Evaluation of the nutritional habits of second-year high school students in the Seferihisar region with the ecological framework
Palavras-chave:
Adolescent, Feeding behavior, Nutritional assessmentResumo
Objective
The study aims to identify the nutritional habits of second-year high school students in Seferihisar, Turkey, and the factors associated thereof, based on the Ecological Framework.
Methods
In this cross-sectional study by a self-reported questionnaire, second-year high school students (n=392) attending public schools in Seferihisar had their nutritional habits measured with the Adolescent Food Habits Checklist scale. The food habit score was calculated and associated factors were evaluated in 4 layers based on the Mary Story’s Ecological Framework (individual factors, social, physical and macro-level environments). The data analysis for the association ofthese layers with the food habits score was executed through multi-level linear regression.
Results
Students’ participation rate was 87.7% (n=344). Of all the layers (from individual factors to the influence of the social environment and macro-level environment: nutritional literacy, the food consumption of their peers at school, availability of fruits-vegetables at home, buying junk food at the school canteen, presence of posters at school, etc.), the option foradvertised food items was statistically explanatory based on the linear regression analysis (p<0.05).
Conclusion
The model derived from the Ecological Framework explained 45% of the nutritional habits with an equivalent contribution from the four layers. Availability of healthy food items where the students lived and higher levels of nutritional literacy led to healthy nutritional habits. Having healthy food items sold at school canteens at affordable prices, using posters to promote a healthy diet, and introducing nutrition-related courses into the curricula would support students in developing healthy nutritional habits.
Referências
Lawless M, Shriver LH, Wideman L, Dollar JM, Calkins SD, Keane SP, et al. Associations between eating behaviors, diet quality and body mass index among adolescents. Eating Behaviors. 2020 [cited: 2021 May 15];36. Available from: https://www.sciencedirect.com/science/article/abs/pii/S1471015318304227
Altay M, Cabar HD, Altay B. Nutrition and school health in adolescence. Sinop Üniversitesi Sosyal Bilimler Dergisi. 2018 [cited: 2021 May 15];30;2(1):173-80. Available from: http://dergipark.org.tr/en/download/article-file/497124
Pearson N, Griffiths P, Biddle SJH, Johnston JP, Haycraft E. Individual, behavioural and home environmental factors associated with eating behaviours in young adolescents. Appetite. 2017 [cited: 2021 May 15];112:35-43. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0195666317300041
Mason TB, Do B, Wang S, Dunton GF. Ecological momentary assessment of eating and dietary intake behaviors in children and adolescents: a systematic review of the literature. Appetite. 2020 [cited: 2021 May 15];144:104465. Available from: https://pubmed.ncbi.nlm.nih.gov/31541670/
Inchley J, Currie D, Young T, Samdal O, Torsheim T, Augustson L, et al. Growing up unequal: health behaviour in school-aged children (HBSC) study: International Report From the 2013/2014 Survey. WHO Regional Office for Europe. 2016 [cited: 2021 May 15]. Available from: https://www.euro.who.int/__data/assets/pdf_file/0003/303438/HSBC-No.7-Growing-up-unequal-Full-Report.pdf
Kristo AS, Gültekin B, Öztağ M, Sikalidis AK. The effect of eating habits’ quality on scholastic performance in Turkish adolescents. Behav Sci. 2020;10(1):31. https://doi.org/10.3390/bs10010031
Bayan M, Yaman M. Relation between parents educational status and food habits & beliefs of adolescants. J Int Social Res. 2019;12(67):1082-93. https://doi.org/10.17719/jisr.2019.3796
Aygün Ö, Karayağız Muslu G. Vegetable and fruit consumption behaviours of secondary and high school students. Turkish J Family Med Prim Care. 2017;11(4):245-55. https://doi.org/10.21763/tjfmpc.359809
Sarıdağ Devran B, Saka M. The effect of nutrition education on nutritional habits, nutritional knowledge and physical activity of high school students. TDD J Nut Diet. 2019;47(3):5-14.
Gürel AN, Hisar F. The relationship between sugar- sweetened beverage consumption and obesity in adolescents. J Hacettepe Uni Fac Nurs. 2018;5(3):177-91.
Story M, Neumark-Sztainer Di, French S. Individual and environmental influences on adolescent eating behaviors. J Ame Diet Assoc. 2002;102(3):S40-51. https://doi.org/10.1016/S0002-8223(02)90421-9
Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating healthy food and eating environments. Annu Rev Public Health. 2008;29(1):253-72. https://doi.org/10.1146/annurev.publhealth.29.020907.090926
Johnson F, Wardle J, Griffith J. The adolescent food habits checklist: reliability and validity of a measure of healthy eating behaviour in adolescents. Eur J Clin Nutr. 2002;56(7):644-9. https://doi.org/10.1038/sj.ejcn.1601371
Arıkan İ, Aksu AE, Metintaş S, Kalyoncu C. The adaptation of the adolescent food habit checklist to the Turkish adolescents. Prev Med Bull. 2012;11(1):49-51.
Currie CE, Elton RA, Todd J, Platt S. Indicators of socioeconomic status for adolescents: the WHO health behaviour in school-aged children survey. Health Educ Res. 1997;12(3):385-97. https://doi.org/10.1093/her/12.3.385
Şanlıer N, Konaklıoğlu E, Güçer E. Relationship between nutrition knowledge, habits and behaviors of young people and body mass index. Gazi Uni J Faculty Edu. 2009;29(2):333-52.
Limbers CA, Egan K, Cohen A. Executive functions and dietary behaviors in school-aged children. Int J Sch Health. 2018 [cited: 2021 May 15];5(1). Available from: https://www.researchgate.net/publication/322092807_Executive_Functions_and_Dietary_Behaviors_in_School-Aged_Children
Kalkan I, Sonay Türkmen A, Filiz E. Dietary habits of Turkish adolescents in Konya, Turkey. Glob J Adv Pure Appl Sci. 2016 [cited: 2021 May 15];7(7):190-6. Available from: https://www.researchgate.net/publication/323040948_Dietary_habits_of_Turkish_adolescents_in_Konya_Turkey
Kalkan I. The impact of nutrition literacy on the food habits among young adults in Turkey. Nutr Res Practice. 2019 [cited: 2021 May 15];13(4):352-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31388412
Koca B, Arkan G. The relationship between adolescents’ nutrition literacy and food habits and affecting factors. Public Health Nutr. 2020;(3):1-12.
Asakura K, Todoriki H, Sasaki S. Relationship between nutrition knowledge and dietary intake among primary school children in Japan: combined effect of children’s and their guardians knowledge. J Epidemiol. 2017;27(10):483-91. https://doi.org/10.1016/j.je.2016.09.014
Tayhan Kartal F, Arslan Burnaz N, Yaşar B, Sağlam S, Kıymaz M. Investigation of the effect of nutrition knowledge levels of adolescents on their nutritional and exercising habits. Celal Bayar Üniversitesi Beden Eğitimi ve Spor Bilimleri Dergisi. 2019 [cited: 2021 May 15];14(2):280-95. Available from: https://www.researchgate.net/publication/338279804_Adolesanlarin_Beslenme_Bilgi_Duzeylerinin_Beslenme_ve_Egzersiz_Aliskanliklari_Uzerine_Etkisinin_Incelenmesi
Yazdi Feyzabadi V, Karimi-Shahanjarini A, Rashidian A, Keshavarz Mohammadi N, Nedjat S, Omidvar N. Factors associated with unhealthy snacks consumption among adolescents in Iran’s schools. Int J Health Policy Manag. 2017;6(9):519-28. Https://doi.org/10.15171/ijhpm.2017.09
Banna JC, Buchthal OV, Delormier T, Creed-Kanashiro HM, Penny ME. Influences on eating: a qualitative study of adolescents in a periurban area in Lima, Peru. Bmc Public Health. 2016;16(1):1-11. https://doi.org/10.1186/s12889-016-2724-7
Pace U, D’Urso G, Zappulla C. Negative eating attitudes and behaviors among adolescents: the role of parental control and perceived peer support. Appetite. 2018;121:77-82. https://doi.org/10.1016/j.appet.2017.11.001
Ragelienė T, Grønhøj A. The influence of peers′ and siblings′ on children’s and adolescents′ healthy eating behavior: a systematic literature review. Appetite. 2020;148.
Vepsäläinen H, Mikkilä V, Erkkola M, Broyles ST, Chaput J, Hu G, et al. Association between home and school food environments and dietary patterns among 9-11-year-old children in 12 countries. Int J Obesity Suppl. 2015 [cited: 2021 May 15];5(S2):66-73. Available from: http://www.nature.com/articles/ijosup201522
Verstraeten R, Leroy JL, Pieniak Z, Ochoa-Avilès A, Holdsworth M, Verbeke W, et al. Individual and environmental factors influencing adolescents’ dietary behavior in low- and middle-income settings. Zeeb H, editor. Plos One. 2016;11(7):e0157744. https://doi.org/10.1371/journal.pone.0157744
Qutteina Y, De Backer C, Smits T. Media food marketing and eating outcomes among pre-adolescents and adolescents: a systematic review and meta-analysis. Obesity Rev. 2019 [cited: 2021 May 15];20(12):1708-19. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31468652
Delfino LD, Tebar WR, Silva DAS, Gil FCS, Mota J, Christofaro DGD. Food advertisements on television and eating habits in adolescents: a school-based study. Rev Saúde Pública. 2020;54:1-8.
Oliveira JS, Barufaldi LA, Abreu GA, Leal VS, Brunken GS, Vasconcelos SML, et al. ERICA: use of screens and consumption of meals and snacks by Brazilian adolescents. Rev Saúde Pública. 2016;50(Suppl1). https://doi.org/10.1590/s01518-8787.2016050006680
Özpulat F. The relationship between sugar- sweetened beverage consumption and obesity in adolescents. J Hum Sci. 2017;14(4):4123-34.
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Copyright (c) 2022 Duygu KOPAN, Hur HASSOY, Isil ERGIN, Reci MESERI
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
