Tobias Berg, Maj-Britt Jensen, Maria Rossing, Christian T Axelsen, Iben Kümler, Lise Søndergaard, Marianne Vogsen, Ann S Knoop, Bent Ejlertsen
Incidence and survival of primary metastatic breast cancer in Denmark; implication of breast cancer screening, classification, and staging practice
Acta oncologica (Stockholm, Sweden)
food nutrition literacy key factor shaping healthy dietary behaviors may result decreasing decrease prevalence overweight empirical research food nutrition literacy outcomes limited especially among children adolescents thus study investigates link food nutrition literacy fnlit eating behaviors academic performance overweight 1012 years old students tehran iran study performed two phases 1 proposing conceptual model relationship fnlit determinants outcomes based existing evidence previous models 2 testing proposed fnlit model crosssectional study 803 primary school students 419 boys 384 girls 34 public 10 private primary schools aged 1012 years using structural equation modeling demographic socioeconomic household food security characteristics collected interviewing students motherscaregivers using questionnaire fnlit measured selfadministered locally designed validated questionnaire fit indices suggested reasonably adequate fit data hypothesized model 2df 203 p 0001 goodness fit index gfi 090 adjusted goodness fit index agfi 088 comparative fit index cfi 091 incremental fit index ifi 091 root mean square error approximation rmsea 004 standardized root mean residual srmr 006 ses directly positively related fnlit subscale students fnlit score positive direct nonmediated relationship healthy eating behavior academic performance pattern strongly reversed unhealthy eating behavior full mediation relationship fnlit overweightobesity via healthy eating behaviors ses predicted academic performance partially mediating effect food label literacy fll results indicated despite direct relationship ses academic performance indirect negative relationship existed food insecurity finding also revealed fully mediating role food choice literacy fcl relationship demographic factors healthy eating behaviors study also found interactive food nutrition literacy ifnl protected unhealthy eating behaviors fcl predicted healthy eating behaviors children study draws attention fnlit especially skills domain including ifnl fcl fll important determinant healthy eating behavior academic performance weight status schoolage children reduces social inequalities childrens development ensure adequate level fnlit educators assess plan enhance food literacy skills children adolescents