{"title":"Nutrition Transition in Arab/Palestinian Youth Living in Nazareth and East Jerusalem","authors":"Raghda Barakat MSc, RD, Liora Gvion PhD, Aliza Stark PhD RD","doi":"10.1016/j.jneb.2025.05.084","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Health inequities exist in Israel and the Arab population is at higher risk of increased mortality and morbidity. In adolescents, high rates of obesity and sedentary behavior have been documented.</div></div><div><h3>Objective</h3><div>To assess Arab youths' knowledge, attitudes, and practices regarding the Traditional Palestinian Diet (TPD) and identify possible strategies to improve dietary intake and preserve cultural heritage.</div></div><div><h3>Study Design, Settings, Participants</h3><div>A cross-sectional study was conducted in schools in East Jerusalem and Nazareth among Arab adolescents using purposive sampling. Structured questionnaires focusing on the TPD were administered.</div></div><div><h3>Measurable Outcome/Analysis</h3><div>Determination of current eating patterns in Arab youth were described. Data was analyzed by sex, location and age using either a t-test or Chi-Square test.</div></div><div><h3>Results</h3><div>Students (N&#3f522) completed the survey, with half from each city. Mean age was 15 ± 1.2 years, 70% female, and 97% Muslim. Only 28.7% ate traditional meals daily, typically at home or with immediate family. The self-reported ability to prepare traditional meals was low; 29% in females and 24% males (p < 0.004). Knowledge of ingredients and nutrition was also limited. Traditional eating practices; such as bread served with the main meal and using hands instead of cutlery were relatively common while sharing a central plate was less prevalent. Weekly fast food consumption was high at 67% and 85% reported drinking sweetened beverages. An association between fast food intake and following the TPD fell short of statistical significance at P=0.18. Additional advanced analyses did not provide significant results.</div></div><div><h3>Conclusions</h3><div>Arab youth are abandoning the TPD, which may contribute to widespread obesity and other health disparities. Despite distinctly different socio-political environments, location had little impact on results. Nutrition education focused on the Palestinian “Heritage Diet” and empowering youth, may be an effective strategy to improve eating behaviors and health inequities in this population.</div></div><div><h3>Funding</h3><div>None</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Page S38"},"PeriodicalIF":2.3000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nutrition Education and Behavior","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1499404625002003","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Health inequities exist in Israel and the Arab population is at higher risk of increased mortality and morbidity. In adolescents, high rates of obesity and sedentary behavior have been documented.
Objective
To assess Arab youths' knowledge, attitudes, and practices regarding the Traditional Palestinian Diet (TPD) and identify possible strategies to improve dietary intake and preserve cultural heritage.
Study Design, Settings, Participants
A cross-sectional study was conducted in schools in East Jerusalem and Nazareth among Arab adolescents using purposive sampling. Structured questionnaires focusing on the TPD were administered.
Measurable Outcome/Analysis
Determination of current eating patterns in Arab youth were described. Data was analyzed by sex, location and age using either a t-test or Chi-Square test.
Results
Students (Nf522) completed the survey, with half from each city. Mean age was 15 ± 1.2 years, 70% female, and 97% Muslim. Only 28.7% ate traditional meals daily, typically at home or with immediate family. The self-reported ability to prepare traditional meals was low; 29% in females and 24% males (p < 0.004). Knowledge of ingredients and nutrition was also limited. Traditional eating practices; such as bread served with the main meal and using hands instead of cutlery were relatively common while sharing a central plate was less prevalent. Weekly fast food consumption was high at 67% and 85% reported drinking sweetened beverages. An association between fast food intake and following the TPD fell short of statistical significance at P=0.18. Additional advanced analyses did not provide significant results.
Conclusions
Arab youth are abandoning the TPD, which may contribute to widespread obesity and other health disparities. Despite distinctly different socio-political environments, location had little impact on results. Nutrition education focused on the Palestinian “Heritage Diet” and empowering youth, may be an effective strategy to improve eating behaviors and health inequities in this population.
期刊介绍:
The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas.
The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.