Submitted: 25 Jul 2023
Revision: 18 Sep 2023
Accepted: 24 Sep 2023
ePublished: 30 Sep 2023
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J Educ Community Health. 2023;10(3): 136-144.
doi: 10.34172/jech.2447

Scopus ID: 85181441424
  Abstract View: 229
  PDF Download: 137

Health Literacy

Original Article

Associations Between Health Literacy and Dietary Intake: A Cross-sectional Study of Adults With Metabolic Syndrome in Thailand

Aravan Mungvongsa 1* ORCID logo, Suneerat Yangyuen 1 ORCID logo, Chatklaw Jareanpon 2 ORCID logo, Thidarat Somdee 1 ORCID logo

1 Faculty of Public Health, Mahasarakham University, Mahasarakham, Thailand
2 Faculty of Informatics, Mahasarakham University, Mahasarakham, Thailand
*Corresponding Author: Aravan Mungvongsa, Email: aravan.mug15@gmail.com


Background: Health literacy (HL) is an indicator of health outcomes, but its role in dietary intake has received little attention. Excessive dietary intake increases the risk of metabolic syndrome (MetS). Therefore, this study aimed to investigate the HL score, dietary intake, and nutrient intake of participants and the relationship between HL score and dietary intake among adults with MetS in Thailand.

Methods: In this cross-sectional study, 2527 adults aged 18–59 years in primary care services, Phetchaburi, Thailand were included in the study using a multistage sampling technique. We determined HL scores using the Health Literacy Questionnaire (HLQ) and dietary intake using a semi-quantitative Food Frequency Questionnaire. We used multiple linear regression analysis to investigate the associations between HL score and dietary intake.

Results: HL scores were significantly lower in patients with MetS compared with participants without it (P<0.05). Participants with MetS had significantly higher calorie and fat intake than participants without it (P<0.05), and participants with MetS had higher fat and lower carbohydrate intake. The results of multiple linear regression showed a significant negative association between HL score and dietary intake, after controlling for potential confounding variables (ꞵ=−0.053, P<0.05).

Conclusion: Our findings suggest that low HL score is associated with high dietary intake. Therefore, improving HL might play an important role in reducing dietary intake to decrease the risk of MetS.

Please cite this article as follows: Mungvongsa A, Yangyuen S, Jareanpon C, Somdee T. Associations between health literacy and dietary intake: a cross-sectional study of adults with metabolic syndrome in Thailand. J Educ Community Health. 2023; 10(3):136-144. doi:10.34172/jech.2447
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