Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Eating Attitude, Nutrition Knowledge and Behaviors Among Female Preschool Teachers in İstanbul: A Cross-Sectional Study
İstanbul'da Kadın Okul Öncesi Öğretmenlerinin Yeme Tutumu, Beslenme Bilgi Düzeyi ve Davranışları: Kesitsel Bir Araştırma
Elif EMİROĞLUa, Mutlu Tuçe ÜLKERa, Funda ELMACIOĞLUa
aDepartment of Nutrition and Dietetics, İstinye University Health Sciences Faculty, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(3):685-92
doi: 10.5336/healthsci.2022-87990
Article Language: EN
Full Text
ABSTRACT
Objective: The aim of this study is to determine the eating attitude, nutritional knowledge and behaviors of preschool teachers. Material and Methods: This descriptive cross-sectional study was conducted with the participation of 709 female preschool teachers working in 174 private kindergartens in İstanbul between May 17-31, 2021. The questionnaire form was applied to the participants face to face; the age information and body weight and height measurements of the individuals were recorded. Nutritional knowledge levels of the participants were evaluated with the Nutrition Knowledge Level Scale, their eating attitudes were evaluated with the Eating Attitudes Test 26 and their nutritional behaviors were evaluated with the Three-Factor Eating Questionnaire. The data were analyzed with the SPSS and p<0.05 was considered statistically significant. Results: The body mass index of 29.6% of the teachers is outside the range of 18.5-24.9 kg/m2. Only 35.7% of individuals have a good/very good level of nutrition knowledge; it was determined that 13.8% of the participants had an impaired eating attitude. As the age of teachers increases, the level of nutrition knowledge increases, food selection develops positively and uncontrolled eating behavior decreases; however, body weight, body mass index and some feeding behaviors (emotional eating and cognitive restriction) increased. Conclusion: It has been determined that the nutritional knowledge level of teachers, which is one of the important factors in the development of healthy eating behaviors in preschool children, is not at a sufficient level, and this may be related to negative results in eating attitudes and behaviors.

Keywords: Pre-school teachers; nutrition; attitude; knowledge; behavior
ÖZET
Amaç: Bu araştırmanın amacı, okul öncesi öğretmenlerinin yeme tutumu, beslenme bilgi düzeyi ve davranışlarının belirlenmesidir. Gereç ve Yöntemler: Kesitsel, tanımlayıcı tipteki bu çalışma, 17- 31 Mayıs 2021 tarihleri arasında, İstanbul ilinde yer alan 174 özel anaokulunda görev yapmakta olan 709 kadın okul öncesi öğretmeninin katılımı ile gerçekleştirilmiştir. Anket formu katılımcılara yüz yüze uygulanmış olup; bireylerin yaş bilgileri ile vücut ağırlığı ve boy uzunluğu ölçümleri kaydedilmiştir. Katılımcıların beslenme bilgi seviyeleri Beslenme Bilgi Düzeyi Ölçeği ile yeme tutumları Yeme Tutum Testi 26 ile beslenme davranışları ise Üç Faktörlü Yeme Anketi ile değerlendirilmiştir. Veriler SPSS programı ile analiz edilmiş ve p<0,05 istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Araştırmaya katılan öğretmenlerin %29,6'sının beden kitle indeksi 18,5-24,9 kg/m2 aralığı dışındadır. Bireylerin sadece %35,7'sinin beslenme bilgi düzeyi iyi/çok iyi seviyede olup; katılımcıların %13,8'inde bozulmuş yeme tutumu olduğu belirlenmiştir. Öğretmenlerde yaş arttıkça beslenme bilgi seviyesi artmakta, besin seçimi olumlu yönde gelişmekte ve kontrolsüz yeme davranışı azalmaktadır; ancak vücut ağırlığı, beden kitle indeksi ve bazı beslenme davranışları (duygusal yeme ve bilişsel kısıtlama) artmaktadır. Sonuç: Okul öncesi çocuklarda sağlıklı beslenme davranışlarının geliştirilmesinde önemli etkenlerden biri olan okul öncesi öğretmenlerinin beslenme bilgi seviyelerinin yeterli düzeyde olmadığı, bu durumun da yeme tutum ve davranışlarındaki olumsuz sonuçlarla ilişkili olabileceği belirlenmiştir.

Anahtar Kelimeler: Okul öncesi öğretmenleri; beslenme; tutum; bilgi; davranış
REFERENCES:
  1. Murimi MW, Moyeda-Carabaza AF, Nguyen B, Saha S, Amin R, Njike V. Factors that contribute to effective nutrition education interventions in children: a systematic review. Nutr Rev. 2018;76(8):553-80. [Crossref]  [PubMed] 
  2. Hayes D, Contento IR, Weekly C. Position of the academy of nutrition and dietetics, society for nutrition education and behavior, and school nutrition association: comprehensive nutrition programs and services in schools. J Acad Nutr Diet. 2018;118(5):913-9. [Crossref]  [PubMed] 
  3. Hayes D, Dodson L. Practice Paper of the academy of nutrition and dietetics: comprehensive nutrition programs and services in schools. J Acad Nutr Diet. 2018;118(5):920-31. [Crossref]  [PubMed] 
  4. Machado BC, Dias P, Lima VS, Campos J, Gonçalves S. Prevalence and correlates of picky eating in preschool-aged children: a population-based study. Eat Behav. 2016;22:16-21. [Crossref]  [PubMed] 
  5. Hall E, Chai W, Albrecht JA. A Qualitative phenomenological exploration of teachers' experience with nutrition education. Am J Health Educ. 2016;47(3):136-48. [Crossref]  [PubMed]  [PMC] 
  6. Sleet K, Sisson SB, Dev DA, Love C, Williams MB, Hoffman LA, et al. The impact of responsive feeding practice training on teacher feeding behaviors in tribal early care and education: the food resource equity and sustainability for health (FRESH) study. Curr Dev Nutr. 2019;4(Suppl 1):23-32. [Crossref]  [PubMed]  [PMC] 
  7. Sharma S, Dortch KS, Byrd-Williams C, Truxillio JB, Rahman GA, Bonsu P, et al. Nutrition-related knowledge, attitudes, and dietary behaviors among head start teachers in Texas: a cross-sectional study. J Acad Nutr Diet. 2013;113(4):558-62. [Crossref]  [PubMed]  [PMC] 
  8. Türkiye İstatistik Kurumu (TÜİK) [İnternet]. [Erişim tarihi: 23.06.2021]. Adrese Dayalı Nüfus Kayıt Sistemi Sonuçları 2020. Erişim linki: [Link] 
  9. Milli Eğitim Bakanlığı. Milli Eğitim İstatistikleri 2019/'20. Erişim tarihi: 16.06.2021. Erişim linki: [Link] 
  10. Mahan LK, Raymond JL. Krause's Food & the Nutrition Care Process. 14th ed. St. Louis, Missouri: Elsevier; 2017.
  11. World Health Organization [Internet]. © 2022 WHO. [Cited: April 27, 2022]. Body mass index-BMI. Available from: [Link] 
  12. Batmaz H. Yetişkinler için beslenme bilgi düzeyi ölçeği geliştirilmesi ve geçerlik-güvenirlik çalışması. [Yüksek lisans tezi]. İstanbul: Marmara Üniversitesi Sağlık Bilimleri Enstitüsü; 2018. Erişim linki: [Link] 
  13. Garner DM, Garfinkel PE. The eating attitudes test: an index of the symptoms of anorexia nervosa. Psychol Med. 1979;9(2):273-9. [Crossref]  [PubMed] 
  14. Erguney Okumus FE, Sertel Berk HO. Yeme Tutum Testi kısa formunun (YTT-26) üniversite örnekleminde Türkçeye uyarlanması ve psikometrik özelliklerinin değerlendirilmesi. Studies in Psychology. 2020. [Crossref] 
  15. Kıraç D, Kapsar EÇ, Avcılar T, Çakır ÖK, Ulucan K, Kurtel H, et al. Obeziteyle ilişkili beslenme alişkanliklarinin araştirilmasinda yeni bir yöntem 'Üç Faktörlü Beslenme Anketi' [A new method in investi-gation of obesity-related eating behaviors 'three-factor eating questionnaire']. MÜSBED. 2015;5(3):162-9. [Crossref] 
  16. Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res. 1985;29(1):71-83. [Crossref] 
  17. Hayran O, Özbek H. Sağlık Bilimlerinde Araştırma ve İstatistiksel Yöntemler. 2. Baskı. İstanbul: Nobel Tıp Kitabevleri; 2017.
  18. Liu H, Xu X, Liu D, Rao Y, Reis C, Sharma M, et al. Nutrition-related knowledge, attitudes, and practices (KAP) among kindergarten teachers in chongqing, China: a cross-sectional survey. Int J Environ Res Public Health. 2018;15(4):615. [Crossref]  [PubMed]  [PMC] 
  19. Songür AN, Görgel EB, Ünlüdağ T, Çakıroğlu FP. [Knowledge levels of preschool teachers about child nutrition]. GÜSBD. 2017;6(3):71-9. [Link] 
  20. Shaaban SY, Nassar MF, Shatla RH, w739-49. [Crossref]  [PubMed] 
  21. Toussaint N, Streppel MT, Mul S, Schreurs A, Balledux M, van Drongelen K, et al. A preschool-based intervention for Early Childhood Education and Care (ECEC) teachers in promoting healthy eating and physical activity in toddlers: study protocol of the cluster randomized controlled trial PreSchool@HealthyWeight. BMC Public Health. 2019;19(1):278. [Crossref]  [PubMed]  [PMC] 
  22. Cooper CC, Contento IR. Urban preschool teachers' nutrition beliefs, mealtime practices, and associations with training. J Nutr Educ Behav. 2019;51(9):1047-57. [Crossref]  [PubMed] 

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