Affiliation:
1. Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital
2. Zhengzhou University
3. National Cancer Center, Chinese Academy of Medical Sciences and Peking Union Medical College
4. The first affiliated Hospital of Zhengzhou University
5. The second affiliated Hospital of Zhengzhou University
6. Zhengzhou Shuqing Medical College
Abstract
Abstract
Objectives
Helping consumers select nutrient-dense foods is a strategy to improve their diet quality. However, communications based on the nutrient-dense foods as a positive attribution have not been used widely in nutritional education. This study aimed to develop an educational tool based on the picture and guidance of “Chinese Food Guide Pagoda (2022)", and extend it with the concept of nutrient density, and to investigate its acceptance by Chinese residents.
Methods
Three examples (recipes with high, medium, and low nutrient-rich foods (NRF) 9.2 ratings, an indicator for measuring dietary nutrient density) served as the basis for creating the dietary nutrient density educational tool. A self-designed questionnaire was designed to investigate the acceptance of the "dietary nutrient density educational tool" among college students from Henan province based on the theory of planned behavior.
Results
From three recipes used in the tool, with the decrease in the NRF9.2 score of the recipes, the energy intake was increased from 1686 kcal to 2363 kcal, the dietary fat-to-energy ratio was increased from 28–42%, and the mean adequacy ratio (MAR) was decreased from 0.96 to 0.87. A total of 851 college students completed the acceptance questionnaire. The average score of acceptance was 4.07, with the total score was 5. The results showed that behavior intention to use the tool positively correlated with family residence, subjective norms, and perceptual behavior control, with the latter playing the most substantial role. These three factors can account for 83.5% of the variation in behavior intention.
Conclusion
To encourage customers to choose healthier foods, we were the first to design the dietary nutrient density educational tool, expanding the current instructional tools—the Chinese Food Guide Pagoda (2022). The acceptance questionnaire survey showed that residents had a good acceptance of the tool and family residence, subjective norms, perceptual behavior control may strongly contribute to resident's acceptance for using the educational tool.
Publisher
Research Square Platform LLC
Reference28 articles.
1. Diet, nutrition and chronic degenerative diseases [J];Renzo L;Nutrients,2021
2. Organization WH. Global health risks. WHO technical report. Geneva: WHO, 2009.
3. Prospective study on nutrition transition in china [J];Zhai F;Nutr Rev,2009
4. Validation of the nutrient-rich foods index estimated by 24-h dietary recall method among adults in henan province of china [J];Zhai J;Public Health Nutr,2022
5. Is adherence to the chinese dietary guidelines associated with better self-reported health? The chinese dietary guidelines adherence score [J];Zang J;Asia Pac J Clin Nutr,2018