Yetişkin Bireylerde Sürdürülebilir ve Sağlıklı Yeme Davranışları ile E-Sağlıklı Beslenme Okuryazarlığı ve Beslenme Bilgi Düzeyi Arasındaki İlişkinin Değerlendirilmesi

Yıl 2023, Cilt: 10 Sayı: 3, 250 - 260, 28.09.2023

Özge Yeşildemir

https://doi.org/10.34087/cbusbed.1307125

Öz

Giriş ve Amaç: Gelecek nesillere yaşanabilir bir dünya bırakmak için bireylerin sürdürülebilir ve sağlıklı beslenme davranışlarının arttırılması gerekmektedir. Bu çalışma, yetişkin bireylerin sürdürülebilir ve sağlıklı beslenme davranışları ile e-sağlıklı beslenme okuryazarlığı ve beslenme bilgi düzeyleri arasındaki ilişkinin değerlendirilmesi amacıyla yürütülmüştür.
Gereç ve Yöntemler: Araştırmanın örneklemini, yaşları 18-65 yıl arasında değişen 110 erkek ve 102 kadın olmak üzere toplam 222 birey oluşturmaktadır. Çalışma verileri anket aracılığıyla toplanmıştır. Bireylerin sürdürülebilir ve sağlıklı beslenme davranışlarını belirlemek amacıyla “Sürdürülebilir ve Sağlıklı Beslenme Davranışları Ölçeği”, elektronik sağlıklı beslenme okuryazarlık düzeyini değerlendirmek amacıyla “e-Sağlıklı Beslenme Okuryazarlık Ölçeği (e-SBO)” ve beslenme bilgi düzeyini belirlemek amacıyla “Yetişkinler için Beslenme Bilgi Düzeyi Ölçeği (YETBİD)” kullanılmıştır.
Bulgular: Kadınlarda sürdürülebilir ve sağlıklı beslenme davranışları ölçeği toplam puanı 4,0±1,05 ve erkeklerde 3,9±0,87’dir (p>0,05). Kadınların e-SBO düzeyleri (41,4±7,26) erkeklerden (38,6±7,20) daha yüksektir (p<0,001). Kadınların hem YETBİD temel beslenme hem de besin tercihi puanı (sırasıyla, 59,9±10,48 ve 40,4±8,95) erkeklerden (sırasıyla, 53,3±11,08 ve 35,2±10,77) daha yüksektir (p<0,001). Sürdürülebilir ve sağlıklı beslenme davranışları ölçeği toplam puanı ile e-SBO toplam puanı, YETBİD temel beslenme puanı ve besin tercihi puanı arasında pozitif yönlü ilişki saptanmıştır (p<0,001). Aynı zamanda, e-SBO toplam puanı ile YETBİD temel beslenme ve besin tercihi puanları arasında da pozitif korelasyon bulunmuştur (p<0,05).
Sonuç: Beslenme bilgi düzeyi ve dijital sağlıklı beslenme okuryazarlığı, sürdürülebilir ve sağlıklı beslenme davranışlarının kazanılmasında önemli faktörlerdir. Bu nedenle, beslenme eğitimlerinin yaygınlaştırılması ve beslenme eğitimlerinin içerisinde sürdürülebilirlik kavramına yer verilmesi önerilebilir.

Anahtar Kelimeler

Sürdürülebilir beslenme, Sağlıklı beslenme, Beslenme bilgi düzeyi, E-sağlıklı beslenme okuryazarlığı

Evaluation of the Relationship between Sustainable and Healthy Eating Behaviors with e-Healthy Diet Literacy and Nutrition Knowledge Level in Adults

Öz

Objective: It is necessary to increase the sustainable and healthy eating behaviors of individuals for leaving a livable world to next generations. This study was carried out to evaluate the relationship between sustainable and healthy eating behaviors, e-healthy diet literacy, and nutritional knowledge levels in adults.
Materials and Methods: The study consists of 222 individuals (110 males, 102 females) aged between 18-65 years. Study data were obtained through a questionnaire. The “Sustainable and Healthy Eating Behaviors Scale” was used to evaluate sustainable and healthy eating behaviors. The “e-Healthy Diet Literacy Questionnaire (e-HDLQ)” was used to determine digital healthy diet literacy. The “Nutrition Knowledge Level for Adults Scale (YETBID)” was used to assess nutrition knowledge.
Results: The mean total score of the sustainable and healthy eating behaviors scale was 4.0±1.05 in females and 3.9±0.87 in males (p>0.05). The mean e-HDLQ score of females (41.4±7.26) was higher than in females (38.6±7.20) (p<0.001). Both basic nutrition and food preference scores of females (59.9±10.48 and 40.4±8.95, respectively) were higher than in males (53.3±11.08 and 35.2±10.77, respectively) (p<0.001). There was a positive correlation between sustainable and healthy eating behaviors scale, e-HDLQ, YETBID basic nutrition, and food preference scores (p<0.001). There was also a positive correlation between e-HDLQ score, YETBID basic nutrition and food preference scores (p<0.05).
Conclusion: Nutrition knowledge level and digital healthy diet literacy are important factors in acquiring sustainable and healthy eating behaviors. Therefore, it can be recommended to disseminate nutrition education by including the concept of sustainability.

Anahtar Kelimeler

Sustainable nutrition, Healthy nutrition, Nutritional knowledge level, E-healthy diet literacy

Kaynakça

• 1. Gatto A, Sadik-Zada ER, Özbek S, Kieu, H, Huynh NTN. Deep-sea fisheries as resilient bioeconomic systems for food and nutrition security and sustainable development. Resources, Conservation and Recycling, 2023, 197, 106907.
• 2. Jones AD, Hoey L, Blesh J, Miller L, Green A, Shapiro LF. A systematic review of the measurement of sustainable diets. Advances in Nutrition, 2016, 7(4), 641-664.
• 3. Yolcuoglu IZ, Kızıltan G. Effect of nutrition education on diet quality, sustainable nutrition and eating behaviors among university students. Journal of the American Nutrition Association, 2022, 41(7), 713-719.
• 4. Engin Ş, Sevim Y. Lisans öğrencilerinin sürdürülebilir beslenme hakkındaki davranışları ve bilgi düzeyleri ile besin tercihleri arasındaki ilişkinin incelenmesi: tek merkezli çalışma. Avrupa Bilim ve Teknoloji Dergisi, 2022, 38, 259-269.
• 5. Mengi Celik O, Semerci R. Evaluation of nutrition literacy and nutrition knowledge level in nursing students: a study from Turkey. BMC Nursing, 2022, 21(1), 359.
• 6. Monteiro M, Fontes T, Ferreira-Pêgo C. Nutrition literacy of portuguese adults—a pilot study. International Journal of Environmental Research and Public Health, 2021, 18(6), 3177.
• 7. Velardo S. The nuances of health literacy, nutrition literacy, and food literacy. Journal of Nutrition Education and Behavior, 2015, 47(4), 385-389.
• 8. Lee Y, Kim T, Jung H. Effects of university students’ perceived food literacy on ecological eating behavior towards sustainability. Sustainability, 2022, 14(9), 5242.
• 9. Glik D, Martinez S. College students identify university support for basic needs and life skills as key ingredient in addressing food insecurity on campus. California Agriculture, 2017, 71(3), 130-138.
• 10. Na Y, Cho MS. Development of a tool for food literacy assessment for young adults: Findings from a Korean validation study. Asia Pacific Journal of Clinical Nutrition, 2020, 29(4), 876-882.
• 11. Van Duong T, Chiu CH, Lin CY, et al. E-healthy diet literacy scale and its relationship with behaviors and health outcomes in Taiwan. Health Promotion International, 2021, 36(1), 20-33.
• 12. Silk KJ, Sherry J, Winn B, Keesecker N, Horodynski MA, Sayir A. Increasing nutrition literacy: testing the effectiveness of print, web site, and game modalities. Journal of Nutrition Education and Behavior, 2008, 40(1), 3-10.
• 13. Duong TV, Pham KM, Do BN, Kim GB, Dam HT, Le VTT, et al. Digital healthy diet literacy and self-perceived eating behavior change during COVID-19 pandemic among undergraduate nursing and medical students: a rapid online survey. International Journal of Environmental Research and Public Health, 2020, 17(19), 7185.
• 14. Żakowska-Biemans S, Pieniak Z, Kostyra E, Gutkowska K. Searching for a measure integrating sustainable and healthy eating behaviors. Nutrients, 2019, 11(1), 95.
• 15. Koksal E, Bilici S, Dazıroglu MEC, Govez NE. Validity and reliability of the Turkish version of the Sustainable and Healthy Eating Behaviors Scale. British Journal of Nutrition, 2023, 129(8), 1398-1404.
• 16. Onbaşı Ö. e-sağlıklı beslenme okuryazarlığı (e-SBO) ölçeğinin Türkçe’ye uyarlanması ve yetişkin bireylerde Covid-19 pandemi öncesi ve sırasında e-SBO düzeyleri ile beslenmeye ilişkin parametreler arasındaki ilişkinin belirlenmesi [Doktora Tezi]. Ankara: Başkent Üniversitesi; 2022.
• 17. Batmaz H. Yetişkinler için beslenme bilgi düzeyi ölçeği geliştirilmesi ve geçerlik-güvenirlik çalışması [Yüksek Lisans Tezi]. İstanbul: Marmara Üniversitesi; 2018.
• 18. Kocaadam-Bozkurt B, Bozkurt O. Relationship between adherence to the Mediterranean diet, sustainable and healthy eating behaviors, and awareness of reducing the ecological footprint. International Journal of Environmental Health Research, 2023, 33(4), 430-440.
• 19. Turk M, Saleki N. Analysis of housewives’ knowledge levels and behaviors toward food waste and sustainable nutrition. International Journal of Agriculture, Environment and Food Sciences, 2023, 7(1), 21-28.
• 20. Meyer N, Reguant-Closa A. “Eat as if you could save the planet and win!” Sustainability integration into nutrition for exercise and sport. Nutrients, 2017, 9(4), 412.
• 21. Pekcan AG. Sürdürülebilir beslenme ve beslenme örüntüsü: bitkisel kaynaklı beslenme. Beslenme ve Diyet Dergisi. 2019, 47(2), 1-10.
• 22. Macdiarmid JI, Douglas F, Campbell J. Eating like there's no tomorrow: Public awareness of the environmental impact of food and reluctance to eat less meat as part of a sustainable diet. Appetite. 2016, 96, 487-493.
• 23. Miller LMS, Cassady DL. The effects of nutrition knowledge on food label use. A review of the literature. Appetite, 2015, 92, 207-216.
• 24. Zaborowicz K, Czarnocinska J, Galinski G, Kazmierczak P, Górska K, Durczewski P. Evaluation of selected dietary behaviours of students according to gender and nutritional knowledge. Rocznikach Państwowego Zakładu Higieny, 2016, 67(1), 45-50.
• 25. Atasoy S, Güngör AE. Üniversite öğrencilerinin beslenme bilgi düzeyi ve obezite durumunun değerlendirilmesi. Turkish Journal of Family Medicine and Primary Care, 2022, 16(2),340-349.
• 26. Özgür M, Aslı U. Üniversitede eğitim gören kız öğrencilerde sosyal medya bağımlılığı ve beden algısı ile beslenme bilgi düzeylerinin karşılaştırılması. Ankara Sağlık Bilimleri Dergisi, 2020, 9(2), 46-54.
• 27. Aktac S, Sabuncular G, Kargin D, Gunes FE. Evaluation of nutrition knowledge of pregnant women before and after nutrition education according to sociodemographic characteristics. Ecology of Food and Nutrition, 2018, 57(6), 441-455.
• 28. Spronk I, Kullen C, Burdon C, O'Connor H. Relationship between nutrition knowledge and dietary intake. British Journal of Nutrition, 2014,111(10), 1713-1726.
• 29. Egg S, Wakolbinger M, Reisser A, Schätzer M, Wild B, Rust P. Relationship between nutrition knowledge, education and other determinants of food intake and lifestyle habits among adolescents from urban and rural secondary schools in Tyrol, Western Austria. Public Health Nutrition, 2020, 23(17), 3136-3147.
• 30. Burkhart S, Verdonck M, Ashford T, Maher J. Sustainability: Nutrition and dietetic students’ perceptions. Sustainability, 2020, 12(3), 1072.
• 31. Rivera Medina C, Briones Urbano M, de Jesús Espinosa A, Toledo López Á. Eating habits associated with nutrition-related knowledge among university students enrolled in academic programs related to nutrition and culinary arts in Puerto Rico. Nutrients, 2020, 12(5), 1408.
• 32. Vettori V, Lorini C, Milani C, Bonaccorsi G. Towards the implementation of a conceptual framework of food and nutrition literacy: Providing healthy eating for the population. International Journal of Environmental Research and Public Health, 2019, 16(24), 5041.
• 33. Liao LL, Lai IJ, Chang LC. Nutrition literacy is associated with healthy-eating behaviour among college students in Taiwan. Health Education Journal, 2019, 78(7), 756-769.
• 34. Cha E, Kim KH, Lerner HM, Dawkins CR, Bello MK, Umpierrez G, et al. Health literacy, self-efficacy, food label use, and diet in young adults. American Journal of Health Behavior, 2014, 38(3), 331-339.
• 35. Yang SC, Luo YF, Chiang CH. The associations among individual factors, eHealth literacy, and health-promoting lifestyles among college students. Journal of Medical Internet Research, 2017, 19(1), 15.
• 36. Britt RK, Collins WB, Wilson K, Linnemeier G, Englebert AM. eHealth literacy and health behaviors affecting modern college students: a pilot study of issues identified by the American College Health Association. Journal of Medical Internet Research, 2017, 19(12), 392.
• 37. Gualtieri P, Marchetti M, Frank G, Cianci R, Bigioni G, Colica C, et al. Exploring the sustainable benefits of adherence to the Mediterranean diet during the COVID-19 pandemic in Italy. Nutrients, 2023, 15(1), 110.
• 38. Alemán JO, Almandoz JP, Frias JP, Galindo RJ. Obesity among Latinx people in the United States: A review. Obesity, 2023, 31(2):329-337.
• 39. Lampignano L, Zupo R, Donghia R, Guerra V, Castellana F, Murro I, et al. Relationship among adherence to the mediterranean diet and anthropometric and metabolic parameters in subjects with obesity. Endocrine, Metabolic & Immune Disorders-Drug Targets, 2021, 21(9), 1613-1619.
• 40. Di Renzo L, Cioccoloni G, Falco S, Abenavoli L, Moia A, Sinibaldi Salimei P, et al. Influence of FTO rs9939609 and Mediterranean diet on body composition and weight loss: a randomized clinical trial. Journal of Translational Medicine, 2018, 16(1), 1-12.