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Nutrition knowledge and its relation with dietary behaviour in children and adolescents: a systematic review

  • Sunaina Thakur ORCID logo EMAIL logo und Pulkit Mathur ORCID logo
Veröffentlicht/Copyright: 15. Februar 2021

Abstract

Objectives

This review explored the relationship between knowledge among children and adolescents and their dietary behaviour.

Content

Potentially eligible original research articles were identified through a systematic search in PubMed, SCOPUS, Web of Science and WHO Virtual Health Library from 2000 to 2018. From the initial search, a total of 7,258 research articles were obtained. Duplicate studies were identified and removed. Observational studies on children and adolescents (5–19 years) of any gender, ethnicity and country were included in which the outcome measured was either a scoring of/ association between nutrition knowledge and practices. After screening using the inclusion criteria, 13 studies were selected for this paper.

Summary and Outlook

Four studies reported non-significant association between overall nutrition knowledge and practices. Only two studies found a significant association, out of which one showed a weak association highlighting that nutrition knowledge is not sufficient to result in healthy eating. Other factors which showed significant but weak associations with knowledge/practices included age, gender, nutritional status and lifestyle, peer influence, parents’/guardians’ knowledge, education and occupation level. The causal relationship couldn’t be examined in the present review due to the cross-sectional nature of the studies. Besides imparting knowledge through nutrition education interventions, there is a need for holistic behaviour change strategies including supporting food skills like menu planning, food shopping and cooking to encourage healthy eating habits among children. These interventions should target children from an early age, involving family/parents, teachers and peers to facilitate improvement in the food environment for sustainable change.


Corresponding author: Sunaina Thakur, Department of Food and Nutrition, Lady Irwin College, University of Delhi, New Delhi, India, E-mail:

Funding source: University Grant Commission

Award Identifier / Grant number: 1567/(NET-JAN 2017)

  1. Research funding: The corresponding author is in receipt of a Junior Research Fellowship from University Grant Commission (UGC), India for her PhD research work. However, UGC had no role in writing of this review paper. JRF award letter reference number- UCC-Ref. No.: 1567/(NET-JAN 2017).

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

References

1. World Health Organization. Food safety. Geneva: World Health Organization; 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/food-safety [Accessed 21 Nov 2020].Suche in Google Scholar

2. Global Nutrition Report 2020. Action on equity to end malnutrition. Bristol, UK: Development Initiatives; 2020. Available from: https://globalnutritionreport.org/reports/2020-global-nutrition-report/.Suche in Google Scholar

3. Ministry of Health and Family Welfare, Government of India, UNICEF and Population Council. Comprehensive National Nutrition Survey (CNNS) national report. New Delhi: Ministry of Health and Family Welfare; 2019.Suche in Google Scholar

4. Sethi, V, Lahiri, A, Bhanot, A, Kumar, A, Chopra, M, Mishra, R, et al.. Adolescents, diets and nutrition: growing well in a changing world, the Comprehensive National Nutrition Survey. Themat Rep 2019;1:1–158.Suche in Google Scholar

5. Hegde, AM, Shah, T, George, SS, KK, P. Assessment of knowledge, attitude and dietary practices among rural school children around Mangalore-An epidemiological survey. Nitte Univ J Health Sci 2016;6:33–7. https://doi.org/10.1055/s-0040-1708659.Suche in Google Scholar

6. Sireesha, G, Rajani, N, Bindu, V. Teenage girls’ knowledge, attitude and practices on nutrition. Int J Home Sci 2017;3:491–4.Suche in Google Scholar

7. Davis, B, Carpenter, C. Proximity of fast-food restaurants to schools and adolescent obesity. Am J Public Health 2009;99:505–10. https://doi.org/10.2105/ajph.2008.137638.Suche in Google Scholar

8. Van Hulst, A, Barnett, TA, Gauvin, L, Daniel, M, Kestens, Y, Bird, M, et al.. Associations between children’s diets and features of their residential and school neighbourhood food environments. Can J Public Health 2012;103:S48–54. https://doi.org/10.1007/bf03403835.Suche in Google Scholar PubMed PubMed Central

9. Svastisalee, C, Pagh Pedersen, T, Schipperijn, J, Jørgensen, SE, Holstein, BE, Krølner, R. Fast-food intake and perceived and objective measures of the local fast-food environment in adolescents. Publ Health Nutr 2016;19:446–55. https://doi.org/10.1017/s1368980015001366.Suche in Google Scholar PubMed PubMed Central

10. Sahoo, K, Sahoo, B, Choudhury, AK, Sofi, NY, Kumar, R, Bhadoria, AS. Childhood obesity: causes and consequences. J Fam Med Prim Care 2015;4:187–92. https://doi.org/10.4103/2249-4863.152238.Suche in Google Scholar PubMed PubMed Central

11. Bargiota, A, Pelekanou, M, Tsitouras, A, Koukoulis, GN. Eating habits and factors affecting food choice of adolescents living in rural areas. Hormones 2013;12:246–53. https://doi.org/10.14310/horm.2002.1408.Suche in Google Scholar PubMed

12. Khongrangjem, T, Dsouza, SM, Prabhu, PM, Dhange, V, Pari, V, Ahirwar, SK, et al.. A study to assess the knowledge and practice of fast food consumption among pre-university students in Udupi Taluk, Karnataka, India. Clin Epidemiol Global Health 2018;6:172–5. https://doi.org/10.1016/j.cegh.2017.11.003.Suche in Google Scholar

13. Yazdi Feyzabadi, V, Keshavarz Mohammadi, N, Omidvar, N, Karimi-Shahanjarini, A, Nedjat, S, Rashidian, A. Factors associated with unhealthy snacks consumption among adolescents in Iran’s schools. Int J Health Pol Manag 2017;6:519–28. https://doi.org/10.15171/ijhpm.2017.09.Suche in Google Scholar PubMed PubMed Central

14. Kotecha, PV, Patel, SV, Baxi, RK, Mazumdar, VS, Shobha, M, Mehta, KG, et al.. Dietary pattern of school going adolescents in urban Baroda, India. J Health Popul Nutr 2013;31:490–96. https://doi.org/10.3329/jhpn.v31i4.20047.Suche in Google Scholar PubMed PubMed Central

15. Rani, MA, Shriraam, V, Zachariah, R, Harries, AD, Satyanarayana, S, Tetali, S, et al.. Does a nutrition education programme change the knowledge and practice of healthy diets among high school adolescents in Chennai, India? Health Educ J 2013;72:733–41. https://doi.org/10.1177/0017896912461093.Suche in Google Scholar

16. Moher, D, Liberati, A, Tetzlaff, J, Altman, DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 2009;151:264–9. https://doi.org/10.7326/0003-4819-151-4-200908180-00135.Suche in Google Scholar PubMed

17. World Bank Country and Lending groups: Data. The World Bank. 2020. Available from: https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups [Accessed 21 Nov 2020].Suche in Google Scholar

18. Kigaru, DMD, Loechl, C, Moleah, T, Macharia-Mutie, CW, Ndungu, ZW. Nutrition knowledge, attitude and practices among urban primary school children in Nairobi City, Kenya: a KAP study. BMC Nutr 2015;1:44. https://doi.org/10.1186/s40795-015-0040-8.Suche in Google Scholar

19. Al-Yateem, N, Rossiter, R. Nutritional knowledge and habits of adolescents aged 9 to 13 years in Sharjah, United Arab Emirates: a cross sectional study. East Mediterr Health J 2017;23:551–8. https://doi.org/10.26719/2017.23.8.551.Suche in Google Scholar

20. Mirmiran, P, Azadbakht, L, Azizi, F. Dietary behaviour of Tehranian adolescents does not accord with their nutritional knowledge. Public Health Nutr 2007;10:897–901. https://doi.org/10.1017/s1368980007246701.Suche in Google Scholar PubMed

21. 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;27:483–91. https://doi.org/10.1016/j.je.2016.09.014.Suche in Google Scholar PubMed PubMed Central

22. Pirouznia, M. The correlation between nutrition knowledge and eating behavior in an American school: the role of ethnicity. Nutr Health 2000;14:89–107. https://doi.org/10.1177/026010600001400202.Suche in Google Scholar PubMed

23. Djordjević-Nikić, M, Dopsaj, M, Vesković, A. Nutritional and physical activity behaviours and habits in adolescent population of Belgrade. Vojnosanit Pregl 2013;70:548–54. https://doi.org/10.2298/vsp1306548d.Suche in Google Scholar PubMed

24. Yahia, N, Wang, D, Rapley, M, Dey, R. Assessment of weight status, dietary habits and beliefs, physical activity and nutritional knowledge among university students. Perspect Publ Health 2016;136:231–44. https://doi.org/10.1177/1757913915609945.Suche in Google Scholar PubMed

25. Wang, D, Shi, Y, Chang, C, Stewart, D, Ji, Y, Wang, Y, et al.. Knowledge, attitudes and behaviour regarding nutrition and dietary intake of seventh-grade students in rural areas of Mi Yun County, Beijing, China. Environ Health Prev Med 2014;19:179–86. https://doi.org/10.1007/s12199-013-0372-4.Suche in Google Scholar PubMed PubMed Central

26. Oldewage-Theron, W, Egal, A, Moroka, T. Nutrition knowledge and dietary intake of adolescents in Cofimvaba, Eastern Cape, South Africa. Ecol Food Nutr 2015;54:138–56. https://doi.org/10.1080/03670244.2014.959944.Suche in Google Scholar PubMed

27. 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. Publ Health Nutr 2013;16:1827–36. https://doi.org/10.1017/s1368980012003965.Suche in Google Scholar PubMed PubMed Central

28. Bundhun, D, Rampadarath, S, Puchooa, D, Jeewon, R. Dietary intake and lifestyle behaviors of children in Mauritius. Heliyon 2018;4:1–23. https://doi.org/10.1016/j.heliyon.2018.e00546.Suche in Google Scholar PubMed PubMed Central

29. Lin, W, Yang, H-C, Hang, C-M, Pan, W-C. Nutrition knowledge attitude and behavior of Taiwanese elementary school children. Asia Pac J Clin Nutr 2007;16:534–46.Suche in Google Scholar

30. Turconi, G, Guarcello, M, Maccarini, L, Cignoli, F, Setti, S, Bazzano, R, et al.. Eating habits and behaviors, physical activity, nutritional and food safety knowledge and beliefs in an adolescents Italian population. J Am Coll Nutr 2008;27:31–43. https://doi.org/10.1080/07315724.2008.10719672.Suche in Google Scholar PubMed

31. Shen, M, Hu, M, Sun, Z. Assessment of school- based quasi- experimental nutrition and food safety health education for primary school students in two poverty-stricken countries of West China. PLoS One 2015;10:1–16. https://doi.org/10.1371/journal.pone.0145090.Suche in Google Scholar PubMed PubMed Central

32. Wang, D, Stewart, D, Chang, C, Shi, Y. Effect of a school-based nutrition education program on adolescents’ nutrition-related knowledge, attitudes and behaviour in rural areas of China. Environ Health Prev Med 2015;20:271–8. https://doi.org/10.1007/s12199-015-0456-4.Suche in Google Scholar PubMed PubMed Central

33. Anand, D, Anuradha, RK. Impact of nutrition education programme on knowledge attitude and practices (KAP) about nutrition among adolescent girls. Int J Home Sci 2018;4:313–5.Suche in Google Scholar

34. World Health Organization. Skills for health-skills-based health education including life skills: An important component of a child-friendly/health promoting school. Geneva, Switzerland: WHO; 2003.Suche in Google Scholar

35. Rathi, N, Riddell, L, Worsley, A. Food and nutrition education in private Indian secondary schools. Health Educ 2017;117:193–206. https://doi.org/10.1108/he-04-2016-0017.Suche in Google Scholar

36. Anand, T, Ingle, GK, Meena, GS, Kishore, J, Yadav, S. Effect of life skills training on dietary behavior of school adolescents in Delhi: a nonrandomized interventional study. Asia Pac J Publ Health 2015;27:1616–26. https://doi.org/10.1177/1010539513486922.Suche in Google Scholar PubMed

37. Wang, D, Stewart, D, Yuan, Y, Chang, C. Do health-promoting schools improve nutrition in China? Health Promot Int 2013;30. https://doi.org/10.1093/heapro/dat047.Suche in Google Scholar PubMed

38. Shah, P, Misra, A, Gupta, N, Hazra, DK, Gupta, R, Seth, P, et al.. Improvement in nutrition-related knowledge and behaviour of urban Asian Indian school children: findings from the ‘Medical education for children/Adolescents for Realistic prevention of obesity and diabetes and for healthy aGeing’ (MARG) intervention study. Br J Nutr 2010;104:427–36. https://doi.org/10.1017/s0007114510000681.Suche in Google Scholar PubMed

39. Scaglioni, S, De Cosmi, V, Ciappolino, V, Parazzini, F, Brambilla, P, Agostoni, C. Factors influencing children’s eating behaviours. Nutrients 2018;10:706. https://doi.org/10.3390/nu10060706.Suche in Google Scholar PubMed PubMed Central

40. Birch, L, Savage, JS, Ventura, A. Influences on the development of children’s eating behaviours: from infancy to adolescence. Can J Diet Pract Res 2007;68:s1–56.Suche in Google Scholar

41. van Ansem, WJ, Schrijvers, CT, Rodenburg, G, van de Mheen, D. Children’s snack consumption: role of parents, peers and child snack-purchasing behaviour. Results from the INPACT study. Eur J Publ Health 2015;25:1006–11. https://doi.org/10.1093/eurpub/ckv098.Suche in Google Scholar PubMed

42. Pearson, N, Biddle, SJ, Gorely, T. Family correlates of fruit and vegetable consumption in children and adolescents: a systematic review. Publ Health Nutr 2009;12:267–83. https://doi.org/10.1017/s1368980008002589.Suche in Google Scholar

43. Couch, SC, Glanz, K, Zhou, C, Sallis, JF, Saelens, BE. Home food environment in relation to children’s diet quality and weight status. J Acad Nutr Diet 2014;114:1569–79. https://doi.org/10.1016/j.jand.2014.05.015.Suche in Google Scholar PubMed PubMed Central

44. Blaine, RE, Kachurak, A, Davison, KK, Klabunde, R, Fisher, JO. Food parenting and child snacking: a systematic review. Int J Behav Nutr Phys Activ 2017;14:146. https://doi.org/10.1186/s12966-017-0593-9.Suche in Google Scholar PubMed PubMed Central

45. Vepsalainen, H, Mikkila, V, Erkkola, M, Broyles, ST, Chaput, J-P, Hu, G, et al.. Association between home and school food environments and dietary patterns among 9–11 year old children in 12 countries. Int J Obes Suppl 2015;5:S66–73. https://doi.org/10.1038/ijosup.2015.22.Suche in Google Scholar PubMed PubMed Central

46. Xin, J, Zhao, L, Wu, T, Zhang, L, Li, Y, Xue, H, et al.. Association between access to convenience stores and childhood obesity: a systematic review. Obes Rev 2019;1–25. https://doi.org/10.1111/obr.12908.10.1111/obr.12908Suche in Google Scholar PubMed PubMed Central

47. Shariff, ZM, Bukhari, SS, Othman, N, Hashim, N, Ismail, M, Jamil, Z, et al.. Nutrition education intervention improves nutrition knowledge, attitudes and practices of primary school children: a pilot study. Int Electron J Health Educ 2008;11:119–32.Suche in Google Scholar

48. Mihas, C, Mariolis, A, Manios, Y, Naska, A, Arapaki, A, Mariolis-Sapsakos, T, et al.. Evaluation of a nutrition intervention in adolescents of an urban area in Greece: short and long term effects of the VYRONAS study. Publ Health Nutr 2010;13:712–9. https://doi.org/10.1017/s1368980009991625.Suche in Google Scholar

49. Verstraeten, R, Leroy, JL, Pieniak, Z, Ochoa-Avilès, A, Holdsworth, M, Verbeke, W, et al.. Individual and environmental factors influencing adolescents’ dietary behavior in low- and middle-income settings. PLoS One 2016;11. https://doi.org/10.1371/journal.pone.0157744.Suche in Google Scholar PubMed PubMed Central

Received: 2020-07-26
Accepted: 2020-12-31
Published Online: 2021-02-15

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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