Adolescent Nutrition and Eating Behaviors in Türkiye

NCT ID: NCT07194681

Last Updated: 2025-09-26

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

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-04-01

Study Completion Date

2025-06-30

Brief Summary

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This study examines differences in nutrition and eating behaviors among adolescents living in two regions of Türkiye with contrasting socioeconomic and cultural conditions. A total of 100 adolescents aged 14-18 years were recruited from high schools in Ağrı (Eastern Türkiye) and Kırklareli (Western Türkiye). Participants completed dietary recalls, the Healthy Nutrition Behavior Scale, and the Eating Attitudes Test (EAT-26). The study aims to understand how regional inequalities influence nutrient intake and eating behaviors. Findings may help guide future public health strategies to improve adolescent nutrition across different regions of Türkiye.

Detailed Description

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Adolescence is a critical developmental stage where nutritional habits are formed and often persist into adulthood. Nutritional inequalities in Türkiye are shaped by socioeconomic and cultural disparities between regions. This cross-sectional observational study was conducted between April and June 2025 in two provinces representing distinct socioeconomic contexts: Ağrı in Eastern Türkiye and Kırklareli in Western Türkiye.

A total of 100 adolescents (50 from each province) aged 14-18 years participated voluntarily. Dietary intake was assessed using 24-hour dietary recalls, and nutrient composition was analyzed with the BeBiS v9.0 software. Healthy eating behaviors were measured with the Healthy Nutrition Behavior Scale (HNBS), and disordered eating attitudes were evaluated with the Eating Attitudes Test (EAT-26).

The primary objective was to compare nutrient intake, healthy eating behaviors, and eating attitudes between the two provinces. Secondary analyses examined whether dietary patterns predicted psychosocial outcomes. Statistical methods included linear mixed-effects models, multivariate analysis of covariance, and principal component regression, adjusting for demographic and socioeconomic covariates.

Ethical approval was obtained from the Ağrı İbrahim Çeçen University Scientific Research and Publication Ethics Committee (Decision No: 112, March 27, 2025). All participants and their guardians provided informed consent.

This study is expected to generate evidence on regional nutritional disparities among adolescents in Türkiye. Results may inform dual public health strategies: (i) improving access to nutrient-dense foods in disadvantaged regions and (ii) addressing over-nutrition and processed food consumption in more affluent regions.

Conditions

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Adolescent Nutrition Eating Behaviors Nutritional Inequalities Eating Attitudes

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Kırklareli Cohort

Adolescents selected from secondary and high schools in Kırklareli, Türkiye. Observational data collection included 24-hour dietary recall, Healthy Nutrition Behavior Scale (HNBS), and Eating Attitudes Test (EAT-26). No intervention was applied

No interventions assigned to this group

Ağrı Cohort

Adolescents selected from secondary and high schools in Ağrı, Türkiye. Observational data collection included 24-hour dietary recall, Healthy Nutrition Behavior Scale (HNBS), and Eating Attitudes Test (EAT-26). No intervention was applied

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Adolescents aged 14-18 years

Residing in the study province (Ağrı or Kırklareli) for at least 5 years

Enrolled in selected secondary or high schools

Provided written informed consent (self and parent/guardian)

Exclusion Criteria

Presence of chronic disease affecting diet (e.g., diabetes, celiac disease)

Currently receiving medical nutrition therapy or weight management interventions

Incomplete dietary recall or questionnaire data
Minimum Eligible Age

14 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Dursun Alper YILMAZ

OTHER

Sponsor Role lead

Responsible Party

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Dursun Alper YILMAZ

Res. Asst.

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Agri Ibrahim Cecen University, Faculty of Health Sciences

Ağrı, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Sezer FE, Alpat Yavas I, Saleki N, Bakirhan H, Pehlivan M. Diet quality and snack preferences of Turkish adolescents in private and public schools. Front Public Health. 2024 Mar 1;12:1365355. doi: 10.3389/fpubh.2024.1365355. eCollection 2024.

Reference Type BACKGROUND
PMID: 38496396 (View on PubMed)

Popkin BM, Ng SW. The nutrition transition to a stage of high obesity and noncommunicable disease prevalence dominated by ultra-processed foods is not inevitable. Obes Rev. 2022 Jan;23(1):e13366. doi: 10.1111/obr.13366. Epub 2021 Oct 10.

Reference Type BACKGROUND
PMID: 34632692 (View on PubMed)

Neumark-Sztainer D, Wall M, Story M, Fulkerson JA. Are family meal patterns associated with disordered eating behaviors among adolescents? J Adolesc Health. 2004 Nov;35(5):350-9. doi: 10.1016/j.jadohealth.2004.01.004.

Reference Type BACKGROUND
PMID: 15488428 (View on PubMed)

Mates E, Lelijveld N, Ali Z, Sadler K, Yarparvar A, Walters T, Brown R, Rodriques B. Nutrition of School-Aged Children and Adolescents in Europe and Central Asia Region: A Literature and Survey Review. Food Nutr Bull. 2023 Mar;44(1):51-61. doi: 10.1177/03795721231163021. Epub 2023 Apr 5.

Reference Type BACKGROUND
PMID: 37017089 (View on PubMed)

Aounallah-Skhiri H, Traissac P, El Ati J, Eymard-Duvernay S, Landais E, Achour N, Delpeuch F, Ben Romdhane H, Maire B. Nutrition transition among adolescents of a south-Mediterranean country: dietary patterns, association with socio-economic factors, overweight and blood pressure. A cross-sectional study in Tunisia. Nutr J. 2011 Apr 24;10:38. doi: 10.1186/1475-2891-10-38.

Reference Type BACKGROUND
PMID: 21513570 (View on PubMed)

Other Identifiers

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112-2025

Identifier Type: OTHER

Identifier Source: secondary_id

AICU-2025-NUTR01

Identifier Type: -

Identifier Source: org_study_id

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