{"title":"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","volume":207,"journal":"International Journal of Nutrition and Food Engineering","pagesStart":50,"pagesEnd":55,"ISSN":"1307-6892","URL":"https:\/\/publications.waset.org\/pdf\/10013546","abstract":"<p>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 \u00b1 10.87 kg, and the average BMI was 22.04 \u00b1 3.40 kg\/m2. While the mean score of the Mediterranean Diet Adherence Scale was 6.72 \u00b1 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 &lt; 0.05). Students who received nutrition education had a higher total score on the Sustainable and Healthy Eating Behaviors scale (p &lt; 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 &lt; 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. <\/p>","references":"[1]\tPopulation and Fertility Collaborators. \u201cPopulation and fertility by age and sex for 195 countries and territories, 1950-2017: a systematic analysis for the Global Burden of Disease Study 2017\u201d. Lancet 2018, 392:1995\u20132051.\r\n[2]\tS.M. Smetana, S. Bornkessel, V. Heinz. \u201cA path from sustainable nutrition to nutritional sustainability of complex food systems.\u201d Frontiers in nutrition, 2019, 6, 39.\r\n[3]\tG. Grosso, A, Mateo, N. Rangelov, T. Buzeti, C. Birt. \u201cNutrition in the context of the Sustainable Development Goals.\u201d European journal of public health, 2020, 30(Supplement_1), i19-i23.\r\n[4]\tS.N. Olgun, E. Manisal\u0131, F. \u00c7elik. \u201cSustainable Nutrition and Dietary Models.\u201d Band\u0131rma Onyedi Eyl\u00fcl University Journal of Health Sciences and Research, 4(3), 2020, 261-271.\r\n[5]\tUnited 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.\r\n[6]\tC. Martin-Rios, C. Demen-Meier, S. G\u00f6ssling, C. Cornuz. Food Waste Management Innovations in the Food service Industry. Waste Management, 2018, 79, 196-206.\r\n[7]\tFAO\/WHO. \u201cSustainable healthy diets \u2013 Guiding principles.\u201d Rome, 2019.\r\n[8]\tA. Tokay, C. Y\u0131lmaz, S. Boluk, O. Boyraz, N. Bulbul. \u201cThe Sustainability of the Mediterranean Diet, One of the Sustainable Nutrition Models.\u201d TOGU Journal of Health Sciences, 2022, 2(2), 187-201.\r\n[9]\tK. 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\r\n[10]\t 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\r\n[11]\tZ. Krznari\u0107, I. Karas, D. Ljubas Kele\u010di\u0107, D. Vrane\u0161i\u0107 Bender. \u201cThe Mediterranean and Nordic diet: a review of differences and similarities of two sustainable, health-promoting dietary patterns.\u201d Frontiers in Nutrition, 2021, 8, 683678.\r\n[12]\tC. Leitzmann. \u201cVegetarian nutrition: past, present, future.\u201d The American journal of clinical nutrition, 2014, 100(suppl_1), 496S-502S.\r\n[13]\tM.E. Nelson, M.W. Hamm, F.B. Hu, S.A. Abrams, T.S. Griffin. \u201cAlignment of healthy dietary patterns and environmental sustainability: a systematic review.\u201d Advances in Nutrition, 2016, 7(6), 1005-1025.\r\n[14]\tA.K. Sikalidis, A.H. Kelleher, A.S. Kristo. \u201cMediterranean diet.\u201d Encyclopedia, 2021, 1(2), 371-387.\r\n[15]\tS. 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\r\n[16]\tM.A. Mart\u00ednez-Gonz\u00e1lez, D. Corella, J. Salas-Salvado, E.Ros, M.I. Fiol, et al. \u201cCohort profile: design and methods of the PREDIMED study.\u201d International Journal of Epidemiology. 2012, 41:377-85.\r\n[17]\tH. Schr\u00f6der M. Fito, R. Estruch, M.A. Martinez, et al. \u201cA short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women.\u201d The Journal of Nutrition. 2011, 141:1140-5.\r\n[18]\tS. \u017bakowska-Biemans, Z. Pieniak, E. Kostyra, K. Gutkowska. \u201cSearching for a measure integrating sustainable and healthy eating behaviors.\u201d Nutrients, 2019, 11 (1), 95.\r\n[19]\tS. Dernini, E.M. Berry, L. Serra-Majem, C. La Vecchia, R. Capone, F.X. Medina, A. Trichopoulou. \u201cMed Diet 4.0: the Mediterranean diet with four sustainable benefits.\u201d Public health nutrition, 2017, 20(7), 1322-1330.\r\n[20]\t\u0130.Z. Yolcuo\u011flu, G. K\u0131z\u0131ltan. \u201cThe effect of nutrition education on diet quality, sustainable nutrition and eating behaviors.\u201d Baskent University Faculty of Health Sciences Journal, 2021, 6(1).\r\n[21]\tT. Sonmez. \u201cDetermination of university students' adaptation to Mediterranean diet and nutritional status.\u201d Journal of Health and Life Sciences, 2021, 3(1), 85-90.\r\n[22]\tG. Akay. \u201cHealth Sciences Students Sustainable Nutrition and Environmental Knowledge Levels and Adherence to Mediterranean Diet.\u201d Mevlana Medical Sciences Journal, 2021, 2(1), 1-6.\r\n[23]\tA. Yuksel, H.Y. \u00d6nal. \u201cEvaluation of University Students\u2019 Knowledge of and Practices for Sustainable Nutrition.\u201d International Journal of Agriculture Environment and Food Sciences, 2021, 5(2), 146-156.\r\n[24]\tM. Dornhoff, A. H\u00f6rnschemeyer, F. Fiebelkorn. Students\u2019 conceptions of sustainable nutrition. Sustainability, 2020, 12(13), 5242.\r\n[25]\tN. 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.\r\n[26]\tD.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.\r\n[27]\tP.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.","publisher":"World Academy of Science, Engineering and Technology","index":"Open Science Index 207, 2024"}