DOI QR코드

DOI QR Code

Defining Food Literacy and Its Application to Nutrition Interventions: A scoping Review

푸드 리터러시에 대한 개념 정립과 적용 방안 모색: 주제범위 문헌고찰을 통하여

  • Yoo, Hye lim (Department of Food Science and Nutrition & The Korean Institute of Nutrition, Hallym University) ;
  • Jo, Eun bin (Department of Food Science and Nutrition & The Korean Institute of Nutrition, Hallym University) ;
  • Kim, Kirang (Department of Food Science and Nutrition, Dankook University) ;
  • Park, Sohyun (Department of Food Science and Nutrition & The Korean Institute of Nutrition, Hallym University)
  • 유혜림 (한림대학교 식품영양학과 및 한국영양연구소) ;
  • 조은빈 (한림대학교 식품영양학과 및 한국영양연구소) ;
  • 김기랑 (단국대학교 식품영양학과) ;
  • 박소현 (한림대학교 식품영양학과 및 한국영양연구소)
  • Received : 2021.03.10
  • Accepted : 2021.04.29
  • Published : 2021.04.30

Abstract

Objectives: Food literacy (FL) can be an important concept that embodies the nutritional capabilities of individuals. The purpose of this study was to introduce the definition and core elements of FL from previous literature, to summarize measurement tools and intervention programs with FL, and to suggest the direction of future research and programs to integrate the concept of FL. Methods: The literature review was conducted through PubMed and Google Scholar databases by combining the search term 'food literacy' with 'definition', 'measurement', 'questionnaire', 'intervention', and 'program'. Among the 94 papers primarily reviewed 31 manuscripts that suited the purpose of the study were used for analyses. Results: There is no consensus on the definition of FL that encompasses the multidimensional aspects of the concept. The definitions of FL were slightly different depending on the authors, and the interpretation of the core elements also varied. Based on the review, we propose a framework of FL that is in line with the current discussion among international researchers. This focuses on the core elements adapted from health literacy, namely functional, interactive, and critical FL. Specifically, we suggest some detailed elements for interactive and critical FL, which were often the subject of divergent views among researchers in previous literature. We found that most of the tools in the reviewed literature provided information on validity and reliability and were developed for a specific target population. Also, most of the tools were focused on functional FL. Similarly, most of the interventions targeted functional FL. Conclusions: This study reviewed the definition and core elements of FL, available measurement tools, and intervention programs using validated tools. We propose the development of tools with sound reliability and validity that encompass the three core elements of FL for different age groups. This will help to understand whether improving food literacy can translate into better nutritional intake and health status among individuals and communities.

Keywords

Acknowledgement

This research was supported from the National Research Foundation of Korea (NRF-2017R1C1B5017335).

References

  1. World Health Ooganization. Diet, nutrition and the prevention of chronic diseases. Geneva: World Health Organization; 2003. p. i-viii.
  2. Afshin A, Sur PJ, Fay KA, Cornaby L, Ferrara G, Salama JS et al. Health effects of dietary risks in 195 countries, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet 2019; 393(10184): 1958-1972. https://doi.org/10.1016/S0140-6736(19)30041-8
  3. Ministry of Health and Welfare, Korea Disease Control and Prevention Agency. Korea Health Statistics 2018: Korea National Health and Nutrition Examination Survey (KNHANES VII-3). Sejong: Ministry of Health and Welfare; 2020.
  4. Kim HR. Nutrition transition and shiting diet linked noncommunicable diseases and policy issues. Health Welf Forum 2013; 198(4): 27-37.
  5. Lee MY, Kim JS, Lee JH, Cheong SH, Chang KJ. A study on usage of dietary supplements and related factors in college students attending web class via internet. Korean J Nutr 2001; 34(8): 946-955.
  6. Kim SE, Oh JA, Lee YM. Health literacy: an evolutionary concept analysis. J Korean Acad Soc Nurs Edu 2013; 19(4): 558-570. https://doi.org/10.5977/JKASNE.2013.19.4.558
  7. Nutbeam D. The evolving concept of health literacy. Soc Sci Med 2008; 67(12): 2072-2078. https://doi.org/10.1016/j.socscimed.2008.09.050
  8. Gazmararian JA, Williams MV, Peel J, Baker DW. Health literacy and knowledge of chronic disease. Patient Educ Couns 2003; 51(3): 267-275. https://doi.org/10.1016/S0738-3991(02)00239-2
  9. Kim JE. Measuring the level of health literacy and influence factors: Targeting the visitors of a university hospital's outpatient clinic. J Korean Clin Nurs Res 2011; 17(1): 27-34.
  10. Dewalt DA, Pignone M. The role of literacy in health and health care. Am Fam Physician 2005; 72(3): 387.
  11. Friis K, Vind BD, Simmons RK, Maindal HT. The relationship between health literacy and health behaviour in people with diabetes: A Danish population-based study. J Diabetes Res 2016; 2016: 1-7.
  12. Ministry of Health and Welfare, Korea Health Promotion Institute. The 5th Health Plan (2021~2030). Seoul: Ministry of Health and Welfare; 2020.
  13. Palumbo R. Sustainability of well-being through literacy. The effects of food literacy on sustainability of well-being. Agric Agric Sci Proced 2016; 8(1): 99-106.
  14. Furst T, Connors M, Bisogni CA, Sobal J, Falk LW. Food choice: a conceptual model of the process. Appetite 1996; 26(3): 247-266. https://doi.org/10.1006/appe.1996.0019
  15. Vidgen HA, Gallegos D. Defining food literacy and its components. Appetite 2014; 76: 50-59. https://doi.org/10.1016/j.appet.2014.01.010
  16. Lang T. Food industrialisation and food power: implications for food governance. Dev Policy Rev 2003; 21(5-6): 555-568. https://doi.org/10.1111/j.1467-8659.2003.00223.x
  17. Newnan JE. More than food: An analysis of multidimensional relationships in our food system. Honors Theses and Capstones, Durham, United States: University of New Hampshire Scholars' Repository; 2017.
  18. Kim JW, Lee EJ. Evaluation of dietary habits and dietary life competency of elementary school students. J Korean Pract Arts Educ 2014; 27(4): 17-37.
  19. Kim HS, Kim JW. The effects of dietary life education program for prospective elementary teachers. J Learn Cent Curric Instr 2018; 18(4): 507-522.
  20. Lee HJ. From consumer to food citizen. Econ Soc 2012: 43-76. https://doi.org/10.14254/2071-789X.2018/11-3/3
  21. Lee SS. A study on dietary life competency and personality of 6th grade elementary school students in Gwangju. J Korean Pract Arts Educ 2017; 30(1): 63-81.
  22. Seoul Food Life Support Center. Report on the results of the operation of the 2019 Seoul Food Life Support Center. The Catholic University of Korea Catholic Medical Center; 2020 Jan.
  23. Slow Food Center. Seoul citizens school for food [internet]. Slow Food Center; 2019 [cited 2021 Jan 13]. Available from: http://foodschool.kr/.
  24. Cullen T, Hatch J, Martin W, Higgins JW, Sheppard R. Food literacy: definition and framework for action. Can J Diet Pract Res 2015; 76(3): 140-145. https://doi.org/10.3148/cjdpr-2015-010
  25. Hoffman-Goetz L, Donelle L, Ahmed R. Health literacy in Canada: a primer for students. Toronto, Canada: Canadian Scholars' Press; 2014.
  26. Kolasa KM, Peery A, Harris NG, Shovelin K. Food literacy partners program: a strategy to increase community food literacy. Top Clin Nutr 2001; 16(4): 1-10. https://doi.org/10.1097/00008486-200116040-00011
  27. Stinson E. Eating the world: food literacy and its place in secondary school classrooms. Victoria, Canada: B.Sc., University of Victoria ; 2010.
  28. Thomas HM, Irwin JD. Cook It Up! A community-based cooking program for at-risk youth: overview of a food literacy intervention. BMC Res Notes 2011; 4(1): 1-7. https://doi.org/10.1186/1756-0500-4-38
  29. Truman E, Raine K, Mrklas K, Prowse R, Den Hoed RC, Watson-Jarvis K et al. Promoting children's health: toward a consensus statement on food literacy. Can J Public Health 2017; 108(2): e211-e213. https://doi.org/10.17269/cjph.108.5909
  30. Nutbeam D. Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int 2000; 15(3): 259-267. https://doi.org/10.1093/heapro/15.3.259
  31. Smith SK, Nutbeam D, McCaffery KJ. Insights into the concept and measurement of health literacy from a study of shared decision-making in a low literacy population. J Health Psychol 2013; 18(8): 1011-1022. https://doi.org/10.1177/1359105312468192
  32. Park DH, Shin MJ, Song SM. Food literacy in South Korea: Operational definition and measurement issues. Clin Nutr Res 2019; 8(2): 79-90. https://doi.org/10.7762/cnr.2019.8.2.79
  33. Slater J, Falkenberg T, Rutherford J, Colatruglio S. Food literacy competencies: a conceptual framework for youth transitioning to adulthood. Int J Consum Stud 2018; 42(5): 547-556. https://doi.org/10.1111/ijcs.12471
  34. Slater J. Is cooking dead? The state of home economics food and nutrition education in a Canadian province. Int J Consum Stud 2013; 37(6): 617-624. https://doi.org/10.1111/ijcs.12042
  35. Velardo S. The nuances of health literacy, nutrition literacy, and food literacy. J Nutr Educ Behav 2015; 47(4): 385-389. https://doi.org/10.1016/j.jneb.2015.04.328
  36. Doustmohammadian A, Omidvar N, Keshavarz-Mohammadi N, Abdollahi M, Amini M, Eini-Zinab H. Developing and validating a scale to measure food and nutrition literacy (FNLIT) in elementary school children in Iran. PLoS One 2017; 12(6): e0179196. https://doi.org/10.1371/journal.pone.0179196
  37. Doustmohammadian A, Omidvar N, Keshavarz-Mohammadi N, Eini-Zinab H, Amini M, Abdollahi M et al. Low food and nutrition literacy (FNLIT): a barrier to dietary diversity and nutrient adequacy in school age children. BMC Res Notes 2020; 13(1): 1-8. https://doi.org/10.1186/s13104-019-4871-2
  38. Block LG, Grier SA, Childers TL, Davis B, Ebert JE, Kumanyika S et al. From nutrients to nurturance: A conceptual introduction to food well-being. J Public Policy Mark 2011; 30(1): 5-13. https://doi.org/10.1509/jppm.30.1.5
  39. Vaitkeviciute R, Ball LE, Harris N. The relationship between food literacy and dietary intake in adolescents: A systematic review. Public Health Nutr 2015; 18(4): 649-658. https://doi.org/10.1017/S1368980014000962
  40. Brooks N, Begley A. Adolescent food literacy programmes: A review of the literature. Nutr Diet 2014; 71(3): 158-171. https://doi.org/10.1111/1747-0080.12096
  41. Tabacchi G, Battaglia G, Messina G, Paoli A, Palma A, Bellafiore M. Validity and internal consistency of the preschool-FLAT, a new tool for the assessment of food literacy in young children from the training-to-health project. Int J Environ Res Public Health 2020; 17(8): 2759. https://doi.org/10.3390/ijerph17082759
  42. Amin SA, Lehnerd M, Cash SB, Economos CD, Sacheck JM. Development of a tool for food literacy assessment in children (TFLAC). J Nutr Educ Behav 2019; 51(3): 364-369. https://doi.org/10.1016/j.jneb.2018.12.006
  43. Stjernqvist NW, Elsborg P, Ljungmann CK, Benn J, Bonde AH. Development and validation of a food literacy instrument for school children in a Danish context. Appetite 2020; 156: 104848. https://doi.org/10.1016/j.appet.2020.104848
  44. Palumbo R, Annarumma C, Adinolfi P, Vezzosi S, Troiano E, Catinello G et al. Crafting and applying a tool to assess food literacy: Findings from a pilot study. Trends Food Sci Technol 2017; 67:173-182. https://doi.org/10.1016/j.tifs.2017.07.002
  45. Poelman MP, Dijkstra SC, Sponselee H, Kamphuis CB, Battjes-Fries MC, Gillebaart M et al. Towards the measurement of food literacy with respect to healthy eating: The development and validation of the self perceived food literacy scale among an adult sample in the Netherlands. Int J Behav Nutr Phys Act 2018; 15(1): 54. https://doi.org/10.1186/s12966-018-0687-z
  46. Krause CG, Beer-Borst S, Sommerhalder K, Hayoz S, Abel T. A short food literacy questionnaire (SFLQ) for adults: findings from a Swiss validation study. Appetite 2018; 120: 275-280. https://doi.org/10.1016/j.appet.2017.08.039
  47. Begley A, Paynter E, Dhaliwal SS. Evaluation tool development for food literacy programs. Nutrients 2018; 10(11): 1617. https://doi.org/10.3390/nu10111617
  48. Durmus H, Gokler ME, Havliogu S. Reliability and validity of the Turkish version of the short food literacy questionnaire among university students. Prog Nutr 2019; 21(2): 333-338.
  49. Park DH, Park YK, Park CY, Choi MK, Shin MJ. Development of a comprehensive food literacy measurement tool integrating the food system and sustainability. Nutrients 2020; 12(11): 3300. https://doi.org/10.3390/nu12113300
  50. Begley A, Paynter E, Butcher LM, Dhaliwal SS. Effectiveness of an adult food literacy program. Nutrients 2019; 11(4): 797. https://doi.org/10.3390/nu11040797
  51. Jung KA. The development and evaluation of dietary education program for preservice elementary teachers. J Korean Pract Arts Educ 2016; 29: 95-114. https://doi.org/10.20954/jkpae.2016.09.29.3.95
  52. Kornelsen SA. An apple a day: exploring food and agricultural knowledge and skill among children in Southern Ontario. Theses and Dissertations, Ottawa, Canada: Wilfrid Laurier University; 2010.
  53. Pendergast D, Garvis S, Kanasa H. Insight from the public on home economics and formal food literacy. Fam Consum Sci Res J 2011; 39(4): 415-430. https://doi.org/10.1111/j.1552-3934.2011.02079.x
  54. Kimura AH. Food education as food literacy: Privatized and gendered food knowledge in contemporary Japan. Agric Human Values 2011; 28(4): 465-482. https://doi.org/10.1007/s10460-010-9286-6
  55. Thomas HM. Planning, implementation, and formative evaluation of a food literacy program. Electronic Thesis and Dissertation Repository, London, Ontario, Canada: The University of Western Ontario; 2011.
  56. Cullerton K, Vidgen HA, Gallegos D. A review of food literacy interventions targeting disadvantaged young people. Brisbane Australia: Queensland University of Technology; 2012.
  57. Chambers C. A pilot study: the use of a survey to assess the food knowledge of nutrition students at various levels of nutrition education. Theses and Dissertations, Lincoln, United States: University of Nebraska-Lincoln; 2012.
  58. Topley A. At the table: A case for food literacy coordination. Victoria, BC: Greater Victoria Food Literacy Working Group; 2013.
  59. Palermo C, van Herwerden L, Maugeri I, McKenzie-Lewis F, Hughes R. Evaluation of health promotion capacity gains in a state-wide rural food literacy intervention. Aust J Prim Health 2019; 25(3): 250-255. https://doi.org/10.1071/PY18182
  60. West EG, Lindberg R, Ball K, McNaughton SA. The role of a food literacy intervention in promoting food security and food literacy-OzHarvest's NEST Program. Nutrients 2020; 12(8): 2197. https://doi.org/10.3390/nu12082197