National prevalence and trends in food labeling awareness, comprehension, usage, and COVID-19 pandemic-related factors in South Korea, 2014-2022.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
31 Jan 2024
Historique:
received: 08 07 2023
accepted: 11 01 2024
medline: 1 2 2024
pubmed: 1 2 2024
entrez: 31 1 2024
Statut: epublish

Résumé

Although food labeling on food packages is crucial for promoting a healthy diet, limited research has been conducted on how the COVID-19 pandemic (hereinafter "the pandemic") has affected food labeling awareness. Therefore, this study aims to analyze the changes in trends in food labeling awareness, comprehension, and usage in South Korea during the pandemic. We utilized a nationwide, large-scale, and long-term dataset provided by the Korea Community Health Survey (KCHS) from 2014 to 2022 (total = 1,756,847 participants). This allowed the researchers to assess the long-term trends in the prevalence of food labeling awareness, comprehension, and usage. Furthermore, we investigated the factors associated with awareness specifically related to the pandemic. In total, 1,756,847 adults (54.19% women) participated in this study. The upward slope in overall food labeling awareness became less pronounced and even exhibited a downward slope during the pandemic (βdiff - 1.759; 95% CI - 1.874 to - 1.644). The upward slope in food labeling comprehension and usage became more pronounced during the pandemic (comprehension: βdiff 0.535; 95% CI 0.436-0.634; usage: βdiff 0.693; 95% CI 0.601-0.785). The vulnerability factors associated with lower food labeling awareness during the pandemic included older age, male, obesity, residing in rural areas, lower household income, lower educational level, smoking, and increased alcohol consumption. This study analyzed the 9-year trend in the prevalence of food labeling awareness, comprehension, and usage based on nationally representative data of adults in South Korea from 2014 to 2022. Our findings suggest that personalized nutrition strategies are needed to recognize vulnerable groups with risk factors and improve food labeling awareness among Korean adults during the pandemic.

Identifiants

pubmed: 38297021
doi: 10.1038/s41598-024-51948-1
pii: 10.1038/s41598-024-51948-1
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2617

Subventions

Organisme : Korea Health Industry Development Institute
ID : HE23C002800
Pays : Republic of Korea
Organisme : Ministry of Food and Drug Safety
ID : 21153MFDS601

Informations de copyright

© 2024. The Author(s).

Références

Ruthsatz, M. & Candeias, V. Non-communicable disease prevention, nutrition and aging. Acta Biomed. 91, 379–388 (2020).
pubmed: 32420978 pmcid: 7569619
Woo, H. G. et al. National trends in sadness, suicidality, and COVID-19 pandemic-related risk factors among South Korean adolescents from 2005 to 2021. JAMA Netw. Open 6, e2314838 (2023).
doi: 10.1001/jamanetworkopen.2023.14838 pubmed: 37223902 pmcid: 10209749
Lee, S. W. et al. Proton pump inhibitors and the risk of severe COVID-19: A post-hoc analysis from the Korean nationwide cohort. Gut 70, 2013–2015 (2021).
doi: 10.1136/gutjnl-2020-323672 pubmed: 33303566
Park, S. et al. National trends in alcohol and substance use among adolescents from 2005 to 2021: A Korean serial cross-sectional study of one million adolescents. World J. Pediatr. 19, 1071–1081 (2023).
doi: 10.1007/s12519-023-00715-9 pubmed: 36977821
Cha, Y., Jung, W., Seo, M. & Rahmati, M. The emerging pandemic recent: SARS-CoV-2. Life Cycle 3, e2 (2023).
doi: 10.54724/lc.2023.e2
Oh, J. et al. National and regional trends in the prevalence of type 2 diabetes and associated risk factors among Korean adults, 2009–2021. Sci. Rep. 13, 16727 (2023).
doi: 10.1038/s41598-023-43353-x pubmed: 37794087 pmcid: 10551027
Sun, X., et al. Dietary and other lifestyle factors and their influence on non-communicable diseases in the Western Pacific region. Lancet Reg. Health West. Pac. https://doi.org/10.1016/j.lanwpc.2023.100842 (2023).
Viola, G. C., Bianchi, F., Croce, E. & Ceretti, E. Are food labels effective as a means of health prevention?. J. Public Health Res. 5, 768 (2016).
pubmed: 28083524 pmcid: 5206777
Levy, J. H., Douketis, J., Steiner, T., Goldstein, J. N. & Milling, T. J. Prothrombin complex concentrates for perioperative vitamin K antagonist and non-vitamin K anticoagulant reversal. Anesthesiology 129, 1171–1184 (2018).
doi: 10.1097/ALN.0000000000002399 pubmed: 30157037
Besler, H. T., Buyuktuncer, Z. & Uyar, M. F. Consumer understanding and use of food and nutrition labeling in Turkey. J. Nutr. Educ. Behav. 44, 584–591 (2012).
doi: 10.1016/j.jneb.2012.01.005 pubmed: 22770836
Kim, Y. T. et al. Overview of Korean community health survey. jkma 55, 74–83 (2012).
Kang, Y. W. et al. Korea community health survey data profiles. Osong Public Health Res. Perspect. 6, 211–217 (2015).
doi: 10.1016/j.phrp.2015.05.003 pubmed: 26430619 pmcid: 4551141
Lee, E. Y., Lee, S. & Choi, B. Y. Association between objectively measured built environments and adult physical activity in Gyeonggi province, Korea. Int. J. Public Health 63, 1109–1121 (2018).
doi: 10.1007/s00038-018-1138-y pubmed: 29961108
Noh, J. W., Kim, K. B., Kwon, Y. D. & Kim, J. H. Association between sodium intake and lower urinary tract symptoms: Does less sodium intake have a favorable effect or not?. Transl. Androl. Urol. 9, 1135–1145 (2020).
doi: 10.21037/tau-19-808 pubmed: 32676397 pmcid: 7354310
Shin, H., Kim, J. S. & Lee, H. Association of depression with precautionary behavior compliance, COVID-19 fear, and health behaviors in South Korea: National cross-sectional study. JMIR Public Health Surveill. 9, e42677 (2023).
doi: 10.2196/42677 pubmed: 36716130 pmcid: 9953990
Kim, Y., Kwon, H. Y., Lee, S. & Kim, C. B. Depression during COVID-19 quarantine in South Korea: A propensity score-matched analysis. Front. Public Health 9, 743625 (2021).
doi: 10.3389/fpubh.2021.743625 pubmed: 35155331
Park, J. et al. National trends in rheumatoid arthritis and osteoarthritis prevalence in South Korea, 1998–2021. Sci. Rep. 13, 19528 (2023).
doi: 10.1038/s41598-023-46279-6 pubmed: 37945633 pmcid: 10636038
Jo, H. S. & Jung, S. M. Evaluation of food labeling policy in Korea: Analyzing the Community Health Survey 2014–2017. J. Korean Med. Sci. 34, e211 (2019).
doi: 10.3346/jkms.2019.34.e211 pubmed: 31432651 pmcid: 6698451
Kim, S. Y. Nationwide COVID-19 vaccination coverage and COVID-19 incidence in South Korea, January 2022: A national official report. Life Cycle 2, e2 (2022).
doi: 10.54724/lc.2022.e2
WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet (London, England) 363, 157–163 (2004).
Rhee, S. Y. Obesity: Lessons learned and the way forward. Life Cycle 3, e6 (2023).
doi: 10.54724/lc.2023.e6
Shin, Y. H. et al. Autoimmune inflammatory rheumatic diseases and COVID-19 outcomes in South Korea: A nationwide cohort study. The Lancet. Rheumatology 3, e698–e706 (2021).
doi: 10.1016/S2665-9913(21)00151-X pubmed: 34179832 pmcid: 8213376
Lee, J. S. et al. Breastfeeding and impact on childhood hospital admissions: A nationwide birth cohort in South Korea. Nat. Commun. 14, 5819 (2023).
doi: 10.1038/s41467-023-41516-y pubmed: 37730734 pmcid: 10511528
Yon, D. K. et al. Indoor exposure and sensitization to formaldehyde among inner-city children with increased risk for asthma and rhinitis. Am. J. Respir. Crit. Care Med. 200, 388–393 (2019).
doi: 10.1164/rccm.201810-1980LE pubmed: 30958969
Lee, S. W. Methods for testing statistical differences between groups in medical research: Statistical standard and guideline of Life Cycle Committee. Life Cycle 2, e1 (2022).
doi: 10.54724/lc.2022.e1
Lee, S. W. et al. Physical activity and the risk of SARS-CoV-2 infection, severe COVID-19 illness and COVID-19 related mortality in South Korea: A nationwide cohort study. Br. J. Sports Med. 56, 901–912 (2022).
doi: 10.1136/bjsports-2021-104203 pubmed: 34301715
Liao, Y. & Yang, J. Status of nutrition labeling knowledge, attitude, and practice (KAP) of residents in the community and structural equation modeling analysis. Front. Nutr. 10, 1097562 (2023).
doi: 10.3389/fnut.2023.1097562 pubmed: 37139447 pmcid: 10149812
Lewis, J. E. et al. Food label use and awareness of nutritional information and recommendations among persons with chronic disease. Am. J. Clin. Nutr. 90, 1351–1357 (2009).
doi: 10.3945/ajcn.2009.27684 pubmed: 19776144 pmcid: 3151015
Lee, S. W. et al. Nationwide results of COVID-19 contact tracing in South Korea: Individual participant data from an epidemiological survey. JMIR Med. Inform. 8, e20992 (2020).
doi: 10.2196/20992 pubmed: 32784189 pmcid: 7470235
Jo, H., Shin, E. & Kim, H. Changes in consumer behaviour in the post-COVID-19 era in Seoul, South Korea. Sustainability 13, 136 (2020).
doi: 10.3390/su13010136
Miller, L. M. & Cassady, D. L. The effects of nutrition knowledge on food label use. A review of the literature. Appetite 92, 207–216 (2015).
doi: 10.1016/j.appet.2015.05.029 pubmed: 26025086
Janssen, M. et al. Changes in food consumption during the COVID-19 pandemic: Analysis of consumer survey data from the first lockdown period in Denmark, Germany, and Slovenia. Front. Nutr. 8, 635859 (2021).
doi: 10.3389/fnut.2021.635859 pubmed: 33763443 pmcid: 7982667
Alkhaldy, A. A. et al. The impact of the COVID-19 pandemic on public interest in the energy labelling on restaurant menus. Nutrients 15, 466 (2023).
doi: 10.3390/nu15020466 pubmed: 36678337 pmcid: 9866988
Alhusseini, N. & Alqahtani, A. COVID-19 pandemic’s impact on eating habits in Saudi Arabia. J. Public Health Res. 9, 1868 (2020).
doi: 10.4081/jphr.2020.1868 pubmed: 33024727 pmcid: 7512943
Shrestha, A. et al. Impact of front-of-pack nutrition labelling in consumer understanding and use across socio-economic status: A systematic review. Appetite 187, 106587 (2023).
Regan, Á. et al. The impact of the Covid-19 pandemic on food consumers’ awareness of antimicrobial resistance, OneHealth, and animal welfare information on food labels. Front. Vet. Sci. 8, 678509 (2021).
doi: 10.3389/fvets.2021.678509 pubmed: 34268348 pmcid: 8276886
Petimar, J. et al. Assessment of calories purchased after calorie labeling of prepared foods in a large supermarket chain. JAMA Intern. Med. 182, 965–973 (2022).
doi: 10.1001/jamainternmed.2022.3065 pubmed: 35913728 pmcid: 9344388
Du, M. et al. Cost-effectiveness analysis of nutrition facts added-sugar labeling and obesity-associated cancer rates in the US. JAMA Netw. Open 4, e217501 (2021).
doi: 10.1001/jamanetworkopen.2021.7501 pubmed: 33904914 pmcid: 8080223
Park, S. et al. National trends in physical activity among adults in South Korea before and during the COVID-19 pandemic, 2009–2021. JAMA Netw. Open 6, e2316930 (2023).
doi: 10.1001/jamanetworkopen.2023.16930 pubmed: 37273204 pmcid: 10242425
Koo, M. J. et al. National trends in the prevalence of allergic diseases among Korean adolescents before and during COVID-19, 2009–2021: A serial analysis of the national representative study. Allergy 78, 1665–1670 (2023).
doi: 10.1111/all.15600 pubmed: 36440490
Yoon, S. Y. et al. National trends in the prevalence of chronic kidney disease among Korean adults, 2007–2020. Sci. Rep. 13, 5831 (2023).
doi: 10.1038/s41598-023-33122-1 pubmed: 37037823 pmcid: 10086041

Auteurs

Yujin Choi (Y)

Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea.
Department of Korean Medicine, Kyung Hee University College of Korean Medicine, Seoul, South Korea.

Hyeon Jin Kim (HJ)

Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea. hyeonjin7418@gmail.com.
Department of Regulatory Science, Kyung Hee University, Seoul, South Korea. hyeonjin7418@gmail.com.

Jaeyu Park (J)

Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea.
Department of Regulatory Science, Kyung Hee University, Seoul, South Korea.

Seung Won Lee (SW)

Department of Precision Medicine, Sungkyunkwan University School of Medicine, Suwon, South Korea.

Masoud Rahmati (M)

Department of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences, Lorestan University, Khoramabad, Iran.
Department of Physical Education and Sport Sciences, Faculty of Literature and Humanities, Vali-e-Asr University of Rafsanjan, Rafsanjan, Iran.

Ai Koyanagi (A)

Research and Development Unit, Parc Sanitari Sant Joan de Deu, Barcelona, Spain.

Lee Smith (L)

Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.

Min Seo Kim (MS)

Cardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA, USA.

Guillermo F López Sánchez (GF)

Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain.

Elena Dragioti (E)

Pain and Rehabilitation Centre, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Research Laboratory Psychology of Patients, Families, and Health Professionals, Department of Nursing, School of Health Sciences, University of Ioannina, Ioannina, Greece.

Jinseok Lee (J)

Department of Biomedical Engineering, Kyung Hee University, Yongin, South Korea.

Sang Youl Rhee (SY)

Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea.
Department of Endocrinology and Metabolism, Kyung Hee University School of Medicine, Seoul, South Korea.

Sunyoung Kim (S)

Department of Family Medicine, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, South Korea.

Hyunjung Lim (H)

Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin, South Korea. hjlim@khu.ac.kr.
Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, 23 Kyungheedae-Ro, Dongdaemun-Gu, Seoul, 02447, South Korea. hjlim@khu.ac.kr.

Dong Keon Yon (DK)

Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea. yonkkang@gmail.com.
Department of Regulatory Science, Kyung Hee University, Seoul, South Korea. yonkkang@gmail.com.
Department of Pediatrics, Kyung Hee University College of Medicine, 23 Kyungheedae-Ro, Dongdaemun-Gu, Seoul, 02447, South Korea. yonkkang@gmail.com.

Classifications MeSH