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      Identifying Participants Who Would Benefit the Most from an Adult Food-literacy Program

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          Abstract

          Food literacy programs aim to improve behaviours required to achieve a quality diet. The objectives of this study were to assess the demographic, food literacy related and dietary behaviour of participants enrolling in Food Sensations ® for Adults, a free four-week food literacy program and identify the subgroup of participants who benefit most. Cross-sectional pre-program questionnaire data (n = 1626) from participants enrolling in the program was used to stratify into low, middle and high food-literacy tertiles. Factor scores from a reliability analysis of food literacy behaviours were then used to produce a composite score). Participants were 80.2% female, 56% aged 26 to 45 years and 73.3% from low to middle socio-economic areas. Demographic characteristics were not a significant predictor of the lowest composite food-literacy group. Those with the lowest composite food-literacy tertile score were more likely to have lower self-rated cooking skills, a negative attitude to the cost of healthy foods, lower intakes of fruits and vegetables and a higher frequency of consuming takeaway food and sugary drinks. Food literacy programs must focus on recruiting those who have low self-rated cooking skills, who consider healthy foods expensive and have poor dietary intakes and will most likely to benefit from such programs.

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          Most cited references48

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          Is cooking at home associated with better diet quality or weight-loss intention?

          To examine national patterns in cooking frequency and diet quality among adults in the USA, overall and by weight-loss intention.
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            Frequency of eating home cooked meals and potential benefits for diet and health: cross-sectional analysis of a population-based cohort study

            Background Reported associations between preparing and eating home cooked food, and both diet and health, are inconsistent. Most previous research has focused on preparing, rather than eating, home cooked food; used small, non-population based samples; and studied markers of nutrient intake, rather than overall diet quality or health. We aimed to assess whether frequency of consuming home cooked meals was cross-sectionally associated with diet quality and cardio-metabolic health. Methods We used baseline data from a United Kingdom population-based cohort study of adults aged 29 to 64 years (n = 11,396). Participants self-reported frequency of consuming home cooked main meals. Diet quality was assessed using the Mediterranean Diet Score, Dietary Approaches to Stop Hypertension (DASH) score, fruit and vegetable intake calculated from a 130-item food frequency questionnaire, and plasma vitamin C. Markers of cardio-metabolic health were researcher-measured body mass index (BMI), percentage body fat, haemoglobin A1c (HbA1c), cholesterol and hypertension. Differences across the three exposure categories were assessed using linear regression (diet variables) and logistic regression (health variables). Results Eating home cooked meals more frequently was associated with greater adherence to DASH and Mediterranean diets, greater fruit and vegetable intakes and higher plasma vitamin C, in adjusted models. Those eating home cooked meals more than five times, compared with less than three times per week, consumed 62.3 g more fruit (99% CI 43.2 to 81.5) and 97.8 g more vegetables (99% CI 84.4 to 111.2) daily. More frequent consumption of home cooked meals was associated with greater likelihood of having normal range BMI and normal percentage body fat. Associations with HbA1c, cholesterol and hypertension were not significant in adjusted models. Those consuming home cooked meals more than five times, compared with less than three times per week, were 28% less likely to have overweight BMI (99% CI 8 to 43%), and 24% less likely to have excess percentage body fat (99% CI 5 to 40%). Conclusions In a large population-based cohort study, eating home cooked meals more frequently was associated with better dietary quality and lower adiposity. Further prospective research is required to identify whether consumption of home cooked meals has causal effects on diet and health. Electronic supplementary material The online version of this article (doi:10.1186/s12966-017-0567-y) contains supplementary material, which is available to authorized users.
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              Defining food literacy: A scoping review.

              The term "food literacy" describes the idea of proficiency in food related skills and knowledge. This prevalent term is broadly applied, although its core elements vary from initiative to initiative. In light of its ubiquitous use-but varying definitions-this article establishes the scope of food literacy research by identifying all articles that define 'food literacy', analysing its key conceptualizations, and reporting outcomes/measures of this concept.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                09 April 2019
                April 2019
                : 16
                : 7
                : 1272
                Affiliations
                [1 ]School of Public Health, Curtin University, Perth 6102, Australia; ellen.paynter@ 123456curtin.edu.au (E.P.); s.dhaliwal@ 123456curtin.edu.au (S.S.D.)
                [2 ]Foodbank Western Australia, Perth Airport 6105, Australia; lucy.butcher@ 123456foodbankwa.org.au (L.M.B.); vanessa.bobongie@ 123456foodbankwa.org.au (V.B.)
                Author notes
                [* ]Correspondence: a.begley@ 123456curtin.edu.au ; Tel.: +61-8-9266-2773
                Author information
                https://orcid.org/0000-0002-5448-8932
                https://orcid.org/0000-0002-2960-3281
                Article
                ijerph-16-01272
                10.3390/ijerph16071272
                6480264
                30970671
                2e3c492b-4409-4008-a600-74c867ddbb57
                © 2019 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 13 March 2019
                : 05 April 2019
                Categories
                Article

                Public health
                food literacy,community participation,dietary intake
                Public health
                food literacy, community participation, dietary intake

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