The Moderating Role of Nutrition Knowledge in an Extended Theory of Planned Behavior Model of Ultra-Processed Food Consumption Among University Students in Saudi Arabia
Aims: This study aimed to examine the influence of nutrition knowledge on the pathways of the Theory of Planned Behavior (TPB) — specifically attitudes, subjective norms, perceived behavioral control (PBC), intention, and behavior — in predicting ultra-processed food (UPF) consumption among university students is Saudi Arabia.
Methods: A cross-sectional design was employed, involving 384 students enrolled at Northern Border University (NBU). Data were collected through a validated questionnaire that assessed socio-demographic characteristics, UPF-related knowledge, TPB factors, and self-reported UPF consumption. Participants were stratified into low, moderate, and high knowledge groups for comparative analysis.
Results: Significant associations were observed between UPF knowledge and sex, marital status, and academic discipline. Higher knowledge levels were correlated with less favorable attitudes toward the safety of UPFs and heightened susceptibility to social influence. Structural Equation Modelling (SEM) revealed that, across the overall sample, attitudes significantly predicted behavioral intention (β = 0.59, p < 0.001), whereas perceived behavioral control (PBC) exerted a negative effect on behavior (β = –0.22, p < 0.001). Notably, among participants with high-knowledge, neither intention (p = 0.884) nor PBC (p = 0.453) significantly predicted UPF consumption, and the model accounted for a negligible proportion of variance in behavior (R² = 0.01), indicating a pronounced intention–behavior discrepancy within this group.
Conclusions: Among NBU students, nutrition knowledge regulates psychosocial determinants of UPF consumption but appears to weaken the intention–behavior connection. These findings suggest that effective interventions should extend beyond educational initiatives to incorporate habit-formation strategies and environmental modifications that support sustained dietary behavioral modification.
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How to Cite
Ajzen I. (1991). The theory of planned behavior. Organ Behav Hum Decis Process 1991;50:179-211. https://doi.org/10.1016/0749-5978(91)90020-T DOI: https://doi.org/10.1016/0749-5978(91)90020-T
Alessa, M., Alarfaj, M. O., Albenayyan, H. A., Aleidan, A. A., Albahrani, F. A., Bokhuwah, M. A., Bukhamsin, R. M., Alzahrani, R. M., Alkhalifah, M. F., Alshekhmobarak, L. A., & Alsaleem, H. K. (2023). Awareness of the link between the consumption of ultra-processed food and colorectal cancer risk in Saudi Arabia. Cureus, 15(1), e33774. https://doi.org/10.7759/cureus.33774 DOI: https://doi.org/10.7759/cureus.33774
Al-Qahtani, M. H. (2016). Dietary habits of Saudi medical students at University of Dammam. International journal of health sciences, 10(3), 353. https://doi.org/10.12816/0048729 DOI: https://doi.org/10.12816/0048729
Alqurashi, R. M., Abdalla, S. M., Ammar, A. B., Shatwan, I. M., Alsayegh, A. A., Alnasser, A. N., Alfadhliah, J. T., Fallata, G. A., Alhumaidan, O. A., & Bawazeer, N. M. (2024). Food consumption patterns in different regions of the Kingdom of Saudi Arabia: Household cross-sectional study. Applied Food Research. Advance online publication, 100666. https://doi.org/10.1016/j.afres.2024.100666 DOI: https://doi.org/10.2139/ssrn.4945001
Alshehri, M. A. (2024). A review of dietary behaviors among college students in Saudi Arabia. Saudi Journal for Health Sciences, 13(3), 187–193. https://doi.org/10.4103/sjhs.sjhs_81_24 DOI: https://doi.org/10.4103/sjhs.sjhs_81_24
Baker, P., Machado, P., Santos, T., Sievert, K., Backholer, K., Hadjikakou, M., Russell, C., Huse, O., Bell, C., Scrinis, G., Worsley, A., Friel, S., & Lawrence, M. (2020). Ultra-processed foods and the nutrition transition: Global, regional and national trends, food systems transformations and political economy drivers. Obesity Reviews, 21(12), e13126. https://doi.org/10.1111/obr.13126 DOI: https://doi.org/10.1111/obr.13126
Cade, J., Thompson, R., Burley, V., & Warm, D. (2002). Development, validation and utilisation of food-frequency questionnaires – a review. Public Health Nutrition, 5(4), 567–587. https://doi.org/10.1079/PHN2001318 DOI: https://doi.org/10.1079/PHN2001318
Calvo-Porral, C., & Rivaroli, S. (2025). Examining the consumer behaviour of ultra-processed food products: evidence from the Spanish market. British Food Journal, 127(3), 821-838. https://doi.org/10.1108/BFJ-06-2024-0606 DOI: https://doi.org/10.1108/BFJ-06-2024-0606
Chavez-Ugalde, I. Y., de Vocht, F., Jago, R., Adams, J., Ong, K. K., Forouhi, N. G., Colombet, Z., Ricardo, L. I. C., van Sluijs, E., & Toumpakari, Z. (2024). Ultra-processed food consumption in UK adolescents: Distribution, trends, and sociodemographic correlates using the National Diet and Nutrition Survey 2008/09 to 2018/19. European Journal of Nutrition, 63(7), 2709–2723. https://doi.org/10.1007/s00394-024-03458-z DOI: https://doi.org/10.1007/s00394-024-03458-z
D’Angelo Campos, A., Ng, S. W., Duran, A. C., Khandpur, N., Taillie, L. S., Christon, F. O., & Hall, M. G. (2024). “Warning: ultra-processed”: an online experiment examining the impact of ultra-processed warning labels on consumers’ product perceptions and behavioral intentions. International journal of behavioral nutrition and physical activity, 21(1), 115. https://doi.org/10.1186/s12966-024-01664-w DOI: https://doi.org/10.1186/s12966-024-01664-w
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