FOOD CONSUMPTION KNOWLEDGE AND HABITS IN A DEVELOPING COUNTRY: A CASE OF LEBANON *

. This research work investigated the Lebanese consumers’ knowledge about food fibre and their food habits according to age groups and gender. The study was conducted from January 2021 till end of March 2021. Due to the pandemic of Covid-19 and the lockdown, the questionnaire was administered randomly through social media. The survey consisted of a longitudinal study carried out on a non-probabilistic convenience sample of 258 Lebanese participants. The responses were used to undertake a quantitative, descriptive and analytical study. The questionnaires received and considered valid, were mostly from women (59.7%) and essentially living in an urban environment (78.3%). To analyse the data, basic descriptive statistics were considered on a first level. Additionally, statistical tests were also carried out (Student t test for comparisons between two groups). Finally, results and analysis were done to evaluate the importance of food knowledge among these people in addition to their eating habits and the possible gender differences. The results revealed that there are some gender inequalities (F=6.238, α= 0.0013) in terms of knowledge about food fibre, but no living environment differences were found (F=0.36, α=0.85). Additionally, consumption habits showed major differences between female and male food behaviour, especially when it comes to eating: the frequency of eating outside from home, eating fast food and consuming fruits. The value of this study focuses on the food knowledge and habits in Lebanon, specifically in a country defined by a multi-ethnical diversity and religiosity and where food habits were mainly related to social behaviour. Therefore, this study adds more knowledge about these people’s food behaviour and valuable information about specific food attitudes.


Introduction
Researchers address various changes in the knowledge about food components and the eating habits among variety of civilizations and the diversity of green, organic, rich in fibres and sustainable product purchase and consumption behaviour among people.One of the key components of food literacy is food knowledge and a cultural merge of nutritional, health and environmental knowledge (Azevedo Perry et al., 2017).It has been widely demonstrated that the possession of good levels of food knowledge positively influences eating behaviours (Wijayaratne et al., 2018).However, it is still unclear whether food knowledge is more effective in promoting healthy eating habits (Truman et al., 2017).The relationship between food knowledge and purchase behaviour has received experimental attention over the last decade (National Academies of Sciences, Engineering, and Medicine, 2016), whereas procedural skills such as food preparation and declarative knowledge like the information about nutritional properties of food are both instrumental for boosting healthy behaviours (Kolasa et al., 2001).Furthermore, a noticeable phenomenon about young generations (Generation Y aged from 18 to 35 years) eating habits exhibit their powerful cohort in the restaurant industry (Yoon & Chung, 2018) where a significant percentage of their expenditure is spent on dining out activities (Nyheim et al., 2015).They dine out twice as much as the rest of the population and spend more money on eating out.This fact is very important to the researchers because understanding consumer preferences and consumer segments in a market-based economy is crucial and some broad assessments have been done to understand these needs and preferences (Okumus et al., 2021;Rosenbaum et al., 2015).It is important to identify the consumer's expectations and build appropriate marketing strategies in the world of business and restaurants industry.These young generation's concerns regarding their health are increasing (Y.-H.C. Sun, 2008).Members of this cohort view themselves as health conscious and adventurous (Roseman et al., 2017).They prefer green restaurants, healthy menus and quality foods (Jang et al., 2011).Additionally, they spend a greater proportion of their income on prepared foods and cook at home from scratch less frequently than earlier cohorts (Namin et al., 2020).They also eat out more, and spend more when they do, than other cohorts.They view dining out as an experience (Hammond et al., 2013) and want to enjoy a nice meal out, even when financially short.They also appreciate the social aspects of dining out and prefer communal tables at restaurants where either they eat in large groups of friends and colleagues, or they are seated with strangers.Aligned with the evident increase in the income and wealth, eating out has become more and more popular in todays' society, particularly in developed counties (Kolanowski et al., 2020).
Lately, a nutritional transition in food choices has been observed in Lebanon, shifting from the traditional Mediterranean diet to the globalized fast-food pattern.Consequently, young adults' dietary habits have been particularly impacted.A study conducted by Nyheim et al. (Nyheim et al., 2015) about Lebanese obesity problems among university students showed that overweight and obesity are more and more frequent among young people, which, combined with unhealthy lifestyles, such as smoking and physical inactivity, can increase substantially the risk of chronic diseases.Hence, nutritional knowledge specifically about food fibres may act as a deterrent against these changes in food habits.Furthermore, awareness campaigns aimed at increasing the level of knowledge about food may be decisive to significantly reduce the prevalence of obesity and chronic diseases among Lebanese population, through the promotion of healthy eating habits specially in a developing country.On the other hand, and in terms of eating habits, a study conducted at Midwestern University on a sample of 286 students (105 male and 181 female), reported that 94.4% of the participants recognize the importance of eating a variety of foods for improved health (Davy et al., 2006).In another study, healthful diet was classified as a diet that included more fruits and vegetables, and less fat (Wardle et al., 2004).The unhealthy eating habits of younger generation were noticed in the intake of fried food, in a developed country (Yahia et al., 2008).
To the best of the authors knowledge, no prior study combined the two questions of knowledge about food fibres and the food habits consumptions in order to investigate food choices and awareness about food components among Lebanese citizens.Also, the authors did not find any previous study exploring consumers' sociodemographic profiling, in terms of age and gender and living environment, in relation to food knowledge about fibres components and eating habits.The authors think that the assessment of consumers sociodemographic profiling might bring new insights into the understanding of food purchase behaviour and healthy lifestyles promotion.The present study intends to contribute to the existing literature by addressing the associations between food knowledge and eating habits in Lebanon and it will add more knowledge to a previous study conducted on Lebanese people motivational eating factors (Yahia et al., 2008).Lebanese food consumption habits and their level of knowledge on food fibres may improve their eating habits by promoting the adoption of healthier food choices.
The purpose of this study is to assess Lebanese eating habits and to investigate the Lebanese consumers' knowledge about food fibre according to gender and age, looking for differences between generation X (aged 35 years or more) and Y (between 18 and 35 years).

Materials and Methods
This research was undertaken on a non-probabilistic convenience sample of 273 Lebanese participants.However, only 258 questionnaires were considered valid to include in this quantitative, transversal, descriptive and analytical study.It was conducted from January 2021 till end of March 2021.Due to the pandemic of Covid-19 and the lockdown, the questionnaire was administered randomly through social media.We used the Google Forms to collect the survey responses, which is common and friendly to most Lebanese people enabling all our respondents to answer easily all the questions.By using the internet to disclose the questionnaire we targeted people with access to internet and computer or other mobile devices.The latest estimate dated February 2021 held by the Datareportal Digital 2021 Lebanon (Digital in Lebanon, sem data) indicates that 78.2% of Lebanese people can access the Internet at home, via any device type and connection (internet penetration), from a total population of 6.8 Million Lebanese citizens.We used a convenience sample, recruited according to facility and considering the restrictions of the COVID-19 pandemic.Although convenience samples are described as having some limitations, namely not allowing direct generalization of the conclusions from the sample to the whole population, it is also reported that they have some positive aspects, mostly the possibility to easy recruit participants, and they can be used to carry out exploratory research (R. P. F. Guiné, Florença, Barroca, et al., 2020;R. P. F. Guiné, Florença, Villalobos Moya, et al., 2020).Even though being a convenience sample, adequacy of the sample size was evaluated to serve as an indicator.For this, some assumptions were considered: Confidence interval = 90%, Z score = 1.65, Power of the test = 95% (minimum acceptable probability of preventing type II error = 0.05) (Levin & Fox, 2004;Triola & Flores, 2017), Lebanese population = 6.8 million (Digital in Lebanon, sem data): assuming that the target population was 30% of adults, and considering the above mentioned conditions, the minimum sample size was calculated as 229 respondents (Cochran, 1977;Levine et al., 2008).The number of valid questionnaires obtained in this survey was 258, which is over the minimum.
The conducted research was approved on the 15th of May 2020 Reference number USJ-2020-89.The study is integrated in an international project lead by CI&DETS research centre of the polytechnic institute of Viseu in Portugal (Boustani & Guiné, 2020).The questionnaire included different parts as follows: •Demographics (4 items) (age; education; gender; living environment); •Consumption habits (5 items) whose answer was given as frequency of consumption per week; •Knowledge about food fibres (6 items), whose answerers were given on a 5-point Likert scale.
Data processing was carried out using IBM Statistics (Statistical Package for the Social Sciences SPSS v24).Different statistical techniques were used to treat the data.On a first step the normality of the distribution was assessed by measuring Skewness (SK) and Kurtosis (K).As for the central tendency, the researchers focused on mean, standard deviation and coefficient of variation.The crosstabs tool was also used to analyse and report data across groups.Results were expressed as means ± standard deviation (SD).Parametric variables were analysed using students' t-test to examine differences in the characteristics of respondents across groups.All reported P values were made on the basis of 2-sided tests and compared to a significance level of 5%; differences were considered statistically significant at P < 0.05.
The questions about consumption were as follows: How many meals do you have in a week that include vegetables and/or salads?How many pieces of fruit do you eat per week?How often do you eat outside from home per week?How many times a week do you eat fast food?How many times a week do you eat whole grains (whole-wheat bread, whole-wheat pasta ...)?Given the dispersion of possible values, for presentation of of the results, the answers given by the participants to these questions were grouped into categories according to each type.For the consumption of fruits/vegetables&salads/whole cereals the categories were: 2-3 times per day, 1 time per day, 4-5 times per week, 2-3 times per week, 1 time per week, 1 time per month, Never.For variables eating out and fast-food consumption the categories were: 1 time per day, 4-5 times per week, 2-3 times per week, 1 time per week, 1 time per month, Never.Note that for some cases some of the categories were empty, meaning that there were not any answers falling into that category.For the evaluation of gender or age differences, a mean value for each of the variables was computed as an average from all the answers of the participants, and these mean values were submitted to a parametric test for comparison of means between two groups (T-test).
In the case of knowledge, the variables were: Fibres are naturally present in vegetable foods; Foods of animal origin have no fibres (unless added); The average adult should eat 25g of fibre per day; Whole foods have less fibre than non-whole foods; The unpeeled fruits have less fibre than peeled ones; Dietary fibres are classified into soluble and insoluble.For all these the respondents were asked to indicate their level of agreement on a 5 points Likert scale as follows: 1 = strongly disagree, 2 = disagree, 3 = neither agree nor disagree, 4 = agree, 5 = strongly agree.In this case, to evaluate the gender or age differences also a mean value was calculated for each of the questions as an average from all the answers.Again, the parametric T-test was used to compare the means of the different groups being compared.
The research questions of our research are the following: RQ1: What are the food habits among the Lebanese women and men?RQ2: what is the knowledge about food fibres among the Lebanese women and men?RQ3: Are there any gender differences in the knowledge about food fibres and in Lebanese consumer habits?RQ4: Are there any age differences in the knowledge about food fibres and in Lebanese consumer habits?

Sociodemographic characterization
Table 1 presents the demographical data for the sample studied.Having in mind to compare the X and Y generations, as mentioned above, the variable age was classified into these two categories.So, there were almost half of the participants in each of the classes, with 51.9% in the young category and 48.1% being aged and from 36 and above.Also, the gender distribution is relatively even, with 59.7% women and 40.3% men.However, for education level and for living environment the groups were highly different, with an expressive majority of participants holding a university degree (93.0%) and living in an urban environment (78.3%).Therefore, given that the distribution of the participants in this study was almost equitable in terms of gender and age and categories, the researchers focused on the study about the variables of food consumption habits and knowledge of the Lebanese across these groups, rather than those groups where the representativeness was not so even.Our sample was found relatively representative of the Lebanese population, since, Lebanon demographic traits are as follows for gender: 49.6% of women versus 50.4% of men.Hence Lebanon has approximately half women while in our sample we have about 60%, so the sample can be considered representative of the gender distribution in Lebanon.As for the living environment: 89.0% of Lebanon's population lives in urban centers, while 11.0% live in rural areas, and again this sample is representative of the Lebanese demographic living areas.

Food consumption habits among the Lebanese women and men
A cross sectional analysis for the set of questions related to food habits was conducted to answer research question RQ1.The results in Table 2 show that an expressive majority of the surveyed Lebanese people (84.1%) consume fruits regularly (more than 3 times per week), regardless of gender (♂ 79.7% vs ♀ 87.0%).With regards to the consumption of vegetables and salads, it appears that 58.7% of men and 63.6% of women eat salad daily.
As for daily whole cereals consumption accounts for only 27.6%, slightly higher in women (♂ 20.2% vs ♀ 32.5%).When asked whether they eat out more than two times per week, 29.9% responded affirmatively more for women than men (♂ 41.3% vs ♀ 22.0%).The fast food is consumed weekly by 68.6% (♂75.0%;♀64.2%).These results show a certain awareness and good food consumption habits for Lebanese people as of high percentages of healthy food intake.The researchers' main concern is about the fast-food consumption, which represents a high percentage of frequent fast-food intake.It appears that most women (53.2%) eat outside just once per week whereas men visit restaurants more often (just 40.4% once per week), this might be due to their different lifestyle or work situation.
In a similar study by Guiné et al. (2020) undertaken on six countries (Argentina, Croatia, Hungary, Latvia, Portugal and Romania) it was found that 78.2% of the participants had a low consumption of vegetables and salads and also of fruits (for 92.3% of participants).Regarding whole cereals, 23.1% of participants never consumed them and 72.6% has a low consumption.In the same work (R. P. F. Guiné, Florença, Leal, et al., 2020) the authors found variations in the consumption of vegetables, salads, fruits and whole cereals across genders and age groups, as well as across countries.In a recent survey by Lee and Pena-y-lillo (Lee & Pena-y-Lillo, 2021), for US participants, it was found that vegetable and fruit consumption were positively correlated with education and income, meaning that higher education level and higher income were factors that contributed to an increase consumption of these foods.The same authors also reported that these observed differences across social groups are explained by communication inequalities, which are linked with the level of information.The social cognitive theory emphasizes the critical role that cognitive processes have in shaping the human behaviour.According to this theory, a person considers cognitive, social, and environmental factors to define their motivations, including the motivations for food choice (Bandura, 1999).In the work by Garcia et al. (2021) are explored the cognitive factors associated with the frequency of eating outside from home, by using multinomial models to compute relative risk ratios.They found that for every 1-unit increase in mindfulness disposition, the risk of a participant eating out every week compared with every month decreased by a factor of 0.42.Similar results indicated that other factor besides mindful disposition also contributed to the increased frequency of eating out, namely, the higher nutrition knowledge.Contrarily, the self-efficacy resulted in a decreased frequency of eating outside from home.

Knowledge about food fibres among the Lebanese women and men
In order to answer research question RQ2 concerning the level of knowledge about food fibres for both men and women, also a cross sectional analysis was made.In this, a set of questions (6 items) tested the level of knowledge of the participants; the questions were related to the existence of fibres in vegetable foods, in Foods of animal origin, in peeled or unpeeled fruits, the adult daily fibre consumption and the different classification of dietary fibres (soluble and insoluble).In the analysis of the statistics related to food literacy and knowledge, it appears that the level of knowledge is somehow low which is indicative that Lebanese people lack intervention in terms of healthy eating habits and don't have a wide vision about the existence of fibres in different types of food (Table 3).There are some differences in the percentages and distribution of the Likert scale replies of male and female participants in most answers.Regarding the presence of fibre in vegetable foods (a true statement), 22% of men and 21% of women know this, so it is quite even for both genders.As to the absence of fibres in animal foods (also true), more women (65%) know this than men (33%).Concerning the recommended dose 25g of fibre per day for adults, 41% of men know which is lower than the percentage of women (65%).Regarding the lower fibre content of whole foods (this was given as a false information), again women are more informed than men (♀ 69.0% vs ♂ 40.0%disagree with the false information presented).Also, the fibre content of peeled and unpeeled fruits was presented as a false statement and the women were more informed than men, being able to recognize it was a false statement (♀ 77.0% vs ♂ 56.0% disagree).Finally, about the classification of fibre into soluble and insoluble, men and women showed some differences (♀ 46.0% vs ♂ 40.0%).
Regardless of the above-mentioned results, it is important to notice, a high proportion of respondents who answered "Neither agree nor disagree", showing that they are not able to express an opinion, lacking information about the topics.The work by Ferreira et al. (2016) undertaken on ten different countries, showed that mostly people get information about dietary fibre from the internet, although recognizing that television might be a most suitable way to disseminate this type of information.The work by Georgescu et al. (2019) revealed that percentage of correct answers regarding knowledge about health effects of dietary fibre were generally low.

Evaluation of gender differences in the consumption habits and knowledge about food fibres
To evaluate gender differences and answer RQ3, the t test for independent variables was used, being the results presented in Table 4.As for the existence of gender differences regarding Lebanese food habits, there are significant gender differences for the consumption of fruits, for the frequency of eating out and for the consumption of fast food.
Several studies highlight the need to consume adequate amount of fruits and vegetables, as a way to ingest the necessary requirements of macronutrients (such as protein, carbohydrates, fat, ect…) and micronutrients (vitamins and minerals), as well as bioactive compounds with health effects, like phenolic compounds present abundantly in the plant kingdom (López-González et al., 2021;Manjunath et al., 2021;Morze et al., 2020;Sosalagere et al., 2022).
According to Morse and Driskell (Morse & Driskell, 2009), the explanation for a higher percentage of men reporting to eat at fast-food restaurants than women is because men believed that this type of restaurants constituted cheap alternative.On the other hand, for the women, it was very important the nutrition content of food, and therefore they eat at fast food restaurants less often (Morse & Driskell, 2009).Hidaka et al. (Hidaka et al., 2018) concluded that fast food consumption was linked to higher levels of education in women, but the same was not verified in men.Furthermore, the authors used the six items in the scale for food knowledge to evaluate the reliability through Cronbach's alfa.The value showed a moderate internal reliability (α=0.642).Again, an independent t-test was conducted to find possible gender differences, whose results are reported in Table 5.The results showed significant differences at the level of 5% only for the last item, about the classification of fibre into soluble and insoluble.Ljubicic et al. (2017) investigated on a sample of Croatian participants, the influence of several variable on the level of knowledge about fibre and fibre consumption, namely variables age, gender, education and living environment.These differences can be used to produce targeted education campaigns to improve eating habits and, as a consequence, the general health status.

Evaluation of age differences in the consumption habits and knowledge about food fibres
Research question RQ4 was addressed with a similar methodology as for RQ3.Table 6 shows the results of t test for age differences regarding the consumption habits and Table 7 the results for t test regarding the food knowledge differences between age classes X (over 35 years) and Y (between 18 and 35 years).A significant difference was found for vegetable and salad consumption according to age group.These results show, particularly, that younger people eat more vegetables and salads when compared with older people.These findings are indicative that younger Lebanese generations are practicing even healthier diets than their ancestors, which is aligned to the theories of difference in food consumption between generations X and Y. Costa et al. (2022) evaluated the differences in fruit and vegetable consumption across generations for a sample of Brazilian participants, and found that younger generations consume less fruit than traditionalists, and that contrarily to traditionalists, generations X and Y showed lower vegetables consumption.Hidaka et al. (2018) reported that age was negatively correlated with fast food intake, in a study undertaken in the United States.
When the researchers tested the level of knowledge of the population under study about fiber and food constituents in regard to age groups, they noticed that for all questions, there were no differences relating to age except to their knowledge about fibers constituents in unpeeled fruits compared to peeled ones results presented in Table 7).For this case the P value was equal to 0.023, lower than the significance limit established, meaning that there is a significant difference in the knowledge according to the age group, i.e. between younger and older generation related to fibers in fruit skins.
Although a nutritive diet rich in vitamins, minerals and bioactive substances is essential for a good health status, healthy eating is a complex process which is influenced by a combination of knowledge, skills, and decisionmaking capabilities, besides personal preference, availability, and affordability.All these dimensions are linked to the concept of food literacy (Deshpande et al., 2009;Hemmer et al., 2021).

Discussion
In the past decades, there has been a trend to follow dietary patterns which do not comply with the recommended intake of macronutrients, micronutrients or bioactive compounds present in food, and these inadequate diets have proven to result in severe diet-related non-communicable diseases such as type 2 diabetes, cardiovascular disorders, hypertension and some forms of cancer (Verain et al., 2022).Diets too dense in fat, and especially trans saturated fat has been reported to contribute to a number of diseases, like hypertension, obesity and diabetes (Gayed et al., 2021;Otagiri et al., 2021).However, excessive fat has also been proven to affect brain diseases,  .2020.3.4(5)especially those related with ageing, such as Alzheimer's disease (Sarroca et al., 2021).Diets with a high level of protein intake is associated with kidney failure (Kim et al., 2021).The excessive intake of salt has been reported as contributing to the onset of many heart related pathologies, such as coronary heart disease, stroke, myocardial infarction, cardiovascular disease or hypertension (He et al., 2020;Igreja et al., 2019;Ikehara et al., 2012).Still, these studies must encompass that not all patients respond in the same way to salt reduction strategies, and the debate is ongoing (Khan et al., 2020;Messerli et al., 2018).Collins et al. (Collins et al., 2014) conducted a study to evaluate the cost-effectiveness of four different population health policies to reduce dietary salt intake in the United kingdom as a way to prevent coronary heart disease, and they found that all the four policies aimed at reducing the dietary intake of salt could increase the life expectancy while reducing health care expenditure on coronary heart disease.A similar study by Shoaibi et al. (2013) also analysed three salt-reduction interventions from societal perspective in Palestinian territory and found that all evaluated policies resulted in a reduction in salt intake, with an impact on heart health.The burden associated with diseases provoked by inappropriate dietary patterns is a problem worldwide nowadays and governments and policy makers try to implement strategies to improve people's diets with a gain in many aspects of human health (Bhattarai et al., 2020;Lui et al., 2021;Wen et al., 2022).Foods such as fruits, vegetables or salads, and whole cereals are seen as potent allies to improve human health and reduce the risk of disease owing to their beneficial components (Newberry & Lynch, 2021;L. Sun et al., 2021;van der Heijden et al., 2021;Visvanathan & Williamson, 2021).They include vitamins, minerals and bioactive substances such as phenolic compounds with antioxidant activity, which help the human body to fight the harmful effects of oxidative stress (Alì et al., 2021;Jiang et al., 2021;Singh et al., 2020).Dietary fibre, present in this type of foods is particularly important to the health of the gastrointestinal system and certain types of cancer (Gill et al., 2018;Johnson, 2005;Mao et al., 2021;McRae, 2018;Tang et al., 2013;Tomas et al., 2020;Wunjuntuk et al., 2022;Xu et al., 2018).Hence incentive the consumption of fibre rich foods is a way to improve the health of the general population.This wok showed that the Lebanese consume moderate amounts of fruits and vegetables, which might be linked to the influence of the Mediterranean dietary patterns.Nevertheless, the consumption of whole cereals is lower than the amounts recommended.This can be associated with the modernization of eating habits, namely eating out and consuming fast-food frequently, as influences by westernization (Hussain et al., 2019;Leech et al., 2017;Schaalan et al., 2009).The work by Guiné et al. (2020) evaluated the consumption of fruits, vegetables and whole cereals in Portugal, Croatia, Latvia, Romania and Hungary, and it was observed that these foods were also consumed in amounts lower than recommended in all countries.According to Van der Heijden et al. (2021) healthy eating is variable according to the socioeconomic position, and therefore countries with lower average economic power may face more difficulties in implementing effective strategies to promote healthier eating habits.Dhakal and khadka (2021) investigated in what extent the household food budget influences diet quality and weight-related health outcomes in the United States.They observed that families with lower income households, who spent a larger part of their food budget at convenience stores and fast-food restaurants are those practicing lower quality diets, which in turn are associated with a higher risk of obesity.They believe that their work may bring to light possible intervention strategies to address obesity.Penne and Goedemé (2021) reported that in 16 out of 24 EU countries, at least 10% of people experience some kind of financial constraints that limit them to eat healthily.Hence, they suggest that policies should increase their focus on ensuring adequate incomes as a way to improve dietary habits and therefore diminish non-communicable diseases.
Apart from the food consumption habits, one other aspect investigated in this research was the level of knowledge about dietary fibre.The knowledge is a powerful tool to help citizens in general, and food consumers in particular, to make informed choices.Velardo (2015) discusses the concepts of health literacy, nutrition literacy, and food literacy, and how they interrelate proposing a model based on health literacy as a way to facilitate healthy food relationships.Many factors can be pointed out that contribute to poor dietary practices, but they analysis is complex and requires an interdisciplinary approach that includes the social context.Rodriguez (2011) refers that it is important to teach skills to manage health, i.e., give the public the tools to increase their levels of knowledge and take better care of their health status.Public health requires cross-sector collaboration as well as policy actions that directly affect the social determinants of health.Food literacy is a motor to the preparation of nutritious food aimed at a better health (Alexander, 2020;DeSalvo et al., 2016).Shahavandi et al. (2021) reported that higher health literacy levels were associated with better healthy eating patterns in Iranian adults.Palumbo et al. (2019) reported low food literacy among Italians and that inappropriate food literacy contributes to worsening individual health status.Truman and Elliot (2019) published a review that focuses on the barriers to food literacy proficiency evaluating the relationships between food knowledge, attitudes, and behaviors.Their ultimate objective was the development of a model that might be available for researchers, educators, and nutrition professionals to implement effective interventions capable of effectively changing food-related attitudes.The results of the present research showed that the Lebanese have a low knowledge about some aspects related with dietary fibre, like for example, the recommended dosages or the natural sources of fibre.Guiné et al. (2017) reported a good general level of knowledge about the benefits of dietary fibre for the human health on a sample of more than 6 thousand participants from 10 countries.However, for the same sample, the level of knowledge regarding the sources of dietary fibre or recommended dosages was also low, particularly in Egypt, which is a country very close to Lebanon, and with eventually some similarities in economic terms (Guiné et al., 2016).These studies reveal that there is still a long way to go with the goal of improving food literacy as a way to promote better food choices that envisage promotion of health status and reduce the economic burden of foodrelated diseases.

Conclusions
The importance of this work resided in the highlight of the food knowledge and habits in Lebanon, specifically, in a country defined by a multi-ethnical diversity and religiosity and where food habits were mainly related to social behaviour, therefore this study adds more knowledge about these people´s food behaviour and add more data to specific types of food attitude.
Regarding the food habits, we concluded that the Lebanese consume fruits and vegetables on a daily basis, but the consumption of whole grains is low.The frequency of eating outside form home is high and the consumption of fast food is also very high.In what concerns the knowledge about dietary fibre, it was fund that the Lebanese still lack information about this topic, and therefore this is a problem that the Lebanese authorities should address as a way to improve the health of the population, given the many health benefits of a diet rich in dietary fibre.Therefore, the main highlights are on the low level of knowledge, and the importance to design better strategies to improve the literacy of the Lebanese as a way to incentive them to consume healthier foods, namely in the categories of fruits, vegetables and whole grains, given their proven roles as promoters of health.The evaluation of gender or age differences can bring light as to how targeting each intervention and policy strategy directly to be more effective according to gender or age groups, instead of directing campaigns to the whole population that might not be as effective.
The social and economic context of Lebanon makes it imperative to implement adequate instruments to address the health care systems and just import solutions from other countries' experiences might not be an adequate choice.For this reason, the present work may present an opportunity to build strong campaigns to better inform the Lebanese and help them make more adequate food choices.

Table 1 .
Sociodemographic characterization of the study sample

Table 2 .
Reported food consumption habits according to gender

Table 3 .
Reported food knowledge according to gender

Table 4 .
Results of T-test for gender differences regarding consumption habits

Table 5 .
Results of T-test for gender differences regarding knowledge

Table 6 .
Results of T-test for gender differences regarding consumption habits

Table 7 .
Results of T-test for gender differences regarding knowledge