skip to main content

Defining food literacy and dietary patterns among senior high school students in Malang City, East Java

1School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Indonesia

2School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taiwan

3Department of Public Health, Université Joseph Ki-Zerbo, Burkina Faso

4 Nutrition and Health Sciences, Taipei Medical University, Taiwan

5 Nutrition Research Center, Taipei Medical University Hospital, Taiwan

View all affiliations
Received: 19 Jun 2021; Published: 22 Dec 2021.

Citation Format:
Abstract

Background: Food literacy is a collection of interrelated knowledge, skills, and behavior required to plan, manage, select, prepare, and eat food for further meeting dietary requirements and determining dietary intake. In Indonesia, 93.6% of all adolescents aged 10 years or over consumed an inadequate amount of fruits and vegetables and more than half often consumed food rich in sugar, fat and salt. Only one-third of students always had breakfast, only 3,81% always brought their own food to school. Adolescence has been considered as a nutritionally critical period of life. Improve the health promotion is important to prevent malnutrition and risk of chronic disease.

Objectives: The study aimed to investigate the association of food literacy and dietary patterns among senior high school students in Malang, East Java.

Materials and Methods: The cross-sectional study determined food literacy level and dietary patterns among senior high school students using a questionnaire as the instrument. This study recruited 464 students aged from 14 to 18 years old. Demographic characteristics of adolescents and their parents, adolescent food literacy, and dietary intake data were self-report collected. The height was measured using stature meter and weight using electronic scale to determine the BMI-for-age. The research was conducted from July to September 2015 in Malang, East Java.

Results: Out of 464 adolescents, 59.9% were females, and female adolescents had a better food literacy (P < .001) and higher dietary pattern scores (P < .05). Adolescents whose family had higher income or higher percentage of income spent on food consumed more vegetables (P < .05) and dairy products (P < .05), and had higher dietary pattern scores (P < .05) compared with those whose family had lower income or lower percentage of income spent on food. The perception of food literacy (r = 0.187, P < .001), the behavior of food literacy (r = 0.333, P < .001), and overall food literacy (r = 0.329, P < .001) were positively correlated with dietary pattern scores.

Conclusions: Food literacy is positively associated with dietary patterns in adolescents. Nutrition education is suggested to implement as a guide in healthy food choices for adolescent.

Fulltext View|Download
Keywords: food literacy; dietary intake; anthropometric data; adolescent; Indonesia

Article Metrics:

  1. Vidgen HA, Gallegos D. Defining food literacy and its components. Appetite. 2014;76:50-59. doi: 10.1016/j.appet.2014.01.010
  2. Vaitkeviciute R, Ball LE, Harris N. The relationship between food literacy and dietary intake in adolescents: a systematic review. Public Health Nutr. 2015;18:649-658. doi: 10.1017/S1368980014000962
  3. Truman E, Lane D, Elliott C. Defining food literacy: a scoping review. Appetite. 2017;116:365-371. doi: 10.1016/j.appet.2017.05.007
  4. Nelson MC, Lytle LA, Pasch KE. Improving literacy about energy-related issues: the need for a better understanding of the concepts behind energy intake and expenditure among adolescents and their parents. J Am Diet Assoc. 2009;109:281-287. doi: 10.1016/j.jada.2008.10.050
  5. Larson NI, Perry CL, Story M, Neumark-Sztainer D. Food preparation by young adults is associated with better diet quality. J Acad Nutr Diet. 2006;106:2001-2007. doi: 10.1016/j.jada.2006.09.008
  6. Caraher M, Seeley A, Wu M, Lloyd S. When chefs adopt a school? An evaluation of a cooking intervention in English primary schools. Appetite. 2013;62:50-59. doi: 10.1016/j.appet.2012.11.007
  7. School community
  8. McNaughton SA, Ball K, Mishra GD, Crawford DA. Dietary patterns of adolescents and risk of obesity and hypertension. J Nutr. 2008;138:364-370. doi: 10.1093/jn/138.2.364
  9. Ochola S, Masibo PK. Dietary intake of schoolchildren and adolescents in developing countries. Ann Nutr Metab. 2014;64:24-40. doi: 10.1159/000365125
  10. Peltzer K, Pengpid S. Fruits and vegetable consumption and associated factors among in-school adolescents in five Southeast Asian countries. Int J Environ Res Public Health. 2012;9:3575-3587. doi:
  11. 3390/ijerph9103575
  12. Thomson CA, Ravia J. A systematic review of behavioral interventions to promote intake of fruit and vegetables. J Am Diet Assoc. 2011;111:1523-1535. doi: 10.1016/j.jada.2011.07.013
  13. Chen ST, Maruthur NM, Appel LJ. The effect of dietary patterns on estimated coronary heart disease risk: results from the Dietary Approaches to Stop Hypertension (DASH) trial. Circ Cardiovasc Qual Outcomes. 2010;3:484-489. doi: 10.1161/CIRCOUTCOMES.109.930685
  14. Elwood PC, Pickering JE, Givens DI, Gallacher JE. The consumption of milk and dairy foods and the incidence of vascular disease and diabetes: an overview of the evidence. Lipids. 2010;45:925-939. doi: 10.1007/s11745-010-3412-5
  15. Mellen PB, Walsh TF, Herrington DM. Whole grain intake and cardiovascular disease: a meta-analysis. Nutr Metab Cardiovasc Dis. 2008;18:283-290. doi: 10.1016/j.numecd.2006.12.008
  16. World Health Organization. Adolescent nutrition: a review of the situation in selected South-East Asian countries. New Delhi: World Health Organization Regional Office for South-East Asia; 2006
  17. Aguayo VM, Paintal K. Nutrition in adolescent girls in South Asia. BMJ. 2017;357:j1309. doi: 10.1136/bmj.j1309
  18. Harijono A, Puryatni A, Cahyono HA, Yosoprawoto M. Prevalence and risk factors of overweight and obesity in adolescents in Malang, East Java-Indonesia. Int J Pediatr Endocrinol. 2013;2013 (Suppl 1):O50. doi: 10.1186/1687-9856-2013-S1-O50
  19. Gliem JA, Gliem RR. Calculating, interpreting and reporting Cronbach’s alpha reliability coefficient for Likert-type scales. 2003 [cited 2015/11/15]; Available from: https://scholarworks.i-upui.edu/handle/1805/344
  20. Usfar AA, Fahmida U. Do Indonesians follow its dietary guidelines?: evidence related to food consumption, healthy lifestyle, and nutritional status within the period 2000-2010. Asia Pac J Clin Nutr. 2011;20:484-494
  21. Center for Disease Control and Prevention (CDC). Measuring Children’s Height and Weight Activity. 2021. [cited 2021/9/15]; Available from https://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/measuring_children.html
  22. World Health Organization. Growth reference 5-19 years. BMI-for-age (5-19 years). 2017 [cited 2017/8/15]; Available from: http://www.who.int/growthref/who2007_bmi_for_age/en/. 22. Vaitkeviciute R, Ball LE, Harris N. The relationship between food literacy and dietary intake in adolescents: a systematic review. Public Health Nutrition. Cambridge University Press; 2015;18(4):649–58
  23. Lehto E, Ray C, te Velde S, Petrova S, Duleva V, Krawinkel M, et al. Mediation of parental educational level on fruit and vegetable intake among schoolchildren in ten European countries. Public Health Nutrition. Cambridge University Press; 2015;18(1):89–99
  24. Pell C, Allotey P, Evans N, Hardon A, Imelda JD, Soyiri I, et al. Coming of age, becoming obese: a cross-sectional analysis of obesity among adolescents and young adults in Malaysia. BMC Public Health. 2016;16:1082. doi: 10.1186/s12889-016-3746-x
  25. Collins AE, Pakiz B, Rock CL. Factors associated with obesity in Indonesian adolescents. Int J Pediatr Obes. 2008;3:58-64. doi: 10.1080/17477160701520132
  26. Peng W, Goldsmith R, Berry EM. Demographic and lifestyle factors associated with adherence to the Mediterranean diet in relation to overweight/obesity among Israeli adolescents: findings from the Mabat Israeli national youth health and nutrition survey. Public Health Nutr. 2017;20:883-892. doi: 10.1017/S1368980016002779
  27. Causatis DC and Shannon BM. Influences on adolescents eating behavior. Journal of Adolescent Health. 1996;27-34. doi: 10.1016/1054-139X(95)00125-C
  28. Haidar A, Carey FR, Ranjit N, Archer N, Hoelscher D. Self-reported use of nutrition labels to make food choices is associated with healthier dietary behaviors in adolescents. Public Health Nutr. 2017;14:1-11. doi: 10.1017/S1368980017001252
  29. Racey M, Bransfield J, Capello K, Field D, Kulak V, Machmueller D, et al. Barriers and facilitators to intake of dairy products in adolescent males and females with different levels of habitual intake. Glob Pediatr Health. 2017;4:2333794X17694227. doi: 10.1177/2333794X17694227
  30. Finger JD, Vernaccia G, Tylleskär T, Lampert T, Mensink GB. Dietary behavior and parental socioeconomic position among adolescents: the German Health Interview and Examination Survey for Children and Adolescents 2003-2006 (KiGGS). BMC Public Health. 2015;15:498. doi: 10.1186/s12889-015-1830-2
  31. Xie B, Gilliland FD, Li YF, Rockett HR. Effects of ethnicity, family income, and education on dietary intake among adolescents. Prev Med. 2003;36:30-40. doi: 10.1006/pmed.2002.1131.32.LehtoE,RayC,teVeldeS,PetrovaS,DulevaV,KrawinkelM,etal.MediationofparentaleducationallevelonfruitandvegetableintakeamongschoolchildrenintenEuropeancountries.PublicHealthNutrition.CambridgeUniversityPress;2015;18(1):89–99
  32. Asakura K, Todoriki H, Sasaki S. Relationship between nutrition knowledge and dietary intake among primary school children in Japan: combined effect of children’s and their guardians’ knowledge. J Epidemiol. 2017;27:483-491. doi: 10.1016/j.je.2016.09.014
  33. Andrews MC, Itsiopoulos C. Room for improvement in nutrition knowledge and dietary intake of male football (soccer) players in Australia. Int J Sport Nutr Exerc Metab. 2016;26:55-64. doi: 10.1123/ijsnem.2015-0064
  34. Milosavljević D, Mandić ML, Banjari I. Nutritional knowledge and dietary habits survey in high school population. Coll Antropol. 2015;39:101-107
  35. Grosso G, Mistretta A, Turconi G, Cena H, Roggi C, Galvano F. Nutrition knowledge and other determinants of food intake and lifestyle habits in children and young adolescents living in a rural area of Sicily, South Italy. Public Health Nutr. 2013;16:1827-1836. doi: 10.1017/S1368980012003965
  36. Ronto R, Ball L, Pendergast D, Harris N. Adolescents’ perspectives on food literacy and its impact on their dietary behaviors. Appetite. 2016;107:549-557. doi: 10.1016/j.appet.2016.09.006

Last update:

No citation recorded.

Last update: 2024-05-27 02:24:30

No citation recorded.