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Open Access 01-12-2023 | Nutrition | Research

High nutrition literacy linked with low frequency of take-out food consumption in chinese college students

Authors: Qi Qi, Qing Sun, Ling Yang, Yan Cui, Jing Du, Huaqing Liu

Published in: BMC Public Health | Issue 1/2023

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Abstract

Background

The excessive consumption of take-out food has increased the risk of nutrition-related chronic diseases. Nutrition literacy (NL) is an important influencing factor of food choice. This study aimed to explore the relationship between nutrition literacy and take-out food consumption.

Methods

A cross-sectional study was conducted on 2130 college students in Bengbu, China. A self-reported questionnaire that included demographic information, lifestyle behavior, take-out food consumption, and nutrition literacy scale was used. Ordinal logistic regression models were used to analyze the association between nutrition literacy and take-out food consumption.

Results

Of the students surveyed, 61.5% consumed take-out food at least once a week. NL was significantly associated with the frequency of take-out food consumption ≥ 4 times/week (OR = 0.995, 95% CI = 0.990-1.000); the difference specifically was discovered for applying skills, interactive skills, and critical skills. Moreover, students with high level NL ate less (Spicy) hot pot (OR = 0.996, 95% CI = 0.992-1.000), but more vegetable and fruit salad (OR = 1.009, 95% CI = 1.002–1.015).

Conclusions

NL, especially in applying skills, interactive skills, and critical skills, is not only associated with consumption frequency of take-out food among college students, but also links with types of take-out food consumption. Our findings emphasize that targeted interventions on nutritional skills literacy should be needed to improve dietary behaviors for student’s good health.
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Literature
1.
go back to reference Adams J, Goffe L, Brown T, Lake AA, Summerbell C, White M, et al. Frequency and socio-demographic correlates of eating meals out and take-away meals at home: cross-sectional analysis of the UK national diet and nutrition survey, waves 1–4 (2008-12). Int J Behav Nutr Phys Act. 2015;12:51.PubMedPubMedCentralCrossRef Adams J, Goffe L, Brown T, Lake AA, Summerbell C, White M, et al. Frequency and socio-demographic correlates of eating meals out and take-away meals at home: cross-sectional analysis of the UK national diet and nutrition survey, waves 1–4 (2008-12). Int J Behav Nutr Phys Act. 2015;12:51.PubMedPubMedCentralCrossRef
2.
go back to reference Fryar CD, Carroll MD, Ahluwalia N, Ogden CL. Fast food intake among children and adolescents in the United States, 2015–2018. NCHS Data Brief. 2020;(375):1–8. Fryar CD, Carroll MD, Ahluwalia N, Ogden CL. Fast food intake among children and adolescents in the United States, 2015–2018. NCHS Data Brief. 2020;(375):1–8.
3.
go back to reference Gopinath B, Flood VM, Burlutsky G, Louie JC, Baur LA, Mitchell P. Frequency of takeaway food consumption and its association with major food group consumption, anthropometric measures and blood pressure during adolescence. Br J Nutr. 2016;115(11):2025–30.PubMedCrossRef Gopinath B, Flood VM, Burlutsky G, Louie JC, Baur LA, Mitchell P. Frequency of takeaway food consumption and its association with major food group consumption, anthropometric measures and blood pressure during adolescence. Br J Nutr. 2016;115(11):2025–30.PubMedCrossRef
4.
go back to reference Janssen HG, Davies IG, Richardson LD, Stevenson L. Determinants of takeaway and fast food consumption: a narrative review. Nutr Res Rev. 2018;31(1):16–34.PubMedCrossRef Janssen HG, Davies IG, Richardson LD, Stevenson L. Determinants of takeaway and fast food consumption: a narrative review. Nutr Res Rev. 2018;31(1):16–34.PubMedCrossRef
5.
go back to reference Zhang Y, Hou F, Yang S, Li J, Zha X, Shen G. Beyond emotion: online takeaway food consumption is associated with emotional overeating among chinese college students. Eat Weight Disord. 2022;27(2):781–90.PubMedCrossRef Zhang Y, Hou F, Yang S, Li J, Zha X, Shen G. Beyond emotion: online takeaway food consumption is associated with emotional overeating among chinese college students. Eat Weight Disord. 2022;27(2):781–90.PubMedCrossRef
6.
go back to reference Miura K, Giskes K, Turrell G. Socioeconomic differences in takeaway food consumption and their contribution to inequalities in dietary intakes. J Epidemiol Community Health. 2009;63(10):820–6.PubMedCrossRef Miura K, Giskes K, Turrell G. Socioeconomic differences in takeaway food consumption and their contribution to inequalities in dietary intakes. J Epidemiol Community Health. 2009;63(10):820–6.PubMedCrossRef
7.
go back to reference Burgoine T, Forouhi NG, Griffin SJ, Brage S, Wareham NJ, Monsivais P. Does neighborhood fast-food outlet exposure amplify inequalities in diet and obesity? A cross-sectional study. Am J Clin Nutr. 2016;103(6):1540–7.PubMedPubMedCentralCrossRef Burgoine T, Forouhi NG, Griffin SJ, Brage S, Wareham NJ, Monsivais P. Does neighborhood fast-food outlet exposure amplify inequalities in diet and obesity? A cross-sectional study. Am J Clin Nutr. 2016;103(6):1540–7.PubMedPubMedCentralCrossRef
8.
go back to reference Smith KJ, McNaughton SA, Gall SL, Blizzard L, Dwyer T, Venn AJ. Takeaway food consumption and its associations with diet quality and abdominal obesity: a cross-sectional study of young adults. Int J Behav Nutr Phys Act. 2009;6:29.PubMedPubMedCentralCrossRef Smith KJ, McNaughton SA, Gall SL, Blizzard L, Dwyer T, Venn AJ. Takeaway food consumption and its associations with diet quality and abdominal obesity: a cross-sectional study of young adults. Int J Behav Nutr Phys Act. 2009;6:29.PubMedPubMedCentralCrossRef
9.
go back to reference Patterson R, Risby A, Chan MY. Consumption of takeaway and fast food in a deprived inner London Borough: are they associated with childhood obesity? BMJ Open. 2012;2(3):e000402.PubMedPubMedCentralCrossRef Patterson R, Risby A, Chan MY. Consumption of takeaway and fast food in a deprived inner London Borough: are they associated with childhood obesity? BMJ Open. 2012;2(3):e000402.PubMedPubMedCentralCrossRef
10.
go back to reference Wang Y, Wang L, Xue H, Qu W. A review of the growth of the fast Food Industry in China and its potential impact on obesity. Int J Environ Res Public Health. 2016;13(11):1112.PubMedPubMedCentralCrossRef Wang Y, Wang L, Xue H, Qu W. A review of the growth of the fast Food Industry in China and its potential impact on obesity. Int J Environ Res Public Health. 2016;13(11):1112.PubMedPubMedCentralCrossRef
11.
go back to reference Zhao Y, Wang L, Xue H, Wang H, Wang Y. Fast food consumption and its associations with obesity and hypertension among children: results from the baseline data of the childhood obesity study in China mega-cities. BMC Public Health. 2017;17(1):933.PubMedPubMedCentralCrossRef Zhao Y, Wang L, Xue H, Wang H, Wang Y. Fast food consumption and its associations with obesity and hypertension among children: results from the baseline data of the childhood obesity study in China mega-cities. BMC Public Health. 2017;17(1):933.PubMedPubMedCentralCrossRef
12.
go back to reference Donin AS, Nightingale CM, Owen CG, Rudnicka AR, Cook DG, Whincup PH. Takeaway meal consumption and risk markers for coronary heart disease, type 2 diabetes and obesity in children aged 9–10 years: a cross-sectional study. Arch Dis Child. 2018;103(5):431–6.PubMedCrossRef Donin AS, Nightingale CM, Owen CG, Rudnicka AR, Cook DG, Whincup PH. Takeaway meal consumption and risk markers for coronary heart disease, type 2 diabetes and obesity in children aged 9–10 years: a cross-sectional study. Arch Dis Child. 2018;103(5):431–6.PubMedCrossRef
13.
go back to reference Du F, Cai H, Zhang Q, Chen Q, Shi H. Microplastics in take-out food containers. J Hazard Mater. 2020;399:122969.PubMedCrossRef Du F, Cai H, Zhang Q, Chen Q, Shi H. Microplastics in take-out food containers. J Hazard Mater. 2020;399:122969.PubMedCrossRef
14.
go back to reference Zha H, Lv J, Lou Y, Wo W, Xia J, Li S, et al. Alterations of gut and oral microbiota in the individuals consuming take-away food in disposable plastic containers. J Hazard Mater. 2023;441:129903.PubMedCrossRef Zha H, Lv J, Lou Y, Wo W, Xia J, Li S, et al. Alterations of gut and oral microbiota in the individuals consuming take-away food in disposable plastic containers. J Hazard Mater. 2023;441:129903.PubMedCrossRef
15.
go back to reference AlJaber MI, Alwehaibi AI, Algaeed HA, Arafah AM, Binsebayel OA. Effect of academic stressors on eating habits among medical students in Riyadh, Saudi Arabia. J Family Med Prim Care. 2019;8(2):390–400.PubMedPubMedCentralCrossRef AlJaber MI, Alwehaibi AI, Algaeed HA, Arafah AM, Binsebayel OA. Effect of academic stressors on eating habits among medical students in Riyadh, Saudi Arabia. J Family Med Prim Care. 2019;8(2):390–400.PubMedPubMedCentralCrossRef
16.
go back to reference Marquis M. Exploring convenience orientation as a food motivation for college students living in residence halls. Int J Consum Stud. 2005;29:55–63.CrossRef Marquis M. Exploring convenience orientation as a food motivation for college students living in residence halls. Int J Consum Stud. 2005;29:55–63.CrossRef
17.
go back to reference Jiang Y, Wang J, Wu S, Li N, Wang Y, Liu J, et al. Association between take-out food consumption and obesity among chinese University students: a cross-sectional study. Int J Environ Res Public Health. 2019;16(6):1071.PubMedPubMedCentralCrossRef Jiang Y, Wang J, Wu S, Li N, Wang Y, Liu J, et al. Association between take-out food consumption and obesity among chinese University students: a cross-sectional study. Int J Environ Res Public Health. 2019;16(6):1071.PubMedPubMedCentralCrossRef
18.
go back to reference Blitstein JL, Evans WD. Use of nutrition facts panels among adults who make household food purchasing decisions. J Nutr Educ Behav. 2006;38(6):360–4.PubMedCrossRef Blitstein JL, Evans WD. Use of nutrition facts panels among adults who make household food purchasing decisions. J Nutr Educ Behav. 2006;38(6):360–4.PubMedCrossRef
19.
go back to reference Zoellner J, Connell C, Bounds W, Crook L, Yadrick K. Nutrition literacy status and preferred nutrition communication channels among adults in the Lower Mississippi Delta. Prev Chronic Dis. 2009;6(4):A128.PubMedPubMedCentral Zoellner J, Connell C, Bounds W, Crook L, Yadrick K. Nutrition literacy status and preferred nutrition communication channels among adults in the Lower Mississippi Delta. Prev Chronic Dis. 2009;6(4):A128.PubMedPubMedCentral
20.
go back to reference Silk KJ, Sherry J, Winn B, Keesecker N, Horodynski MA, Sayir A. Increasing nutrition literacy: testing the effectiveness of print, web site, and game modalities. J Nutr Educ Behav. 2008;40(1):3–10.PubMedCrossRef Silk KJ, Sherry J, Winn B, Keesecker N, Horodynski MA, Sayir A. Increasing nutrition literacy: testing the effectiveness of print, web site, and game modalities. J Nutr Educ Behav. 2008;40(1):3–10.PubMedCrossRef
21.
go back to reference 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 Promot Int. 2018;33(3):378–89.PubMed 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 Promot Int. 2018;33(3):378–89.PubMed
22.
go back to reference Taylor MK, Sullivan DK, Ellerbeck EF, Gajewski BJ, Gibbs HD. Nutrition literacy predicts adherence to healthy/unhealthy diet patterns in adults with a nutrition-related chronic condition. Public Health Nutr. 2019;22(12):2157–69.PubMedPubMedCentralCrossRef Taylor MK, Sullivan DK, Ellerbeck EF, Gajewski BJ, Gibbs HD. Nutrition literacy predicts adherence to healthy/unhealthy diet patterns in adults with a nutrition-related chronic condition. Public Health Nutr. 2019;22(12):2157–69.PubMedPubMedCentralCrossRef
23.
go back to reference Spronk I, Kullen C, Burdon C, O’Connor H. Relationship between nutrition knowledge and dietary intake. Br J Nutr. 2014;111(10):1713–26.PubMedCrossRef Spronk I, Kullen C, Burdon C, O’Connor H. Relationship between nutrition knowledge and dietary intake. Br J Nutr. 2014;111(10):1713–26.PubMedCrossRef
24.
go back to reference Ul Haq I, Mariyam Z, Li M, Huang X, Jiang P, Zeb F, et al. A comparative study of Nutritional Status, Knowledge attitude and Practices (KAP) and Dietary Intake between International and Chinese students in Nanjing, China. Int J Environ Res Public Health. 2018;15(9):1910.PubMedPubMedCentralCrossRef Ul Haq I, Mariyam Z, Li M, Huang X, Jiang P, Zeb F, et al. A comparative study of Nutritional Status, Knowledge attitude and Practices (KAP) and Dietary Intake between International and Chinese students in Nanjing, China. Int J Environ Res Public Health. 2018;15(9):1910.PubMedPubMedCentralCrossRef
25.
26.
go back to reference Alzaben AS, Alnashwan NI, Alatr AA, Alneghamshi NA, Alhashem AM. Effectiveness of a nutrition education and intervention programme on nutrition knowledge and dietary practice among Princess Nourah Bint Abdulrahman University’s population. Public Health Nutr. 2021;24(7):1854–60.PubMedPubMedCentralCrossRef Alzaben AS, Alnashwan NI, Alatr AA, Alneghamshi NA, Alhashem AM. Effectiveness of a nutrition education and intervention programme on nutrition knowledge and dietary practice among Princess Nourah Bint Abdulrahman University’s population. Public Health Nutr. 2021;24(7):1854–60.PubMedPubMedCentralCrossRef
27.
28.
go back to reference Zhang Y, Sun Q, Zhang M, Mo G, Liu H. Nutrition literacy measurement Tool with multiple features for chinese adults. Food Nutr Bull. 2022;43(2):189–200.PubMedCrossRef Zhang Y, Sun Q, Zhang M, Mo G, Liu H. Nutrition literacy measurement Tool with multiple features for chinese adults. Food Nutr Bull. 2022;43(2):189–200.PubMedCrossRef
29.
go back to reference Zhang Y, Sun Q, Mo G, Gao T, Han S, Xie H, et al. Development of a nutritional literacy assessment scale for adults and its evaluation of reliability and validity. J Bengbu Med Coll. 2021;46(6):812–6. Zhang Y, Sun Q, Mo G, Gao T, Han S, Xie H, et al. Development of a nutritional literacy assessment scale for adults and its evaluation of reliability and validity. J Bengbu Med Coll. 2021;46(6):812–6.
30.
go back to reference Gao T, Duan Y, Qi Q, Mo G, Han S, Liu H, et al. Nutrition literacy differs based on demographics among University students in Bengbu, China. Front Public Health. 2023;11:1113211.PubMedPubMedCentralCrossRef Gao T, Duan Y, Qi Q, Mo G, Han S, Liu H, et al. Nutrition literacy differs based on demographics among University students in Bengbu, China. Front Public Health. 2023;11:1113211.PubMedPubMedCentralCrossRef
31.
go back to reference Garza KB, Ding M, Owensby JK, Zizza CA. Impulsivity and fast-food consumption: a cross-sectional study among working adults. J Acad Nutr Diet. 2016;116(1):61–8.PubMedCrossRef Garza KB, Ding M, Owensby JK, Zizza CA. Impulsivity and fast-food consumption: a cross-sectional study among working adults. J Acad Nutr Diet. 2016;116(1):61–8.PubMedCrossRef
32.
go back to reference Miura K, Giskes K, Turrell G. Socio-economic differences in takeaway food consumption among adults. Public Health Nutr. 2012;15(2):218–26.PubMedCrossRef Miura K, Giskes K, Turrell G. Socio-economic differences in takeaway food consumption among adults. Public Health Nutr. 2012;15(2):218–26.PubMedCrossRef
33.
go back to reference Barton KL, Wrieden WL, Sherriff A, Armstrong J, Anderson AS. Trends in socio-economic inequalities in the Scottish diet: 2001–2009. Public Health Nutr. 2015;18(16):2970–80.PubMedCrossRef Barton KL, Wrieden WL, Sherriff A, Armstrong J, Anderson AS. Trends in socio-economic inequalities in the Scottish diet: 2001–2009. Public Health Nutr. 2015;18(16):2970–80.PubMedCrossRef
34.
go back to reference Watts AW, Rydell SA, Eisenberg ME, Laska MN, Neumark-Sztainer D. Yoga’s potential for promoting healthy eating and physical activity behaviors among young adults: a mixed-methods study. Int J Behav Nutr Phys Act. 2018;15(1):42.PubMedPubMedCentralCrossRef Watts AW, Rydell SA, Eisenberg ME, Laska MN, Neumark-Sztainer D. Yoga’s potential for promoting healthy eating and physical activity behaviors among young adults: a mixed-methods study. Int J Behav Nutr Phys Act. 2018;15(1):42.PubMedPubMedCentralCrossRef
35.
go back to reference Namdar A, Naghizadeh MM, Zamani M, Montazeri A. Exploring the relationship between health literacy and fast food consumption: a population-based study from southern Iran. BMC Public Health. 2021;21(1):757.PubMedPubMedCentralCrossRef Namdar A, Naghizadeh MM, Zamani M, Montazeri A. Exploring the relationship between health literacy and fast food consumption: a population-based study from southern Iran. BMC Public Health. 2021;21(1):757.PubMedPubMedCentralCrossRef
36.
go back to reference Graham DJ, Laska MN. Nutrition label use partially mediates the relationship between attitude toward healthy eating and overall dietary quality among college students. J Acad Nutr Diet. 2012;112(3):414–8.PubMedPubMedCentralCrossRef Graham DJ, Laska MN. Nutrition label use partially mediates the relationship between attitude toward healthy eating and overall dietary quality among college students. J Acad Nutr Diet. 2012;112(3):414–8.PubMedPubMedCentralCrossRef
37.
go back to reference Shen PY, Lo YC, Chilinda ZB, Huang YC. After-school nutrition education programme improves eating behaviour in economically disadvantaged adolescents. Public Health Nutr. 2021;24(7):1927–33.PubMedCrossRef Shen PY, Lo YC, Chilinda ZB, Huang YC. After-school nutrition education programme improves eating behaviour in economically disadvantaged adolescents. Public Health Nutr. 2021;24(7):1927–33.PubMedCrossRef
38.
go back to reference Stroebele-Benschop N, Dieze A, Hilzendegen C. Students’ adherence to dietary recommendations and their food consumption habits. Nutr Health. 2018;24(2):75–81.PubMedCrossRef Stroebele-Benschop N, Dieze A, Hilzendegen C. Students’ adherence to dietary recommendations and their food consumption habits. Nutr Health. 2018;24(2):75–81.PubMedCrossRef
40.
go back to reference Dickson-Spillmann M, Siegrist M. Consumers’ knowledge of healthy diets and its correlation with dietary behaviour. J Hum Nutr Diet. 2011;24(1):54–60.PubMedCrossRef Dickson-Spillmann M, Siegrist M. Consumers’ knowledge of healthy diets and its correlation with dietary behaviour. J Hum Nutr Diet. 2011;24(1):54–60.PubMedCrossRef
41.
go back to reference Desbouys L, De Ridder K, Rouche M, Castetbon K. Food consumption in adolescents and young adults: Age-Specific Socio-Economic and Cultural Disparities (belgian Food Consumption Survey 2014). Nutrients. 2019;11(7):1520.PubMedPubMedCentralCrossRef Desbouys L, De Ridder K, Rouche M, Castetbon K. Food consumption in adolescents and young adults: Age-Specific Socio-Economic and Cultural Disparities (belgian Food Consumption Survey 2014). Nutrients. 2019;11(7):1520.PubMedPubMedCentralCrossRef
42.
go back to reference Liu Y, Gittelsohn J, Thorne-Lyman AL, Song S, Orta-Aleman D, Ma Y, et al. Caregiver perceptions of the neighborhood food environment and their relationship with the home food environment and childhood obesity in Northeast China. Appetite. 2020;144:104447.PubMedCrossRef Liu Y, Gittelsohn J, Thorne-Lyman AL, Song S, Orta-Aleman D, Ma Y, et al. Caregiver perceptions of the neighborhood food environment and their relationship with the home food environment and childhood obesity in Northeast China. Appetite. 2020;144:104447.PubMedCrossRef
43.
go back to reference Allen KN, Taylor JS, Kuiper R. Effectiveness of nutrition education on fast food choices in adolescents. J Sch Nurs. 2007;23(6):337–41.PubMedCrossRef Allen KN, Taylor JS, Kuiper R. Effectiveness of nutrition education on fast food choices in adolescents. J Sch Nurs. 2007;23(6):337–41.PubMedCrossRef
44.
go back to reference Musaiger AO. Consumption, health attitudes and perception toward fast food among arab consumers in Kuwait: gender differences. Glob J Health Sci. 2014;6(6):136–43.PubMedPubMedCentralCrossRef Musaiger AO. Consumption, health attitudes and perception toward fast food among arab consumers in Kuwait: gender differences. Glob J Health Sci. 2014;6(6):136–43.PubMedPubMedCentralCrossRef
45.
go back to reference Chung LM. Food literacy of young adults as a predictor of their healthy eating and dietary quality. J Child Adolesc Behav. 2017;5:e117. Chung LM. Food literacy of young adults as a predictor of their healthy eating and dietary quality. J Child Adolesc Behav. 2017;5:e117.
Metadata
Title
High nutrition literacy linked with low frequency of take-out food consumption in chinese college students
Authors
Qi Qi
Qing Sun
Ling Yang
Yan Cui
Jing Du
Huaqing Liu
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Nutrition
Published in
BMC Public Health / Issue 1/2023
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-023-16078-9

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