Healthism of Young Adults: Relationship Between Nutritional Attitudes and Physical Activity Level

Year 2025, Volume: 12 Issue: 2, 169 - 180, 17.07.2025

Feyza Bardak , Kübra Sultan Dengiz , Filiz Hisar

https://doi.org/10.31125/globnursinsights.1744047

Abstract

Aim: This study determines the relationship between the level of healthism of young adults, nutritional attitudes, and physical activity.
Material and Methods: This study is a descriptive-correlational design. It was completed via an online form by 505 young adult volunteers. In order to conduct the research, written ethics committee permission was obtained from the Health Sciences Scientific Research Ethics Committee of a University. Sociodemographic characteristics, healthism level, healthy eating attitudes, and international physical activity level of young adults were assessed. Independent groups t-test, one-way ANOVA, and multiple regression analysis were used to analyze the data.
Results: the Health Culture Scale. In addition, 45.7% of young adult individuals had a Health Culture level of 33-51 points, while 11.2% had a score of 60-70. Individuals who smoke and frequently go to sports centers have higher health culture score levels than other groups. Young adult individuals who receive dietician consultancy and frequently do sports have higher healthy nutrition score levels than other groups. Male and working young adult individuals have higher physical activity levels than other groups.
Conclusions: As a result of this study, it was determined that although young adult individuals have high levels of healthism, their attitudes towards healthy nutrition and physical activity levels are not at the desired level.
Implication for nursing practice/management or policy: Health responsibility awareness should be created to develop a healthism among young adults.

Keywords

Healthism , Nutritional attitudes , Physical activity , Young adult

References

• Abbott, A. J., Reibel, Y. G., Arnett, M. C., Marka, N., & Drake, M. A. (2023). Oral and systemic health implications of electronic cigarette usage as compared to conventional tobacco cigarettes: A review of the literature. Journal of Dental Hygiene: JDH, 97(4), 21–35.
• Alfrey, L., O’Connor, J., Phillipson, S., Penney, D., Jeanes, R., & Phillipson, S. (2019). Attitudes of pre-service physical education teachers to healthism: Development and validation of the Attitude Towards Healthism Scale (ATHS). European Physical Education Review, 25(2), 424–437. https://doi.org/10.1177/1356336X17742665
• Beltrán-Carrillo, V. J., Jiménez-Loaisa, A., González-Cutre, D., Sierra, A. C., & Valenciano-Valcárcel, J. (2023). “You measure us and you depress us”: Healthism and the subjective impact of body measurements on secondary school students. Qualitative Health Research, 33(4), 297–307. https://doi.org/10.1177/10497323231152155
• Björk, J., Stenfors, T., Juth, N., & Gunnarsson, A. B. (2021). Personal responsibility for health? A phenomenographic analysis of general practitioners’ conceptions. Scandinavian Journal of Primary Health Care, 39(3), 322–331. https://doi.org/10.1080/02813432.2021.1935048
• Calder, P. C., Carding, S. R., Christopher, G., Kuh, D., Langley‐Evans, S. C., & McNulty, H. (2018). A holistic approach to healthy ageing: how can people live longer, healthier lives? Journal of Human Nutrition and Dietetics, 31(4), 439–450. https://doi.org/10.1111/jhn.12566
• Chen, H.-H., & Hsieh, P.-L. (2021). Applying the Pender’s Health Promotion Model to Identify the Factors Related to Older Adults’ Participation in Community-Based Health Promotion Activities. International Journal of Environmental Research and Public Health, 18(19), 9985. https://doi.org/10.3390/ijerph18199985
• Chen, L., Liu, Q., Xu, F., Wang, F., Luo, S., An, X., Chen, J., Tang, N., Jiang, X., & Liang, X. (2024). Effect of physical activity on anxiety, depression and obesity index in children and adolescents with obesity: A meta-analysis. Journal of Affective Disorders, 354, 275–285. https://doi.org/10.1016/j.jad.2024.02.092
• Chi, X., Liang, K., Chen, S.-T., Huang, Q., Huang, L., Yu, Q., Jiao, C., Guo, T., Stubbs, B., Hossain, M. M., Yeung, A., Kong, Z., & Zou, L. (2021). Mental health problems among Chinese adolescents during the COVID-19: The importance of nutrition and physical activity. International Journal of Clinical and Health Psychology, 21(3), 100218. https://doi.org/10.1016/j.ijchp.2020.100218
• Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International physical activity questionnaire: 12-Country reliability and validity. Medicine and Science in Sports and Exercise, 35(8), 1381–1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
• Crawford, R. (1980). Healthism and the medicalization of everyday life. International Journal of Health Services, 10(3), 365–388. https://doi.org/10.2190/3H2H-3XJN-3KAY-G9NY
• Crawford, R. (2019). Salutarismo e medicalização da vida cotidiana. Revista Eletrônica de Comunicação, Informação e Inovação Em Saúde, 13(1). https://doi.org/10.29397/reciis.v13i1.1775
• Daly, T. (2023). Against healthism in dementia prevention: Sharing responsibility. Aging Medicine, 6(2), 207–208. https://doi.org/10.1002/agm2.12252 Eckstrom, E., Neukam, S., Kalin, L., & Wright, J. (2020). Physical Activity and Healthy Aging. Clinics in Geriatric Medicine, 36(4), 671–683. https://doi.org/10.1016/j.cger.2020.06.009
• Haskell, W. L., Lee, I.-M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., Macera, C. A., Health, G. W., Thompson, P. D., & Bauman, A. (2007). Physical activity and public health. Medicine & Science in Sports & Exercise, 39(8), 1423–1434. https://doi.org/10.1249/mss.0b013e3180616b27
• Heydenreich, J., Schutz, Y., Melzer, K., & Kayser, B. (2019). Comparison of conventional and individualized 1-MET values for expressing maximum aerobic metabolic rate and habitual activity related energy expenditure. Nutrients, 11(2), 458. https://doi.org/10.3390/nu11020458
• Houghton, N., Bascolo, E., & Riego, A. del. (2020). Socioeconomic inequalities in access barriers to seeking health services in four Latin American countries. Revista Panamericana de Salud Pública, 44, 1. https://doi.org/10.26633/RPSP.2020.11
• Hsu, W.-C., & Chiang, C.-H. (2020). Effect of BMI and Perceived Importance of Health on the Health Behavior of College Students: Cross-Sectional Study. Journal of Medical Internet Research, 22(6), e17640. https://doi.org/10.2196/17640
• Hu, Y., & Lü, W. (2024). Meaning in life and health behavior habits during the COVID-19 pandemic: Mediating role of health values and moderating role of conscientiousness. Current Psychology, 43(16), 14935–14943. https://doi.org/10.1007/s12144-022-04020-y
• Iskender, H., Yildiz, N., & Dokumacioglu, E. (2024). Investigation of the healthy nutrition attitude and nutritional literacy level of university students receiving health education. Mediterranean Journal of Nutrition and Metabolism, 17(1), 35–42. https://doi.org/10.3233/MNM-230050
• Jeong, J.-Y., & Kim, H.-C. (2020). Korean mothers’ food choice behavioral intent for children: An examination of the interaction effects of food type, household income, and healthism. Food Quality and Preference, 81, 103835. https://doi.org/10.1016/j.foodqual.2019.103835
• Kianersi, S., Liu, Y., Guasch-Ferré, M., Redline, S., Schernhammer, E., Sun, Q., & Huang, T. (2023). Chronotype, unhealthy lifestyle, and diabetes risk in middle-aged U.S. women. Annals of Internal Medicine, 176(10), 1330–1339. https://doi.org/10.7326/M23-0728
• Kirbiš, A. (2023). The Impact of Socioeconomic Status, Perceived Threat and Healthism on Vaccine Hesitancy. Sustainability, 15(7), 6107. https://doi.org/10.3390/su15076107
• Kreider, R. B., Kalman, D. S., Antonio, J., Ziegenfuss, T. N., Wildman, R., Collins, R., Candow, D. G., Kleiner, S. M., Almada, A. L., & Lopez, H. L. (2017). International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine. Journal of the International Society of Sports Nutrition, 14(1). https://doi.org/10.1186/s12970-017-0173-z
• Kusan, O. (2023). Spor yapan ve yapmayan bireylerde Sağlıklı Olma Kültürü ve fiziksel aktivite durumları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 12(1), 192–200. https://doi.org/10.37989/gumussagbil.1228324
• Lobczowska, K., Banik, A., Forberger, S., Kaczmarek, K., Kubiak, T., Neumann-Podczaska, A., Romaniuk, P., Scheidmeir, M., Scheller, D. A., Steinacker, J. M., Wendt, J., Bekker, M. P. M., Zeeb, H., & Luszczynska, A. (2022). Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activity. BMC Public Health, 22(1), 1055. https://doi.org/10.1186/s12889-022-13340-4
• Mackert, N., & Schorb, F. (2022). Introduction to the special issue: public health, healthism, and fatness. Fat Studies, 11(1), 1–7. https://doi.org/10.1080/21604851.2021.1911486
• Maturo, A., & Setiffi, F. (2022). Obesity, physical activity, and healthism. In Wellness, Social Policy and Public Health (pp. 21–32). Emerald Publishing Limited. https://doi.org/10.1108/978-1-80455-025-020221003
• Mendes, M. de A., da Silva, I., Ramires, V., Reichert, F., Martins, R., Ferreira, R., & Tomasi, E. (2018). Metabolic equivalent of task (METs) thresholds as an indicator of physical activity intensity. PLOS ONE, 13(7), e0200701. https://doi.org/10.1371/journal.pone.0200701
• Minh Dao, A. T., Thi Thu Nguyen, H., Kim, G. B., Phan, H. T., Van Nguyen, H., Doan, H. T., Luong, K. N., Nguyen, L. T., Van Hoang, M., Pham, N. T. Q., & Nguyen, Q. T. (2019). Knowledge and determinants of health consequences of cigarette smoking among Vietnamese adults, 2015. Asia Pacific Journal of Public Health, 31(5), 463–475. https://doi.org/10.1177/1010539519854878
• Mokdad, A. H., Forouzanfar, M. H., Daoud, F., Mokdad, A. A., El Bcheraoui, C., Moradi-Lakeh, M., Kyu, H. H., Barber, R. M., Wagner, J., Cercy, K., Kravitz, H., Coggeshall, M., Chew, A., O’Rourke, K. F., Steiner, C., Tuffaha, M., Charara, R., Al-Ghamdi, E. A., Adi, Y., … Murray, C. J. L. (2016). Global burden of diseases, injuries, and risk factors for young people’s health during 1990–2013: a systematic analysis for the global burden of disease study 2013. The Lancet, 387(10036), 2383–2401. https://doi.org/10.1016/S0140-6736(16)00648-6
• Morcel, J., Béghin, L., Michels, N., De Ruyter, T., Drumez, E., Cailliau, E., Polito, A., Le Donne, C., Barnaba, L., Azzini, E., De Henauw, S., Miguel Berges, M. L., Cacau, L. T., Moreno, L. A., & Gottrand, F. (2024). Nutritional and physical fitness parameters in adolescence impact cardiovascular health in adulthood. Clinical Nutrition, 43(8), 1857–1864. https://doi.org/10.1016/j.clnu.2024.06.022
• Muscaritoli, M. (2021). The Impact of Nutrients on Mental Health and Well-Being: Insights From the Literature. Frontiers in Nutrition, 8. https://doi.org/10.3389/fnut.2021.656290
• Öztürk, M. (2005). Üniversitede eğitim-öğretim gören öğrencilerde uluslararası fiziksel aktivite anketinin geçerliliği ve güvenirliği ve fiziksel aktivite düzeylerinin belirlenmesi. Yüksek Lisans Tezi, Üniversitesi Sağlik Bilimleri Enstitüsü, Hacettepe Ankara, 20–25.
• Ross Arguedas, A. A. (2020). “Can naughty be healthy?”: Healthism and its discontents in news coverage of orthorexia nervosa. Social Science & Medicine, 246, 112784. https://doi.org/10.1016/j.socscimed.2020.112784
• Shang, X., Liu, J., Zhu, Z., Zhang, X., Huang, Y., Liu, S., Wang, W., Zhang, X., Tang, S., Hu, Y., Yu, H., Ge, Z., & He, M. (2023). Healthy dietary patterns and the risk of individual chronic diseases in community-dwelling adults. Nature Communications, 14(1), 6704. https://doi.org/10.1038/s41467-023-42523-9
• Shao, T., Verma, H. K., Pande, B., Costanzo, V., Ye, W., Cai, Y., & Bhaskar, L. V. K. S. (2021). Physical Activity and Nutritional Influence on Immune Function: An Important Strategy to Improve Immunity and Health Status. Frontiers in Physiology, 12. https://doi.org/10.3389/fphys.2021.751374
• Tekkurşun Demir, G., & Cicioğlu, H. İ. (2019). Sağlıklı Beslenmeye İlişkin Tutum Ölçeği: Geçerlik ve güvenirlik çalışması. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 4(2), 256–274. https://doi.org/10.31680/gaunjss.559462
• Uğraş, S., Özen, G., Aykora, E., & Yurdakul, H. (2021). Adaptation of the healthism attitude scale to Turkey: a validity and reliability study. Human Sport Medicine, 21(1), 117–123. https://doi.org/10.14529/hsm210115
• Wamsley, D., & Chin-Yee, B. (2018). Health inequalities, social justice, and the limits of liberalism. Journal of Urban Health, 95(5), 750–753. https://doi.org/10.1007/s11524-018-0235-9
• World Health Organization. (2022, October 5). Physical activity. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/physical-activity
• Zhang, Y., Sun, Q., Dong, B., & Liu, S. (2022). The association between metabolic equivalent and visceral adiposity index among children and adolescents: Ten-cycle cross-sectional study on NHANES (1999–2018). Medicine, 101(45), e31246. https://doi.org/10.1097/MD.0000000000031246
• Zhu, Y., & Wang, Z. (2024). Association between joint physical activity and healthy dietary patterns and hypertension in US adults: cross-sectional NHANES study. BMC Public Health, 24(1), 855. https://doi.org/10.1186/s12889-024-18346-8