The Impact of Obesogenic Neighborhood Environments and Maternal Health Literacy on Children's Obesogenic Feeding Attitudes
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Submitted
November 20, 2024
Published
May 13, 2025
Keywords:
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Children, Obesity, Feeding Attitude, Neighborhood Environment, Health Literacy
Abstract
Background: The escalating prevalence of childhood obesity constitutes a significant public health concern, with a multitude of interacting factors contributing to its etiology.
Aims: This investigation was conducted to determine the interrelationships among obesogenic feeding attitudes in early adolescents, the degree of obesogenic environmental exposure, and maternal health literacy (HL).
Patients and Methods: This research employed cross-sectional design. The study population comprised middle school students (grades 5–8) residing within the urban center of Yozgat city, with data collection conducted in 2022. Data acquisition was facilitated through the administration of the Food Desire Visual Analog Scale (VAS), the Obesogenic Environment Evaluation Form (OEEF), and the European Health Literacy Scale Turkish Short Form (EHLS-TR-16). A total of 583 students and their respective mothers participated in the study.
Results: The findings indicated that 20.9% the child participants exhibited a disposition towards obesogenic foods, while 28.6% demonstrated a strong inclination towards such consumption. Furthermore, 24.4% of the children were identified as being at heightened risk due to exposure to an obesogenic environment. A statistically significant positive correlation was observed between children's preference for obesogenic foods increases and elevated OEEF score (β=0.197, p < 0.05), engagement in sporting activities (β = 0.102, p < 0.05), and the utilization of social media via mobile devices (β=0.096, p < 0.05). Conversely, no statistically significant associations were observed between children's preference for obesogenic food consumption and maternal HL levels, familial characteristics, child sex, age, or dietary behaviors such as the frequency of meals and snacks, and the practice of bringing food to school (p > 0.05).
Conclusions: The findings of this study suggest that residing within an obesogenic environment and the utilization of social media exert a noticeable influence on children's consumption of energy-dense, nutrient-poor foods. It is recommended that local authorities consider the provision of requisite playgrounds and sporting infrastructure for children.
Keywords: Children, Obesity, Feeding Attitude, Neighborhood Environment, Health Literacy.
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References
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Erkuran, H., & Karadeniz, H. (2019). Çocukluk Çağında Obezite/ Childhood Obesity. Sağlık ve Toplum, 29(3), 12–19.
Folkvord, F., & Hermans, R. C. J. (2020). Food marketing in an obesogenic environment: A narrative overview of the potential of healthy food promotion to children and adults. Current Addiction Reports, 7(4), 431–436. https://doi.org/10.1007/s40429-020-00338-4
Gauthier, K. I., & Krajicek, M. J. (2013). Obesogenic environment: a concept analysis and pediatric perspective: Obesogenic Environment: A Concept Analysis and Pediatric Perspective. Journal for Specialists in Pediatric Nursing: JSPN, 18(3), 202–210. https://doi.org/10.1111/jspn.12027
Gül, E. (2018). Yetişkin bireylerde sağlık okuryazarlığının yeme davranışı ve sağlık algısı ile ilişkisinin incelenmesi/ Examining the relationship between health literacy and eating behavior and health perception in adult individuals. İnönü Üniversitesi Sağlık Bilimleri Enstitüsü, Elazığ.
Gümüş, D., Kızıl, M., Dikmen, D., & Uyar, M. F. (2015). Gelir düzeyinin ilköğretim öğrencilerinin besin tercihlerine etkisinin değerlendirilmesi/ Evaluation of the effect of income level on primary school students’ food preferences. H.Ü. Sağlık Bilimleri Fakültesi Dergisi, 2(1), 22–38.
Güneş, N. B., Alkan, I., Işık, R. A., Dağ, O., & Özcebe, H. (2024). Childhood obesity: Pathways between mothers’ health literacy and behaviors and self-efficacy of eating and physical activity in their children. Journal of Education and Research in Nursing, 21(1), 11–19. https://doi.org/10.14744/jern.2023.83009
Guo, F., Bostean, G., Berardi, V., Velasquez, A. J., & Robinette, J. W. (2022). Obesogenic environments and cardiovascular disease: a path analysis using US nationally representative data. BMC Public Health, 22(1), 703. https://doi.org/10.1186/s12889-022-13100-4
Hammond, L., Morello, O., Kucab, M., Totosy de Zepetnek, J. O., Lee, J. J., Doheny, T., & Bellissimo, N. (2022). Predictive Validity of Image-Based Motivation-to-Eat Visual Analogue Scales in Normal Weight Children and Adolescents Aged 9-14 Years. Nutrients, 14(3), 636. https://doi.org/10.3390/nu14030636
Hayzaran, M. (2018). Üniversite öğrencilerinin hedonik açlık durumlarının farklı ölçekler ile belirlenmesi/ Determination of hedonic hunger status of university students using different scales. Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara.
Inal, S., & Canbulat, N. B. (2013). General overview on childhood obesity /Çocukluk Çaǧı Obezitesine Genel Bakış. Guncel Pediatri, 11(1), 27–30. Google Scholar
İzoğlu Toka, A., & Doğan, Ö. (2021). 15-17 yaş arası ergenlerin deneyimlerinden sağlık okuryazarlığı kavramı: Nitel bir çalışma. Turkısh Journal of Publıc Health, 19(1), 79–91.
Jia P. (2021). Obesogenic environment and childhood obesity. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 22 Suppl 1, e13158. https://doi.org/10.1111/obr.13158
Kaczynski, A. T., Eberth, J. M., Stowe, E. W., Wende, M. E., Liese, A. D., McLain, A. C., Breneman, C. B., & Josey, M. J. (2020). Development of a national childhood obesogenic environment index in the United States: differences by region and rurality. The international journal of behavioral nutrition and physical activity, 17(1), 83. https://doi.org/10.1186/s12966-020-00984-x
Kansra, A. R., Lakkunarajah, S., & Jay, M. S. (2020). Childhood and adolescent obesity: A review. Frontiers in Pediatrics, 8, 581461. https://doi.org/10.3389/fped.2020.581461
Karamelikli, E. (2021). Karabük İlindeki Ortaöğretim Öğrencilerinin Obezojenik Çevre Yönünden Değerlendirilmesi/ Evaluation of Secondary School Students in Karabük Province in Terms of Obesogenic Environment. Istanbul University Institute of Health Sciences, İstanbul-Turkiye.
Koçakoğlu, M. G., & Altunsu Sönmez, Özlem. (2025). The Impact of Parental Attitudes on Academic Performance and Obesity of Elementary School Students. Pegem Journal of Education and Instruction, 15(2), 83–94. https://doi.org/10.47750/pegegog.15.02.09
Kocalar, A. C. (2020). Rekreasyon/Rekreaktif-Oyun-Spor Alanlarının (ROSA) Kentsel Tasarımı ve Planlanması (Uygulama Örnekleri). İDEALKENT, 11(31), 2054–2083. https://doi.org/10.31198/idealkent.613331
Lister, N. B., Baur, L. A., Felix, J. F., Hill, A. J., Marcus, C., Reinehr, T., Summerbell, C., & Wabitsch, M. (2023). Child and adolescent obesity. Nature Reviews. Disease Primers, 9(1), 24. https://doi.org/10.1038/s41572-023-00435-4
MEB. (2016). Okul Sağlığı Hizmetleri İşbirliği Protokolü: Okulda Sağlığın Korunması ve Geliştirilmesi Programı Uygulama Kılavuzu/ School Health Services Cooperation Protocol: School Health Protection and Promotion Program Implementation Guide. Milli Eğitim Bakanlığı.
Mei, K., Huang, H., Xia, F., Hong, A., Chen, X., Zhang, C., Qiu, G., Chen, G., Wang, Z., Wang, C., Yang, B., Xiao, Q., & Jia, P. (2021). State-of-the-art of measures of the obesogenic environment for children. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 22 Suppl 1(S1), e13093. https://doi.org/10.1111/obr.13093
Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., Mullany, E. C., Biryukov, S., Abbafati, C., Abera, S. F., Abraham, J. P., Abu-Rmeileh, N. M. E., Achoki, T., AlBuhairan, F. S., Alemu, Z. A., Alfonso, R., Ali, M. K., Ali, R., Guzman, N. A., … Gakidou, E. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet, 384(9945), 766–781. https://doi.org/10.1016/S0140-6736(14)60460-8
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Authors
Kiliç, M., & Çatal, S. N. . (2025). The Impact of Obesogenic Neighborhood Environments and Maternal Health Literacy on Children’s Obesogenic Feeding Attitudes. The North African Journal of Food and Nutrition Research, 9(19), 174–188. https://doi.org/10.51745/najfnr.9.19.174-188
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