Taber KS. The Use of Cronbach’s Alpha when developing and reporting research ınstruments in science education. Res Sci Educ 2018; 48: 1273–1296. https://doi.org/10.1007/ s11165.016.9602-2
  • [19] Wardle J, Camell S, Haworth CM, Plomin R. Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment. Am J Clin Nutr. 2008 Feb;87(2):398-404. doi: 10.1093/ajcn/87.2.398
  • [20] Herbert A, Gerry NP, McQueen MB et al. A common genetic variant is associated with adult and childhood obesity. Science. 2006 Apr;14;312(5771):279-83. doi: 10.1126/science.1124779
  • [21] Maes HH, Neale MC, Eaves LJ. Genetic and environmental factors in relative body weight and human adiposity. Behav Genet. 1997 Jul;27(4):325-51. doi: 10.1023/a:102.563.5913927
  • [22] Couch SC, Glanz K, Zhou C, Sallis JF, Saelens BE. Home food environment in relation to children’s diet quality and weight status. J Acad Nutr Diet. 2014;114(10):1569–1579.e1. doi:10.1016/j.jand.2014.05.015
  • [23] Conroy SM, Shariff-Marco S, Yang J et al. Characterizing the neighborhood obesogenic environment in the Multiethnic Cohort: a multi-level infrastructure for cancer health disparities research. Cancer Causes Control. 2018 Jan;29(1):167-183. doi: 10.1007/s10552.017.0980-1.
  • [24] Williams JE, Helsel B, Griffin SF, Liang J. Associations between parental BMI and the family nutrition and physical activity environment in a community sample, J Community Health 2017; 42:1233–1239 doi: 10.1007/s10900.017.0375-y
  • [25] Small M, Bailey-Davis L, Morgan N, Maggs J. Changes in eating and physical activity behaviors across seven semesters of college: living on or off campus matters. Health Educ Behav. 2013;40(4):435–441. doi:10.1177/109.019.8112467801
  • [26] Scharoun-Lee M, Kaufman JS, Popkin BM, et al. Obesity, race/ethnicity and life course socioeconomic status across the transition from adolescence to adulthood. JECH 2009;63:133- 139. doi: 10.1136/jech.2008.075721
  • [27] Gordon-Larsen P, Adair LS, Popkin BM. The relationship of ethnicity, socioeconomic factors, and overweight in US adolescents. Obes Res. 2003;11(1):121-129. doi: 10.1038/ oby.2003.20
  • [28] Wang Y, Zhang Q. Are American children and adolescents of low socioeconomic status at increased risk of obesity? Changes in the association between overweight and family income between 1971 and 2002. Am J Clin Nutr. 2006 Oct;84(4):707- 16. doi: 10.1093/ajcn/84.4.707
  • [29] Rossen LM Neighbourhood economic deprivation explains racial/ethnic disparities in overweight and obesity among children and adolescents in the USA. JECH 2014;68:123-129. doi: 10.1136/jech-2012-202245
There are 29 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Articles
Authors

Emine Ekıcı This is me

Hatice Ikıısık This is me

Handan Ankaralı This is me

Gulay Manav

Merve Colak

Ezgi Hasret Kozan

Publication Date October 27, 2021
Published in Issue Year 2021 Volume: 34 Issue: 3

Cite

APA Ekıcı, E., Ikıısık, H., Ankaralı, H., Manav, G., et al. (2021). The validity and reliability of the Turkish version of the Family Nutrition and Physical Activity screening tool. Marmara Medical Journal, 34(3), 319-326. https://doi.org/10.5472/marumj.1009125
AMA Ekıcı E, Ikıısık H, Ankaralı H, Manav G, Colak M, Kozan EH. The validity and reliability of the Turkish version of the Family Nutrition and Physical Activity screening tool. Marmara Med J. October 2021;34(3):319-326. doi:10.5472/marumj.1009125
Chicago Ekıcı, Emine, Hatice Ikıısık, Handan Ankaralı, Gulay Manav, Merve Colak, and Ezgi Hasret Kozan. “The Validity and Reliability of the Turkish Version of the Family Nutrition and Physical Activity Screening Tool”. Marmara Medical Journal 34, no. 3 (October 2021): 319-26. https://doi.org/10.5472/marumj.1009125.
EndNote Ekıcı E, Ikıısık H, Ankaralı H, Manav G, Colak M, Kozan EH (October 1, 2021) The validity and reliability of the Turkish version of the Family Nutrition and Physical Activity screening tool. Marmara Medical Journal 34 3 319–326.
IEEE E. Ekıcı, H. Ikıısık, H. Ankaralı, G. Manav, M. Colak, and E. H. Kozan, “The validity and reliability of the Turkish version of the Family Nutrition and Physical Activity screening tool”, Marmara Med J, vol. 34, no. 3, pp. 319–326, 2021, doi: 10.5472/marumj.1009125.
ISNAD Ekıcı, Emine et al. “The Validity and Reliability of the Turkish Version of the Family Nutrition and Physical Activity Screening Tool”. Marmara Medical Journal 34/3 (October 2021), 319-326. https://doi.org/10.5472/marumj.1009125.
JAMA Ekıcı E, Ikıısık H, Ankaralı H, Manav G, Colak M, Kozan EH. The validity and reliability of the Turkish version of the Family Nutrition and Physical Activity screening tool. Marmara Med J. 2021;34:319–326.
MLA Ekıcı, Emine et al. “The Validity and Reliability of the Turkish Version of the Family Nutrition and Physical Activity Screening Tool”. Marmara Medical Journal, vol. 34, no. 3, 2021, pp. 319-26, doi:10.5472/marumj.1009125.
Vancouver Ekıcı E, Ikıısık H, Ankaralı H, Manav G, Colak M, Kozan EH. The validity and reliability of the Turkish version of the Family Nutrition and Physical Activity screening tool. Marmara Med J. 2021;34(3):319-26.