Use of nutrition labelling and its association with the adherence to Mediterranean diet and nutritional status determined through the perception of body image in university students of Valparaiso, Chile: a cross-sectional study
Use of nutrition labelling and Mediterranean diet
DOI:
https://doi.org/10.14306/renhyd.26.1.1438Keywords:
Food labeling, Universities, Feeding behavior, Diet, Mediterranean, StudentsAbstract
Introduction: The Mediterranean diet (DM) is recognized as a sustainable and healthy dietary pattern, however, the adherence of university students to its recommendations is low. Nutrition labelling is a strategy to promote healthy alimentary choices. The main purpose of this study was to analyze the association between the use of nutritional labelling, adherence to the MD the nutritional status determined through the perception of body image in Chilean university students.
Methodology: A cross-sectional study was carried out in which 286 students between 18 and 29 years old participated, enrolled in a public university in Valparaíso, Chile. The adherence to the MD was determined by the KIDMED Test. The frequency of use of nutrition labelling was consulted through three questions: Do you check the number of "High in" labels on packaged foods before you buy them? Do you buy packaged foods with fewer "High In" labels to ensure a healthy choice? Do you read the nutrition labelling of packaged foods with “High In” labels before you buy them? In addition, the nutritional status was determined by the perception of body image. The application of the questionnaires was online. Logistic regression models were realized to evaluate the association between the variables.
Results: About 55% reported a frequent use of nutrition labelling and 26,2% a high adherence to the MD and 51,4% had excess body weight (EBW). The students who frequently buy packaged foods with less “High In” labels and read the nutrition labelling before buy packaged foods had more likely of report a high adherence to the MD (OR:2,39; 95% IC: 1,17-4,85 y OR:2,38; 95% IC: 1,20-4,73 respectively) than those infrequent users of nutrition labelling (p<0,01).
Conclusions: University students who frequently used nutrition labelling had a greater adherence to the MD compared to those infrequent users.
References
(1) Barrera-Herrera A, Vinet E, Ortiz M. Evaluación de la adultez emergente en Chile: validación del IDEA - extendido en universitarios chilenos. Terapia Psicológica. 2020;38(1):47-61.
(2) Vilugrón F, Fernández N, Ramírez C, Fuentes C. Variaciones en el estado nutricional, presión arterial y en los patrones dietéticos de jóvenes posterior al ingreso a la educación superior. Revista chilena de nutrición. 2021;48(2):203-12, doi: 10.4067/S0717-75182021000200203.
(3) Branca F, Lartey A, Oenema S, Aguayo V, Stordalen GA, Richardson R, et al. Transforming the food system to fight non-communicable diseases. BMJ. 2019;364:l296, doi: 10.1136/bmj.l296.
(4) Bach-Faig A, Berry EM, Lairon D, Reguant J, Trichopoulou A, Dernini S, et al. Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr. 2011;14(12A):2274-84, doi: 10.1017/S1368980011002515.
(5) Schwingshackl L, Morze J, Hoffmann G. Mediterranean diet and health status: Active ingredients and pharmacological mechanisms. Br J Pharmacol. 2020;177(6):1241-57, doi: 10.1111/bph.14778.
(6) Del Bo’ C, Marino M, Martini D, Tucci M, Ciappellano S, Riso P, et al. Overview of Human Intervention Studies Evaluating the Impact of the Mediterranean Diet on Markers of DNA Damage. Nutrients. 2019;11(2):E391, doi: 10.3390/nu11020391.
(7) Rosato V, Temple NJ, La Vecchia C, Castellan G, Tavani A, Guercio V. Mediterranean diet and cardiovascular disease: a systematic review and meta-analysis of observational studies. Eur J Nutr. 2019;58(1):173-91, doi: 10.1007/s00394-017-1582-0.
(8) Schwingshackl L, Hoffmann G, Lampousi A-M, Knüppel S, Iqbal K, Schwedhelm C, et al. Food groups and risk of type 2 diabetes mellitus: a systematic review and meta-analysis of prospective studies. Eur J Epidemiol. 2017;32(5):363-75, doi: 10.1007/s10654-017-0246-y.
(9) Godos J, Zappalà G, Bernardini S, Giambini I, Bes-Rastrollo M, Martinez-Gonzalez M. Adherence to the Mediterranean diet is inversely associated with metabolic syndrome occurrence: a meta-analysis of observational studies. Int J Food Sci Nutr. 2017;68(2):138-48, doi: 10.1080/09637486.2016.1221900.
(10) Schwingshackl L, Schwedhelm C, Galbete C, Hoffmann G. Adherence to Mediterranean Diet and Risk of Cancer: An Updated Systematic Review and Meta-Analysis. Nutrients. 2017;9(10):E1063, doi: 10.3390/nu9101063.
(11) Shafiei F, Salari-Moghaddam A, Larijani B, Esmaillzadeh A. Adherence to the Mediterranean diet and risk of depression: a systematic review and updated meta-analysis of observational studies. Nutr Rev. 2019;77(4):230-9, doi: 10.1093/nutrit/nuy070.
(12) Widmer RJ, Flammer AJ, Lerman LO, Lerman A. The Mediterranean diet, its components, and cardiovascular disease. Am J Med. 2015;128(3):229-38, doi: 10.1016/j.amjmed.2014.10.014.
(13) Rodríguez R. F, Palma L. X, Romo B. Á, Escobar B. D, Aragú G. B, Espinoza O. L, et al. Hábitos alimentarios, actividad física y nivel socioeconómico en estudiantes universitarios de Chile. Nutrición Hospitalaria. 2013;28(2):447-55, doi: 10.3305/nh.2013.28.2.6230.
(14) Durá Travé T, Castroviejo Gandarias A. Adherencia a la dieta mediterránea en la población universitaria. Nutrición Hospitalaria. 2011;26(3):602-8.
(15) Navarrete-Muñoz EM, Torres-Collado L, Valera-Gran D, Gonzalez-Palacios S, María Compañ-Gabucio L, Hernández-Sánchez S, et al. Nutrition Labelling Use and Higher Adherence to Mediterranean Diet: Results from the DiSA-UMH Study. Nutrients. 2018;10(4):442, doi: 10.3390/nu10040442.
(16) Sánchez-Fideli MA, Gutiérrez-Hervás A, Rizo-Baeza M, Cortés-Castell E. Estudio longitudinal sobre la adherencia al patrón de dieta mediterránea en estudiantes de ciencias de la salud. Revista Española de Nutrición Humana y Dietética. 2018;22(1):4-13, doi: 10.14306/362.
(17) Dumoitier A, Abbo V, Neuhofer ZT, McFadden BR. A review of nutrition labeling and food choice in the United States. Obes Sci Pract. 2019;5(6):581-91, doi: 10.1002/osp4.374.
(18) Shangguan S, Afshin A, Shulkin M, Ma W, Marsden D, Smith J, et al. A Meta-analysis of Food Labeling Effects on Consumer Diet Behaviors and Industry Practices. Am J Prev Med. 2019;56(2):300-14, doi: 10.1016/j.amepre.2018.09.024.
(19) Soederberg Miller LM, Cassady DL. The Effects of Nutrition Knowledge on Food Label Use: A Review of the Literature. Appetite. 2015;92:207-16, doi: 10.1016/j.appet.2015.05.029.
(20) Corvalán C, Reyes M, Garmendia ML, Uauy R. Structural responses to the obesity and non-communicable diseases epidemic: Update on the Chilean law of food labelling and advertising. Obes Rev. 2019;20(3):367-74, doi: 10.1111/obr.12802.
(21) Barahona N, Otero C, Otero S, Kim J. Equilibrium Effects of Food Labeling Policies. Rochester, NY: Social Science Research Network; 2020.
(22) Reyes M, Taillie LS, Popkin B, Kanter R, Vandevijvere S, Corvalán C. Changes in the amount of nutrient of packaged foods and beverages after the initial implementation of the Chilean Law of Food Labelling and Advertising: A nonexperimental prospective study. PLOS Medicine. 2020;17(7):e1003220, doi: 10.1371/journal.pmed.1003220.
(23) Taillie LS, Reyes M, Colchero MA, Popkin B, Corvalán C. An evaluation of Chile’s Law of Food Labeling and Advertising on sugar-sweetened beverage purchases from 2015 to 2017: A before-and-after study. PLoS Med. 2020;17(2):e1003015, doi: 10.1371/journal.pmed.1003015.
(24) Cooke R, Papadaki A. Nutrition label use mediates the positive relationship between nutrition knowledge and attitudes towards healthy eating with dietary quality among university students in the UK. Appetite. 2014;83:297-303, doi: 10.1016/j.appet.2014.08.039.
(25) Buyuktuncer Z, Ayaz A, Dedebayraktar D, Inan-Eroglu E, Ellahi B, Besler HT. Promoting a Healthy Diet in Young Adults: The Role of Nutrition Labelling. Nutrients. 2018;10(10):E1335, doi: 10.3390/nu10101335.
(26) Serra-Majem L, Ribas L, Ngo J, Ortega RM, García A, Pérez-Rodrigo C, et al. Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr. 2004;7(7):931-5, doi: 10.1079/phn2004556.
(27) Montero P, Morales EM, Carbajal Á. Valoración de la percepción de la imagen corporal mediante modelos anatómicos. s. f.:10.
(28) Cediel G, Reyes M, Corvalán C, Levy RB, Uauy R, Monteiro CA. Ultra-processed foods drive to unhealthy diets: evidence from Chile. Public Health Nutr. 2021;24(7):1698-707, doi: 10.1017/S1368980019004737.
(29) Bonaccio M, Di Castelnuovo A, Costanzo S, De Lucia F, Olivieri M, Donati MB, et al. Nutrition knowledge is associated with higher adherence to Mediterranean diet and lower prevalence of obesity. Results from the Moli-sani study. Appetite. 2013;68:139-46, doi: 10.1016/j.appet.2013.04.026.
(30) Martínez-Riera JR, Gallardo Pino C, Aguiló Pons A, Granados Mendoza MC, López-Gómez J, Arroyo Acevedo HV. La universidad como comunidad: universidades promotoras de salud. Informe SESPAS 2018. Gaceta Sanitaria. 2018;32:86-91, doi: 10.1016/j.gaceta.2018.08.002.
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