Association between obesity/overweight in adolescents and low food safety knowledge and practice

Abstract

Background

Obesity among adolescents is one of the most prevalent noncommunicable disorders. Currently, around 17% of teenagers are obese and are vulnerable to long-term consequences. Obesity pathophysiology is complicated, varied, and not fully understood. Multiple studies have found altered gut flora in obese people. Dietary choices are one of the key variables influencing the diversity of the human gut microbiota.

Objective

We conducted this study to assess whether there is a possible relationship between food safety knowledge and practice and obesity.

Methods

This cross-sectional study was carried out on 127 subjects (adolescent patients). BMI was assessed by taking anthropometric measurements, and the resulting data were interpreted using WHO BMI-for-age charts (14–19 years). Food habits were assessed in all subjects using a food frequency questionnaire, while food safety knowledge and practice were assessed in all subjects using the Byrd-Bred Benner questionnaire.

Results

Overweight and obese adolescents had a significantly lower knowledge score (6.39 ± 2.41) than normal-weight participants (11.30 ± 2.2), p < 0.001. Overweight and obese adolescents had significantly lower practice scores (6.32 ± 2.3) than normal-weight participants (13.48 ± 1.8), p < 0.001.

Conclusion

Obesity and overweight seem to be associated with lower food safety knowledge and practice.

Keywords

adolescents food safety knowledge food safety practice microbiota obesity overweight

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References

Christensen

Bliddal

Riecke

, et al. Comparison of a low‐energy diet and a very low‐energy diet in sedentary obese individuals: a pragmatic randomized controlled trial. Clin Obes 2011; 1(1): 31–40. https://doi.org/10.1111/j.1758-8111.2011.00006.x

Malik

Willett

. Global obesity: trends, risk factors and policy implications. Nat Rev Endocrinol 2013; 9(1): 13–27. https://doi.org/10.1038/nrendo.2012.199

Hildebrandt

Hoffmann

Sherrill–Mix

, et al. High-fat diet determines the composition of the murine gut microbiome independently of obesity. Gastroenterology 2009; 137(5): 1716–1724. https://doi.org/10.1053/j.gastro.2009.08.042

Tarantino

. Gut microbiome, obesity-related comorbidities, and low-grade chronic inflammation. J Clin Endocrinol Metab 2014; 99(7): 2343–2346. https://doi.org/10.1210/jc.2014-2074

Kish

Hotte

Kaplan

, et al. Environmental particulate matter induces murine intestinal inflammatory responses and alters the gut microbiome. PLoS One 2013; 8(4): e62220. https://doi.org/10.1371/journal.pone.0062220

World Health Organization . Foodborne disease: a focus for health education. World Health Organization, 2000.

Tian

Gui

Koo

, et al. The microbiome modulating activity of bile acids. Gut Microbes 2020; 11(4): 979–996. https://doi.org/10.1080/19490976.2020.1732268

Finch

Daniel

. Food safety knowledge and behavior of emergency food relief organization workers: effects of food safety training intervention. J Environ Health 2005; 67(9): 30–34.

Średnicka

Emanowicz

Wójcicki

, et al. Obesogens in food: the role of chemical pollutants in the obesity epidemic. Food Biotechnol Agric Sci FBAS 2024; 78: 37–46. https://doi.org/10.70734/fbas/192969

10.

El-Gilany

El-Masry

. Overweight and obesity among adolescent school students in Mansoura, Egypt. Child Obes Former Obes Weight Manag 2011; 7(3): 215–222. https://doi.org/10.1089/chi.2011.0008

11.

World Health Organization . Overweight and obesity in the Western Pacific Region: an equity perspective. WHO Regional Office for the Western Pacific, 2017.

12.

Byrd-Bredbenner

Abbot

Wheatley

, et al. Risky eating behaviors of young adults—implications for food safety education. J Am Diet Assoc 2008; 108(3): 549–552. https://doi.org/10.1016/j.jada.2007.12.013

13.

Centers for Disease Control and Prevention . Adult obesity prevalence remains high; support for prevention and treatment needed. CDC Newsroom 2023. https://www.cdc.gov/media/releases/2023/p0922-adult-obesity.html (accessed 30 April 2024).

14.

Demographic

. Health Survey 2014, Ministry of Health and population, Cairo, Egypt El-Zanaty and associates. DHS Program ICF int rockv Md USA . Published online 2015.

15.

Kim

Roesler

von dem Knesebeck

. Causation or selection – examining the relation between education and overweight/obesity in prospective observational studies: a meta-analysis. Obes Rev 2017; 18(6): 660–672. https://doi.org/10.1111/obr.12537

16.

Hamed

Mohammed

. Food safety knowledge, attitudes and self-reported practices among food handlers in Sohag Governorate, Egypt. East Mediterr Health J Rev Sante Mediterr Orient Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit 2020; 26(4): 374–381. https://doi.org/10.26719/emhj.19.047

17.

Anderson

Silbergeld

Summers

, et al. Risky food safety behaviors are associated with higher BMI and lower healthy eating self-efficacy and intentions among African American churchgoers in Baltimore. PLoS One 2012; 7(12): e52122. https://doi.org/10.1371/journal.pone.0052122

18.

Elmassry

Zayed

Farag

. Gut homeostasis and microbiota under attack: impact of the different types of food contaminants on gut health. Crit Rev Food Sci Nutr 2022; 62(3): 738–763. https://doi.org/10.1080/10408398.2020.1828263

19.

Saad

Santos

Prada

. Linking gut microbiota and inflammation to obesity and insulin resistance. Physiology 2016; 31(4): 283–293. https://doi.org/10.1152/physiol.00041.2015