- •Knowledge levels about salt and sugar consumption affect attitudes toward protecting children against their harm.
- •It is important to increase adults’ knowledge levels to improve their protective attitudes.
- •The knowledge and attitude levels of the participants who consume high amounts of sugary foods and beverages were lower.
- •The knowledge and attitude levels of the participants who do not check the ingredients of foods and beverages were lower.
The study aimed to assess adults' knowledge levels about salt and sugar consumption and their attitudes toward protecting children from excessive consumption of them.
Design and methods
A cross-sectional, methodological, descriptive, and correlational study design was conducted. The study was carried out at a family health center and included 377 participants. The results were analyzed using descriptive statistics, reliability analysis and multiple regression.
The participants' knowledge scores accounted for 1.7% of their attitude scores. The participants' socio-demographic characteristics accounted for 13.9% of their knowledge scores, and the model was statistically significant (F = 7.453, p < 0.001). The participants' socio-demographic characteristics accounted for 11% of their attitude scores, and the model was statistically significant (F = 5.672, p < 0.001).
Children and adults should be protected from salt and sugar overconsumption, which is a risk factor for many diseases. Therefore, adults' knowledge levels about salt and sugar consumption and their attitudes toward protecting children from excessive consumption of them should be improved. It is also important to teach adults how to choose foods and beverages after checking their labels and how to be role models for children in this regard.
The study results will contribute to the planning of experimental studies to protect children from excessive salt and sugar consumption. In addition, the study results will provide an infrastructure for the preparation of training programs about salt and sugar consume according to the needs of different groups (older adults, young adults etc.).
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- FACTS, salt, reducing sodium in the diets of American children.(Retrieved from)https://www.heart.org/idc/groups/heart-public/@wcm/@adv/documents/downloadable/ucm_433027.pdfDate: 2012
- HEART MATTERS, what are free sugars?.(Retrieved from)https://www.bhf.org.uk/informationsupport/heart-matters-magazine/nutrition/sugar-salt-and-fat/free-sugarsDate: 2019
- What is health literacy?.(Retrieved from)
- Determination and management of cardiovascular disease risk on primary health care centers.TAF Preventive Medicine Bulletin. 2016; 15: 575-582
- Parents’ considerable underestimation of sugar and their child’s risk of overweight.International Journal of Obesity. 2018; 42: 1097-1100
- The relationship between hypertension and salt intake in Turkish population: SALTURK study.Blood Pressure. 2010; 19: 313-318
- Food Labelling.(Retrieved from)http://www.fao.org/food-labelling/en/Date: 2019
- Self-reported use of nutrition labels to make food choices is associated with healthier dietary behaviours in adolescents.Public Health Nutrition. 2017; 20: 2329-2339
- Social determinants of risk and outcomes for cardiovascular disease: A scientific statement from the American Heart Association.Circulation. 2015; 132: 873-898
- The science on front-of-package food labels.Public Health Nutrition. 2013; 16: 430-439
- Salt reduction in England from 2003 to 2011: Its relationship to blood pressure, stroke and ischaemic heart disease mortality.BMJ Open. 2014; 4
- Food label knowledge, usage and attitudes of older adults.Journal of Nutrition in Gerontology and Geriatrics. 2017; 36: 31-47
- Developing media interventions to reduce household sugar-sweetened beverage consumption.The Annals of the American Academy of Political and Social Science. 2012; 640: 118-135https://doi.org/10.1177/0002716211425656
- Added sugars in the diet are positively associated with diastolic blood pressure and triglycerides in children.The American Journal of Clinical Nutrition. 2014; 100: 46-52
- Consumption of sugar-sweetened beverages and its association with nutrient intakes and diet quality in German children and adolescents.British Journal of Nutrition. 2009; 101: 1549-1557
- Food and the responsibility deal: How the salt reduction strategy was derailed.BMJ (Online). 2015; 350: 1-5
- How does sugar in our diet affect our health?.(Retrieved from)
- Food labels.(Retrieved from)
- Reading food labels.(Retrieved from)
- A mHealth randomized controlled trial to reduce sugar-sweetened beverage intake in preschool-aged children.Pediatric Obesity. 2018; 13: 668-676
- Salt consumption and health.Turkiye Klinikleri Journal of Health Sciences. 2018; 3: 57-65
- Factors associated with sugar intake and sugar sources in European children from 1 to 8 years of age.European Journal of Clinical Nutrition. 2017; 71: 25-32
- Turkey dietary guidelines.(Retrieved from)
- Impact of salt intake on the pathogenesis and treatment of hypertension.in: Hypertension: From basic research to clinical practice. Springer International Publishing, 2016: 61-84
- Reliability and validity of social and behavioral scales.Seçkin Kitapevi, Ankara2005
- Nutrition.in: Yurdakök M. Pediatri. Güneş Tıp Kitapevleri, Ankara2017: 1489-1557
- Relationships among food label use, motivation, and dietary quality.Nutrients. 2015; 7: 1068-1080
- Cardiovascular health promotion in children: Challenges and opportunities for 2020 and beyond: A scientific statement from the American Heart Association.Circulation. 2016; 134: e236-e255
- Salt report.(Retrieved from)
Vos, M. B., Kaar, J. L., Welsh, J. A., Van Horn, L. V., Feig, D. I., Anderson, C. A., … & Johnson, R. K. (2017). Added sugars and cardiovascular disease risk in children: A scientific statement from the American Heart Association. Circulation, 135(19), e1017-e1034.
- Guideline: Sodium intake for adults and children.(Retrieved from)
- Guideline: Sugars intake for adults and children.(Retrieved from)https://apps.who.int/iris/bitstream/handle/10665/149782/9789241549028_eng.pdf;jsessionid=84CAB0178004D1D686C4EB7BD9DD9C91?sequence=1Date: 2015
- Sugar-sweetened beverages and risk of hypertension and CVD: A dose–response meta-analysis.British Journal of Nutrition. 2015; 113: 709-717
- Sodium intake and blood pressure among US children and adolescents.Pediatrics. 2012; 130: 611-619
- Beverage intake among children: Associations with parent and home-related factors.International Journal of Environmental Research and Public Health. 2017; 14: 929
Published online: May 26, 2020
Accepted: April 11, 2020
Received in revised form: April 11, 2020
Received: March 10, 2020
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