Stunting remains a major public health problem in many low- and middle-income countries, including Indonesia, and maternal nutrition during pregnancy plays a critical role in its prevention. This study aimed to evaluate the effect of a nutrition literacy intervention on pregnant women's knowledge regarding stunting prevention in Tabunganen, Barito Kuala Regency, South Kalimantan. A one-group pretest–posttest quasi-experimental design was used. A total of 48 pregnant women were recruited using purposive sampling in May 2025. Nutrition knowledge was assessed using a structured questionnaire before and after a nutrition counseling intervention. Data were analyzed using a paired t-test with SPSS version 25 to compare pretest and posttest scores. The results showed that most respondents had sufficient knowledge at baseline (79.2%). After the intervention, the proportion of respondents with good knowledge increased from 20.8% to 58%. The paired t-test indicated a statistically significant increase in knowledge scores after the intervention (mean difference = 2.9; p < 0.001). These findings suggest that nutrition literacy counseling was associated with improved knowledge of stunting prevention among pregnant women. Integrating structured nutrition education into routine antenatal care may support efforts to strengthen maternal nutrition knowledge in communities at risk of stunting.

This study aimed to develop a preliminary diabetes-specific Nutritional Literacy (NL) scale and examine its associations with key variables, including HbA1c%. A cross-sectional survey was disseminated to adults with Type 2 Diabetes (T2D) attending primary care clinics in Qatar via SMS. An NL scale and administered after answering sociodemographic and health-related variables. Following content validity, reliability and principal component analysis, we developed a preliminary unidimensional NL scale. We then assessed the relationship between demographic, behavioral and clinical characteristics and the developed NL scale, in a multivariate logistic regression test, after assessing covariate in bivariate tests. The NL scale demonstrated internal consistency and a unidimensional structure. Compared to having HbA1c% levels of 5.7-6.4%, those with levels of 6.5-8% (OR = 0.45) and > 8% (OR = 0.28) had significantly lower odds of high NL. Relative to exercising 0-1days/week, exercising 6-7days/week (OR = 18.0) and 4-5days/week (OR = 2.78) were associated with increased odds of high NL. Further, those who had not visited a clinic in over a year (OR = 0.22) had lower odds of high NL compared to those that visited a clinic 1-6months ago. Marginal associations were found for clinical referrals (OR = 1.99), smokers (OR = 0.48), and having other chronic diseases (OR = 0.60), relative to no referrals, not smoking and not having other chronic diseases respectively. Higher NL is associated with better glycemic control, healthier behaviors, and healthcare utilization, highlighting the importance of integrating tailored nutrition education into diabetes care.

Nutrition interventions aiming to improve dietary behaviors often incorporate Health Literacy (HL), Nutrition Literacy (NL), or Food Literacy (FL), as a key component. The relationship between Health, Nutrition, and Food Literacy (HNFL) and dietary intake and diet adherence (eg, to dietary patterns or to recommended intake frequency guidelines) is unclear, and the role of the various literacy assessments remains unexamined. These gaps limit the understanding of how HNFL impacts efforts to improve dietary behaviors. This review aimed to examine how HNFL is associated with dietary intake and adherence to dietary patterns or guidelines, emphasizing the type and comprehensiveness of the HNFL assessments used. Five electronic databases were used: PubMed, Web of Science, CINAHL, Psycinfo, and Communication and Mass Media Complete. Data screening, extraction, and quality assessment were performed independently by 4 reviewers using the PRISMA guidelines and a scale for study quality assessment. A total of 49 studies were retrieved from the 2495 originally screened; 26 assessed dietary intake and 23 assessed adherence to particular dietary recommendations. The type of HNFL assessed varied; 27 studies assessed HL, 17 assessed NL, and 5 assessed FL. Seventy-two investigations of the relationship between HNFL and dietary intake and adherence were reported: 42 identified a positive relationship (ie, higher HNFL related to better dietary intake/adherence), 28 did not show a significant relationship, and 2 identified a negative relationship (ie, higher HNFL related to poorer dietary intake/adherence). Studies involving HL showed the most positive relationships to dietary behavior, especially when using more comprehensive tools. Many studies received low quality assessment scores due to psychometric weaknesses in their HNFL tools. Although the relationship between HNFL and dietary behavior and adherence remains unconfirmed, patterns in the findings suggest that increased HL, especially if assessed with robust tools, is more likely to demonstrate positive associations with positive changes in dietary behavior. Future nutrition intervention studies should carefully select HNFL tools that are robust and appropriate for their research question. PROSPERO registration No. CRD42024556816.

Developing and validating a comprehensive nutrition literacy scale for older adults: addressing the modern challenges of nutritional health in the digital era.

Traditional Japanese diet comprises staple food, main dish, and side dish (SMS). Studies reporting the association between the frequency of SMS meals consumption and nutritional adequacy remain limited. We aimed to examine the association between the frequency of SMS meals consumption and nutritional adequacy in young Japanese women. In this cross-sectional study, data from 329 female nutrition students aged 18-25 years were analysed. The frequency of SMS meals consumption more than twice a day was assessed using a self-administered questionnaire, and dietary intake was evaluated using a validated food frequency questionnaire. We examined the association between SMS meals consumption and likelihood of not meeting the Dietary Goal (DG) or the Estimated Average Requirement (EAR) as defined in the Japanese Dietary Reference Intakes for Japanese. Trend analyses were performed to evaluate the relationship between SMS meal frequency and the number of nutrients not meeting the DG or EAR, while adjusting for potential confounders. Participants with high frequency of SMS meals consumption (5-7 days/week) had the lowest number of nutrients not meeting the EAR and DG, with significant linear trends observed across categories (p for trend <0.001 for DG; 0.001 for EAR). Frequency of SMS meals consumption is positively associated with improved nutrient intake among young Japanese women. However, given that the participants were dietetic students with relatively high nutrition literacy, caution is needed when generalising these findings to the wider population of young Japanese women.

Nutrition labeling is a critical dietary tool; however, the potential benefits and significant challenges persist in translating nutrition labeling into meaningful behavior change. Therefore, this review critically appraises the evidence of consumer knowledge and practices regarding nutrition labeling in the United Arab Emirates (UAE) food environment, particularly across retail settings where packaged foods and front-of-pack nutrition information are commonly encountered by consumers. A comprehensive search on consumer awareness and use of nutrition labeling in the UAE was conducted via Scopus, PubMed, Cochrane Library, ScienceDirect and Google Scholar, covering publications up to September 2025. The modified PICOS framework was used in the screening and final selection of eligible articles from the initial search results. The quality of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. Ten research articles investigating consumer knowledge, attitudes and practices regarding nutrition labeling were included. This analysis reveals significant gaps between nutrition label awareness and practical utilization in the UAE food environment. While awareness levels are generally high, actual consistent usage remains low. In addition, moderate nutritional literacy was observed, with approximately 42% showing moderate awareness and only 21% demonstrating high knowledge levels in some studies. Inadequate health literacy, financial constraints, and design complexity limited effective food label use. Consumer behavior patterns reveal a strong preference to read expiry dates over nutritional content, with non-health factors, such as taste and price, often outweighing nutritional considerations. Moreover, education level and age positively correlated with nutrition labeling usage. Nevertheless, public support for mandatory labeling policies was high. The observed detachment between the apparent recognition of a food label and its actual utilization in the UAE food context suggests major problems, including insufficient health knowledge, the label complexity, and preference.

Nutrition literacy has been increasingly recognized as a fundamental determinant of healthy eating behaviors during adolescence. Adolescence is a critical phase for growth and adoption of long-term healthy habits. However, there are limited evidence on the correlation between nutrition literacy and diet quality in adolescents. This study aims to evaluate the nutrition literacy and diet quality in adolescents and analyze the relationship between these variables. This cross-sectional study is comprised of a total of 320 adolescents studying in grade 9-12. Participants were recruited from all state-run secondary schools in the Morphou district using a multi-stage proportional stratified random sampling approach, with proportional allocation across grade and sex strata and random selection within classrooms. The sociodemographic characteristics were collected through a structured survey. The nutrition literacy was evaluated with the Adolescent Nutrition Literacy Scale (ANLS) and diet quality with the Mediterranean Diet Quality Index in Children and Adolescents (KIDMED). Body mass index (BMI) was calculated with anthropometric measurements and BMI percentiles were identified as per age and gender. A correlation analysis was developed to analyze the relationship between the components and nutrition literacy and diet quality scores. The average age of participants is 15.39 ± 1.10. The average ANLS total score is 69.17 ± 4.75, which indicates a medium-high nutrition literacy. There is no significant different across genders as per their total nutrition literacy scores (p = 0.336). Functional nutrition literacy (FNL) has a strong but negative correlation with the interactive nutrition literacy (INL) (r = - 0.453; p < 0.01). Moreover, FNL reflected weak yet positive correlation with total nutrition literacy (r = 0.222; p < 0.01) and KIDMED scores (r = 0.118; p < 0.05). No significant association was observed between the ANLS total score and diet quality among adolescents. However, a weak but statistically significant association was observed between FNL and diet quality. Strengthening nutrition literacy through age- and gender-sensitive, school-based, and evidence-based interventions may contribute to healthier dietary behaviors and potential long-term improvements in public health outcomes.

Aims: This study was conducted to determine nutritional literacy's effect on pregnant women’s psychological well-being.Methods: This descriptive cross-sectional study was conducted between December 2023 and June 2024 with 302 pregnant women. R programing language 4.1.3, G*Power 3.1, and SPSS-22 were used in the study. Results: In this study, the model established by hierarchical regression analysis was significant and usable (F(2,299)=22,019, p=0.001). Religious health fatalism and food literacy levels explain 12.8% (R2=0.128) of the total variance in psychological well being. In the regression model, when the t-test results regarding the significance of the regression coefficient were examined, it was determined that the increase in the level of religious health fatalism (t=5.583, p

Malnutrition and delayed child growth remain critical challenges in Indonesia, primarily driven by low maternal nutritional literacy and inadequate early stimulation. Addressing these issues is vital to reduce the high stunting prevalence and improve child development outcomes. This study aimed to evaluate the SDIDTK-Isi Piringku (Stimulation, Detection, and Early Intervention - My Plate) model using a quasi-experimental pre-post test design without control. The intervention was conducted on 30 mothers of children under two years old and Posyandu cadres at Bungus Health Center, Padang City. The results demonstrated a significant enhancement in maternal knowledge and attitudes regarding child growth, leading to a 45% increase in nutritional literacy. Furthermore, the intervention successfully strengthened family-community collaboration. In conclusion, the SDIDTK-Isi Piringku community-based model is proven effective in empowering mothers. This model serves as a strategic prototype for local policies to prevent stunting and supports the achievement of Sustainable Development Goals (SDGs) 2, 3, and 4.

Purpose of the study: This study aimed to analyze the effectiveness of integrating health education media in improving maternal knowledge regarding toddler nutrition in the working area of the Ciputat Timur Community Health Center, South Tangerang. Methodology: A quantitative study with a quasi-experimental design using a non-equivalent control group approach was conducted. The study involved 36 mothers of toddlers, consisting of 9 mothers of underweight toddlers (intervention group) and 27 mothers of well-nourished toddlers (control group). Data were collected using a structured questionnaire measuring maternal knowledge before and after the educational intervention. The intervention included health education using flipchart media and video-based educational materials, while the control group received education using flipchart media only. Main Findings: The results showed a significant improvement in maternal knowledge after the educational intervention. In the underweight toddler group, the median knowledge score increased from 65.00 to 80.00 (p = 0.007). In the well-nourished toddler group, the median knowledge score increased from 70.00 to 80.00 (p &lt; 0.001). Furthermore, the proportion of mothers with knowledge scores above 70 increased from 0% to 66.7% in the underweight group and from 48.1% to 85.2% in the well-nourished group. Novelty/Originality of this study: The novelty of this study lies in the integration of multiple health education media, including flipcharts and video-based learning, within a community-based nutrition education intervention at the primary health care level, providing a more interactive and effective approach to improving maternal nutrition literacy.

Background/Objectives: Approximately 1 in 10 community-dwelling older adults are affected by or at risk of malnutrition, and this prevalence increases to nearly 1 in 3 among those receiving home care or recently hospitalized, contributing to higher rates of frailty, falls, hospitalization, functional decline, and mortality. Many of these individuals depend on informal or family caregivers for nutritional care, including assistance with grocery shopping meal preparation, feeding, and monitoring dietary intake. Thus, informal caregivers play an increasingly central role in supporting dietary intake and maintaining nutritional status. This narrative review aims at assessing the relationship between informal caregiver involvement and malnutrition in community-dwelling older adults who are dependent for nutritional-related needs, summarizing evidence on caregiver's role and caregiver-associated determinants of malnutrition, as well as on interventions that incorporate caregivers into nutrition care. We discuss factors associated with malnutrition in later life, with particular emphasis on caregiver knowledge, burden, interventions and outcomes. In addition, caregiver-inclusive models of care and tools, including nutrition education and guidelines/recommendations, medical nutrition therapy, and multidisciplinary care models will be addressed. Methods: A structured review of the literature was conducted (date of last search December 2025), searching multiple databases for pertinent articles. Following identification of eligible articles for inclusion, a narrative synthesis of evidence was completed. Results and Conclusions: Despite the high degree of heterogeneity in methodology, observational studies demonstrate that several caregiver attributes influence the nutritional status of care recipients, including caregiver's own nutritional status, burden, knowledge and literacy, psychosocial, environmental and economic factors. Intervention studies show that caregiver-focused, -inclusive and -delivered interventions have a positive impact on several outcomes, including improved older care recipient dietary intakes, nutritional status and quality of life without impacting on caregiver burden. Thus, strengthening caregiver support and integrating caregivers into nutrition screening and intervention frameworks may represent a critical opportunity to reduce malnutrition risk and improve health outcomes among older adults. Still, significant gaps remain in caregiver-focused intervention research, particularly in diverse cultural and social contexts.

Development and validation of the new self-reported food and nutrition literacy questionnaire: Food and Nutrition Literacy Survey - FANSy.

Adolescents in Indonesia increasingly consume high-sugar, saturated fat, and ultra-processed foods, contributing to a rising risk of type 2 Diabetes Mellitus (DM). Low attention to healthy eating and poor awareness of its impact remain major gaps in the literature. This systematic review aimed to determine the association between dietary patterns and DM risk among adolescents and promote early prevention. A systematic review was conducted using Google Scholar, PubMed, ScienceDirect, and ProQuest with the following inclusion criteria: discussing the influence of diet on DM among Indonesian adolescents, written in English or Indonesian, published between 2020-2025, full-text and open access, and excluding reviews, theses, dissertations, or proceedings. Selection followed the PRISMA method, yielding six studies for analysis. The results showed that adolescents consuming sugary drinks &gt;3 times/week had a 2.91 higher risk of abnormal blood glucose, while similar soft drink intake increased the risk of obesity (OR = 8.53), which is directly linked to type 2 DM. Most adolescents also failed to meet the daily fruit and vegetable intake recommendations. In conclusion, adolescent diets are high in sugar and low in fiber, worsened by poor nutritional literacy. School-and family based interventions, restriction of sugary drink availability, and promotion of fruit and vegetable consumption are recommended for early DM prevention.

This research review examines the levels of nutritional literacy and the prevalling consumption trends of millet among residents of North Goa (Panaji and Taleigao). Despite the global resurgence of millet as "Nutri - Cereals" regional consumption in Goa has historically been overshadowed by rice. Using a sample of N= 100. This study investigates whether higher awareness of nutritional benefits correlates with increased consumption frequency. Finding suggest a moderate level of nutritional literacy primarly driven by health consciousness regarding lifestyle disease like diabetes. However, actual consumption remains occasional due to factors such as taste preferences and limited availability in local markets.

This study aims to analyze the economic determinants of food security across Indonesian provinces during the period 2020–2024. Food security is proxied by the Food Security Index (IKP), while the explanatory variables include rice productivity, poverty levels, regional minimum wages (UMR), average years of schooling (RLS), and unemployment rates. Using panel data from 26 provinces and a fixed-effects regression approach, the results indicate that rice productivity, poverty, education, and unemployment have positive and significant effects on provincial food security. In contrast, regional minimum wages show no significant impact, suggesting that household purchasing power is more heavily influenced by food price dynamics than nominal wage increases. These findings confirm that food security is multidimensional, shaped by the interplay of availability, access, utilization, and stability as defined by the FAO framework. The study highlights the need for integrated policies encompassing agricultural productivity, price stabilization, nutrition literacy, and social protection to strengthen regional food security

Life satisfaction is a key patient-reported outcome in psychosocial oncology. Yet, how health literacy, nutritional behavior, eating-related symptoms, weight changes, and CAM use together influence life satisfaction remains poorly understood. We conducted a multicenter cross-sectional survey of 316 German oncology patients, assessing life satisfaction (L-1), health literacy, current food intake, eating-related symptoms, dietary frequency, weight change and CAM use. Analyses included descriptive statistics, Spearman correlations, nonparametric tests, and multivariate regression. Subjective health status emerged as the strongest independent predictor of life satisfaction. Higher food intake and fewer eating-related symptoms were also beneficial. Moderate unintentional weight loss (below a high threshold) was associated with somewhat higher self-perceived life satisfaction, whereas more pronounced weight loss (> 10 kg) related to lower life satisfaction. Health literacy showed a modest correlation with life satisfaction in unadjusted analyses, but lost independent significance in multivariate models, suggesting mediation via other factors. Complementary and alternative medicine use was not associated with life satisfaction. The final predictive model explained about 35.1% of the variance in life satisfaction. These findings suggest that subjective health perceptions and nutritional factors are central drivers of life satisfaction in cancer patients, whereas the effect of health literacy appears to be mediated indirectly. The results support a holistic, patient-centered approach addressing subjective health, nutrition, and health literacy to improve psychosocial outcomes and life satisfaction.

This study aims to determine the relationship between problematic social media usage, addiction to mindful eating, digital nutrition, and health literacy among adults. Cross-sectional study. The study involved 405 participants (154 men, 251 women) aged between 18 and 60. The participants were administered a questionnaire package involving demographic information sheet, anthropometric measurements, Mindful Eating Questionnaire (MEQ), Health Literacy Index (HLI), Digital Healthy Diet Literacy (DHDL), and Social Media Addiction Form (SMAS). Women scored 2.2 ± 0.34 on the MEQ, 102.5 ± 16.41 on the HLI, 21.4 ± 11.95 on the DHDL, and 2.2 ± 0.71 on the SMAS. Men scored 2.3 ± 0.34, 100.8 ± 14.69, 21.1 ± 11.89, 2.6 ± 2.49, respectively. Significant correlations were found between problematic social media use and education level, and employment status (p < 0.05). There was a positive correlation between problematic social media use and mindful eating, while a negative relationship was found between problematic social media use and health literacy (p < 0.05). There was a significant negative relationship between health literacy and mindful eating, and a significant positive relationship between health literacy and digital nutrition literacy (p < 0.05). Problematic social media usage has an impact on mindful eating, health literacy, and nutrition literacy. Improving health literacy could reduce problematic social media use by enabling individuals to benefit from health information better. Exposure to unverified diet trends on Instagram, on social media, might prevent the beneficial use of the platforms.

Nutrition literacy is a person's ability to gain, retain and use nutrition information to inform healthy lifestyle choices. Low nutrition literacy (NL) can limit understanding of nutrition information and how it is subsequently applied, impacting the quality of a person's diet. Malnutrition and poor diet quality are linked to many cancers and/or treatment recovery. Measuring NL, using culturally adapted and validated tools, may support improved understanding of nutrition education needs for more people with cancer. However, no validated NL measure exists for adults with cancer in the United Kingdom (UK). This study undertook cultural and linguistic adaptations of an NL instrument (NLit) for use in UK adults with cancer. The study was approved by UK ethics and regulatory authorities. NLit, was culturally adapted (NLit-UK) following guideline review, expert recommendation, and two patient nominal consensus groups. NLit-UK was then validated in an observational cross-sectional study of on-treatment adults with cancer. NLit-UK, Newest Vital Signs (NVS-UK), demographic information and consent, were collected anonymously via an online platform between June 2019 and March 2020, the target sample size was 366. Qualitative data were thematically analysed. Quantitative data were presented using descriptive statistics. Construct validity was determined using single factor classical confirmatory factor analysis (CFA). Seven experts and 16 service users took part in cultural and linguistic adaptations. Key adaptations included UK to US language, images, food label policy and numeracy progression. Answer formats, purpose and concepts remained consistent. Forty-two people with cancer completed NLit-UK (63-item), recruitment terminated early due to COVID. CFA on NLit-UK (63-item) and its shorter (42-item) version showed substantial reliability (entire reliability, 0.90; Cronbachs α 0.83) and good reliability (entire reliability, 0.86; Cronbachs α, 0.8), respectively. While NVS-UK identified 71.8% (n = 28) as having adequate health literacy, only 10% (n = 4) were identified as having adequate NL. Content reliability and validity of NLit-UK was excellent. The small sample size prohibited CFA between subscales or associations between NL and potential confounders such as ethnicity and educational status. Confirmation in a larger more diverse population and other conditions is warranted. Adequate health literacy may not predict adequate NL. NCT03978312 www. gov.

Childhood growth is critical for long-term health and development. Maternal food and nutrition literacy is one of the most closely related determinants shaping children’s eating habits and growth patterns; it is a multidimensional construct comprising knowledge, attitudes, and behaviors. There are limited studies in Türkiye investigating the relationship between maternal food and nutrition literacy and child and adolescent growth across a wide age range. This study aims to assess the relationship between maternal levels of food and nutrition literacy and their children’s anthropometric growth indicators. This descriptive cross-sectional study was conducted with mothers living in Türkiye who had at least one child aged 2–19 years (n = 263). The height and weight measurements of mothers and children were recorded based on self-reports; Weight-for-Height (WHZ), Height-for-Age (HAZ), BMI-for-Age (BAZ), and Weight-for-Age (WAZ) z-scores were calculated using World Health Organization references for the children’s growth assessment. Mothers’ food and nutrition literacy was measured using the Food and Nutrition Literacy (FNL) Scale, and FNL scores were divided into tertiles (T1, T2 and T3). Nutritional practices and growth indicators were compared between the three groups using appropriate statistical tests. In addition, multivariate linear regression models were created to examine the relationships between growth indicators and FNL and its subscales. The mean age of mothers was 38.10 ± 8.17 years, and a significant number of the mothers had limited knowledge (39.92%), attitudes (47.15%), and behaviors (51.33%). Mothers with high FNL levels were more likely to start complementary feeding after 6 months, pay attention to label information, and monitor their children’s food consumption more frequently (p < 0.05). However, no significant difference was observed in the children’s WHZ, HAZ, BAZ, and WAZ values among the three FNL groups (p > 0.05). According to multivariate regression analysis, the behavioral subscale of maternal food and nutrition literacy was positively and significantly associated with HAZ in children and adolescents aged 5–19 years after adjustment for maternal BMI and feeding practices (β = 0.158, p < 0.05 in Model 2; β = 0.177, p < 0.05 in Model 3). No significant relationship was found between the knowledge and attitude subscales and growth indicators. This study demonstrates that maternal food and nutrition literacy, particularly its behavioral component, is associated with HAZ, a measure of long-term growth in children and adolescents. The limited effect of the knowledge and attitude subscales alone on growth highlights that the behavioral translation of nutrition literacy is critical for child health. The findings suggest that family-based and behavior-focused educational interventions may be more effective than those focused solely on knowledge transfer. Future studies with longitudinal designs and incorporating additional variables such as the nutrition environment, diet quality, and physical activity will provide a more comprehensive explanation of the effects of maternal food and nutrition literacy on growth.

ObjectiveNutrition literacy is critical for establishing healthy dietary behaviors during childhood, yet research on this topic among primary school students in rapidly urbanizing China remains limited. The aim of this large-scale survey is to assess the current status and identify key influencing factors of nutrition literacy among primary school students in Nanshan District, Shenzhen City.MethodsA cross-sectional survey was conducted in October 2024 utilizing a cluster random sampling method. A total of 2,423 students from 21 public primary schools participated. Data were collected using the validated “Nutrition Literacy and Dietary Behavior Questionnaire for School-aged Children”, which evaluated four dimensions: nutrition knowledge and concepts, food selection, food preparation, and food intake. Statistical analyses included descriptive statistics, correlation analysis, and binary logistic regression.ResultsParticipants achieved a mean total nutrition literacy score of 69.93 ± 8.75, with 30.38% meeting the criterion for adequate nutrition literacy (score ≥75). Interdimensional analysis revealed statistically significant positive correlations among all four domains (r = 0.198 ~ 0.363, p < 0.001). Multivariable logistic regression identified grade level—representing individual-level factors (Grade 5 vs. Grade 3 OR = 0.626, 95% CI: 0.500–0.783), high household economic status—family-level factors (OR = 1.389, 95% CI: 1.139–1.649), and participation in school activities including nutrition-related activities (OR = 1.346, 95% CI: 1.125–1.611) and regular weight monitoring (OR = 1.346, 95% CI: 1.125–1.611) as key predictors of adequate nutrition literacy.ConclusionNutrition literacy among primary school students in Nanshan District requires substantial improvement and is influenced by factors at individual, familial, and institutional levels. These findings suggest the necessity of developing a comprehensive, student-centered intervention model that integrates family-school collaboration to effectively enhance nutritional literacy.