Yetişkinlerde Şekerli İçecek Tüketimi Ve Algılanan Gıda Okuryazarlığının Değerlendirilmesi

Yıl 2026, Cilt: 48 Sayı: 2, 387 - 398, 11.02.2026

Onur Er , Sibel Sert , Ezgi Yücel , Didem Arslantaş , Alaettin Ünsal

https://doi.org/10.20515/otd.1753417

Öz

Bu çalışmada, herhangi bir nedenle bir üniversite hastanesi polikliniğine başvuran 18 yaş ve üzeri bireylerin şekerli içecek tüketim alışkanlıklarının değerlendirilmesi amaçlanmıştır. Ayrıca, şekerli içecek etiketlerine yönelik tutumları ve algılanan gıda okuryazarlıkları incelenmiştir. Veri toplamak için ilgili literatüre dayalı olarak geliştirilen bir anket formu kullanılmıştır. Algılanan gıda okuryazarlığı düzeylerinin 30 yaş ve üzeri bireylerde, kadınlarda, evli katılımcılarda ve düzenli egzersiz yapanlarda daha yüksek olduğu bulunmuştur. Ayrıca, meyve suyu ve gazlı içeceklerdeki piktogram tabanlı etiketlerin, infografik veya metin tabanlı etiketlere kıyasla şekerli içecek tüketimini caydırmada daha etkili olduğu bulunmuştur.

Anahtar Kelimeler

Beslenme Davranışı , Şekerli Tatlandırılmış İçecekler , Etiketleme , Gıda Okuryazarlığı , Beslenme

Evaluation of Sugar-Beverage Consumption and Perceived Food Literacy in Adults

Öz

This study aimed to evaluate the sugary drink consumption patterns of individuals aged 18 and above who visited a university hospital polyclinic for any reason.It also examined their attitudes toward sugary drink labels and their perceived food literacy.A survey form, developed based on relevant literature, was used to collect data.Perceived food literacy levels were found to be higher among individuals aged 30 and above, women, married participants, those who engaged in regular exercise. Additionally, pictogram-based labels on fruit juice and carbonated drinks were more effective in deterring sugary drink consumption compared to infographic or text-based labels.

Anahtar Kelimeler

Feeding Behavior , Sugar- Sweetened Beverages , Labeling , Food Literacy , Nutrition

Kaynakça

• 1. Muth, N. D., Dietz, W. H., Magge, S. N., Johnson, R. K., Bolling, C. F., Armstrong, S. C., ... & Amerıcan Heart Assocıatıon. (2019). Public Policies To Reduce Sugary Drink Consumption İn Children And Adolescents. Pediatrics, 143(4).
• 2. World Health Organization. Guideline: Sugars Intake For Adults And Children. Contract No.: 978 92 4 154902 8. Geneva, Switzerland: World Health Organization; 2015.
• 3. Fitzroy,J.H.(2018).Implementing A Sugar Tax İn Cariba, INGSA, Https://İngsa.Org/Resources/Henry-Sugar-Tax-Jamaica-2018
• 4. Malik VS, Hu FB. Sugar-Sweetened Beverages And Cardiometabolic Health: An Update Of The Evidence. Nutrients. 2019; 11(8):1840.
• 5. Haque M, Mckimm J, Sartelli M, Samad N, Haque SZ, Bakar MA. A Narrative Review Of The Effects Of Sugar-Sweetened Beverages On Human Health: A Key Global Health İssue. J Popul Ther Clin Pharmacol 2020;27(1):E76e103.
• 6. Li, H., Liang, H., Yang, H., Zhang, X., Ding, X., Zhang, R., ... & Sun, T. (2022). Association Between İntake Of Sweetened Beverages With All-Cause And Cause-Specific Mortality: A Systematic Review And Meta-Analysis. Journal Of Public Health, 44(3), 516-26.
• 7. Zhang, Y. B., Jiang, Y. W., Chen, J. X., Xia, P. F., & Pan, A. (2021). Association Of Consumption Of Sugar-Sweetened Beverages Or Artificially Sweetened Beverages With Mortality: A Systematic Review And Dose–Response Meta-Analysis Of Prospective Cohort Studies. Advances İn Nutrition, 12(2), 374-83.
• 8. Farhangi, M. A., Nikniaz, L., & Khodarahmi, M. (2020). Sugar-Sweetened Beverages İncreases The Risk Of Hypertension Among Children And Adolescence: A Systematic Review And Dose–Response Meta-Analysis. Journal Of Translational Medicine,18,1-18.
• 9. Arroyo-Quiroz, C., Brunauer, R., & Alavez, S. (2022). Sugar-Sweetened Beverages And Cancer Risk: A Narrative Review. Nutrition And Cancer, 74(9),3077–95.
• 10. Library Of The National Congress Of Chile. On The Nutrient Composition Of Foods And İts Advertising: Ministry Of Health; 2012. Available At: Https://Www.Leychile.Cl/Navegar?İdnorma=1041570.
• 11. Cancer Council Victoria. “Rethink Sugary Drink” Campaign. Melbourne: Cancer Council Victoria. Http://Www.Rethinksugarydrink.Org.Au/.
• 12. New York City Government. Healthy Beverages New York: New York City Health 2016. Available At: Https://Www.Nyc.Gov/Site/Doh/Health/Health-Topics/Added-Sugars.Page
• 13. World Health Organization. Incentives And Disincentives For Reducing Sugar İn Manufactured Foods: An Exploratory Supply Chain Analysis. A Set Of Insights For Member States İn The Context Of The WHO European Food And Nutrition Action Plan 2015–2020. Geneva, Switzerland: WHO; 2017.
• 14. Keser, A., & Çıracıoğlu, E. D. (2015). Health And Nutrition Literacy. Yıldırım, F And Keser, A., Ankara University Publication, 455.
• 15. Hedrick, V. E., Comber, D. L., Estabrooks, P. A., Savla, J., & Davy, B. M. (2010). The Beverage İntake Questionnaire: Determining İnitial Validity And Reliability. Journal Of The American Dietetic Association, 110(8), 1227-1232.
• 16. Karabudak, E., & Koksal, E. (2016). Validity And Reliability Of Beverage İntake Questionnaire: Evaluating Hydration Status. Nutrición Hospitalaria, 33(5), 1129-35.
• 17. Bağdatlı, E. (2023). Determining The Relationship Between Food Literacy Levels Of Adult Individuals And Their Attitudes Towards Healthy Nutrition. (Master's Thesis)
• 18. Fingland, D., Thompson, C., & Vidgen, H. A. (2021). Measuring Food Literacy: Progressing The Development Of An İnternational Food Literacy Survey Using A Content Validity Study. International Journal Of Environmental Research And Public Health, 18(3), 1141.
• 19. Malik, V. S., & Hu, F. B. (2022). The Role Of Sugar-Sweetened Beverages İn The Global Epidemics Of Obesity And Chronic Diseases. Nature Reviews Endocrinology, 18(4), 205-218.
• 20. Moss, M. E., Luo, H., Rosinger, A. Y., Jacobs, M. M., & Kaur, R. (2022). High Sugar İntake From Sugar‐Sweetened Beverages İs Associated With Prevalence Of Untreated Decay İn US Adults: NHANES 2013–2016. Community Dentistry And Oral Epidemiology, 50(6), 579-588.
• 21. Miller, C., Ettridge, K., Pettigrew, S., Wittert, G., Wakefield, M., Coveney, J., ... & Dono, J. (2022). Warning Labels And İnterpretive Nutrition Labels: Impact On Substitution Between Sugar And Artificially Sweetened Beverages, Juice And Water İn A Real-World Selection Task. Appetite, 169, 105818.
• 22. Grummon, A. H., Hall, M. G., Taillie, L. S., & Brewer, N. T. (2019). How Should Sugar-Sweetened Beverage Health Warnings Be Designed? A Randomized Experiment. Preventive Medicine, 121, 158-166.
• 23. Canva. (N.D.) Https://Www.Canva.Com/
• 24. Khandpur, N.; Mais, L.A.; Sato, P.D.M.; Martins, A.P.B.; Spinillo, C.G.; Rojas, C.F.U.; Garcia, M.T.; Jaime, P.C. Choosing A Front-Of-Package Warning Label For Brazil: A Randomized, Controlled Comparison Of Three Different Label Designs. Food Res. Int. 2019, 121, 854–861.
• 25. Baig, S. A., Noar, S. M., Gottfredson, N. C., Lazard, A. J., Ribisl, K. M., & Brewer, N. T. (2021). Incremental Criterion Validity Of Message Perceptions And Effects Perceptions İn The Context Of Anti-Smoking Messages. Journal Of Behavioral Medicine, 44(1), 74-83.
• 26. Poelman, M. P., Dijkstra, S. C., Sponselee, H., Kamphuis, C. B., Battjes-Fries, M. C., 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 İn The Netherlands. International Journal Of Behavioral Nutrition And Physical Activity, 15, 1-12.
• 27. Tarı Selçuk K, Çevik C, Baydur H, Meseri R. Validity And Reliability Of The Turkish Version Of The Self-Perceived Food Literacy Scale. Progress İn Nutrition. 2020;22(2):671-7.
• 28. Batista, M. F., De Carvalho‐Ferreira, J. P., Thimoteo Da Cunha, D., & De Rosso, V. V. (2023). Front‐Of‐Package Nutrition Labeling As A Driver For Healthier Food Choices: Lessons Learned And Future Perspectives. Comprehensive Reviews İn Food Science And Food Safety, 22(1), 535-586.
• 29. Sonkaya, Z. İ., Balcı, E., & Ayar, A. (2018). University Students’ Knowledge, Attitudes And Behaviors On Food Literacy And Food Safety “Amasya University Sabuncuoğlu Şerefeddin Health Services Vocational School Example”. Turkish Journal Of Hygiene And Experimental Biology, 75(1), 53-64.
• 30. Murakami, K., Shinozaki, N., Yuan, X., Tajima, R., Matsumoto, M., Masayasu, S., & Sasaki, S. (2022). Food Choice Values And Food Literacy İn A Nationwide Sample Of Japanese Adults: Associations With Sex, Age, And Body Mass İndex. Nutrients, 14(9), 1899.
• 31. Elran Barak R, Shuval K, Li Q, Oetjen R, Drope J, Yaroch AL, Fennis BM, Harding M. Emotional Eating İn Adults: The Role Of Sociodemographics, Lifestyle Behaviors, And Self-Regulation-Findings From A U.S. National Study. Int J Environ Res Public Health. 2021;18:1744. ].
• 32. Campos, S., Doxey, J., & Hammond, D. (2011). Nutrition Labels On Pre-Packaged Foods: A Systematic Review. Public Health Nutrition, 14(8), 1496-1506.
• 33. Yalçın, T., & Sevim, Y. (2024). Evaluation Of Adult İndividuals' Attitudes And Behaviors Towards Reading Food Labels. Mersin University Journal Of Health Sciences, 17(1), 109-118.
• 34. Aslankaya, A. G. (2021). Marital Adjustment Regarding Chronic Diseases And Lifestyle Factors Among Married Couples. (Doctoral Dissertation, Bursa Uludag University (Türkiye)).
• 35. Türkmen, P. B. T., Doğan, M., & Gün, İ. Investigation Of The Relationship Between Breakfast Habit And Nutrition Literacy İn Healthcare Workers. Maltepe Medical Journal, 15(2), 38-43.
• 36. Mossavar-Rahmani, Y., Kamensky, V., Manson, J. E., Silver, B., Rapp, S. R., Haring, B., Beresford, S. A. A., Snetselaar, L., & Wassertheil-Smoller, S. (2019). Artificially Sweetened Beverages And Stroke, Coronary Heart Disease, And All-Cause Mortality İn The Women's Health Initiative. Stroke, 50(3), 555–562.
• 37. Fiorindi, C., Coppolino, G., Leone, S., Previtali, E., Cei, G., Luceri, C., ... & Giudici, F. (2022). Inadequate Food Literacy İs Related To The Worst Health Status And Limitations İn Daily Life İn Subjects With İnflammatory Bowel Disease. Clinical Nutrition ESPEN, 52, 151-157.
• 38. Kozan, E. H. (2019). Nutrition Literacy And İnfluencing Factors Of Overweight And Non-Obese Adult Women (Master's Thesis).
• 39. Miller, C., Ettridge, K., Pettigrew, S., Wittert, G., Coveney, J., Wakefield, M., ... & Dono, J. (2024). Warning Labels For Sugar-Sweetened Beverages And Fruit Juice: Evaluation Of 27 Different Labels On Health Effects, Sugar Content, Energy And Exercise Equivalency. Public Health, 230, 138-148.
• 40. Kotler, P., & Armstrong, G. (2010). Principles Of Marketing. Pearson Education.
• 41. Moran, A. J., & Roberto, C. A. (2018). Health Warning Labels Correct Parents’ Misperceptions About Sugary Drink Options. American Journal Of Preventive Medicine, 55(2), E19-E27.
• 42. Hall, M. G., Grummon, A. H., Higgins, I. C., Lazard, A. J., Prestemon, C. E., Avendaño-Galdamez, M. I., & Taillie, L. S. (2022). The İmpact Of Pictorial Health Warnings On Purchases Of Sugary Drinks For Children: A Randomized Controlled Trial. Plos Medicine, 19(2), E1003885