The Effect of Mothers' Nutritional Knowledge and Cyberchondria Severity on Nutritional Supplement Use in Their Children Between 5-18 Years: A Cross-Sectional Study
Abstract views: 319
/ 
PDF downloads: 151
DOI:
https://doi.org/10.5281/zenodo.8403024Keywords:
Child, Siberkondriya, Mother, Nutrition InformationAbstract
Aim: This study aims to determine the relationship between nutritional supplement use, nutritional knowledge and cyberchondria level in parents with children aged between 5-18 years.
Method: The descriptive study consisted of 229 parents. Data was collected using Nutrition Knowledge Level Scale for for Adults (NKLSA), Cyberchondria Severity Scale (SCS) and information form.
Results: Research findings revealed that 24% of mothers and 62% of their children used nutritional supplements. 81% of mothers used nutritional supplements for their children stated that the nutritional supplements they used for their children were safe. 45.7% of mothers stated that they used nutritional supplements to support their children's growth, and 30.3% stated that they started using more nutritional supplements for their children during the Covid-19 pandemic. The mean score on the Food Preference Knowledge subscale was found to be significantly lower, and the mean score on the Distrust of Doctors subscale was significantly higher compared to mothers who did not use nutritional supplements for their children (p<0.05). A negative significant relationship was found between the parents' mean Basic Nutrition Knowledge score and the Cyberchondria Severity Scale total score, compulsion subscale and excessive anxiety subscale score. A negative significant relationship was detected between the Distrust in Doctor subscale and the mean score of the Food Preference Knowledge. A negative significant relationship was found between the mean NKLSA score and the Excessive Anxiety subscale score (p<0.05).
Conclusion: The findings showed that cyberchondria, compulsion and excessive anxiety levels decrease in line with the increase in mothers' basic nutritional knowledge. It was determined that the mother's nutritional knowledge level was negatively associated with excessive anxiety. It has seen that mothers who used nutritional supplements for their children had lower nutritional preference knowledge and higher distrust of physician. Educating mothers about healthy nutrition and healthy food choices has been recommended to raise awareness about misinformation on the internet regarding healthy nutrition and health protection.
References
Akpinar, C. V., Mandiracioğlu, A., Özvurmaz, S., Kurt, F., & Koc, N. (2022). Cyberchondria and COVID-19 anxiety and internet addiction among nursing students. Current Psychology, 42(3), 2406–2414. https://doi.org/10.1007/s12144-022-04057-z
Akgün, S., Pekcan, G., Aksoydan, E., Kiziltan, G., Karaagaoglu, E., Karahan, S.,….Kelat, Z. (2019). Türkiye Beslenme ve Sağlık Araştırması (TBSA) T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. Ankara: Tiraj Basım ve Yayın.
Arsenakis, S., Chatton, A., Penzenstadler, L., Billieux, J., Berle, D., Starcevic, V., . . . Khazaal, Y. (2021). Unveiling the relationships between cyberchondria and psychopathological symptoms. Journal of Psychiatric Research, 143, 254–261. https://doi.org/10.1016/j.jpsychires.2021.09.014
Athavale, P., Hoeft, K.S., Dalal, R., Bondre, A., Mukherjee, P., & Sokal-Gutierrez, K. (2020). A qualitative assessment of barriers and facilitators to implementing recommended infant nutrition practices in Mumbai, India. Journal of Health Population and Nutrition, 39(1). https://doi.org/10.1186/s41043-020-00215-w
Bal Yılmaz, H., & Bolışık, B. (2013). Çocuklarda Beslenme. Conk, Z., Başbakkal, Z., Bal Yılmaz, H., Bolışık, B. (Ed.), Pediatri Hemşireliği içinde (ss.233-70). Ankara: Akademisyen Yayınevi.
Batmaz, H. (2018). Yetişkinler için beslenme bilgi düzeyi ölçeği geliştirilmesi ve geçerlik-güvenirlik çalışması. (Yayımlanmamış Yüksek Lisans Tezi). Marmara Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul.
Binns, C.W., Lee. M.K., & Lee, A.H. (2018). Problems and prospects: Public health regulation of dietary supplements. Annual Review of Public Health. 49, 403–20. https://doi.org/10.1146/annurev-publhealth- https://doi.org/10.1146/annurev-publhealth-040617-013638
Boursier, V., Manna, V., Gioia, F., Coppola, F., & Venosa, N. (2018). Cyber-Moms facing motherhood. In Advances in healthcare information systems and administration book series. https://doi.org/10.4018/978-1-5225-3716-8.ch002
Chandra, R.K. (2002). Nutrition and the immune system from birth to old age. European Journal of Clinical Nutrition, 56, S73–S76. https://doi.org/10.1038/sj.ejcn.1601492
Coşkun, S. & Ateş Özcan, B. (2023). Annelerin beslenme bilgi düzeylerinin, çocuklarının beslenme bilgi düzeyi ve diyet kaliteleri ile ilişkisi. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, 20, 594-609. https://doi.org/10.38079/igusabder.1177503
Evgin, D., & Teskereci, G. (2021). Annelerin D vitamini hakkındaki bilgilerinin ve kullanma durumlarının belirlenmesi: Kumluca örneği. Jinekoloji - Obstetrik ve Neonatoloji Tıp Dergisi, 18(4), 1042–1050. https://doi.org/10.38136/jgon.850074
Fadare, O., Amare, M., Mavrotas, G., Akerele, D., & Ogunniyi, A. (2019). Mother’s nutrition related knowledge and child nutrition outcomes: Empirical evidence from Nigeria. PLOS ONE, 14(2), e0212775. https://doi.org/10.1371/journal.pone.0212775
Fergus, T.A. (2014). The Cyberchondria Severity Scale (CSS): An examination of structure and relations with health anxiety in a community sample. Journal of Anxiety Disorders, 28(6), 504–510. https://doi.org/10.1016/j.janxdis.2014.05.006
Forh, G., Apprey, C., & Agyapong, N. a. F. (2022). Nutritional knowledge and practices of mothers/caregivers and its impact on the nutritional status of children 6–59 months in Sefwi Wiawso Municipality, Western-North Region, Ghana. Heliyon, 8(12), e12330. https://doi.org/10.1016/j.heliyon.2022.e12330
Gallo, S., Jean-Philippe, S., Rodd, C., & Weiler, H.A. (2010). Vitamin D supplementation of Canadian infants: practices of Montreal mothers. Applied Physiology, Nutrition, and Metabolism, 35(3), 303–309. https://doi.org/10.1139/h10-021
Georgieff, M., Brunette, K. E., & Tran, P. V. (2015). Early life nutrition and neural plasticity. Development and Psychopathology, 27(2), 411–423. https://doi.org/10.1017/s0954579415000061
Göbel, P., Ercan, A., & Bayram, S. (2020). The impact of nutrition education of parents on food choices of their children. Acta Scientific Nutritional Health, 4(9), 89–98. https://doi.org/10.31080/asnh.2020.04.0755
Gray, D.P., Dineen, M., & Sidaway-Lee, K. (2020). The worried well. British Journal of General Practice, 70(691), 84–85. https://doi.org/10.3399/bjgp20x708017
Hart, K., Herriot, A., Bishop, J. A., & Truby, H. (2003). Promoting healthy diet and exercise patterns amongst primary school children: a qualitative investigation of parental perspectives. Journal of Human Nutrition and Dietetics, 16(2), 89–96. https://doi.org/10.1046/j.1365-277x.2003.00429.x
Hynes, C., Jesurasa, A., Evans, P., & Mitchell, C. (2017). Vitamin D supplementation for women before and during pregnancy: an update of the guidelines, evidence, and role of GPs and practice nurses. British Journal of General Practice, 67(662), 423–424. https://doi.org/10.3399/bjgp17x692489
Kan, A., Kartal, G., & Öztürk, M. (2023). Factors Affecting Levels of Cyberchondria in Mothers of Children with Food Allergies. Eastern Journal of Medicine, 28(1), 172–178. https://doi.org/10.5505/ejm.2023.34366
Kang, M., Kim, D.W., Jung, H.J., Shim, J.E., Song, Y., Kim, K., & Paik, H.Y. (2016). Dietary supplement use and nutrient intake among children in South Korea. Journal of the Academy of Nutrition and Dietetics, 116(8), 1316–1322. https://doi.org/10.1016/j.jand.2016.02.020
Katoch, O.R. (2022). Determinants of malnutrition among children: A systematic review. Nutrition, 96, 111565. https://doi.org/10.1016/j.nut.2021.111565
Low, S.T., Ferraz, A.P.C.R., Maio, R., Francisqueti, F.V., Pierine, D.T., Borges, W.N.S.,. . . Corrêa, C.R. (2018). Factors that influence the redox state in children: An exploratory study. Clinics. https://doi.org/10.6061/clinics/2018/e335
Lundborg, P., Rooth, D.O., & Alex-Petersen, J. (2022). Long-term effects of childhood nutrition: Evidence from a school lunch reform. The Review of Economic Studies, 89(2),876–908. https://doi.org/10.1093/restud/rdab028.
Marimuthu, M. (2019). Young mothers’ acceptance of herbal food supplements: Centred on preventive health behaviour for children. Journal of Retailing and Consumer Services, 51, 311–319.
https://doi.org/10.1016/j.jretconser.2019.06.019
McElroy, E., & Shevlin, M. (2014). The development and initial validation of the cyberchondria severity scale (CSS). Journal of Anxiety Disorders, 28(2), 259–265. https://doi.org/10.1016/j.janxdis.2013.12.007
McMullan, R., Berle, D., Arnáez, S., & Starcevic, V. (2019). The relationships between health anxiety, online health information seeking, and cyberchondria: Systematic review and meta-analysis. Journal of Affective Disorders, 245, 270–278. https://doi.org/10.1016/j.jad.2018.11.037
Mutlu, G.Y., Aksu, E.D., Bereket, A., & Hatun, Ş. (2020). Vitamin D status across age groups in Turkey: Results of 108,742 samples from a single laboratory. Journal of Clinical Research in Pediatric Endocrinology, 12(3), 248–255. https://doi.org/10.4274/jcrpe.galenos.2019.2019.0097
Nadeem, F., Malik, N. I., Atta, M., Ullah, I., Martinotti, G., Pettorruso, M., . . . De Berardis, D. (2022). Relationship between Health-Anxiety and Cyberchondria: Role of Metacognitive Beliefs. Journal of Clinical Medicine, 11(9), 2590. https://doi.org/10.3390/jcm11092590
Nair, R., & Maseeh, A. (2012). Vitamin D: The “sunshine” vitamin. Journal of Pharmacology & Pharmacotherapeutics, 3(2), 118-26. https://doi.org/10.4103/0976-500x.95506
Owais, A., Suchdev, P.S., Schwartz, B., Kleinbaum, D.G., Faruque, A.S.G., Das, S.K., & Stein, A.D. (2019). Maternal knowledge and attitudes towards complementary feeding in relation to timing of its initiation in rural Bangladesh. BMC Nutrition, 5(1). https://doi.org/10.1186/s40795-019-0272-0
Peters, J., Parletta, N., Campbell, K., & Lynch, J. (2014). Parental influences on the diets of 2 to 5-year-old children: Systematic review of qualitative research. Journal of Early Childhood Research, 12(1), 3–19. https://doi.org/10.1177/1476718x13492940
Piekara, A., Krzywonos, M., & Kopacz, M. (2021). Dietary supplements ıntended for children-proposed classification of products available on the market. Journal of Dietary Supplements, 19(4), 431–442. https://doi.org/10.1080/19390211.2021.1887425
Schenkel, S., Jungmann, S. M., Gropalis, M., & Witthöft, M. (2021). Conceptualizations of Cyberchondria and Relations to the anxiety
Spectrum: Systematic review and meta-analysis. Journal of Medical Internet Research, 23(11), e27835. https://doi.org/10.2196/27835
Starcevic, V., Schimmenti, A., Billieux, J., & Berle, D. (2021). Cyberchondria in the time of the COVID ‐19 pandemic. Human Behavior and
Emerging Technologies, 3, 53–62. https://doi.org/10.1002/hbe2.233
Starcevic, V., Baggio, S., Berle, D., Khazaal, Y., & Viswasam, K. (2019). Cyberchondria and its relationships with related constructs: A network analysis. Psychiatric Quartery, 90, 491–505. https://doi.org/10.1007/ s11126-019-09640-5.
Taylor-Baer, M., & Herman, D. (2017). From epidemiology to epigenetics: Evidence for the importance of nutrition to optimal health development across the life course. In: Handbook of Life Course Health Development. Springer International Publishing (ss.431–62). https://doi.org/10.1007/978-3-319-47143-3_18.
Trude, A., Black, M.M., Surkan, P.J., Hurley, K.M., & Wang, Y. (2020). Maternal anxiety and diet quality among mothers and toddlers from low‐income households. Maternal and Child Nutrition, 16(4). https://doi.org/10.1111/mcn.12992
Uzun, S. U., & Zencir, M. (2021). Reliability and validity study of the Turkish version of cyberchondria severity scale. Current Psychology, 40(1), 65–71. https://doi.org/10.1007/s12144-018-0001-x
Venter, C., Meyer, R., Greenhawt, M., Pali-Schöll, I., Nwaru, B. I., Roduit, C., . . . O’Mahony, L. (2022). Role of dietary fiber in promoting immune health—An EAACI position paper. Allergy, 77(11), 3185–3198. https://doi.org/10.1111/all.15430
Weydert, J.A. (2014). Vitamin D in children’s health. Children (Basel), 1(2), 208–226. https://doi.org/10.3390/children1020208
Williams, A., & Suchdev, P. S. (2017). Assessing and improving childhood nutrition and growth globally. Pediatric Clinics of North America, 64(4), 755–768. https://doi.org/10.1016/j.pcl.2017.03.001
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The journal is licensed under a 