Matthew K. Taylor|Debra K. Sullivan|Edward F. Ellerbeck|Byron J. Gajewski|Heather Gibbs
Nutrition literacy predicts adherence to healthy/unhealthy diet patterns in adults with a nutrition-related chronic condition
University of Kansas Medical Center|University of Kansas Medical Center|University of Kansas Medical Center|University of Kansas Medical Center|University of Kansas Medical Center
describe relationship adherence distinct dietary patterns nutrition literacywe identified distinct dietary patterns using principal covariates regression pcovr principal components analysis pca diet history questionnaire ii nutrition literacy assessed using nutrition literacy assessment instrument nlit crosssectional relationships dietary pattern adherence global domainspecific nlit scores tested multiple linear regression mean differences diet pattern adherence among three predefined nutrition literacy performance categories tested anovametropolitan kansas city usaadults n 386 least one four dietrelated diseasesthree diet patterns interest derived pcovr prudent pattern pcaderived western mediterranean patterns controlling age sex bmi race household income education level diabetes status pcovr prudent pattern adherence positively related global nlit score p lt 0001 036 indicating intake prudent diet foods improved nutrition literacy validating pcovr findings pca western pattern adherence inversely related global nlit p 0003 013 pca mediterranean pattern positively related global nlit p 002 012 using predefined cut points poor nutrition literacy consumed foods associated western diet fried foods sugarsweetened beverages red meat processed foods good nutrition literacy consumed foods associated prudent mediterranean diets vegetables olive oil nutsnutrition literacy predicted adherence healthyunhealthy diet patterns findings warrant future research determine improving nutrition literacy effectively improves eating patterns