The Effect of Nutrition Education on Adherence to the Mediterranean Diet and Sustainable Healthy Eating Behaviors in University Students
Commenced in January 2007
Frequency: Monthly
Edition: International
Paper Count: 32807
The Effect of Nutrition Education on Adherence to the Mediterranean Diet and Sustainable Healthy Eating Behaviors in University Students

Authors: Tuba Tekin, Nurcan Baglam, Emine Dincer

Abstract:

This study aimed to examine the effects of nutrition education received by university students on sustainable healthy eating behaviors and adherence to the Mediterranean diet. The 2nd, 3rd, and 4th-grade university students studying at the Faculty of Health Sciences, Nutrition and Dietetics, Midwifery, Nursing, Physical Therapy, and Rehabilitation departments of universities in Turkey were included in the study. Students' adherence to the Mediterranean diet was evaluated using the Mediterranean Diet Adherence Scale, and their sustainable and healthy eating behaviors were evaluated using the Sustainable and Healthy Eating Behaviors Scale. In addition, the body weight and height of the students were measured by the researchers, and the Body Mass Index (BMI) value was calculated. A total of 181 students, 85 of whom were studying in the Department of Nutrition and Dietetics and 96 of whom were educated in other departments, were included in the study; 75.7% of the students in the sample are female, while 24.3% are male. The average body weight of the students was 61.17 ± 10.87 kg, and the average BMI was 22.04 ± 3.40 kg/m2. While the mean score of the Mediterranean Diet Adherence Scale was 6.72 ± 1.84, in the evaluation of adherence to the Mediterranean diet, it was determined that 25.4% of the students had poor adherence and 66.9% needed improvement. When the adherence scores of students who received and did not receive nutrition education were compared, it was discovered that the students who received nutrition education had a higher score (p < 0.05). Students who received nutrition education had a higher total score on the Sustainable and Healthy Eating Behaviors scale (p < 0.05). A moderately positive correlation was found between the Sustainable and Healthy Eating Behaviors scale total score and the Mediterranean Diet Adherence scores (p < 0.05). As a result of the linear regression analysis, it was revealed that a 1-unit increase in the Mediterranean diet adherence score would result in a 1.3-point increase in the total score of the Sustainable and Healthy Eating Behaviors scale. Sustainable and healthy diets are important for improving and developing health and the prevention of diseases. The Mediterranean diet is defined as a sustainable diet model. The findings revealed the relationship between the Mediterranean diet and sustainable nutrition and showed that nutrition education increased knowledge and awareness about sustainable nutrition and increased adherence to the Mediterranean diet. For this reason, courses or seminars on sustainable nutrition can be organized during educational periods.

Keywords: Healthy eating, Mediterranean diet, nutrition education, sustainable nutrition.

Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 98

References:


[1] Population and Fertility Collaborators. “Population and fertility by age and sex for 195 countries and territories, 1950-2017: a systematic analysis for the Global Burden of Disease Study 2017”. Lancet 2018, 392:1995–2051.
[2] S.M. Smetana, S. Bornkessel, V. Heinz. “A path from sustainable nutrition to nutritional sustainability of complex food systems.” Frontiers in nutrition, 2019, 6, 39.
[3] G. Grosso, A, Mateo, N. Rangelov, T. Buzeti, C. Birt. “Nutrition in the context of the Sustainable Development Goals.” European journal of public health, 2020, 30(Supplement_1), i19-i23.
[4] S.N. Olgun, E. Manisalı, F. Çelik. “Sustainable Nutrition and Dietary Models.” Bandırma Onyedi Eylül University Journal of Health Sciences and Research, 4(3), 2020, 261-271.
[5] United Nations World Commission on Environment and Development, ed. Report of the World Commission on Environment and Development: Our Common Future. Oxford: Oxford University Press, 1987.
[6] C. Martin-Rios, C. Demen-Meier, S. Gössling, C. Cornuz. Food Waste Management Innovations in the Food service Industry. Waste Management, 2018, 79, 196-206.
[7] FAO/WHO. “Sustainable healthy diets – Guiding principles.” Rome, 2019.
[8] A. Tokay, C. Yılmaz, S. Boluk, O. Boyraz, N. Bulbul. “The Sustainability of the Mediterranean Diet, One of the Sustainable Nutrition Models.” TOGU Journal of Health Sciences, 2022, 2(2), 187-201.
[9] K. Von Koerber, N. Bader, C. Leitzmann. Whole some nutrition: an example for a sustainable diet. Proceedings of the Nutrition Society, 2017, 76(1), 34-41
[10] J. Renzella, N. Townsend, J. Jewell, J. Breda, N. Roberts, M. Rayner et al. What national and subnational interventions and policies based on Mediterranean and Nordic diets are recommended or implemented in the WHO European Region, and is there evidence of effectiveness in reducing noncommunicable diseases? Copenhagen: WHO Regional Office for Europe; 2018. Health Evidence Network (HEN) Synthesis Report No.:58
[11] Z. Krznarić, I. Karas, D. Ljubas Kelečić, D. Vranešić Bender. “The Mediterranean and Nordic diet: a review of differences and similarities of two sustainable, health-promoting dietary patterns.” Frontiers in Nutrition, 2021, 8, 683678.
[12] C. Leitzmann. “Vegetarian nutrition: past, present, future.” The American journal of clinical nutrition, 2014, 100(suppl_1), 496S-502S.
[13] M.E. Nelson, M.W. Hamm, F.B. Hu, S.A. Abrams, T.S. Griffin. “Alignment of healthy dietary patterns and environmental sustainability: a systematic review.” Advances in Nutrition, 2016, 7(6), 1005-1025.
[14] A.K. Sikalidis, A.H. Kelleher, A.S. Kristo. “Mediterranean diet.” Encyclopedia, 2021, 1(2), 371-387.
[15] S. Dernini, E.M. Berry, L. Serra-Majem, C. La Vecchia, R. Capone, F.X. Medina FX, et al., on behalf of the Scientific Committee of the International Foundation of Mediterranean Diet. Med Diet 4.0: The sustainable Mediterranean diet with four benefits. PHN. 2017, 20:7, 1322-1330
[16] M.A. Martínez-González, D. Corella, J. Salas-Salvado, E.Ros, M.I. Fiol, et al. “Cohort profile: design and methods of the PREDIMED study.” International Journal of Epidemiology. 2012, 41:377-85.
[17] H. Schröder M. Fito, R. Estruch, M.A. Martinez, et al. “A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women.” The Journal of Nutrition. 2011, 141:1140-5.
[18] S. Żakowska-Biemans, Z. Pieniak, E. Kostyra, K. Gutkowska. “Searching for a measure integrating sustainable and healthy eating behaviors.” Nutrients, 2019, 11 (1), 95.
[19] S. Dernini, E.M. Berry, L. Serra-Majem, C. La Vecchia, R. Capone, F.X. Medina, A. Trichopoulou. “Med Diet 4.0: the Mediterranean diet with four sustainable benefits.” Public health nutrition, 2017, 20(7), 1322-1330.
[20] İ.Z. Yolcuoğlu, G. Kızıltan. “The effect of nutrition education on diet quality, sustainable nutrition and eating behaviors.” Baskent University Faculty of Health Sciences Journal, 2021, 6(1).
[21] T. Sonmez. “Determination of university students' adaptation to Mediterranean diet and nutritional status.” Journal of Health and Life Sciences, 2021, 3(1), 85-90.
[22] G. Akay. “Health Sciences Students Sustainable Nutrition and Environmental Knowledge Levels and Adherence to Mediterranean Diet.” Mevlana Medical Sciences Journal, 2021, 2(1), 1-6.
[23] A. Yuksel, H.Y. Önal. “Evaluation of University Students’ Knowledge of and Practices for Sustainable Nutrition.” International Journal of Agriculture Environment and Food Sciences, 2021, 5(2), 146-156.
[24] M. Dornhoff, A. Hörnschemeyer, F. Fiebelkorn. Students’ conceptions of sustainable nutrition. Sustainability, 2020, 12(13), 5242.
[25] N. Ghammachi, P.N.A. Dharmayani, S. Mihrshahi, R. Ronto. Investigating web-based nutrition education interventions for promoting sustainable and healthy diets in young adults: a systematic literature review. International Journal of Environmental Research and Public Health, 2022, 19(3), 1691.
[26] D.N. Cox, A.S. Anderson, J. Reynolds, S. McKellar, M.E. Lean, D.J. Mela. Take Five, a nutrition education intervention to increase fruit and vegetable intakes: impact on consumer choice and nutrient intakes. British Journal of Nutrition, 1998, 80(2), 123-131.
[27] P.L. Lua, W.D.W.P. Elena. The impact of nutrition education interventions on the dietary habits of college students in developed nations: a brief review. The Malaysian journal of medical sciences: MJMS, 2012, 19(1), 4.