An Investigation of the Relationship between Food Literacy and Adherence to a Healthy Diet: Consumption of Food Groups in People with Type 2 Diabetes | |
Journal of Health Literacy | |
مقاله 7، دوره 8، شماره 2 - شماره پیاپی 30، شهریور 2023، صفحه 74-86 اصل مقاله (360.08 K) | |
نوع مقاله: Original Article | |
شناسه دیجیتال (DOI): 10.22038/jhl.2023.68511.1362 | |
نویسندگان | |
Fatemeh Bastami* 1؛ Mehdi Haghi2؛ Rasool Mohammadi3؛ Seyed Mahmoud Reza Taherian1؛ Zeinab Khani2؛ Parisa Zaedi2 | |
1Nutritional Health Research Center, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran. | |
2Department of public health, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran. | |
3Social Determinants of Health Research Center, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran. | |
چکیده | |
Background and Objectives: Diet adjustment is an important factor in the management of all types of diabetes. One of the factors that influences diet adherence is food literacy. The present study was conducted with the aim of investigating the relationships among food literacy, following a healthy diet, and consumption of a variety of food groups in people with type 2 diabetes. Material and Methods: The present research was a descriptive-analytical study that was conducted on 288 people with type 2 diabetes referred to comprehensive health service centers in Khorramabad from May 2021 to April 2022. The simple random sampling method was used to select the participants. The data collection instruments included the food literacy questionnaire, diet adherence behavior survey, and a three-day food record. The data were analyzed using the independent t-test, the Pearson correlation coefficient, one-way anova, and univariate and multivariate linear regression models. Results: The mean healthy diet and food literacy scores were 28.55 ± 6.03 and 16.21 ± 5.73, respectively. The mean consumption of food groups during the three recorded days was less than the recommended levels in the food pyramid. Education (β:0.30) and food literacy (β:0.23) had the highest predictive power for adherence to a healthy diet. The relationships among food literacy, with the consumption of the meat group (r=0.346, p<0.001), fruits (r = 0.178, p = 0.002), vegetables (r = 0.225, p < 0.001), and fats and oils (r = -0.157, p = 0.008) were significant. Conclusion: The mean healthy diet adherence and food literacy scores were low in the participants. Significant relationships among food literacy, the consumption of a variety of food groups, and following a healthy diet demonstrate the key role of promoting food literacy in the adherence to a healthy diet. Therefore, it is crucial to implement educational interventions to improve food literacy in diabetic patients. | |
کلیدواژهها | |
Food literacy؛ healthy diet؛ food groups؛ type 2 diabetes | |
مراجع | |
1. Kasaeyan N, Forghani B, Faghih Imani B, Hoseinpour M, Amini M. The relationship between food habits and fasting blood sugar and glycosylated hemoglobin in (type 2) diabetics. Iranian Journal of Endocrinology and Metabolism. 2002;4(1):9-13.
|
|
|
|
2. Newman JD, Rockman CB, Kosiborod M, Guo Y, Zhong H, Weintraub HS, et al. Diabetes mellitus is a coronary heart disease risk equivalent for peripheral vascular disease. American heart journal. 2017;184:114-20. https://doi.org/10.1016/j.ahj.2016.09.002 PMid:28224925 PMCid:PMC5325078 |
|
|
|
3. Lael-Monfared E, Tehrani H, Teiho Z, Jafari A. The study of eye care behaviors in patients with type 2 diabetes. Journal of Diabetes & Metabolic Disorders. 2020;19:257-63. https://doi.org/10.1007/s40200-020-00499-z PMid:32550174 PMCid:PMC7271095 |
|
|
|
4. Tamayo T, Rosenbauer J, Wild S, Spijkerman A, Baan C, Forouhi N, et al. Diabetes in Europe: an update. Diabetes research and clinical practice. 2014;103(2):206-17. https://doi.org/10.1016/j.diabres.2013.11.007 PMid:24300019 |
|
|
|
5. Imani A, Dabirian A. Telenursing Benefits in patients with Diabetes: A Review Article. Journal of Shahid Beheshti School of Nursing & Midwifery. 2014;23(83).
|
|
|
|
6. Ziaei-Rad M, Vahdaninia M, Montazeri A. Sexual dysfunctions in patients with diabetes: a study from Iran. Reproductive Biology and Endocrinology. 2010;8(1):50. https://doi.org/10.1186/1477-7827-8-50 PMid:20482781 PMCid:PMC2887879 |
|
|
|
7. Amini M, Parvaresh E. Prevalence of macro-and microvascular complications among patients with type 2 diabetes in Iran: a systematic review. Diabetes research and clinical practice. 2009;83(1):18-25. https://doi.org/10.1016/j.diabres.2008.10.010 PMid:19091437 |
|
|
|
8. Anderson R, Funnell M, Carlson A, Saleh‐Statin N, Cradock S, Skinner TC. Facilitating self‐care through empowerment. Psychology in diabetes care. 2000:69-97. https://doi.org/10.1002/0470846569.ch4 |
|
|
|
9. Chawla R, Madhu SV, Makkar BM, Ghosh S, Saboo B, Kalra S, et al. RSSDI-ESI Clinical Practice Recommendations for the Management of Type 2 Diabetes Mellitus 2020. Indian J Endocrinol Metab. 2020;24(1):1-122. https://doi.org/10.4103/ijem.IJEM_225_20 PMid:32699774 PMCid:PMC7328526 |
|
|
|
10. Jafari A, Zadehahmad Z, Armanmehr V, Talebi M, Tehrani H. The evaluation of the role of diabetes health literacy and health locus of control on quality of life among type 2 diabetes using the Path analysis. Scientific Reports. 2023;13(1):5447. https://doi.org/10.1038/s41598-023-32348-3 PMid:37012271 PMCid:PMC10070490 |
|
|
|
11. Krause CG, Beer-Borst S, Sommerhalder K, Hayoz S, Abel T. A short food literacy questionnaire (SFLQ) for adults: findings from a Swiss validation study. Appetite. 2018;120:275-80. https://doi.org/10.1016/j.appet.2017.08.039 PMid:28912107 |
|
|
|
12. Krause C, Sommerhalder K, Beer-Borst S, Abel T. Just a subtle difference? Findings from a systematic review on definitions of nutrition literacy and food literacy. Health promotion international. 2016;33(3):378-89. https://doi.org/10.1093/heapro/daw084 PMid:27803197 PMCid:PMC6005107 |
|
|
|
13. Colatruglio S, Slater J. Challenges to acquiring and utilizing food literacy: Perceptions of young Canadian adults. Canadian Food Studies/La Revue canadienne des études sur l'alimentation. 2016;3(1):96-118. https://doi.org/10.15353/cfs-rcea.v3i1.72 |
|
|
|
14. Begley A, Vidgen H. An overview of the use of the term food literacy. Food Literacy: Key concepts for health and education. 2016:17-34.
|
|
|
|
15. Nutbeam D. The evolving concept of health literacy. Social science & medicine. 2008;67(12):2072-8. https://doi.org/10.1016/j.socscimed.2008.09.050 PMid:18952344 |
|
|
|
16. Khorsani, Charooghchyan, peyman, Sahebkar, Moghzi. Investigating health literacy in patients with type2 diabets referring to the health houses of Chenaran in 2016. Journal of Khorasan University of Medical Sciences.9(2):191-83.
|
|
|
|
17. McQueen D, McQueen DV, Kickbusch I, Potvin L, Balbo L, Abel T, et al. Health and modernity: the role of theory in health promotion: Springer Science & Business Media; 2007. https://doi.org/10.1007/978-0-387-37759-9 |
|
|
|
18. Seyedoshohadaee M, Barasteh S, Jalalinia F, Eghbali M, Nezami M. The relationship between health literacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of Nursing Research. 2016;10(4):43-51.
|
|
|
|
19. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Impact of health literacy, self-efficacy, and outcome expectations on adherence to self-care behaviors in iranians with type 2 diabetes. Oman medical journal. 2016;31(1):52. https://doi.org/10.5001/omj.2016.10 PMid:26813680 PMCid:PMC4720937 |
|
|
|
20. Osborn CY, Paasche-Orlow MK, Bailey SC, Wolf MS. The mechanisms linking health literacy to behavior and health status. American journal of health behavior. 2011;35(1):118-28. https://doi.org/10.5993/AJHB.35.1.11 PMid:20950164 PMCid:PMC3085858 |
|
|
|
21. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Communicative and critical health literacy and self-care behaviors in patients with type 2 diabetes. Iranian journal of Diabetes and Metabolism. 2016;14(3):199-208.
|
|
|
|
22. Olyani S, Tehrani H, Esmaily H, Rezaii MM, Vahedian-Shahroodi M. Assessment of health literacy with the Newest Vital Sign and its correlation with body mass index in female adolescent students. International journal of adolescent medicine and health. 2017;32(2):20170103. https://doi.org/10.1515/ijamh-2017-0103 PMid:28942437 |
|
|
|
23. Fallah B, Moshtagh Eshgh Z. The effects of basic conditioning factors on self-care behaviors of patients with type 2 diabetes referred to Yazd Research Center, 2014. SSU_Journals. 2018;25(10):770-9.
|
|
|
|
24. Lawshe CH. A quantitative approach to content validity1. Personnel psychology. 1975;28(4):563-75. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x |
|
|
|
25. Vakili MM, Hidarnia AR, Niknami S. Development and psychometrics of an interpersonal communication skills scale (ASMA) among Zanjan health volunteers. Journal of hayat. 2012;18(1):5-19.
|
|
|
|
26. Delshad Noghabi A, Moshki M. The Impact of Education on the Basis of the Theory of Planned Behavior on the Level and Method of Supervision of Their Parents on Watching Television by Students. Journal of Torbat Heydariyeh University of Medical Sciences. 2014;1(4):7-17.
|
|
|
|
27. Bastami F, Mardani M, Rezapour P. Development and psychometric analysis of a new tool to assess food literacy in diabetic patients. BMC nutrition. 2022;8(1):1-11. https://doi.org/10.1186/s40795-022-00626-4 PMid:36384714 PMCid:PMC9666971 |
|
|
|
28. Santos JRA. Cronbach's alpha: A tool for assessing the reliability of scales. Journal of extension. 1999;37(2):1-5.
|
|
|
|
29. Salahshouri A, Zamani Alavijeh F, Mahaki B, Mostafavi F. Effectiveness of educational intervention based on psychological factors on achieving health outcomes in patients with type 2 diabetes. Diabetol Metab Syndr. 2018;10:67-. https://doi.org/10.1186/s13098-018-0368-8 PMid:30186372 PMCid:PMC6122479 |
|
|
|
30. Mohd Isa D, Shahar S, He FJ, Majid HA. Associations of Health Literacy with Blood Pressure and Dietary Salt Intake among Adults: A Systematic Review. Nutrients. 2021;13(12):4534. https://doi.org/10.3390/nu13124534 PMid:34960086 PMCid:PMC8707038 |
|
|
|
31. Momeni M, Mirmohammadkhani M, Ziari A. Health Literacy in the Population of Diabetic Patients in Iran: A Systematic Review and Meta-Analysis. Iranian Journal of Public Health. 2020;49(4):617. https://doi.org/10.18502/ijph.v49i4.3167 PMid:32548041 PMCid:PMC7283175 |
|
|
|
32. Borji M, Tarjoman A, Otaghi M, Khodarahmi Z, Sharifi A. The relationship between health literacy and general health status of patients with type II diabetes. Bioscience Biotechnology Research Communications. 2017;10(2):138-42. https://doi.org/10.21786/bbrc/10.2/24 |
|
|
|
33. Zuercher E, Diatta ID, Burnand B, Peytremann-Bridevaux I. Health literacy and quality of care of patients with diabetes: A cross-sectional analysis. Primary care diabetes. 2017;11(3):233-40. https://doi.org/10.1016/j.pcd.2017.02.003 PMid:28292571 |
|
|
|
34. Jiang SZ, Lu W, Zong XF, Ruan HY, Liu Y. Obesity and hypertension. Exp Ther Med. 2016;12(4):2395-9. https://doi.org/10.3892/etm.2016.3237 https://doi.org/10.3892/etm.2016.3667 PMid:27703502 PMCid:PMC5038894 |
|
|
|
35. Poulter NR, Borghi C, Parati G, Pathak A, Toli D, Williams B, et al. Medication adherence in hypertension. Journal of hypertension. 2020;38(4):579-87. https://doi.org/10.1097/HJH.0000000000002294 PMid:31834123 |
|
|
|
36. Beilin L. Lifestyle and hypertension-an overview. Clinical and experimental hypertension. 1999;21(5-6):749-62. https://doi.org/10.3109/10641969909061005 PMid:10423098 |
|
|
|
37. Heizomi H, Iraji Z, Vaezi R, Bhalla D, Morisky DE, Nadrian H. Gender Differences in the Associations Between Health Literacy and Medication Adherence in Hypertension: A Population-Based Survey in Heris County, Iran. Vascular health and risk management. 2020;16:157. https://doi.org/10.2147/VHRM.S245052 PMid:32368074 PMCid:PMC7186197 |
|
|
|
38. Shibuya A, Inoue R, Ohkubo T, Takeda Y, Teshima T, Imai Y, et al. The relation between health literacy, hypertension knowledge, and blood pressure among middle-aged Japanese adults. Blood pressure monitoring. 2011;16(5):224-30. https://doi.org/10.1097/MBP.0b013e32834af7ba PMid:21857504 |
|
|
|
39. Gaffari-Fam S, Babazadeh T, Oliaei S, Behboodi L, Daemi A. Adherence to a health literacy and healthy lifestyle with improved blood pressure control in Iran. Patient preference and adherence. 2020;14:499. https://doi.org/10.2147/PPA.S244820 PMid:32184576 PMCid:PMC7061438 |
|
|
|
40. Mohammadi Z, Banihashemi AT, Asgharifard H, Bahramian M, Baradaran HR, Khamseh ME. Health literacy and its influencing factors in Iranian diabetic patients. Medical journal of the Islamic Republic of Iran. 2015;29:230.
|
|
|
|
41. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Communicative and critical health literacy and self-care behaviors in patients with type 2 diabetes. Iranian journal of Diabetes and Metabolism. 2015;14(3):199-208.
|
|
|
|
42. Shayan N, Ozcebe H, Arici M. fp676 evaluation of health literacy (hl) and quality of life (qol) in hemodialysis patients: is it different in diabetic patients? Nephrology Dialysis Transplantation. 2018;33(suppl_1):i273-i. https://doi.org/10.1093/ndt/gfy104.FP676 |
|
|
|
43. Singh S, Acharya SD, Kamath A, Ullal SD, Urval RP. Health literacy status and understanding of the prescription instructions in diabetic patients. Journal of Diabetes Research. 2018;2018. https://doi.org/10.1155/2018/4517243 PMid:29992169 PMCid:PMC6016215 |
|
|
|
44. Juul L, Rowlands G, Maindal HT. Relationships between health literacy, motivation and diet and physical activity in people with type 2 diabetes participating in peer-led support groups. Primary care diabetes. 2018;12(4):331-7. https://doi.org/10.1016/j.pcd.2018.02.005 PMid:29559207 |
|
|
|
45. Hussein SH, Almajran A, Albatineh AN. Prevalence of health literacy and its correlates among patients with type II diabetes in Kuwait: A population based study. Diabetes research and clinical practice. 2018;141:118-25. https://doi.org/10.1016/j.diabres.2018.04.033 PMid:29729374 |
|
|
|
46. Niknami M, Mirbalouchzehi A, Zareban I, Kalkalinia E, Rikhtgarha G, Hosseinzadeh H. Association of health literacy with type 2 diabetes mellitus self-management and clinical outcomes within the primary care setting of Iran. Australian Journal of Primary Health. 2018;24(2):162-70. https://doi.org/10.1071/PY17064 PMid:29622058 |
|
|
|
47. Poelman MP, Dijkstra SC, Sponselee H, Kamphuis C, Battjes-Fries MC, Gillebaart M, et al. 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. International Journal of Behavioral Nutrition and Physical Activity. 2018;15(1):1-12. https://doi.org/10.1186/s12966-018-0687-z PMid:29914503 PMCid:PMC6006995 |
|
|
|
48. Marciano L, Camerini A-L, Schulz PJ. The role of health literacy in diabetes knowledge, self-care, and glycemic control: a meta-analysis. Journal of general internal medicine. 2019;34(6):1007-17. https://doi.org/10.1007/s11606-019-04832-y PMid:30877457 PMCid:PMC6544696 |
|
|
|
49. Noroozi M, Madmoli Y, Derikvand M, Saki M. Investigating health literacy level and its relation with some factors in patients with type 2 diabetes in Ahvaz-2018. Journal of Health Literacy. 2019;4(1):43-52.
|
|
|
|
50. Singh SG, Aiken J. The effect of health literacy level on health outcomes in patients with diabetes at a type v health centre in Western Jamaica. International journal of nursing sciences. 2017;4(3):266-70. https://doi.org/10.1016/j.ijnss.2017.06.004 PMid:31406751 PMCid:PMC6626165 |
|
|
|
51. Pasdar Y, Rezaie M, Darbandi M. Dietary Pattern and Food Consumption among Kermanshah Households, 2011. Journal of Kerman University of Medical Sciences. 2014;21(1).
|
|
|
|
52. Jessri M, Mirmiran P, Golzarand M, Rashidkhani B, Hosseini-Esfahani F, Azizi F. Comparison of trends in dietary pattern in Iran, Middle Eastern and North African countries from 1961 to 2005. Pajoohandeh journal. 2011;16(1):1-10.
|
|
|
|
53. Ghassemi H, Harrison G, Mohammad K. An accelerated nutrition transition in Iran. Public health nutrition. 2002;5(1a):149-55. https://doi.org/10.1079/PHN2001287 PMid:12027278 |
|
|
|
54. Safari M, Saadatmand N, Azarman M. Food intake pattern and related factors in women referred to medical and health centers of Yasouj-2006. Dena. 2007;2(2):27-37.
|
|
|
|
55. Washi SA, Ageib MB. Poor diet quality and food habits are related to impaired nutritional status in 13-to 18-year-old adolescents in Jeddah. Nutrition Research. 2010;30(8):527-34. https://doi.org/10.1016/j.nutres.2010.07.002 PMid:20851306 |
|
|
|
56. Llull R, del Mar Bibiloni M, Martínez E, Pons A, Tur JA. Compliance with the 2010 nutritional objectives for the Spanish population in the Balearic Islands' adolescents. Annals of Nutrition and Metabolism. 2011;58(3):212-9. https://doi.org/10.1159/000330114 PMid:21778708 |
|
|
|
57. Ijarotimi OS, Ekeh O, Ajayi OP. Nutrient composition of selected medicinal leafy vegetables in Western Nigeria. Journal of medicinal food. 2010;13(2):476-9. https://doi.org/10.1089/jmf.2009.0023 PMid:20412021 |
|
|
|
58. Lallukka T, Pitkäniemi J, Rahkonen O, Roos E, Laaksonen M, Lahelma E. The association of income with fresh fruit and vegetable consumption at different levels of education. European journal of clinical nutrition. 2010;64(3):324-7. https://doi.org/10.1038/ejcn.2009.155 PMid:20087380 |
|
|
|
59. Rezazadeh A, Rashidkhani B, Omidvar N. Association of major dietary patterns with socioeconomic and lifestyle factors of adult women living in Tehran, Iran. Nutrition. 2010;26(3):337-41. https://doi.org/10.1016/j.nut.2009.06.019 PMid:19819112 |
|
|
|
60. Mirzaei A, Kazembeigi F, Kakaei H, Jalilian M, Mazloomi S, Nourmoradi H. Application of health belief model to predict COVID-19-preventive behaviors among a sample of Iranian adult population. Journal of Education and Health Promotion. 2021;10(1):69. https://doi.org/10.4103/jehp.jehp_747_20 PMid:34084816 PMCid:PMC8057168 |
|
|
|
61. Shahnazi H, Ahmadi-Livani M, Pahlavanzadeh B, Rajabi A, Hamrah MS, Charkazi A. Assessing preventive health behaviors from COVID-19: a cross sectional study with health belief model in Golestan Province, Northern of Iran. Infectious diseases of poverty. 2020;9(1):1-9. https://doi.org/10.1186/s40249-020-00776-2 PMid:33203453 PMCid:PMC7671178 |
آمار
تعداد مشاهده مقاله: 426
تعداد دریافت فایل اصل مقاله: 466