The Relationship Between Food Literacy, Mediterranean Diet Adherence and Nutritional Biochemical Parameters

Year 2024, Volume: 11 Issue: 2, 404 - 416, 02.08.2024

Burcu Aksoy Canyolu , Büşra Dönmez , Hülya Yılmaz Önal , Fatma Esra Güneş

Abstract

Objectives: The aim of this study was to examine the relationship of food literacy with the Mediterranean diet adherence and nutrition related biochemical parameters in adults.
Materials and Methods: The research was conducted with a total of 245 adults, at Istanbul between October 2022-June 2023. Individuals' general characteristics, food literacy and adherence to Mediterranean diet were questioned face to face by the researchers. Food literacy was assessed with short food literacy questionnaire and adherence to Meditarrenean diet was assessed with Meditarranean diet adherence scale. The biochemical parameters of the participants were obtained from the current records in the hospital.
Results: Food literacy was insufficient in 51.4% of the participants and adherence to Mediterranean diet was insufficient in 67.5% and the food literacy level of women was higher than men (p<0.05). No significant relationship was found between food literacy and adherence to the Mediterranean diet. HDL, hemoglobin and albumin levels were higher (p<0.05) and LDL, total cholesterol and triglyceride levels were lower in the group with adequate food literacy compared to the group with inadequate food literacy. The food literacy score had a moderate positive correlation with HDL and albumin in men and a negative correlation with fasting blood glucose and a positive correlation with albumin in women.
Conclusion: In this study, food literacy and adherence to Mediterranean diet were insufficient in adults. No relationship was found between food literacy and adherence to Mediterranean diet, but food literacy has been found to be associated with nutrition related biochemical indicators. Food literacy is positively associated with biochemical parameters related to optimal health and negatively associated with biochemical findings related to suboptimal health. As a result improving food literacy can be effective in controlling the risks of diet-related chronic diseases.

Keywords

food literacy, Mediterranean diet, nutrition, biochemistry

Ethical Statement

Araştırmanın Etik kurul onayı sunulmuştur.

Supporting Institution

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Project Number

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Thanks

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Gıda Okuryazarlığının, Akdeniz Diyetine Uyum ve Beslenmeyle İlintili Biyokimyasal Bulgularla İlişkisi

Abstract

Amaç: Bu çalışmanın amacı, gıda okuryazarlığının, yetişkinlerde, Akdeniz diyetine uyum ve beslenmeyle ilintili biyokimyasal parametreler (açlık glikozu, HDL, LDL ve toplam kolesterol, trigliserit, hemoglobin ve albümin) ile ilişkisini incelemektir.
Gereç ve Yöntem: Araştırma Ekim 2022-Haziran 2023 tarihleri arasında, İstanbul’da, Süleyman Yalçın Şehir Hastanesi’ne başvuran toplam 245 yetişkin ile yürütülmüştür. Bireylerin genel bilgileri, gıda okuryazarlığı ve Akdeniz diyetine uyumu araştırmacılar tarafından yüz yüze sorgulanmıştır. Gıda okuryazarlığı, Gıda Okuryazarlığı Anketi Kısa Form (SFLQ) ile, Akdeniz diyetine uyum ise Akdeniz diyetine uyum ölçeği (MEDAS) ile saptanmıştır Katılımcıların biyokimyasal bulguları hastane dosyalarındaki mevcut güncel kayıtlardan elde edilmiştir.
Bulgular: Katılımcıların %51,4’ünde gıda okuryazarlığının ve %67,5’inde Akdeniz diyetine uyumun yetersiz olduğu, kadınların gıda okuryazarlığı düzeyinin erkeklerden yüksek olduğu bulunmuştur (p<0,05). Gıda okuryazarlığı ile Akdeniz diyetine uyum arasında anlamlı bir ilişki bulunmamıştır. Gıda okuryazarlığı yeterli olan grupta yetersiz gruba göre, HDL, hemoglobin ve albümin seviyelerinin yüksek (p<0,05), LDL, toplam kolesterol ve trigliserit seviyelerinin düşük olduğu belirlenmiştir. Erkeklerde gıda okuryazarlığı puanının HDL ve albümin ile pozitif yönlü orta düzeyde korelasyon; kadınlarda ise açlık kan glikozu ile negatif, albümin ile pozitif korelasyon gösterdiği saptanmıştır.
Sonuç: Bu çalışmada yetişkinlerde gıda okuryazarlığı ve Akdeniz diyetine uyumun yetersiz olduğu belirlenmiştir. Gıda okuryazarlığı ile Akdeniz diyetine uyum arasında bir ilişki bulunmamış ancak gıda okuryazarlığının beslenmeyle ilintili biyokimyasal göstergelerle ilişkili olduğu gösterilmiştir. Gıda okuryazarlığı optimal sağlıkla ilişkili biyokimyasal bulgular ile pozitif ilişkilidir, gıda okuryazarlığının geliştirilmesi beslenmeyle ilintili kronik hastalık risklerinin kontrol edilmesinde etkili olabilir.

Keywords

gıda okuryazarlığı, Akdeniz diyeti, beslenme, biyokimya

Project Number

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References

• Ashley, H. Ng., ElGhattis, Y., Biesiekierski, J. R., & Moschonis, G. (2022). Assessing the effectiveness of a 4-week online intervention on food literacy and fruit and vegetable consumption in Australian adults: The online MedDiet challenge. Health Soc Care Community, 30(6), e4975-e4981. https://doi.org/10.1111/hsc.13909
• Barnaba, L., Intorre, F., Azzini, E., Ciarapica, D., Venneria, E., Foddai, M. S., Maiani, F., Raguzzini, A., & Polito, A. (2020). Evaluation of adherence to Mediterranean diet and association with clinical and biological markers in an Italian population. Nutrition, 77, 110813. https://doi.org/10.1016/j.nut.2020.110813
• Bookari, K. (2023). A cross-sectional exploratory study of food literacy among Saudi parents of adolescent children aged 10 to 19 years. Front Nutr. 6;9:1083118. https://doi.org/10.3389/fnut.2022.1083118
• Boslooper-Meulenbelt, K., Boonstra, M. D., van Vliet, I. M. Y., Gomes-Neto, A. W., Osté, M. C. J., Poelman, M. P., Bakker, S. J. L., de Winter, A. F., & Navis, G. J. (2021). Food Literacy Is Associated With Adherence to a Mediterranean-Style Diet in Kidney Transplant Recipients. J Ren Nutr, 31(6), 628-636. https://doi.org/10.1053/j.jrn.2020.12.010
• Durmus, H., Gökler, M. E., & Havlioğlu, S. (2019). Reliability and validity of the Turkish version of the short food literacy questionnaire among university students. Progress in Nutrition, 21(2), 333-338. https://doi.org/10.23751/pn.v21i2.7094
• EFAD, Fact Sheet, Food Literacy An Added Value for Health. European Specialist Dietetic Network for Public Health (ESDN-PH), March 2018. Erişim adresi https://www.eudap.org/acadp_listings/food-literacy-fact-sheet/ Erişim tarihi 15.10.2023
• García-Conesa, M. T., Philippou, E., Pafilas, C., Massaro, M., Quarta, S., Andrade, V., Jorge, R., Chervenkov, M., Ivanova, T., Dimitrova, D., Maksimova, V., Smilkov, K., Ackova, D. G., Miloseva, L., Ruskovska, T., Deligiannidou, G. E., Kontogiorgis, C. A., & Pinto, P. (2020). Exploring the Validity of the 14-Item Mediterranean Diet Adherence Screener (MEDAS): A Cross-National Study in Seven European Countries around the Mediterranean Region. Nutrients, 12(10). https://doi.org/10.3390/nu12102960
• Gökler, M., Durmuş, H., & Havlioğlu, S. (2020). Food literacy can described adequate? Optimizing cut-off scores for the short food literacy questionnaire (SFLQ). Mediterranean Journal of Nutrition and Metabolism, 13, 119-126. https://doi.org/10.3233/MNM-190363
• Gréa Krause, C., Beer-Borst, S., Sommerhalder, K., Hayoz, S., & Abel, T. (2018). A short food literacy questionnaire (SFLQ) for adults: Findings from a Swiss validation study. Appetite, 120, 275-280. https://doi.org/10.1016/j.appet.2017.08.039
• Hair, JF., Black, WC., Bobin, BJ,. Anderson, RE & Tatham, RL. (2013) Multivariate Data Analysis: Pearson Education Limited. (7. Baskı) Pearson.
• Lee, H., Kim, B. & Song, Y. (2021). Related Factors for Impaired Fasting Glucose in Korean Adults: A Population Based Study. BMC Public Health 21, 2256. https://doi.org/10.1186/s12889-021-12276-5
• Martínez-González, M. A., Sayón-Orea, C., Bullón-Vela, V., Bes-Rastrollo, M., Rodríguez-Artalejo, F., Yusta-Boyo, M. J., & García-Solano, M. (2022). Effect of olive oil consumption on cardiovascular disease, cancer, type 2 diabetes, and all-cause mortality: A systematic review and meta-analysis. Clin Nutr, 41(12), 2659-2682. https://doi.org/10.1016/j.clnu.2022.10.001
• Murakami, K., Shinozaki, N., Livingstone, M. B. E., Yuan, X., Tajima, R., Matsumoto, M., Masayasu, S., & Sasaki, S. (2023). Associations of food choice values and food literacy with overall diet quality: a nationwide cross-sectional study in Japanese adults. Br J Nutr, 130(10), 1795-1805. https://doi.org/10.1017/s000711452300082x
• Ozturk, Y., Demir, C., Gursoy, K., & Koselerli, R. (2015). Analysis Of Stroke Statistics In Turkey. Value in Health, 18(7), A402. https://doi.org/10.1016/j.jval.2015.09.929
• Özkan Pehlivanoğlu, E., Balcıoğlu, H., & Unluoglu, I. (2019). Akdeniz Diyeti Bağlılık Ölçeği’nin Türkçe’ye Uyarlanması Geçerlilik ve Güvenilirliği. OSMANGAZİ JOURNAL OF MEDICINE. https://doi.org/10.20515/otd.504188
• Pérez-López, F. R., Chedraui, P., Haya, J., & Cuadros, J. L. (2009). Effects of the Mediterranean diet on longevity and age-related morbid conditions. Maturitas, 64(2), 67-79. https://doi.org/10.1016/j.maturitas.2009.07.013
• Poelman, M. P., Dijkstra, S. C., Sponselee, H., Kamphuis, C. B. M., Battjes-Fries, M. C. E., Gillebaart, M., & Seidell, J. C. (2018). Towards the measurement of food literacy with respect to healthy eating: the development and validation of the self perceived food literacy scale among an adult sample in the Netherlands. Int J Behav Nutr Phys Act, 15(1), 54. https://doi.org/10.1186/s12966-018-0687-z
• Satman, İ. ve Grup, T. (2011). Türkiye Diyabet, Hipertansiyon, Obezite ve Endokrinolojik Hastalıklar Prevalans Çalışması (TURDEP-II) Sonuçları . İstanbul Tıp Fakültesi Geleneksel İç Hastalıkları Günleri: İnteraktif Güncelleştirme 2011. (pp.25-28). İstanbul, Turkey . Schwingshackl, L., Morze, J., & Hoffmann, G. (2020). Mediterranean diet and health status: Active ingredients and pharmacological mechanisms. Br J Pharmacol, 177(6), 1241-1257. https://doi.org/10.1111/bph.14778
• Schwingshackl, L., Schwedhelm, C., Galbete, C., & Hoffmann, G. (2017). Adherence to Mediterranean Diet and Risk of Cancer: An Updated Systematic Review and Meta-Analysis. Nutrients, 9(10). https://doi.org/10.3390/nu9101063
• Sengul, S., Akpolat, T., Erdem, Y., Derici, U., Arici, M., Sindel, S., Karatan, O., Turgan, C., Hasanoglu, E., Caglar, S., & Erturk, S. (2016). Changes in hypertension prevalence, awareness, treatment, and control rates in Turkey from 2003 to 2012. J Hypertens, 34(6), 1208-1217. https://doi.org/10.1097/hjh.0000000000000901
• Solak, Y., Durmuş, H., Solak, G., Altuntaş, S., & Mustan, A. (2023). Changes in HbA1c values of patients with type 2 diabetes mellitus during the pandemic period and their relationship to food literacy. International Journal of Diabetes in Developing Countries. https://doi.org/10.1007/s13410-023-01226-z
• Sponselee, HCS., Kroeze, W., Poelman, MP., Renders, CM., Ball, K., Steenhuis, IHM. (2021). Food and health promotion literacy among employees with a low and medium level of education in the Netherlands. BMC Public Health, 30;21(1):1273. https://doi.org/10.1186/s12889-021-11322-6
• Strohl, CA. Scientific Literacy in Food Education: Gardening and Cooking in School. Davis, CA: University of California. (2015). Erişim adresi: https://www.proquest.com/openview/38ee001c6675bbfa9e3f61dcbf851516/1.pdf?pq-origsite=gscholar&cbl=18750
• T.C. Sağlık Bakanlığı (2019). Türkiye Beslenme ve Sağlık Araştırması (TBSA). https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-ve-hareketli-hayat-db/Dokumanlar/Kitaplar/Turkiye_Beslenme_ve_Saglik_Arastirmasi_TBSA_2017.pdf
• T.C. Sağlık Bakanlığı (2017). Türkiye Hanehalkı Sağlık Araştırması: Bulaşıcı Olmayan Hastalıkların Risk Faktörleri Prevalansı. https://cdn.who.int/media/docs/default-source/ncds/ncd-surveillance/data-reporting/turkey/factsheet-steps-turkey-tur-08.10.2018.pdf?sfvrsn=6e6c0c0d_1&download=true.
• United Nations Environment Programme (2021). Food Waste Index Report. https://www.unep.org/resources/report/unep-food-waste-index-report-2021
• Ural, D., Kılıçkap, M., Göksülük, H., Karaaslan, D., Kayıkçıoğlu, M., Özer, N., Barçın, C., Yılmaz, M. B., Abacı, A., Şengül, Ş., Arınsoy, T., Erdem, Y., Sanisoğlu, Y., Şahin, M., & Tokgözoğlu, L. (2018). [Data on prevalence of obesity and waist circumference in Turkey: Systematic review, meta-analysis and meta regression of epidemiological studies on cardiovascular risk factors]. Turk Kardiyol Dern Ars, 46(7), 577-590. https://doi.org/10.5543/tkda.2018.62200 (Türkiye’de obezite sıklığı ve bel çevresi verileri: Kardiyovasküler risk faktörlerine yönelik epidemiyolojik çalışmaların sistematik derleme, meta-analiz ve meta-regresyonu.)
• Yoo, H., Jo, E., Lee, H., Ko, E., Jang, E., Sim, J., Kim, K., & Park, S. (2023). The level of food literacy and its association with food intake and obesity status among Seoul citizens: results from Seoul Food Survey 2021. Nutr Res Pract, 17(5), 945-958. https://doi.org/10.4162/nrp.2023.17.5.945
• Zahedi Yazdi, M., Akhlagh, S., Aboomardani, M., Alipoor, R., Hosseini, S., & Rezaei Shahmirzadi, A. (2020). Efficacy of Mediterranean Diet on Blood Biochemical Factors in Type II Diabetic Patients: A Randomized Controlled Trial. Gazi Medical Journal, 31, 714-718. https://doi.org/10.12996/gmj.2020.166
• Zareimanesh, B., & Namdar, R. (2022). Analysis of food literacy dimensions and indicators: A case study of rural households [Original Research]. Frontiers in Sustainable Food Systems, 6. https://doi.org/10.3389/fsufs.2022.1019124