TY - JOUR
T1 - Practical Nutrition Knowledge Mediates the Relationship Between Sociodemographic Characteristics and Diet Quality in Adults
T2 - A Cross-Sectional Analysis
AU - Deroover, K.
AU - Bucher, T.
AU - Vandelanotte, C.
AU - de Vries, H.
AU - Duncan, M.J.
N1 - Funding Information:
Variations in diet quality between sociodemographic groups were partially explained by differences in PNK, suggesting that focusing public health efforts on increasing this specific knowledge type might be promising. food literacy experiential learning balanced diet food choice meal composition procedural knowledge National Heart Foundation of Australia http://dx.doi.org/10.13039/501100001030 100029 edited-state corrected-proof Authors’ Note Hein de Vries’ is also affiliated with Faculty of Health, Medicine & Life Sciences, Maastricht University, the Netherlands. Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: MJD (ID 100029) and CV (ID 100427), are supported by a Future Leader Fellowship from the National Heart Foundation of Australia. This study was partially supported by Future Leader Fellowship (ID 100029) from the National Heart Foundation of Australia. MJD is supported by a Career Development Fellowship (APP1141606) from the National Health and Medical Research Council. ORCID iD Kristine Deroover https://orcid.org/0000-0003-3879-4187 Supplemental Material Supplemental material for this article is available online.
Publisher Copyright:
© The Author(s) 2019.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Purpose: To investigate the direct and indirect effects of sociodemographic/health factors on diet quality through practical nutrition knowledge (PNK) about how to compose a balanced meal. Design: A cross-sectional study using data from an online survey of the 10 000 Steps cohort (data collected November-December 2016). Setting: Australia. Participants: Adults (n = 8161). Response rate was 16.7%. Measures: Self-reported lifestyle, health, and sociodemographic characteristics, including diet quality and PNK. Analysis: The PROCESS macro for SPSS was used to conduct the mediation analyses. Results: Better diet quality was associated with being female, older, more highly educated, and having a lower body mass index. Mediation analysis showed that PNK significantly mediated the associations between sex (a*b = 0.54, 95% confidence interval [CI] = 0.39-0.70) and education (vocational education: a*b = 0.22, 95% CI = 0.12-0.35, university: a*b = 0.48, 95% CI = 0.35-0.64), and diet quality. Practical nutrition knowledge suppressed the association between age and diet quality (a*b = -0.03, 95% CI = -0.04 to -0.03). Conclusion: Variations in diet quality between sociodemographic groups were partially explained by differences in PNK, suggesting that focusing public health efforts on increasing this specific knowledge type might be promising.
AB - Purpose: To investigate the direct and indirect effects of sociodemographic/health factors on diet quality through practical nutrition knowledge (PNK) about how to compose a balanced meal. Design: A cross-sectional study using data from an online survey of the 10 000 Steps cohort (data collected November-December 2016). Setting: Australia. Participants: Adults (n = 8161). Response rate was 16.7%. Measures: Self-reported lifestyle, health, and sociodemographic characteristics, including diet quality and PNK. Analysis: The PROCESS macro for SPSS was used to conduct the mediation analyses. Results: Better diet quality was associated with being female, older, more highly educated, and having a lower body mass index. Mediation analysis showed that PNK significantly mediated the associations between sex (a*b = 0.54, 95% confidence interval [CI] = 0.39-0.70) and education (vocational education: a*b = 0.22, 95% CI = 0.12-0.35, university: a*b = 0.48, 95% CI = 0.35-0.64), and diet quality. Practical nutrition knowledge suppressed the association between age and diet quality (a*b = -0.03, 95% CI = -0.04 to -0.03). Conclusion: Variations in diet quality between sociodemographic groups were partially explained by differences in PNK, suggesting that focusing public health efforts on increasing this specific knowledge type might be promising.
KW - association
KW - balanced diet
KW - experiential learning
KW - food choice
KW - food literacy
KW - meal composition
KW - procedural knowledge
KW - socioeconomic position
KW - SOCIOECONOMIC POSITION
KW - ASSOCIATION
U2 - 10.1177/0890117119878074
DO - 10.1177/0890117119878074
M3 - Article
C2 - 31578076
SN - 0890-1171
VL - 34
SP - 59
EP - 62
JO - American Journal of Health Promotion
JF - American Journal of Health Promotion
IS - 1
ER -