Food Sustainability Knowledge and EAT-Lancet Adherence in Turkish Adults

NCT ID: NCT06941051

Last Updated: 2025-04-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

3446 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-12-30

Study Completion Date

2025-04-15

Brief Summary

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This study aimed to evaluate the knowledge and attitudes of Turkish adults toward food sustainability and assess their adherence to the EAT-Lancet dietary pattern. A cross-sectional study was conducted among 3,446 adults aged 19-65 in Türkiye. Data were collected using a demographic questionnaire, the Food Sustainability Knowledge and Attitudes Questionnaire (FSKAQ), and a food frequency questionnaire to calculate EAT-Lancet index scores. Statistical analyses included Kruskal-Wallis tests, chi-square tests, and multinomial logistic regression.

Detailed Description

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Objective:

This study aimed to evaluate the knowledge and attitudes of Turkish adults regarding food sustainability and to assess their level of adherence to the EAT-Lancet dietary pattern, a model developed to promote both human health and environmental sustainability.

Methods:

A descriptive, cross-sectional study was conducted across Türkiye with a sample of 3,446 individuals aged between 19 and 65 years. Participants were recruited through voluntary participation, and individuals with chronic illnesses, alcohol or substance dependency, or illiteracy were excluded. Data were collected using a structured questionnaire that included demographic variables (e.g., age, gender, marital status, income, physical activity), anthropometric measurements (height and weight), and dietary intake.

Participants' knowledge and attitudes toward food sustainability were assessed using the Food Sustainability Knowledge and Attitudes Questionnaire (FSKAQ), which has been validated in Turkish. This instrument consists of four sub-dimensions addressing different aspects of sustainability knowledge and attitudes but does not yield a total score. Each sub-dimension is evaluated individually.

Dietary intake was assessed using a food frequency questionnaire (FFQ), and adherence to the EAT-Lancet dietary pattern was calculated using the EAT-Lancet index. This index includes 14 food components categorized as "emphasized" or "restricted" foods and assigns scores from 0 to 3 for each, with higher total scores indicating greater adherence. Final scores were divided into quartiles (Q1-Q4) to classify adherence levels.

All statistical analyses were conducted using SPSS 26.0. Descriptive statistics were used to summarize participant characteristics. The Kruskal-Wallis H test and chi-square tests were used for group comparisons, and multinomial logistic regression was applied to identify factors associated with higher EAT-Lancet index adherence. A significance level of p \< 0.05 was considered statistically significant.

Conditions

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Health Adults

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Health adults

Group/Cohort Description: The study included 3446 individuals aged 19-65. Data were collected using a demographic survey and Food Sustainability Knowledge and Attitudes Questionnaire. Food Consumption Frequency was used to calculate the EAT lancet index.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Individuals residing in Türkiye,
* Aged between 19 and 64 years,
* Voluntarily agreed to participate in the study,
* Completed the questionnaire in full,
* Provided complete anthropometric, demographic, and dietary data.

Exclusion Criteria

* Individuals with alcohol or substance dependence,
* Those diagnosed with chronic diseases (e.g., diabetes, hypertension, cardiovascular disease),
* Illiterate individuals,
* Participants with incomplete questionnaire responses or missing anthropometric or dietary data.
Minimum Eligible Age

19 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ankara Yildirim Beyazıt University

OTHER

Sponsor Role lead

Responsible Party

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Emine Elibol

Assist. Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ankara Yıldırım Beyazıt University

Ankara, Ankara, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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AYBUELİBOL008

Identifier Type: -

Identifier Source: org_study_id

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