Objective:
To evaluate nutrition literacy status and its association with adherence to the Mediterranean Diet (MD), anthropometric parameters, and lifestyle behaviors among early adolescents.
Design:
Cross-sectional study. Nutrition literacy was evaluated using the “Adolescent Nutrition Literacy Scale”. Dietary intake was assessed by 24-hour food recall. The “Mediterranean Diet Quality Index” was used to evaluate adolescents’ adherence to the MD. Physical activity was assessed using the international physical activity questionnaire (IPAQ). Body weight, height, waist, hip, and neck circumference were measured.
Setting:
Four secondary schools in İzmir, Türkiye.
Participants:
The study included 1074 secondary school students.
Results:
Adolescents’ nutrition literacy was at a moderate level. Nutrition literacy scores were significantly lower in those who skip main meals. Adolescents with high nutrition literacy had higher intakes of fiber, protein, protein, calcium, potassium, magnesium, phosphorus, vitamin C, folate, and iron intake than those with low and moderate nutrition literacy (p<0.05). According to IPAQ, active adolescents had higher nutrition literacy scores than inactive adolescents. There was no significant difference in body mass index and anthropometric measurements of the adolescents according to their nutrition literacy level. Linear regression analysis showed that each unit increase in nutrition literacy increased adherence to the MD by 0.286 points (β = 0.286) and decreased total screen time by 0.182 points (β = -0.182).
Conclusions:
These findings showed that nutrition literacy among early adolescents was not optimal, and a higher nutrition literacy score was significantly associated with higher MD adherence, and healthy eating habits and lifestyle behaviors.