51
|
van Eck A, Wijne C, Fogliano V, Stieger M, Scholten E. Shape up! How shape, size and addition of condiments influence eating behavior towards vegetables. Food Funct 2019; 10:5739-5751. [PMID: 31453619 DOI: 10.1039/c9fo01206k] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Practical approaches to increase consumption of healthy foods such as vegetables are needed. Controlling eating rate is a promising strategy, since faster eating rates have been related to higher food intake. Food properties can be modified to influence eating rates, but little is known about the impact of vegetable dimensions and condiment additions on eating rates of vegetables. This study determined the influence of shape, size and condiment properties on eating behavior towards carrots. Eating behavior (mastication time, number of chews, chewing frequency, eating rate) was determined for carrots with same total weight but different shapes (cube, julienne), and varying in size, number of pieces and aspect ratio. Carrots presented in one large cube required the lowest mastication effort (shortest mastication time, fewest chews) among all pre-cut carrots. Carrot cubes required less mastication effort leading to higher eating rates than carrots julienne. To investigate the effect of condiment addition on eating behavior towards carrots, mayonnaises varying in fat content and viscosity were combined with carrots, and mastication behavior and bolus properties were determined. Mayonnaises, in particular those with high fat content or low viscosity, contributed to faster bolus formation of carrots. Carrots were swallowed with less particles of larger sizes when mayonnaises were added. These results indicate that a specific particle size is not a prerequisite to induce swallowing, and that other bolus properties such as lubrication or cohesiveness trigger the urge to swallow. We conclude that eating behavior towards carrots can be controlled by relatively small changes in both carrot and condiment properties. To increase carrot intake by increasing eating rate, we suggest to avoid cutting of carrots or to add condiments, which could be an effective strategy to increase vegetable consumption or to decrease mastication effort to target the elderly population.
Collapse
Affiliation(s)
- Arianne van Eck
- TiFN, P.O. Box 557, 6700 AN Wageningen, The Netherlands. and Food Quality and Design, Wageningen University, P.O. Box 17, 6700 AA Wageningen, The Netherlands
| | - Christien Wijne
- Physics and Physical Chemistry of Foods, Wageningen University, P.O. Box 17, 6700 AA Wageningen, The Netherlands
| | - Vincenzo Fogliano
- TiFN, P.O. Box 557, 6700 AN Wageningen, The Netherlands. and Food Quality and Design, Wageningen University, P.O. Box 17, 6700 AA Wageningen, The Netherlands
| | - Markus Stieger
- TiFN, P.O. Box 557, 6700 AN Wageningen, The Netherlands. and Food Quality and Design, Wageningen University, P.O. Box 17, 6700 AA Wageningen, The Netherlands
| | - Elke Scholten
- TiFN, P.O. Box 557, 6700 AN Wageningen, The Netherlands. and Physics and Physical Chemistry of Foods, Wageningen University, P.O. Box 17, 6700 AA Wageningen, The Netherlands
| |
Collapse
|
52
|
Relationship between perception of emotional home atmosphere and fruit and vegetable consumption in European adolescents: results from the I.Family survey. Public Health Nutr 2019; 23:53-62. [PMID: 31405404 DOI: 10.1017/s1368980019002234] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
OBJECTIVE Consumption of fruits and vegetables (F&V) among adolescents falls below recommendations in many Western countries. The impact of social and emotional aspects of family life on adolescent dietary behaviour may contribute to this, yet remains under-investigated. The present study examines the association between adolescents' perceptions of emotional home atmosphere (EHA) and their F&V consumption frequency. DESIGN An FFQ was used to assess F&V consumption frequency. EHA was assessed by an eight-item measure with three subscales: perceived home warmth, strictness and relational tension. EHA subscales were used as binary variables: a score equal to or above the median value was considered as a higher perception, while a score below the median was considered as a lower perception of the EHA in question. Country differences in meeting the European 5-a-day recommendations were described. Further, the association between EHA and F&V consumption frequency was investigated using multiple linear regression. SETTING Regional examination centres in eight European countries. PARTICIPANTS Adolescents (n 3196) aged 12-18 years. RESULTS The mean F&V consumption frequency was 3·27 (sd 2·84) times/d. Only 16·1 % of boys and 18 % of girls in our study sample met the recommendation of five F&V daily. After controlling for age, sex, education level of the parents and country of origin, perceived home warmth was associated with a 16 (95 % CI 9, 22) % higher F&V consumption frequency (P < 0·001). CONCLUSIONS F&V consumption frequency was suboptimal in the survey areas. Interventions targeting perceived warmth as a component of EHA could potentially have a positive effect on adolescents' dietary behaviour.
Collapse
|
53
|
Adherence to a healthy eating index from pre-school to school age and its associations with sociodemographic and early life factors. Br J Nutr 2019; 122:220-230. [PMID: 31196225 DOI: 10.1017/s0007114519001028] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Childhood is considered an important period for the development of healthy eating behaviours. This study aimed to evaluate the influence of early life factors and sociodemographic characteristics, including early diet quality, on diet quality at 7 years. The sample includes 5013 children evaluated at the ages of 4 and 7 years from the Portuguese birth cohort Generation XXI with complete information on FFQ. A healthy eating index was developed at both ages to assess adherence to the WHO's dietary recommendations, including eight food groups. Consumption quartiles were obtained for each group at 4 years and assigned a score between 1 and 4. A higher score represents a higher adherence to a better diet (range: 8 to 32). The associations between early life factors and sociodemographic characteristics and the score of the healthy eating index at 7 years were evaluated through linear regression models. The healthy eating index had an average score of 21⋅4 ± 3⋅53 (range: 12 to 32) at 4 years and 20⋅3 ± 3⋅36 (range: 11 to 31) at 7 years. After adjustment for confounders, a positive association was found between the healthy eating index at 4 and 7 years (β = 0⋅384, 95 % CI 0⋅356, 0⋅441). Maternal years of education (β = 0⋅094, 95 % CI 0⋅071, 0⋅116) and dietary score (β = 0⋅182, 95 % CI 0⋅155, 0⋅209) were positively associated with increasing dietary quality from 4 to 7 years. A healthier diet at preschool age, higher maternal education and a healthier diet increase the likelihood of maintaining a high healthy eating index score at school age.
Collapse
|
54
|
Myszkowska-Ryciak J, Harton A, Lange E, Laskowski W, Gajewska D. Nutritional Behaviors of Polish Adolescents: Results of the Wise Nutrition-Healthy Generation Project. Nutrients 2019; 11:nu11071592. [PMID: 31337092 PMCID: PMC6682866 DOI: 10.3390/nu11071592] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2019] [Revised: 07/05/2019] [Accepted: 07/11/2019] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Recognition of the dominant dietary behaviors with respect to gender and specific age groups can be helpful in the development of targeted and effective nutritional education. The purpose of the study was to analyze the prevalence of the selected eating behaviors (favorable: Consuming breakfasts, fruit, vegetables, milk and milk beverages, whole grain bread and fish; adverse: Regular consumption of sweets, sugared soft drinks and fast-foods) among Polish adolescents. METHODS Data on the nutritional behaviors were collected using a questionnaire. Body mass status was assessed based on weight and height measurements. RESULTS 14,044 students aged 13-19 years old from 207 schools participated in the study. Significant differences were found in the nutritional behaviors depending on age, gender and nutritional status. Favorable nutritional behaviors corresponded with each other, the same relationship was observed for adverse behaviors. The frequency of the majority of healthy eating behaviors decreased with age, whereas the incidence of adverse dietary behaviors increased with age. Underweight adolescents more often consumed sugared soft drinks, sweets and fast food compared to their peers with normal and excessive body mass. CONCLUSIONS A significant proportion of adolescents showed unhealthy nutritional behaviors. Showing changes in the incidence of nutritional behaviors depending on age, gender and body weight status, we provide data that can inform the development of dietary interventions tailored to promote specific food groups among adolescents on different stages of development to improve their diet quality.
Collapse
Affiliation(s)
- Joanna Myszkowska-Ryciak
- Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (WULS), 159C Nowoursynowska Str, 02-776 Warsaw, Poland.
| | - Anna Harton
- Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (WULS), 159C Nowoursynowska Str, 02-776 Warsaw, Poland
| | - Ewa Lange
- Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (WULS), 159C Nowoursynowska Str, 02-776 Warsaw, Poland
| | - Wacław Laskowski
- Department of Organization and Consumption Economics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (WULS), 159C Nowoursynowska Str, 02-776 Warsaw, Poland
| | - Danuta Gajewska
- Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (WULS), 159C Nowoursynowska Str, 02-776 Warsaw, Poland
| |
Collapse
|
55
|
Abstract
Objective: To investigate the association between eating habits and weight status in adolescents in Finland. Design: Cross-sectional study. Setting: The Finnish Health in Teens (Fin-HIT) study is a cohort study conducted in adolescents attending third to sixth grade in 496 schools in forty-four municipalities in Southern, Middle and Northern Finland in 2011–2014. Participants: Analyses included 10 569 adolescents from the Fin-HIT study aged 9–14 years (5005 boys and 5564 girls). Adolescents were categorized by their eating habits: healthy eaters (44·1 %; n 4661), unhealthy eaters (12·3 %; n 1298), and fruit and vegetable avoiders (43·6 %; n 4610); and they were grouped into weight status: underweight (11·1 %), normal weight (73·6 %) and excess weight (15·3 %). Results: We found an increased risk of underweight in fruit and vegetable avoiders (OR = 1·28; 95 % CI 1·12, 1·46). An irregular breakfast pattern showed an inverse association with underweight (OR = 0·70; 95 % CI 0·59, 0·84) and an increased risk of excess weight (OR = 1·56; 95 % CI 1·37, 1·77) compared with a regular breakfast pattern. An irregular dinner pattern was inversely associated with underweight (OR = 0·83; 95 % CI 0·69, 0·99) compared with a regular dinner pattern. Conclusions: Avoiding fruits and vegetables and following irregular breakfast and dinner patterns were associated with underweight and excess weight in adolescents.
Collapse
|
56
|
Ronca DB, Blume CA, Cureau FV, Camey SA, Leotti VB, Drehmer M, Schaan BD, de Carvalho KMB. Diet quality index for Brazilian adolescents: the ERICA study. Eur J Nutr 2019; 59:539-556. [PMID: 30963230 DOI: 10.1007/s00394-019-01923-8] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Accepted: 02/03/2019] [Indexed: 11/25/2022]
Abstract
PURPOSE This study aimed to assess the dietary patterns of adolescents using a food-based diet quality index and their compliance with a healthy dietary guideline METHODS: Participants included 71,553 Brazilian adolescents (12-17 years old) from the Study of Cardiovascular Risks in Adolescents (ERICA), a cross-sectional school-based multicenter study.. Dietary intake was measured by one 24-h recall. A second recall was collected in a random subsample (~ 10%) to correct within-person variability. The Diet Quality Index for Adolescents adapted for Brazilians (DQIA-BR) was used to measure the overall quality of the dietary intake. The National Cancer Institute method was applied to estimate usual dietary intake. The DQIA-BR and the distribution of its components (quality, diversity, and equilibrium) were analyzed according to sex, geographical area, and type of school RESULTS: The mean (SD) DQIA-BR scores were 14.8% (6.1%) for females and 19.0% (6.3%) for males. All analyzed strata revealed low scores of DQIA-BR and its components. The median usual intake was five to sevenfold below the recommendations for vegetables and fruits and approximately twofold below the recommendations for dairy. The highest DQIA-BR mean scores were found in the northern region [17.0% (6.4%), females; 20.7% (6.3%), males]. Adolescents in both types of schools had relatively similar median intakes of snacks (~ 85 g) and sugared drinks (~ 600 ml) CONCLUSIONS: The overall diet quality of Brazilian adolescents is inadequate based on evaluated parameters in all regions and socioeconomic backgrounds.
Collapse
Affiliation(s)
- Débora Barbosa Ronca
- Graduate Program in Human Nutrition, Universidade de Brasília, Brasília, Brazil.
| | - Carina Andriatta Blume
- Postgraduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Felipe Vogt Cureau
- Postgraduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Suzi Alves Camey
- Postgraduate Program in Epidemiology, Department of Statistics, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Vanessa Bielefeldt Leotti
- Postgraduate Program in Epidemiology, Department of Statistics, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Michele Drehmer
- Postgraduate Program in Epidemiology, Department of Nutrition and Food and Nutrition Research Center, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Beatriz D Schaan
- Postgraduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | |
Collapse
|
57
|
Bel S, De Ridder KAA, Lebacq T, Ost C, Teppers E, Cuypers K, Tafforeau J. Habitual food consumption of the Belgian population in 2014-2015 and adherence to food-based dietary guidelines. ACTA ACUST UNITED AC 2019; 77:14. [PMID: 30988949 PMCID: PMC6449930 DOI: 10.1186/s13690-019-0343-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Accepted: 03/04/2019] [Indexed: 11/10/2022]
Abstract
Background Between 2014 and 2015 a second National Food Consumption Survey was conducted in Belgium in order to evaluate the habitual food consumption in the general Belgian population and to compare it with food-based dietary guidelines (FBDG) and results of the 2004 Food Consumption Survey. Methods A representative sample of the Belgian population was randomly selected from the National Population Register following a multistage stratified sampling procedure. Information on dietary intake was collected from 3146 subjects between 3 and 64 year old through two non-consecutive 24-hour dietary recalls using GloboDiet®. In addition, a self-administered food frequency questionnaire was completed. The distribution of habitual food consumptions and proportion of persons who did not meet the recommendations were estimated with SPADE. Results For most of food groups analysed, the habitual consumption did not comply with FBDG. The consumption of nutrient-poor and energy-dense foods (e.g. alcohol, soft drinks and snacks) was excessive (35% of total energy intake), while the consumption of most other food groups was below the minimum recommended. A large majority of the population had an inadequate consumption of dairy products (98%), vegetables (95%), fruit (91%), potatoes, rice and pasta (88%) bread and cereals (83%) and water and sugar-free drinks (73%). Males had higher consumption of most food groups than females, thereby complying more often with FBDG. For all food groups, except dairy products and fruit, the consumption increased with age. The proportion of individuals meeting FBDG was the highest among young children (3-5 years) and the worst among adolescents aged 14-17 years old. Habitual consumption remained stable between 2004 and 2014 in the population aged 15-64 years old for all food groups except for increased consumption of water and sugar-free drinks (1180 to 1289 g/d) and decreased consumption of spreadable and cooking fat (27 to 19 g/d), red meat (34 to 25 g/d) and bread and cereals (173 to 142 g/d). Conclusions The habitual food consumption of the Belgian population (3-64 years) in 2014-2015 deviates largely from FBDG, particularly among adolescents aged between 14 and 17 years old. Few improvements were observed between 2004 and 2014 in the population between 15 and 64 years old. Further efforts are therefore necessary to improve dietary habits in Belgium, in order to prevent and reduce diet-related diseases.
Collapse
Affiliation(s)
- Sarah Bel
- Sciensano, Department of Epidemiology and public health, Unit Lifestyle and chronic diseases, Brussels, Belgium
| | - Karin A A De Ridder
- Sciensano, Department of Epidemiology and public health, Unit Lifestyle and chronic diseases, Brussels, Belgium
| | - Thérésa Lebacq
- 2Centre de recherche en Epidémiologie, Biostatistiques et Recherches cliniques, Université libre de Bruxelles, Ecole de santé publique, Brussels, Belgium
| | - Cloë Ost
- Sciensano, Department of Epidemiology and public health, Unit Lifestyle and chronic diseases, Brussels, Belgium
| | - Eveline Teppers
- HIVA - Research Institute for Work and Society, Research Group Social and Economic Policy & Social Inclusion, Leuven, Belgium
| | - Koenraad Cuypers
- Sciensano, Department of Epidemiology and public health, Unit Lifestyle and chronic diseases, Brussels, Belgium
| | - Jean Tafforeau
- Sciensano, Department of Epidemiology and public health, Unit Lifestyle and chronic diseases, Brussels, Belgium
| |
Collapse
|
58
|
dos Santos Q, Perez-Cueto FJA, Rodrigues VM, Appleton K, Giboreau A, Saulais L, Monteleone E, Dinnella C, Brugarolas M, Hartwell H. Impact of a nudging intervention and factors associated with vegetable dish choice among European adolescents. Eur J Nutr 2019; 59:231-247. [DOI: 10.1007/s00394-019-01903-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Accepted: 01/17/2019] [Indexed: 12/17/2022]
|
59
|
Abstract
PurposeNutrition education plays a significant role in inculcating lifelong healthy dietary behaviours among adolescents. The purpose of this paper is to understand the opinions of parents and teachers regarding nutrition education in private Indian secondary schools.Design/methodology/approachA cross-sectional, self-administered, paper-based survey comprising both closed- and open-ended questions was completed by 32 teachers and 280 parents who were recruited from five private English-speaking secondary schools in Kolkata, India. Descriptive and cross-tabulation analyses were conducted to compare the responses of teachers and parents. Thematic data analysis informed by template analysis technique was performed to evaluate the qualitative data.FindingsWhile the curriculum was considered interesting and easy to understand, the gendered nature of the curriculum, excessive rote learning and lack of synchrony between the curriculum and school food services were highlighted as shortcomings of the existing curriculum. The need for the dissemination of food skills either through a compulsory food and nutrition curriculum or through extra-mural activities was expressed by most respondents. Both these ideas were indicative of strong support and motivation for modification in the current curriculum.Practical implicationsThese findings emphasise the support for a skills-focussed food and nutrition curriculum to inculcate experiential culinary skills and comprehensive nutrition knowledge in Indian adolescents, thus improving their nutritional and health profiles.Originality/valueThis is the first cross-sectional survey to investigate the views of parents and teachers about the status of food and nutrition education in private Indian secondary schools.
Collapse
|
60
|
Song G, Wang Y, Chen X, Pang S, Miao H, Li A, Wang W. Influences of ratio of macro-nutrients intake to human and animals: an overview. FOOD AGR IMMUNOL 2019. [DOI: 10.1080/09540105.2018.1561832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Affiliation(s)
- Ge Song
- Academy of State Administration of Grain, Beijing, People’s Republic of China
| | - Yong Wang
- Academy of State Administration of Grain, Beijing, People’s Republic of China
| | - Xi Chen
- Academy of State Administration of Grain, Beijing, People’s Republic of China
| | - Shaojie Pang
- Academy of State Administration of Grain, Beijing, People’s Republic of China
| | - Haijiang Miao
- Academy of State Administration of Grain, Beijing, People’s Republic of China
| | - Aike Li
- Academy of State Administration of Grain, Beijing, People’s Republic of China
| | - Weiwei Wang
- Academy of State Administration of Grain, Beijing, People’s Republic of China
| |
Collapse
|
61
|
De Cock N, Van Lippevelde W, Vangeel J, Notebaert M, Beullens K, Eggermont S, Deforche B, Maes L, Goossens L, Verbeken S, Moens E, Vervoort L, Braet C, Huybregts L, Kolsteren P, Van Camp J, Lachat C. Feasibility and impact study of a reward-based mobile application to improve adolescents' snacking habits. Public Health Nutr 2018; 21:2329-2344. [PMID: 29607800 PMCID: PMC11106033 DOI: 10.1017/s1368980018000678] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2017] [Revised: 02/12/2018] [Accepted: 02/22/2018] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Adolescents' snacking habits are driven by both explicit reflective and implicit hedonic processes. Hedonic pathways and differences in sensitivity to food rewards in addition to reflective determinants should be considered. The present study evaluated the feasibility and impact of a mobile phone-delivered intervention, incorporating explicit reflective and implicit rewarding strategies, on adolescents' snack intake. DESIGN Adolescents (n 988; mean age 14·9 (sd 0·70) years, 59·4 % boys) completed a non-randomized clustered controlled trial. Adolescents (n 416) in the intervention schools (n 3) were provided with the intervention application for four weeks, while adolescents (n 572) in the control schools (n 3) followed the regular curriculum. Outcomes were differences in healthy snacking ratio and key determinants (awareness, intention, attitude, self-efficacy, habits and knowledge). Process evaluation data were collected via questionnaires and through log data of the app. RESULTS No significant positive intervention effects on the healthy snack ratio (b=-3·52 (se 1·82), P>0·05) or targeted determinants were observed. Only 268 adolescents started using the app, of whom only fifty-five (20·5 %) still logged in after four weeks. Within the group of users, higher exposure to the app was not significantly associated with positive intervention effects. App satisfaction ratings were low in both high and low user groups. Moderation analyses revealed small positive intervention effects on the healthy snack ratio in high compared with low reward-sensitive boys (b=1·38 (se 0·59), P<0·05). CONCLUSIONS The intervention was not able to improve adolescents' snack choices, due to low reach and exposure. Future interventions should consider multicomponent interventions, teacher engagement, exhaustive participatory app content development and tailoring.
Collapse
Affiliation(s)
- Nathalie De Cock
- Department of Food Safety and Food Quality, Ghent University, Coupure Links 653, Ghent 9000, Belgium
| | | | - Jolien Vangeel
- Leuven School for Mass Communication Research, KU Leuven, Leuven, Belgium
| | - Melissa Notebaert
- Leuven School for Mass Communication Research, KU Leuven, Leuven, Belgium
| | - Kathleen Beullens
- Leuven School for Mass Communication Research, KU Leuven, Leuven, Belgium
| | - Steven Eggermont
- Leuven School for Mass Communication Research, KU Leuven, Leuven, Belgium
| | - Benedicte Deforche
- Department of Public Health, Ghent University, Ghent, Belgium
- Physical Activity, Nutrition and Health Research Unit, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium
| | - Lea Maes
- Department of Public Health, Ghent University, Ghent, Belgium
| | - Lien Goossens
- Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium
| | - Sandra Verbeken
- Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium
| | - Ellen Moens
- Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium
| | - Leentje Vervoort
- Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium
| | - Caroline Braet
- Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium
| | - Lieven Huybregts
- Poverty, Health and Nutrition Division, International Food Policy Research Institute, Washington DC, USA
| | - Patrick Kolsteren
- Department of Food Safety and Food Quality, Ghent University, Coupure Links 653, Ghent 9000, Belgium
| | - John Van Camp
- Department of Food Safety and Food Quality, Ghent University, Coupure Links 653, Ghent 9000, Belgium
| | - Carl Lachat
- Department of Food Safety and Food Quality, Ghent University, Coupure Links 653, Ghent 9000, Belgium
| |
Collapse
|
62
|
Estimated dietary intake of polyphenols in European adolescents: the HELENA study. Eur J Nutr 2018; 58:2345-2363. [DOI: 10.1007/s00394-018-1787-x] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2018] [Accepted: 07/17/2018] [Indexed: 01/09/2023]
|
63
|
Vaughn AE, Martin CL, Ward DS. What matters most - what parents model or what parents eat? Appetite 2018; 126:102-107. [PMID: 29604319 PMCID: PMC5971159 DOI: 10.1016/j.appet.2018.03.025] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Revised: 03/21/2018] [Accepted: 03/26/2018] [Indexed: 02/01/2023]
Abstract
PURPOSE Parents have a strong influence on their children's eating habits; however, researchers struggle to identify which food parenting practices to recommend. This study examined the influence of parents modeling of healthy eating ("parent role modeling") and parents' actual food intake ("parent dietary intake") on child diet quality, and explored whether these practices work together to influence children's diets. METHODS Baseline data from a larger intervention trial were used for this analysis. The sample included parents of preschool-age children from households with at least one overweight parent. The Comprehensive Feeding Practices Questionnaire was used to assess parent modeling of healthy eating ("healthy modeling"). Three days of dietary recalls were used to collect parents' report of their own intake and their children's intake (excluding food at child care). Associations between parent healthy modeling and parent intake of healthy and unhealthy foods were explored using Pearson correlations. Associations between parent healthy modeling and parent Healthy Eating Index (HEI) score on child HEI score were examined with linear regression. Additionally, the interaction between parent healthy modeling and HEI score on child HEI score was tested. RESULTS Parent healthy modeling was significantly correlated with parent intake of healthy foodsLinear regression showed a significant association between parent modeling and child HEI score, even after controlling for parent diet (β = 3.08, SE = 0.87, p < 0.001). Children whose parents had high parent healthy modeling scores had higher HEI scores (mean = 61.5 ± 10.4) regardless of parent HEI score. We did not find evidence that parent healthy modeling and diet quality interact to influence child diet quality. CONCLUSIONS Parents' healthy modeling is an important practice in influencing children's diet quality, possibly more so than the quality of parents' diets.
Collapse
Affiliation(s)
- Amber E Vaughn
- Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, 1700 Martin L King Jr. Blvd, CB 7426, Chapel Hill, NC 27599-7426, United States.
| | - Chantel L Martin
- Department of Health Behavior in the Gillings School of Global Public Health, University of North Carolina at Chapel Hill, United States.
| | - Dianne S Ward
- Department of Nutrition in the Gillings School of Global Public Health and Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, United States.
| |
Collapse
|
64
|
Biesalski Hans K, Jana T. Micronutrients in the life cycle: Requirements and sufficient supply. NFS JOURNAL 2018. [DOI: 10.1016/j.nfs.2018.03.001] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
|
65
|
Kumpulainen T, Vainio A, Sandell M, Hopia A. The effect of gender, age and product type on the origin induced food product experience among young consumers in Finland. Appetite 2018; 123:101-107. [PMID: 29253668 DOI: 10.1016/j.appet.2017.12.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Revised: 11/17/2017] [Accepted: 12/10/2017] [Indexed: 11/18/2022]
Abstract
Locally produced and sourced food products are gaining popularity among consumers. The effect of the expectations induced by the origin of the food was studied with 1491 consumers in two separate studies among different age groups. In order to test the consumer response to the product origin neutral, domestic, and local conditions were used. Consumers evaluated the product's pleasantness, their probability to choose it, the overall quality, and their willingness to pay. To gather information on whether the phenomenon was consistent, independent from the product category, three different types of products were tested (meat, bread, and vegetables). Our results show that a closer origin does not necessarily produce a positive response, but that there are several moderating factors such as gender, age, and product type. Female university students responded equally to domestic and local origins in the case of bread, but for meat products, only those of local origin induced a positive reaction. In this study population, the male respondents only reacted to a local origin in the case of bread, while domestic meat products provided similar results to local origins. Among young men consumers in the 7th-9th grades responded to the local origin of vegetables positively, while others among the youngest consumers, the origin did not induce a significant effect. The results indicate that even when the product is not appealing itself, locality can still increase the perceived quality.
Collapse
Affiliation(s)
| | - Annukka Vainio
- Natural Resources Institute Finland (Luke), Helsinki, Finland
| | - Mari Sandell
- University of Turku, Functional Foods Forum, Turku, Finland
| | - Anu Hopia
- University of Turku, Functional Foods Forum, Seinäjoki, Finland
| |
Collapse
|
66
|
Moreno-Maldonado C, Ramos P, Moreno C, Rivera F. How family socioeconomic status, peer behaviors, and school-based intervention on healthy habits influence adolescent eating behaviors. SCHOOL PSYCHOLOGY INTERNATIONAL 2018. [DOI: 10.1177/0143034317749888] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Psychologists in schools can play an important role in developing policies and programs to promote healthy eating habits. This study analyses the contributions of family socioeconomic status, peer influence (schoolmates’ food consumption), and school-based nutrition interventions to explain adolescent eating behaviors. Data were obtained from the 2014 Health behaviour in school-aged children survey in Spain, with a sample of 6,851 adolescents (11- to 16-years-old). The results suggest that school-based healthy-eating programs could improve by considering parental education level and by implementing interventions focused on the peer social network. Policies that limit access to unhealthy products in schools – rather than simply offering healthy foods alongside unhealthy products – could be more effective.
Collapse
|
67
|
Jimoh F, Lund EK, Harvey LJ, Frost C, Lay WJ, Roe MA, Berry R, Finglas PM. Comparing Diet and Exercise Monitoring Using Smartphone App and Paper Diary: A Two-Phase Intervention Study. JMIR Mhealth Uhealth 2018; 6:e17. [PMID: 29335239 PMCID: PMC5789166 DOI: 10.2196/mhealth.7702] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2017] [Revised: 08/10/2017] [Accepted: 10/30/2017] [Indexed: 12/01/2022] Open
Abstract
Background There is increasing recognition that personalized approaches may be more effective in helping people establish healthier eating patterns and exercise more, and that this approach may be particularly effective in adolescents. Objective The objective of this study was to investigate the use of a smartphone app (FoodWiz2) in supporting healthy lifestyle choices in adolescence. Methods Participants (N=34: 11 male, 23 female) aged 16-19 years in full- or part-time education were recruited from sixth form colleges, schools, and other further education establishments in Norfolk and Suffolk, United Kingdom, between February and May 2015. Participants recorded food intake and exercise using a paper diary for 4-5 weeks and then used the app for the same duration. Initial nutrition education and general support were provided during the paper diary use, but the app included personalized messages sent in response to app activity. At the end of each study phase, participants completed an online questionnaire to describe their experience of using the paper diary and app. Results Record completion declined throughout the study, possibly affected by examination pressure. Food intake data showed increased fruit consumption and significantly reduced consumption of chocolate snacks (P=.01) and fizzy drinks (P=.002) among participants using the app. Questionnaire responses indicated that the app was generally preferred to the paper diary, in particular, the app was seen as less boring to use (P=.03) and more acceptable in social settings (P<.001). Conclusions This app-based approach has shown the potential for a more effective approach to improving adolescent diet and exercise levels.
Collapse
Affiliation(s)
| | | | | | | | - W James Lay
- Food Angels UK Ltd, Newmarket, United Kingdom
| | - Mark A Roe
- Quadram Institute Bioscience, Norwich, United Kingdom
| | - Rachel Berry
- Quadram Institute Bioscience, Norwich, United Kingdom
| | | |
Collapse
|
68
|
Hermans RCJ, de Bruin H, Larsen JK, Mensink F, Hoek AC. Adolescents' Responses to a School-Based Prevention Program Promoting Healthy Eating at School. Front Public Health 2017; 5:309. [PMID: 29218306 PMCID: PMC5704644 DOI: 10.3389/fpubh.2017.00309] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Accepted: 11/03/2017] [Indexed: 11/13/2022] Open
Abstract
Background To improve the effectiveness of school-based programs that aim to promote adolescents' healthy food choices, it is essential to understand the views and behaviors of the target group. This study aimed to get a better understanding of adolescents' food and health perceptions and their willingness to be involved in a specific school-based prevention program, i.e., the Dutch "Healthy School Canteen Program." Methods This study used a mixed-methods research design. First, seven semi-structured focus groups were conducted using a selective sample of 42 Dutch adolescents (25 girls, 17 boys, aged 13-16 years). Second, an online survey among 133 adolescent respondents (72 girls, 61 boys, aged 12-19 years) using snowball sampling was conducted. Content analysis was performed to make inferences about the focus group discussions, whereas statistical analyses were conducted to analyze the survey data. Results Findings from the group discussions indicated that healthy eating was only an issue of importance when adolescents perceived negative physical changes (e.g., with regard to looks or physical performance). Adolescents also indicated that they clearly wanted to make their own food and beverage choices at school. The quantitative data indicated that taste, price, and variety were seen as the most important aspects of a healthy food assortment (mean scores 8.1, 7.8, and 7.7 on a 10-point scale, respectively). In general, a majority of the adolescents (64%) expressed that students should be involved in the organization of a healthy food environment in schools. At the same time, however, adolescents were not willing to participate themselves. This was mostly because they were skeptical about their ideas being heard and put into action by their schools. Conclusion School-based prevention programs, such as the Healthy School Program, should take into account that adolescents have a low risk perception of unhealthy eating and are seeking food choice autonomy. In addition, schools should not lose sight of product price, taste, and variety to make their food assortment attractive to students. If schools aim to involve adolescents in prevention programs that promote healthy eating, it is essential that they have a formal student involvement process that ensures that adolescents' suggestions are valued.
Collapse
Affiliation(s)
- Roel C J Hermans
- Behavioural Science Institute, Radboud University, Nijmegen, Netherlands.,The Netherlands Nutrition Centre, The Hague, Netherlands
| | | | - Junilla K Larsen
- Behavioural Science Institute, Radboud University, Nijmegen, Netherlands
| | | | - Annet C Hoek
- BehaviourWorks Australia, Monash Sustainability Institute, Monash University, Melbourne, VIC, Australia
| |
Collapse
|
69
|
Collese TS, Nascimento-Ferreira MV, de Moraes ACF, Rendo-Urteaga T, Bel-Serrat S, Moreno LA, Carvalho HB. Role of fruits and vegetables in adolescent cardiovascular health: a systematic review. Nutr Rev 2017; 75:339-349. [PMID: 28475799 DOI: 10.1093/nutrit/nux002] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Context Levels of fruit and vegetable consumption are low among adolescents, and the possible effect of this on cardiovascular health in this age group is undefined. Objective The aim of this systematic review was to investigate the potential role of fruit and vegetable consumption in adolescent cardiovascular health. Data Sources Six electronic databases (BioMed Central, MEDLINE, Web of Science, CINAHL, Scopus, PsycINFO) were searched from database inception to December 2015. Study Selection The search strategy used the following sets of descriptors: adolescents; fruits and vegetables; cardiovascular risk indicators; cross-sectional and cohort studies. Data Extraction Potentially eligible articles were selected independently by 2 reviewers. Results Eleven articles meeting the inclusion criteria were included (10 cross-sectional, 1 cohort). The main reasons for study exclusion (n = 71) were misclassification of individuals as adolescents, an unspecified outcome that was incongruent with the definitions provided, and assessment of fruits and vegetables as part of a food pattern. Articles evaluated fruit and vegetable intake (separately, together, only vegetables, or with fruit juice) in diverse units, using food frequency questionnaires, 24-hour dietary recalls, and food records. One-third of the studies showed significant inverse associations of fruit and vegetable intake with systolic blood pressure, abdominal obesity, triglycerides, high-density lipoprotein cholesterol, and metabolic syndrome. Conclusions The associations between fruit and vegetable consumption and indicators of cardiovascular risk in adolescents are inconsistent, likely because of heterogeneity in the methods used to assess and classify consumption and to define cardiovascular risk in adolescents.
Collapse
Affiliation(s)
- Tatiana Sadalla Collese
- T.S. Collese, M.V. Nascimento-Ferreira, A.C. Ferreira de Moraes, T. Rendo-Urteaga, and H.B. Carvalho are with the YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. T.S. Collese, A.C. Ferreira de Moraes, T. Rendo-Urteaga, S. Bel-Serrat, and L.A. Moreno are with the GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain. S. Bel-Serrat is with the School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland. L.A. Moreno is with the Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. A.C. Ferreira de Moraes is with the Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
| | - Marcus Vinicius Nascimento-Ferreira
- T.S. Collese, M.V. Nascimento-Ferreira, A.C. Ferreira de Moraes, T. Rendo-Urteaga, and H.B. Carvalho are with the YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. T.S. Collese, A.C. Ferreira de Moraes, T. Rendo-Urteaga, S. Bel-Serrat, and L.A. Moreno are with the GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain. S. Bel-Serrat is with the School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland. L.A. Moreno is with the Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. A.C. Ferreira de Moraes is with the Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
| | - Augusto César Ferreira de Moraes
- T.S. Collese, M.V. Nascimento-Ferreira, A.C. Ferreira de Moraes, T. Rendo-Urteaga, and H.B. Carvalho are with the YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. T.S. Collese, A.C. Ferreira de Moraes, T. Rendo-Urteaga, S. Bel-Serrat, and L.A. Moreno are with the GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain. S. Bel-Serrat is with the School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland. L.A. Moreno is with the Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. A.C. Ferreira de Moraes is with the Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
| | - Tara Rendo-Urteaga
- T.S. Collese, M.V. Nascimento-Ferreira, A.C. Ferreira de Moraes, T. Rendo-Urteaga, and H.B. Carvalho are with the YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. T.S. Collese, A.C. Ferreira de Moraes, T. Rendo-Urteaga, S. Bel-Serrat, and L.A. Moreno are with the GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain. S. Bel-Serrat is with the School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland. L.A. Moreno is with the Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. A.C. Ferreira de Moraes is with the Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
| | - Silvia Bel-Serrat
- T.S. Collese, M.V. Nascimento-Ferreira, A.C. Ferreira de Moraes, T. Rendo-Urteaga, and H.B. Carvalho are with the YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. T.S. Collese, A.C. Ferreira de Moraes, T. Rendo-Urteaga, S. Bel-Serrat, and L.A. Moreno are with the GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain. S. Bel-Serrat is with the School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland. L.A. Moreno is with the Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. A.C. Ferreira de Moraes is with the Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
| | - Luis A Moreno
- T.S. Collese, M.V. Nascimento-Ferreira, A.C. Ferreira de Moraes, T. Rendo-Urteaga, and H.B. Carvalho are with the YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. T.S. Collese, A.C. Ferreira de Moraes, T. Rendo-Urteaga, S. Bel-Serrat, and L.A. Moreno are with the GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain. S. Bel-Serrat is with the School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland. L.A. Moreno is with the Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. A.C. Ferreira de Moraes is with the Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
| | - Heráclito Barbosa Carvalho
- T.S. Collese, M.V. Nascimento-Ferreira, A.C. Ferreira de Moraes, T. Rendo-Urteaga, and H.B. Carvalho are with the YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. T.S. Collese, A.C. Ferreira de Moraes, T. Rendo-Urteaga, S. Bel-Serrat, and L.A. Moreno are with the GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain. S. Bel-Serrat is with the School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland. L.A. Moreno is with the Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. A.C. Ferreira de Moraes is with the Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
| |
Collapse
|
70
|
Chatelan A, Beer-Borst S, Randriamiharisoa A, Pasquier J, Blanco JM, Siegenthaler S, Paccaud F, Slimani N, Nicolas G, Camenzind-Frey E, Zuberbuehler CA, Bochud M. Major Differences in Diet across Three Linguistic Regions of Switzerland: Results from the First National Nutrition Survey menuCH. Nutrients 2017; 9:E1163. [PMID: 29068399 PMCID: PMC5707635 DOI: 10.3390/nu9111163] [Citation(s) in RCA: 63] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Revised: 10/11/2017] [Accepted: 10/13/2017] [Indexed: 11/17/2022] Open
Abstract
Switzerland is a multilingual country located between Germany, France and Italy, which differ by dietary habits and related outcomes. We explored differences in food consumption as well as compliance to the Swiss food-based dietary guidelines (FBDG) across the German-, French-, and Italian-speaking regions. The 2014-2015 nationwide cross-sectional survey was conducted among a stratified random sample of 2057 adults aged 18 to 75 years. Trained dietitians assessed food consumption via two non-consecutive 24-h dietary recalls using the international validated software GloboDiet®. Recorded foods and beverages were classified into six groups and 31 subgroups relevant for assessing compliance to the FBDG (Swiss Food Pyramid). Usual daily intake distributions were modelled and weighted for sampling design, non-response, weekdays and season. Participation rate was 38%. Significant differences across regions were observed in 18 of 31 food subgroups (p ≤ 0.01). Weighted mean daily intakes in the German-, French- and Italian-speaking regions were, respectively, 245 g, 155 g, 140 g for soft drinks, 273 g, 214 g, 135 g for coffee, 127 g, 72 g, 109 g for milk, 32 g, 45 g, 43 g for red meat, 18 g, 29 g, 34 g for fish/seafood, 8.1 g, 6.4 g, 3.7 g for butter, and 206 g, 214 g, 168 g for vegetables. The seven FBDGs were followed by <1% of the population. Four in 10 participants met ≥3 FBDG. Eighteen percent of participants ate ≥5 portions of fruit and vegetables a day, without regional differences. Food consumption substantially differed across the three linguistic regions of Switzerland. Adherence to FBDG was uniformly low. This highlights the potential influence of culture on diet. Nutritional education along with public health interventions are needed and may be most efficient if regionally targeted.
Collapse
Affiliation(s)
- Angeline Chatelan
- Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital (CHUV), Route de la Corniche 10, 1010 Lausanne, Switzerland.
| | - Sigrid Beer-Borst
- Institute of Social and Preventive Medicine (ISPM), University of Bern, Finkenhubelweg 11, 3012 Bern, Switzerland.
| | - Alex Randriamiharisoa
- Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital (CHUV), Route de la Corniche 10, 1010 Lausanne, Switzerland.
| | - Jerome Pasquier
- Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital (CHUV), Route de la Corniche 10, 1010 Lausanne, Switzerland.
| | - Juan Manual Blanco
- Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital (CHUV), Route de la Corniche 10, 1010 Lausanne, Switzerland.
| | - Stefan Siegenthaler
- Health Division, Bern University of Applied Sciences, Stadtbachstrasse 64, 3012 Bern, Switzerland.
| | - Fred Paccaud
- Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital (CHUV), Route de la Corniche 10, 1010 Lausanne, Switzerland.
| | - Nadia Slimani
- International Agency for Research on Cancer (IARC), World Health Organization, 150 Cours Albert Thomas, 69372 Lyon, France.
| | - Genevieve Nicolas
- International Agency for Research on Cancer (IARC), World Health Organization, 150 Cours Albert Thomas, 69372 Lyon, France.
| | - Esther Camenzind-Frey
- Risk Assessment Division, Scientific Evaluation Sector, Federal Food Safety and Veterinary Office (FSVO), Schwarzenburgstrasse 155, 3003 Bern, Switzerland.
| | - Christine Anne Zuberbuehler
- Risk Assessment Division, Scientific Evaluation Sector, Federal Food Safety and Veterinary Office (FSVO), Schwarzenburgstrasse 155, 3003 Bern, Switzerland.
| | - Murielle Bochud
- Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital (CHUV), Route de la Corniche 10, 1010 Lausanne, Switzerland.
| |
Collapse
|
71
|
Black AP, D'Onise K, McDermott R, Vally H, O'Dea K. How effective are family-based and institutional nutrition interventions in improving children's diet and health? A systematic review. BMC Public Health 2017; 17:818. [PMID: 29041899 PMCID: PMC5645887 DOI: 10.1186/s12889-017-4795-5] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2016] [Accepted: 09/21/2017] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND Effective strategies to improve dietary intake in young children are a priority to reduce the high prevalence of chronic non-communicable diseases in adulthood. This study aimed to assess the impact of family-based and school/preschool nutrition programs on the health of children aged 12 or younger, including the sustainability of these impacts and the relevance to socio-economic inequalities. METHODS A systematic review of literature published from 1980 to December 2014 was undertaken. Randomised controlled trials involving families with children aged up to 12 years in high income countries were included. The primary outcomes were dietary intake and health status. Results were presented in a narrative synthesis due to the heterogeneity of the interventions and outcomes. RESULTS The systematic search and assessment identified 39 eligible studies. 82% of these studies were set in school/preschools. Only one school study assessed the impact of involving parents systematically. The family-based programs which provided simple positive dietary advice to parents and regular follow-up reduced fat intake significantly. School and family-based studies, if designed and implemented well, increased F&V intake, particularly fruit. Effective school-based programs have incorporated role-models including peers, teachers and heroic figures, rewards and increased access to healthy foods. School nutrition programs in disadvantaged communities were as effective as programs in other communities. CONCLUSIONS Family and school nutrition programs can improve dietary intake, however evidence of the long-term sustainability of these impacts is limited. The modest overall impact of even these successful programs suggest complementary nutrition interventions are needed to build a supportive environment for healthy eating generally.
Collapse
Affiliation(s)
- Andrew P Black
- School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
- Bulgarr Ngaru Medical Aboriginal Corporation, PO Box 170, South Grafton, NSW, 2460, Australia.
| | - Katina D'Onise
- School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
| | - Robyn McDermott
- School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Cairns, QLD, Australia
| | - Hassan Vally
- School of Psychology & Public Health, La Trobe University, Melbourne, VIC, Australia
| | - Kerin O'Dea
- School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
| |
Collapse
|
72
|
Moreira NF, da Veiga GV, Santaliestra-Pasías AM, Androutsos O, Cuenca-García M, de Oliveira ASD, Pereira RA, de Moraes ABDV, Van den Bussche K, Censi L, González-Gross M, Cañada D, Gottrand F, Kafatos A, Marcos A, Widhalm K, Mólnar D, Moreno LA. Clustering of multiple energy balance related behaviors is associated with body fat composition indicators in adolescents: Results from the HELENA and ELANA studies. Appetite 2017; 120:505-513. [PMID: 29017906 DOI: 10.1016/j.appet.2017.10.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Revised: 10/05/2017] [Accepted: 10/06/2017] [Indexed: 01/05/2023]
Abstract
The objective of this study was to identify clustering patterns of four energy balance-related behaviors (EBRB): television (TV) watching, moderate and vigorous physical activity (MVPA), consumption of fruits and vegetables (F&V), and consumption of sugar-sweetened beverages (SSB), among European and Brazilian adolescents. EBRB associations with different body fat composition indicators were then evaluated. Participants included adolescents from eight European countries in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescents) study (n = 2,057, 53.8% female; age: 12.5-17.5 years) and from the metropolitan region of Rio de Janeiro/Brazil in the ELANA study (the Adolescent Nutritional Assessment Longitudinal Study) (n = 968, 53.2% female; age: 13.5-19 years). EBRB data allowed for sex- and study-specific clusters. Associations were estimated by ANOVA and odds ratios. Five clustering patterns were identified. Four similar clusters were identified for each sex and study. Among boys, different cluster identified was characterized by high F&V consumption in the HELENA study and high TV watching and high MVPA time in the ELANA study. Among girls, the different clusters identified was characterized by high F&V consumption in both studies and, additionally, high SSB consumption in the ELANA study. Regression analysis showed that clusters characterized by high SSB consumption in European boys; high TV watching, and high TV watching plus high MVPA in Brazilian boys; and high MVPA, and high SSB and F&V consumption in Brazilian girls, were positively associated with different body fat composition indicators. Common clusters were observed in adolescents from Europe and Brazil, however, no cluster was identified as being completely healthy or unhealthy. Each cluster seems to impact on body composition indicators, depending on the group. Public health actions should aim to promote adequate practices of EBRB.
Collapse
Affiliation(s)
- Naiara Ferraz Moreira
- Faculty of Health Sciences, Federal University of Grande Dourados, Dourados, Brazil.
| | - Gloria Valeria da Veiga
- Department of Social and Applied Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Alba María Santaliestra-Pasías
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain
| | - Odysseas Androutsos
- Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, Athens, Greece
| | - Magdalena Cuenca-García
- Department of Physiology, School of Medicine, University of Granada, Granada, Spain; Department of Physical Education, School of Education, University of Cadiz, Puerto Real, Spain
| | | | - Rosangela Alves Pereira
- Department of Social and Applied Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | - Laura Censi
- Council for Agricultural Research and Economics (CREA) - Research Center for Food and Nutrition, Rome, Italy
| | - Marcela González-Gross
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain; ImFINE Research Group, Department of Health and Human Performance, Facultad de Ciencias de la Actividad Física y del Deporte (INEF), Universidad Politécnica de Madrid, Madrid, Spain
| | - David Cañada
- ImFINE Research Group, Department of Health and Human Performance, Facultad de Ciencias de la Actividad Física y del Deporte (INEF), Universidad Politécnica de Madrid, Madrid, Spain
| | | | - Anthony Kafatos
- Preventive Medicine and Nutrition Clinic, University of Crete, Heraklion, Greece
| | - Ascensión Marcos
- Immunonutrition Research Group, Department of Metabolism and Nutrition, Institute of Food Science, Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), Madrid, Spain
| | - Kurt Widhalm
- Department of Pediatrics, Private Medical University, Salzburg, Austria
| | - Dénes Mólnar
- Department of Pediatrics, Medical Faculty, University of Pécs, Pecs, Hungary
| | - Luis Alberto Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain
| |
Collapse
|
73
|
Liao LL, Lai IJ. Construction of Nutrition Literacy Indicators for College Students in Taiwan: A Delphi Consensus Study. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2017; 49:734-742.e1. [PMID: 28729146 DOI: 10.1016/j.jneb.2017.05.351] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2016] [Revised: 05/10/2017] [Accepted: 05/12/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To use the Delphi process to select nutrition literacy (NL) indicators for Taiwan college students. DESIGN Initial formulation of 8 principal indicators and 77 subindicators, followed by a 2-round Delphi survey and final selection of indicators. PARTICIPANTS A total of 28 nutrition experts selected through snowball sampling; 100% response rate. MAIN OUTCOME MEASURES An expert panel scored and ranked NL themes and indicators for relevance, representativeness, and importance. ANALYSIS Quantitative analysis. For principal indicators, the defined cutoff was mean (relevance and representativeness) > 4 and SD < 1. For subindicators, screening criteria were: (1) >20 experts ranked the nutrition theme's importance in the top 50% of the 12 themes; (2) mean (relevance and representativeness) > 4 and SD < 1 and >20 experts ranked the indicator's importance in the top 50% of all indicators within a domain. RESULTS Consensus was reached on 8 principal indicators and 28 subindicators in 8 themes, including 10 in understand, 8 in analyze, 5 in appraise, and 5 in apply. CONCLUSIONS AND IMPLICATIONS An initial set of NL indicators was developed for Taiwan college students, serving as a basis to develop Taiwan College's Nutrition Literacy Scale and providing information on nutrition education.
Collapse
Affiliation(s)
- Li-Ling Liao
- Department of Health Management, I-Shou University, Kaohsiung City, Taiwan
| | - I-Ju Lai
- Department of Nutrition, I-Shou University, Kaohsiung City, Taiwan.
| |
Collapse
|
74
|
Silva DFDO, Lyra CDO, Lima SCVC. [Dietary habits of adolescents and associated cardiovascular risk factors: a systematic review]. CIENCIA & SAUDE COLETIVA 2017; 21:1181-96. [PMID: 27076017 DOI: 10.1590/1413-81232015214.08742015] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2014] [Accepted: 10/24/2015] [Indexed: 02/08/2023] Open
Abstract
The scope of this study was to conduct a systematic review to establish the major dietary habits of adolescents and the corresponding association with cardiovascular risk factors. Research was performed in the LILACS, SciELO, PubMed, Scopus and Web of Science databases in addition to a manual search for original articles published between 2005 and 2014. Of the 371 entries identified; 26 fulfilled the inclusion criteria and were covered in the review. The main dietary habits observed were Western (61%) Healthy (42%) and Traditional (38%). Western dietary habits were positively associated with total cholesterol and SM, while Healthy dietary habits were inversely associated with fasting glycaemia, DBP and SM and positively with HDL-C, all of the aforementioned associations with very low (D) quality of evidence in accordance with the GRADE rating. The Traditional dietary habits were considered a risk factor for hyperglycemia, hyperinsulinemia and hypertriglyceridemia and protection for physical activity and eutrophic BMI. Although these results need to be analyzed with caution, due to the low quality of evidence, there is a clear need for actions aimed at promoting healthy dietary habits in adolescents in order to contribute to the prevention of cardiovascular risk factors.
Collapse
|
75
|
Castilhos CBD, Schneider BC, Muniz LC, Assunção MCF. [Quality of the diet of 18-year-old adolescents belonging to the birth cohort of 1993 in Pelotas in the State of Rio Grande do Sul, Brazil]. CIENCIA & SAUDE COLETIVA 2017; 20:3309-18. [PMID: 26602709 DOI: 10.1590/1413-812320152011.17822014] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2014] [Accepted: 05/30/2015] [Indexed: 11/21/2022] Open
Abstract
The scope of this article is to describe the quality of the diet of adolescents according to sociodemographic and behavioral factors. It involved a cross-sectional study with 3,959 eighteen-year-old adolescents belonging to the birth cohort of 1993 in Pelotas in the State of Rio Grande do Sul, Brazil. Dietary intake was assessed using a semi quantitative Food Frequency Questionnaire with a recall period of 12 months. The diet quality was assessed using the Diet Quality Index Revised (DQI-R). This index ranges from 0 to 100 points and the higher the score, the better the diet quality. The overall DQI-R mean score was 62.4 points (DP). The lowest rates were observed for dark green and orange vegetables (3.0), total vegetables (3.4) and dairy products (3.6). Non-Caucasian adolescents (63.1), from families in which the heads of the household had less schooling (63.6) and belonging to the lowest quintile of the asset index (64.7) had higher average scores in the DQI-R. Lower averages were found among adolescents who smoked (58.5) and who consumed alcoholic beverages (56.0). This study showed that diet quality of the adolescents assessed deserve attention, especially with regard to the intake of vegetables, milk and dairy products.
Collapse
Affiliation(s)
- Cristina Bossle de Castilhos
- Departamento de Saúde Pública, Prefeitura Municipal de Pelotas, Pelotas, RS, Brasil, cristinacastilhos@ hotmail.com
| | | | | | | |
Collapse
|
76
|
Enes CC, Slater B. Dietary intake of adolescents compared with the Brazilian Food Guide and their differences according to anthropometric data and physical activity. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2017; 18:798-808. [PMID: 26982296 DOI: 10.1590/1980-5497201500040010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2014] [Accepted: 03/16/2015] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To assess the dietary intake of adolescents compared with the Brazilian Food Guide and to explore their differences according to anthropometric data and physical activity. METHODS A total of 476 adolescents from public schools of Piracicaba, SP, Brazil participated in this study. A semi-quantitative food frequency questionnaire was used to estimate food group intake of adolescents. Height, weight and waist circumference of all participants were measured. Physical activity pattern was determined by questioning about participation in regular sport activities. RESULTS The prevalence of overweight was 36.1% and 60% were not physically active. 7.8, 7.1, 6.3, and 0.2% of adolescents consumed vegetables, fruits, milk and derivatives, and cereals, respectively, according to recommendations. About 55 and 79% of adolescents consumed excessively oils/fats and sugar/sweets, respectively. Physically active adolescents consumed more cereals, fruits, vegetables, milk and derivatives, and meats and eggs. CONCLUSION Most adolescents did not follow the food group recommendations and those who were physically active have healthier food habits.
Collapse
Affiliation(s)
- Carla Cristina Enes
- School of Nutrition, Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil
| | - Betzabeth Slater
- School of Public Health, Universidade de São Paulo, São Paulo, SP, Brazil
| |
Collapse
|
77
|
Rathi N, Riddell L, Worsley A. Food consumption patterns of adolescents aged 14-16 years in Kolkata, India. Nutr J 2017; 16:50. [PMID: 28836982 PMCID: PMC5571590 DOI: 10.1186/s12937-017-0272-3] [Citation(s) in RCA: 50] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2017] [Accepted: 08/16/2017] [Indexed: 12/12/2022] Open
Abstract
Background The nutrition transition has brought about rapid changes in the structure of the Indian diet. The replacement of traditional home-cooked meals with ready-to-eat, processed foods has contributed to an increased risk of chronic diseases in urban Indians. Improving the nutrition of Indians by promoting healthy food consumption in early life and in adolescence would help to reduce these health risks. However, little is known about the quality and quantity of foods and beverages consumed by urban Indian adolescents. Therefore, the aim of this study was to describe the food consumption patterns in a sample of urban Indian adolescents. Methods A self-administered, semi-quantitative, 59-item meal-based food frequency questionnaire (FFQ) was developed to assess the dietary intake of adolescents over the previous day. A total of 1026 students (aged 14–16 years) attending private, English-speaking schools in Kolkata, India completed the survey. Results Overall, the adolescents reported poor dietary intakes; over one quarter (30%) reported no consumption of vegetables and 70% reported eating three or more servings of energy-dense snacks, on the previous day. Nearly half of the respondents (45%) did not consume any servings of fruits and 47% reported drinking three or more servings of energy-dense beverages. The mean consumption of food groups in serves/day varied from 0.88 (SD = 1.36) for pulses and legumes to 6.25 (SD = 7.22) for energy-dense snacks. In general, girls had more nutritious dietary intakes than boys. Conclusions The Indian adolescents reported poor food consumption patterns, and these findings highlight the need to design effective nutrition promotion strategies to encourage healthy eating in adolescence and targeting food supply and availability.
Collapse
Affiliation(s)
- Neha Rathi
- Institute for Physical Activity and Nutrition, Deakin University, 221 Burwood Highway, Burwood, VIC, 3125, Australia
| | - Lynn Riddell
- Institute for Physical Activity and Nutrition, Deakin University, 221 Burwood Highway, Burwood, VIC, 3125, Australia
| | - Anthony Worsley
- Institute for Physical Activity and Nutrition, Deakin University, 221 Burwood Highway, Burwood, VIC, 3125, Australia.
| |
Collapse
|
78
|
Jalkanen H, Lindi V, Schwab U, Kiiskinen S, Venäläinen T, Karhunen L, Lakka T, Eloranta A. Eating behaviour is associated with eating frequency and food consumption in 6–8 year-old children: The Physical Activity and Nutrition in Children (PANIC) study. Appetite 2017; 114:28-37. [DOI: 10.1016/j.appet.2017.03.011] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2016] [Revised: 01/13/2017] [Accepted: 03/09/2017] [Indexed: 01/28/2023]
|
79
|
Doustmohammadian A, Omidvar N, Keshavarz-Mohammadi N, Abdollahi M, Amini M, Eini-Zinab H. Developing and validating a scale to measure Food and Nutrition Literacy (FNLIT) in elementary school children in Iran. PLoS One 2017; 12:e0179196. [PMID: 28654646 PMCID: PMC5487019 DOI: 10.1371/journal.pone.0179196] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Accepted: 05/25/2017] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Food and nutrition literacy is an emerging term which is increasingly used in policy and research. Though research in this area is growing, progression is limited by the lack of an accepted method to measure food and nutrition literacy. The aim of this study is to develop a valid and reliable questionnaire to assess food and nutrition literacy in elementary school children in the city of Tehran. METHODS The study was conducted in three phases. To develop Food and Nutrition Literacy (FNLIT) questionnaire, a comprehensive literature review and a qualitative study were initially performed to identify food and nutrition literacy dimensions and its components. Content and face validity of the questionnaire were evaluated by an expert panel as well as students. In the second phase, construct validity of the scale was evaluated using Explanatory Factor Analyses (EFA) and Confirmatory Factor Analyses (CFA). In the last phase (confirmatory phase), the final version of the questionnaire was evaluated on 400 students. RESULTS Findings show Content Validity Ratio (CVR) and Content Validity Index (CVI) of the 62-item questionnaire at acceptable levels of 0.87 and 0.92, respectively. EFA suggested a six-factor construct, namely, understanding food and nutrition information, knowledge, functional, interactive, food choice, and critical. The results of CFA indicated acceptable fit indices for the proposed models. All subscales demonstrated satisfactory internal consistency (Cronbach's alpha≥0.70), except for critical skill subscale (0.48). The intraclass correlation coefficient (ICC = 0.90, CI: 0.83-0.94) indicated that Food and Nutrition Literacy (FNLIT) scale had satisfactory stability. Each phase of development progressively improved the questionnaire, which resulted in a 46-item (42 likert-type items and 4 true-false items) Food and Nutrition Literacy (FNLIT) scale. The questionnaire measured two domains with 6 subscales, including: 1) cognitive domain: understanding and knowledge; 2) skill domain: functional, food choice, interactive, and critical skills. CONCLUSION The developed food and nutrition literacy scale is a valid and reliable instrument to measure food and nutrition literacy in children. This measure lays a solid empirical and theoretical foundation for future research and tailored interventions to promote food and nutrition literacy in this age group.
Collapse
Affiliation(s)
- Aazam Doustmohammadian
- Department of Community Nutrition, National Nutrition and Food Technology Research Institute; and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Nasrin Omidvar
- Department of Community Nutrition, National Nutrition and Food Technology Research Institute; and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Morteza Abdollahi
- Department of Nutrition Research, National Nutrition and Food Technology Research Institute; and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maryam Amini
- Department of Nutrition Research, National Nutrition and Food Technology Research Institute; and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hassan Eini-Zinab
- Department of Community Nutrition, National Nutrition and Food Technology Research Institute; and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| |
Collapse
|
80
|
Palatable food consumption in children: interplay between (food) reward motivation and the home food environment. Eur J Pediatr 2017; 176:465-474. [PMID: 28132093 DOI: 10.1007/s00431-017-2857-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2016] [Revised: 12/18/2016] [Accepted: 01/16/2017] [Indexed: 10/20/2022]
Abstract
UNLABELLED To understand the importance of the home food environment on unhealthy food consumption in children high in reward sensitivity, this study tested the hypothesis that the home availability of unhealthy food moderates the effect of reward sensitivity on children's fast-food consumption frequency, exerted via food cue responsiveness. Children between 7.5 and 14 years (n = 174, 50.6% boys) reported on reward sensitivity and food cue responsiveness (by means of the subscale 'external eating'). Their height and weight were measured. Parents reported on their children's fast-food consumption frequency, food cue responsiveness (by means of the subscale 'food responsiveness'), and on the home availability of unhealthy foods. Two moderated mediation models were conducted, one with the parent- and one with the child-reported food cue responsiveness as mediator. Findings suggested that with a high home availability of unhealthy foods, (a) a higher fast-food consumption frequency was found in children high in reward sensitivity and (b) the relation between reward sensitivity and the fast-food consumption frequency was mediated by external eating. CONCLUSIONS The findings point at the importance of the home food environment in children high in reward sensitivity. They suggest to limit the home availability of unhealthy foods. What is Known: • Reward sensitivity (RS) is positively associated with children's palatable food consumption • In adolescents, this effect is mediated by food cue responsiveness, which determines the strength of an individual's motivation to obtain food when perceiving food cues What is New: • Children high in RS may be more vulnerable to palatable food cues in their everyday food environment because of a higher food cue responsiveness • The home food environment may be an important determining factor of the palatable food consumption of these children.
Collapse
|
81
|
Nutritional adequacy of diets for adolescents with overweight and obesity: considerations for dietetic practice. Eur J Clin Nutr 2017; 71:646-651. [DOI: 10.1038/ejcn.2016.268] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2016] [Revised: 11/03/2016] [Accepted: 12/05/2016] [Indexed: 02/07/2023]
|
82
|
Does the Valuation of Nutritional Claims Differ among Consumers? Insights from Spain. Nutrients 2017; 9:nu9020132. [PMID: 28208811 PMCID: PMC5331563 DOI: 10.3390/nu9020132] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Revised: 01/30/2017] [Accepted: 02/07/2017] [Indexed: 11/18/2022] Open
Abstract
The presence in the market of food products with nutritional claims is increasing. The objective of this paper is to assess consumers’ valuation of some nutritional claims (‘high in fiber’ and ‘reduced saturated fat’) in a European country and to test for differences among consumers. An artefactual non-hypothetical experiment was carried out in a realistic setting (mock/real brick-and-mortar supermarket) with a sample of 121 Spanish consumers stratified by gender, age, and body mass index. A latent class model was specified and estimated with the data from the experiment. Results indicate that consumers positively valued both nutritional claims, but the valuation was heterogeneous, and three consumer segments were detected. Two of them positively valued both nutritional claims (named ‘nutritional claim seekers’), while the third segment’s valuation was negative (named ‘nutritional claim avoiders’). This last segment is characterized by being younger males with university studies who give the least importance to health, natural ingredients, and the calorie/sugar/fat content when shopping. They pay less attention to nutritional information, and they stated that they use this information to a lesser extent. These consumers showed the least interest in healthy eating, and they reported that they do not have health problems related to their diet.
Collapse
|
83
|
Vaughn AE, Dearth-Wesley T, Tabak RG, Bryant M, Ward DS. Development of a Comprehensive Assessment of Food Parenting Practices: The Home Self-Administered Tool for Environmental Assessment of Activity and Diet Family Food Practices Survey. J Acad Nutr Diet 2017; 117:214-227. [PMID: 27660178 PMCID: PMC5276728 DOI: 10.1016/j.jand.2016.07.021] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2016] [Accepted: 07/26/2016] [Indexed: 01/10/2023]
Abstract
BACKGROUND Parents' food parenting practices influence children's dietary intake and risk for obesity and chronic disease. Understanding the influence and interactions between parents' practices and children's behavior is limited by a lack of development and psychometric testing and/or limited scope of current measures. The Home Self-Administered Tool for Environmental Assessment of Activity and Diet (HomeSTEAD) was created to address this gap. OBJECTIVE This article describes development and psychometric testing of the HomeSTEAD family food practices survey. PARTICIPANTS/DESIGN Between August 2010 and May 2011, a convenience sample of 129 parents of children aged 3 to 12 years were recruited from central North Carolina and completed the self-administered HomeSTEAD survey on three occasions during a 12- to 18-day window. Demographic characteristics and child diet were assessed at Time 1. Child height and weight were measured during the in-home observations (following Time 1 survey). STATISTICAL ANALYSIS Exploratory factor analysis with Time 1 data was used to identify potential scales. Scales with more than three items were examined for scale reduction. Following this, mean scores were calculated at each time point. Construct validity was assessed by examining Spearman rank correlations between mean scores (Time 1) and children's diet (fruits and vegetables, sugar-sweetened beverages, snacks, sweets) and body mass index (BMI) z scores. Repeated measures analysis of variance was used to examine differences in mean scores between time points, and single-measure intraclass correlations were calculated to examine test-retest reliability between time points. RESULTS Exploratory factor analysis identified 24 factors and retained 124 items; however, scale reduction narrowed items to 86. The final instrument captures five coercive control practices (16 items), seven autonomy support practices (24 items), and 12 structure practices (46 items). All scales demonstrated good internal reliability (α>.62), 18 factors demonstrated construct validity (significant association with child diet, P<0.05), and 22 demonstrated good reliability (intraclass correlation coefficient>0.61). CONCLUSIONS The HomeSTEAD family food practices survey provides a brief, yet comprehensive and psychometrically sound assessment of food parenting practices.
Collapse
|
84
|
Complementary Feeding Strategies to Facilitate Acceptance of Fruits and Vegetables: A Narrative Review of the Literature. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:ijerph13111160. [PMID: 27869776 PMCID: PMC5129370 DOI: 10.3390/ijerph13111160] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Revised: 11/15/2016] [Accepted: 11/16/2016] [Indexed: 12/17/2022]
Abstract
Complementary feeding (CF), which should begin after exclusive breastfeeding for six months, according to the World Health Organization (WHO), or after four months and before six months according to the European Society for Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN), is a period when the infant implicitly learns what, when, how, and how much to eat. At the onset of CF, the brain and the gut are still developing and maturing, and food experiences contribute to shaping brain connections involved in food hedonics and in the control of food intake. These learning processes are likely to have a long-term impact. Children’s consumption of fruit and vegetables (FV) is below recommendations in many countries. Thus, it is crucial to establish preferences for FV early, when infants are learning to eat. The development of food preferences mainly starts when infants discover their first solid foods. This narrative review summarizes the factors that influence FV acceptance at the start of the CF period: previous milk feeding experience; timing of onset of CF; repeated exposures to the food; variety of foods offered as of the start of the CF period; quality and sensory properties of the complementary foods; quality of the meal time context; and parental responsive feeding.
Collapse
|
85
|
Ronto R, Ball L, Pendergast D, Harris ND. Food Literacy at Secondary Schools in Australia. THE JOURNAL OF SCHOOL HEALTH 2016; 86:823-831. [PMID: 27714873 DOI: 10.1111/josh.12440] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2015] [Revised: 03/08/2016] [Accepted: 05/16/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Food literacy can encourage adolescents to develop healthy dietary patterns. This study examined home economics teachers' (HET) perspectives of the importance, curriculum, self-efficacy, and food environments regarding food literacy in secondary schools in Australia. METHODS A 20-item cross-sectional survey was completed by 205 HETs. The survey focused on the importance of aspects of food literacy, HETs' self-efficacy, and attitudes toward food literacy and schools' food environments. Data were analyzed descriptively, and associations between participants' demographic characteristics and perceptions were investigated by chi-square analyses. RESULTS HETs rated aspects of food literacy including preparing and cooking food, knowing about healthy foods and food safety and hygiene practices as very important. They indicated animal welfare, where food comes from, and plan and manage time for food shopping to be the least important aspects of food literacy. HETs reported that students' involvement in food literacy activities resulted in healthier diets and improved food practices, but the schools' food environments are not comprehensively supportive of food literacy. CONCLUSIONS HETs report that food literacy is very important for adolescents to learn. The focus is more on microaspects in comparison to macroaspects of food literacy. Schools' food environments are ideally positioned to shape dietary intake of adolescents but their potential is not being realized.
Collapse
Affiliation(s)
- Rimante Ronto
- School of Medicine & Menzies Health Institute Queensland, Building GO5 Room 3.16, Gold Coast Campus, Griffith University, Queensland 4222, Australia.
| | - Lauren Ball
- Menzies Health Institute Queensland, School of Allied Health sciences, Building G16 Room 2.50, Gold Coast Campus, Griffith University, Queensland 4222, Australia.
| | - Donna Pendergast
- School of Education and Professional Studies, Art, Education and Law Group, Building M10 Room 2.37, Mount Gravatt Campus, Griffith University, Queensland 4122, Australia.
| | - Neil D Harris
- School of Medicine & Menzies Health Institute Queensland, Building GO5 Room 3.13, Gold Coast Campus, Griffith University, Queensland 4222, Australia.
| |
Collapse
|
86
|
Costa-Tutusaus L, Guerra-Balic M. Relationship between Healthy Lifestyle and Sociodemographic Factors in Adolescents in Catalonia: Application of VISA-TEEN Questionnaire. PLoS One 2016; 11:e0163381. [PMID: 27684476 PMCID: PMC5042508 DOI: 10.1371/journal.pone.0163381] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Accepted: 09/06/2016] [Indexed: 11/25/2022] Open
Abstract
Introduction There is a clear relationship between the way of life and the health of individuals, and therefore, we can speak of healthy and unhealthy lifestyles. There are different surveys and questionnaires that evaluate the lifestyles of adolescents, but none of them offers a final score that can quantify the healthfulness of an adolescent’s lifestyle. It was with this goal that the VISA-TEEN questionnaire is developed and validated. The objective of this study is to apply the questionnaire to a sample of adolescents who attend school in Catalonia to evaluate the healthfulness of their lifestyles and to relate the scores obtained to different sociodemographic variables. Methods Cross-sectional study. A total of 2,832 students from 25 schools in Catalonia responded to the questionnaire. A descriptive analysis was performed, calculating the mean (Standard deviation), median (p25, p75), and confidence interval. The results were calculated for the total population, factoring according to gender, age, urban/rural population, origin (native/immigrant), and family wealth, which was based on the Family Affluence Scale (FAS II). The significance of the difference was calculated for each factor with the appropriate statistical test. Results For the total score of healthy lifestyle, the youngest students and those with the highest family wealth obtained higher scores. With respect to eating habits, girls scored higher than boys, and higher scores were observed in natives and those with high family wealth. For physical activity, boys scored higher, as well as younger individuals, natives, and those from rural areas. With respect to substance abuse, the worst scores were found in older individuals, students from rural areas, and natives. The rational use of leisure technology was only associated with age (worsening scores with older age). Lastly, hygiene was better with girls, decreased with age, and was worse with natives than immigrants.
Collapse
Affiliation(s)
- Lluís Costa-Tutusaus
- Blanquerna School of Health Science, Ramon Llull University, Barcelona, Spain
- Research Group on Health, Physical Activity and Sport (SAFE), Ramon Llull University, Barcelona, Spain
- * E-mail:
| | - Myriam Guerra-Balic
- Research Group on Health, Physical Activity and Sport (SAFE), Ramon Llull University, Barcelona, Spain
- Faculty of Psychology, Education and Sport Sciences, Ramon Llull University, Barcelona, Spain
| |
Collapse
|
87
|
A systematic review of methods to assess intake of fruits and vegetables among healthy European adults and children: a DEDIPAC (DEterminants of DIet and Physical Activity) study. Public Health Nutr 2016; 20:417-448. [DOI: 10.1017/s1368980016002366] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
AbstractObjectiveEvidence suggests that health benefits are associated with consuming recommended amounts of fruits and vegetables (F&V), yet standardised assessment methods to measure F&V intake are lacking. The current review aims to identify methods to assess F&V intake among children and adults in pan-European studies and inform the development of the DEDIPAC (DEterminants of DIet and Physical Activity) toolbox of methods suitable for use in future European studies.DesignA literature search was conducted using three electronic databases and by hand-searching reference lists. English-language studies of any design which assessed F&V intake were included in the review.SettingStudies involving two or more European countries were included in the review.SubjectsHealthy, free-living children or adults.ResultsThe review identified fifty-one pan-European studies which assessed F&V intake. The FFQ was the most commonly used (n42), followed by 24 h recall (n11) and diet records/diet history (n7). Differences existed between the identified methods; for example, the number of F&V items on the FFQ and whether potatoes/legumes were classified as vegetables. In total, eight validated instruments were identified which assessed F&V intake among adults, adolescents or children.ConclusionsThe current review indicates that an agreed classification of F&V is needed in order to standardise intake data more effectively between European countries. Validated methods used in pan-European populations encompassing a range of European regions were identified. These methods should be considered for use by future studies focused on evaluating intake of F&V.
Collapse
|
88
|
De Cock N, Van Camp J, Kolsteren P, Lachat C, Huybregts L, Maes L, Deforche B, Verstraeten R, Vangeel J, Beullens K, Eggermont S, Van Lippevelde W. Development and validation of a quantitative snack and beverage food frequency questionnaire for adolescents. J Hum Nutr Diet 2016; 30:141-150. [DOI: 10.1111/jhn.12411] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- N. De Cock
- Department of Food Safety and Food Quality; Ghent University; Ghent Belgium
| | - J. Van Camp
- Department of Food Safety and Food Quality; Ghent University; Ghent Belgium
| | - P. Kolsteren
- Department of Food Safety and Food Quality; Ghent University; Ghent Belgium
| | - C. Lachat
- Department of Food Safety and Food Quality; Ghent University; Ghent Belgium
| | - L. Huybregts
- Department of Food Safety and Food Quality; Ghent University; Ghent Belgium
- Poverty; Health and Nutrition Division International Food Policy Research Institute; Washington DC USA
| | - L. Maes
- Department of Public Health; Ghent University; Ghent Belgium
| | - B. Deforche
- Department of Public Health; Ghent University; Ghent Belgium
- Physical Activity; Nutrition and Health Research Unit; Faculty of Physical Education and Physical Therapy; Vrije Universiteit Brussel; Brussels Belgium
| | | | - J. Vangeel
- Leuven School for Mass Communication Research; KU Leuven; Leuven Belgium
| | - K. Beullens
- Leuven School for Mass Communication Research; KU Leuven; Leuven Belgium
- Research Foundation Flanders (FWO); Brussel Belgium
| | - S. Eggermont
- Leuven School for Mass Communication Research; KU Leuven; Leuven Belgium
| | - W. Van Lippevelde
- Physical Activity; Nutrition and Health Research Unit; Faculty of Physical Education and Physical Therapy; Vrije Universiteit Brussel; Brussels Belgium
| |
Collapse
|
89
|
Silva FMDA, Smith-Menezes A, Duarte MDFDS. Consumption of fruits and vegetables associated with other risk behaviors among adolescents in Northeast Brazil. REVISTA PAULISTA DE PEDIATRIA (ENGLISH EDITION) 2016. [PMID: 27240560 PMCID: PMC5178116 DOI: 10.1016/j.rppede.2015.09.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Objective: To determine the prevalence of consumption of fruits and vegetables and identify the association with low level of physical activity, exposure to sedentary behavior, consumption of soft drinks and overweight/obesity in adolescents. Methods: This is a cross-sectional school-based study with a representative sample of 3992 students aged 14–19 years from the state of Sergipe, Brazil. The outcome was low consumption of fruits and vegetables (<5servings/day). Independent variables were: level of physical activity, sedentary behavior, consumption of soft drinks, and overweight/obesity. Global Student Health Survey questionnaire and body mass and height measurements were used, as well as chi-square test and crude and adjusted binary logistic regression. The significance level adopted was 5%. Results: The prevalence of inadequate consumption of fruits and vegetables was high – 88.6% (95%CI=87.6–89.5). Higher likelihood of low consumption of fruits and vegetables was verified among boys who were exposed to sedentary behavior (OR=1.63; 95%CI=1.18–2.24), who consumed soft drinks (OR=3.04; 95%CI=2.10–4.40), with insufficiently physical activity (OR=1.98; 95%CI=1.43–2.73) and girls who consumed soft drinks (OR=1.88; 95%CI=1.43–2.47) and those with overweight/obesity (OR=1.63; 95%CI=1.19–2.23). Conclusions: There is a need of public policies aimed at encouraging the consumption of healthy foods among adolescents.
Collapse
Affiliation(s)
| | - Aldemir Smith-Menezes
- Instituto Federal de Educação, Ciência e Tecnologia de Sergipe, Universidade Federal de Sergipe (UFS), Aracajú, SE, Brasil
| | - Maria de Fátima da Silva Duarte
- Centro de Esportes, Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina (UFSC), Florianópolis, SC, Brasil
| |
Collapse
|
90
|
Silva FMDA, Smith‐Menezes A, Duarte MDFDS. Consumo de frutas e vegetais associado a outros comportamentos de risco em adolescentes no Nordeste do Brasil. REVISTA PAULISTA DE PEDIATRIA 2016; 34:309-15. [DOI: 10.1016/j.rpped.2015.09.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2015] [Revised: 08/28/2015] [Accepted: 09/13/2015] [Indexed: 01/04/2023]
|
91
|
Parnell JA, Wiens KP, Erdman KA. Dietary Intakes and Supplement Use in Pre-Adolescent and Adolescent Canadian Athletes. Nutrients 2016; 8:E526. [PMID: 27571101 PMCID: PMC5037513 DOI: 10.3390/nu8090526] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2016] [Revised: 08/03/2016] [Accepted: 08/16/2016] [Indexed: 11/17/2022] Open
Abstract
Young athletes experience numerous dietary challenges including growth, training/competition, unhealthy food environments, and travel. The objective was to determine nutrient intakes and supplement use in pre-adolescent and adolescent Canadian athletes. Athletes (n = 187) aged 11-18 years completed an on-line 24-h food recall and dietary supplement questionnaire. Median energy intake (interquartile range) varied from 2159 kcal/day (1717-2437) in 11-13 years old females to 2905 kcal/day (2291-3483) in 14-18 years old males. Carbohydrate and protein intakes were 8.1 (6.1-10.5); 2.4 (1.6-3.4) in males 11-13 years, 5.7 (4.5-7.9); 2.0 (1.4-2.6) in females 11-13 years, 5.3 (4.3-7.4); 2.0 (1.5-2.4) in males 14-18 y and 4.9 (4.4-6.2); 1.7 (1.3-2.0) in females 14-18 years g/kg of body weight respectively. Median vitamin D intakes were below the recommended dietary allowance (RDA) and potassium was below the adequate intake (AI) for all athlete groups. Females 14-18 years had intakes below the RDA for iron 91% (72-112), folate 89% (61-114) and calcium 84% (48-106). Multivitamin-multiminerals, vitamin C, vitamin D, vitamin-enriched water, protein powder, sport foods, fatty acids, probiotics, and plant extracts were popular supplements. Canadian pre-adolescent and adolescent athletes could improve their dietary intakes by focusing on food sources of calcium, vitamin D, potassium, iron, and folate. With the exceptions of vitamin D and carbohydrates during long exercise sessions, supplementation is generally unnecessary.
Collapse
Affiliation(s)
- Jill A Parnell
- Department of Health and Physical Education, Mount Royal University, 4825 Mount Royal Gate SW, Calgary, AB T3E 6K6, Canada.
| | - Kristin P Wiens
- Department of Behavioral Health and Nutrition, University of Delaware, 026 North College Avenue, Newark, DE 19716, USA.
| | - Kelly A Erdman
- Sport Medicine Centre, University of Calgary, 2500 University Dr NW, Calgary, AB T2N 1N4, Canada.
| |
Collapse
|
92
|
Factors influencing the reinforcing value of fruit and unhealthy snacks. Eur J Nutr 2016; 56:2589-2598. [DOI: 10.1007/s00394-016-1294-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Accepted: 08/11/2016] [Indexed: 12/12/2022]
|
93
|
Van Lippevelde W, Vangeel J, De Cock N, Lachat C, Goossens L, Beullens K, Vervoort L, Braet C, Maes L, Eggermont S, Deforche B, Van Camp J. Using a gamified monitoring app to change adolescents' snack intake: the development of the REWARD app and evaluation design. BMC Public Health 2016; 16:725. [PMID: 27494932 PMCID: PMC4974720 DOI: 10.1186/s12889-016-3286-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Accepted: 07/09/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND As the snacking pattern of European adolescents is of great concern, effective interventions are necessary. Till now health promotion efforts in children and adolescents have had only limited success in changing adolescents' eating patterns and anthropometrics. Therefore, the present study proposes an innovative approach to influence dietary behaviors in youth based on new insights on effective behavior change strategies and attractive intervention channels to engage adolescents. This article describes the rationale, the development, and evaluation design of the 'Snack Track School' app. The aim of the app is to improve the snacking patterns of Flemish 14- to 16-year olds. METHODS The development of the app was informed by the systematic, stepwise, iterative, and collaborative principles of the Intervention Mapping protocol. A four week mHealth intervention was developed based on the dual-system model with behavioral change strategies targeting both the reflective (i.e., active learning, advance organizers, mere exposure, goal-setting, monitoring, and feedback) and automatic processes (i.e., rewards and positive reinforcement). This intervention will be evaluated via a controlled pre-post design in Flemish schools among 1400 adolescents. DISCUSSION When this intervention including strategies focused on both the reflective and automatic pathway proves to be effective, it will offer a new scientifically-based vision, guidelines and practical tools for public health and health promotion (i.e., incorporation of learning theories in intervention programs). TRIAL REGISTRATION NCT02622165 registrated November 15, 2015 on clinicaltrials.gov.
Collapse
Affiliation(s)
- W Van Lippevelde
- Department of Public Health, Ghent University, 4K3, De Pintelaan 185, 9000, Ghent, Belgium.
| | - J Vangeel
- Leuven School for Mass Communication Research, KU Leuven, Parkstraat 45 -bus 3603, Leuven, Belgium
| | - N De Cock
- Department of Food Safety and Food Quality, Ghent University, Coupure links 653, 9000, Ghent, Belgium
| | - C Lachat
- Department of Food Safety and Food Quality, Ghent University, Coupure links 653, 9000, Ghent, Belgium
| | - L Goossens
- Department of Developmental, Personality and Social Psychology, Ghent University, H. Dunantlaan 2, 9000, Ghent, Belgium
| | - K Beullens
- Leuven School for Mass Communication Research, KU Leuven, Parkstraat 45 -bus 3603, Leuven, Belgium
| | - L Vervoort
- Department of Developmental, Personality and Social Psychology, Ghent University, H. Dunantlaan 2, 9000, Ghent, Belgium
| | - C Braet
- Department of Developmental, Personality and Social Psychology, Ghent University, H. Dunantlaan 2, 9000, Ghent, Belgium
| | - L Maes
- Department of Public Health, Ghent University, 4K3, De Pintelaan 185, 9000, Ghent, Belgium
| | - S Eggermont
- Leuven School for Mass Communication Research, KU Leuven, Parkstraat 45 -bus 3603, Leuven, Belgium
| | - B Deforche
- Department of Public Health, Ghent University, 4K3, De Pintelaan 185, 9000, Ghent, Belgium
| | - J Van Camp
- Department of Food Safety and Food Quality, Ghent University, Coupure links 653, 9000, Ghent, Belgium
| |
Collapse
|
94
|
Handeland K, Kjellevold M, Wik Markhus M, Eide Graff I, Frøyland L, Lie Ø, Skotheim S, Stormark KM, Dahl L, Øyen J. A Diet Score Assessing Norwegian Adolescents' Adherence to Dietary Recommendations-Development and Test-Retest Reproducibility of the Score. Nutrients 2016; 8:nu8080467. [PMID: 27483312 PMCID: PMC4997380 DOI: 10.3390/nu8080467] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2016] [Revised: 07/16/2016] [Accepted: 07/27/2016] [Indexed: 01/21/2023] Open
Abstract
Assessment of adolescents’ dietary habits is challenging. Reliable instruments to monitor dietary trends are required to promote healthier behaviours in this group. The purpose of this cross-sectional study was to assess adolescents’ adherence to Norwegian dietary recommendations with a diet score and to report results from, and test-retest reliability of, the score. The diet score involved seven food groups and one physical activity indicator, and was applied to answers from a semi-quantitative food frequency questionnaire (FFQ) administered twice. Reproducibility of the score was assessed with Cohen’s Kappa (κ statistics) at an interval of three months. The setting was eight lower-secondary schools in Hordaland County, Norway, and subjects were adolescents (n = 472) aged 14–15 years and their caregivers. Results showed that the proportion of adolescents consistently classified by the diet score was 87.6% (κ = 0.465). For food groups, proportions ranged from 74.0% to 91.6% (κ = 0.249 to κ = 0.573). Less than 40% of the participants were found to adhere to recommendations for frequencies of eating fruits, vegetables, added sugar, and fish. Highest compliance to recommendations was seen for choosing water as beverage and limit the intake of red meat. The score was associated with parental socioeconomic status. The diet score was found to be reproducible at an acceptable level. Health promoting work targeting adolescents should emphasize to increase the intake of recommended foods to approach nutritional guidelines.
Collapse
Affiliation(s)
- Katina Handeland
- National Institute of Nutrition and Seafood Research (NIFES), P.O. Box 2029 Nordnes, 5817 Bergen, Norway.
- Department of Clinical Medicine, Faculty of Medicine and Dentistry, University of Bergen, P.O. Box 7800, 5020 Bergen, Norway.
| | - Marian Kjellevold
- National Institute of Nutrition and Seafood Research (NIFES), P.O. Box 2029 Nordnes, 5817 Bergen, Norway.
| | - Maria Wik Markhus
- National Institute of Nutrition and Seafood Research (NIFES), P.O. Box 2029 Nordnes, 5817 Bergen, Norway.
| | - Ingvild Eide Graff
- National Institute of Nutrition and Seafood Research (NIFES), P.O. Box 2029 Nordnes, 5817 Bergen, Norway.
| | - Livar Frøyland
- National Institute of Nutrition and Seafood Research (NIFES), P.O. Box 2029 Nordnes, 5817 Bergen, Norway.
| | - Øyvind Lie
- National Institute of Nutrition and Seafood Research (NIFES), P.O. Box 2029 Nordnes, 5817 Bergen, Norway.
| | - Siv Skotheim
- Regional Centre for Child and Youth Mental Health, Uni Research Health, P.O. Box 7810, 5020 Bergen, Norway.
| | - Kjell Morten Stormark
- Regional Centre for Child and Youth Mental Health, Uni Research Health, P.O. Box 7810, 5020 Bergen, Norway.
- Department of Health promotion and development, University of Bergen, P.O. Box 7800, 5020 Bergen, Norway.
| | - Lisbeth Dahl
- National Institute of Nutrition and Seafood Research (NIFES), P.O. Box 2029 Nordnes, 5817 Bergen, Norway.
| | - Jannike Øyen
- National Institute of Nutrition and Seafood Research (NIFES), P.O. Box 2029 Nordnes, 5817 Bergen, Norway.
| |
Collapse
|
95
|
Roura E, Milà-Villarroel R, Lucía Pareja S, Adot Caballero A. Assessment of Eating Habits and Physical Activity among Spanish Adolescents. The "Cooking and Active Leisure" TAS Program. PLoS One 2016; 11:e0159962. [PMID: 27463105 PMCID: PMC4962989 DOI: 10.1371/journal.pone.0159962] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Accepted: 07/11/2016] [Indexed: 11/24/2022] Open
Abstract
Worldwide obesity has more than doubled in the last forty years. Even more worrying is the fact that the number of overweight and obese children and adolescents has considerably increased. Socioeconomic development, as well as educational, agricultural and marketing policies have significantly changed dietary and physical activity habits among the youngest, who are thus susceptible to develop chronic and disabling diseases such as diabetes, some cancers and cardiovascular disorders. Adolescence is a critical age, in which the adoption of healthy habits may have dramatic effects on the health state in adulthood. For this reason, prompt interventions are urgently required to prevent the onset of obesity in this time of life. In this regard, the CAL-TAS program from Alicia Foundation was born to combat obesity and promote healthy lifestyles in Spanish adolescents. A total of 2519 students, aged 13–14 years, from 79 schools distributed all over the 17 autonomous communities in Spain were asked to report through the CAL-TAS platform their food intake and physical activity over one week. The body mass index, the consumption of food and beverages, the intake of macronutrients and micronutrients, and the values obtained from the PAQ-A questionnaire, which evaluated physical activity, were analyzed. Twenty percent of the participants were overweight or obese. In general, adolescents did not or poorly respected the recommendations provided by the Spanish Society of Community Nutrition. For example, in more than half of the subjects, the ingestion of fruits and beverages was less than recommended, whereas the consumption of meat, baked goods and fried foods was excessive. Moreover, adolescents with higher body mass index also presented worse eating habits and more inactivity. In conclusion, Spanish adolescents present low adherence to recommendations provided by the Spanish Society of Community Nutrition (SENC) and by the World Health Organization. In order to prevent obesity-related disorders, effective educational programmes have to be designed. Indeed, adolescents and their families should be aware that the early adoption of healthy dietary habits and of a correct physical activity may strongly improve their future quality of life.
Collapse
Affiliation(s)
- Elena Roura
- Alicia Foundation, Barcelona, Spain
- * E-mail:
| | - Raimon Milà-Villarroel
- Research group on methodology, methods and models of health and social outcomes; Universitat de Vic-Universitat Central de Catalunya (UVic-UCC), Vic, Spain
| | | | | |
Collapse
|
96
|
Mednik-Vaksman M, Lund AE, Johnson DB. Eligibility for Free and Reduced Price School Meals and Fruit and Vegetable Intake at Home and at School. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2016. [DOI: 10.1080/19320248.2015.1095142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
97
|
Costa-Tutusaus L, Guerra-Balic M. Development and psychometric validation of a scoring questionnaire to assess healthy lifestyles among adolescents in Catalonia. BMC Public Health 2016; 16:89. [PMID: 26821644 PMCID: PMC4731967 DOI: 10.1186/s12889-016-2778-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2015] [Accepted: 01/25/2016] [Indexed: 11/11/2022] Open
Abstract
Background Lifestyle is intimately related to health. A questionnaire that specifically scores the healthiness of lifestyle of Catalan adolescents is needed. The objective of this study was to develop and validate a scoring questionnaire called VISA-TEEN to assess the healthy lifestyle of young Catalans that can be answered quickly and user-friendly. Methods A lifestyle questionnaire was developed based on the analysis of contributions from two focus groups, one with adolescents and the other with people who work with them (teachers and doctors). A panel of experts validated the content of items that were ultimately selected for the VISA-TEEN questionnaire. Three hundred ninety-six adolescents (215 boys and 181 girls, age = 13–19 years) completed the VISA-TEEN. Internal consistency was assessed using Cronbach's alpha (α) reliability coefficient. Test-retest reliability, using an intraclass correlation coefficient (ICC), was calculated based on scores attained two weeks apart. Construct validity was assessed by the extraction of components with an exploratory factor analysis. The relationship between the scores was measured using the health-related quality of life (HRQoL) KIDSCREEN-10 Index (the relationship was assessed by calculating Pearson’s r correlation coefficient). The association of scores in the VISA-TEEN for self-rated health (SRH) was also examined by executing an analysis of variance (ANOVA) between the different categories of this variable. We also calculated the index of fit for factor scales (IFFS) for each component, as well as the discriminatory power of the instrument using Ferguson’s δ (delta) coefficient. Results The VISA-TEEN questionnaire showed acceptable reliability (α = 0.66, αest = 0.77) and a very good test-retest agreement (ICC = 0.860). It could be broken down into the following five components, all with an acceptable or very good IFFS (0.7–0.96): diet, substance abuse, physical activity, Rational Use of Technological Leisure (RUTL), and hygiene. Scores on the VISA-TEEN showed significant correlation with the KIDSCREEN index (r = 0.21, p < 0.001) and were associated with SRH (p < 0.001). The discriminatory power was found to be δ = 0.97. Conclusions The VISA-TEEN questionnaire developed to study the lifestyle of Catalan adolescents is a valid instrument to apply in this population as it is shown in the present psychometric tests to understand the role of lifestyle in the health of teenagers or to test the efficacy of health campaigns intended to improve teenagers' lifestyle. Electronic supplementary material The online version of this article (doi:10.1186/s12889-016-2778-6) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Lluís Costa-Tutusaus
- Research Group Physical Activity, Sport and Health, School of Health Science, University Ramon Llull, FCS Blanquerna, C/ Padilla 326-332, Barcelona, 08025, Spain.
| | - Myriam Guerra-Balic
- Research Group Physical Activity, Sport and Health, Faculty of Psychology, Education and Sport Sciences, University Ramon Llull, Barcelona, 08022, Spain
| |
Collapse
|
98
|
Vaughn AE, Ward DS, Fisher JO, Faith MS, Hughes SO, Kremers SPJ, Musher-Eizenman DR, O'Connor TM, Patrick H, Power TG. Fundamental constructs in food parenting practices: a content map to guide future research. Nutr Rev 2016; 74:98-117. [PMID: 26724487 DOI: 10.1093/nutrit/nuv061] [Citation(s) in RCA: 384] [Impact Index Per Article: 48.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Although research shows that "food parenting practices" can impact children's diet and eating habits, current understanding of the impact of specific practices has been limited by inconsistencies in terminology and definitions. This article represents a critical appraisal of food parenting practices, including clear terminology and definitions, by a working group of content experts. The result of this effort was the development of a content map for future research that presents 3 overarching, higher-order food parenting constructs--coercive control, structure, and autonomy support--as well as specific practice subconstructs. Coercive control includes restriction, pressure to eat, threats and bribes, and using food to control negative emotions. Structure includes rules and limits, limited/guided choices, monitoring, meal- and snacktime routines, modeling, food availability and accessibility, food preparation, and unstructured practices. Autonomy support includes nutrition education, child involvement, encouragement, praise, reasoning, and negotiation. Literature on each construct is reviewed, and directions for future research are offered. Clear terminology and definitions should facilitate cross-study comparisons and minimize conflicting findings resulting from previous discrepancies in construct operationalization.
Collapse
Affiliation(s)
- Amber E Vaughn
- A.E. Vaughn and D.S. Ward are with the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. D.S. Ward is with the Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. J.O. Fisher is with the Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania, USA. M.S. Faith is with the Department of Counseling, School, and Educational Psychology, Graduate School of Education, University of Buffalo, State University of New York, Buffalo, New York, USA. S.O. Hughes and T.M. O'Connor are with the US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA. S.P.J. Kremers is with the Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands. D.R. Musher-Eizenman is with the Department of Psychology, Bowling Green State University, Bowling Green, Ohio, USA. H. Patrick is with LiveHealthier, Inc., Bethesda, Maryland, USA. T.G. Power is with the Department of Human Development, Washington State University, Pullman, Washington, USA.
| | - Dianne S Ward
- A.E. Vaughn and D.S. Ward are with the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. D.S. Ward is with the Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. J.O. Fisher is with the Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania, USA. M.S. Faith is with the Department of Counseling, School, and Educational Psychology, Graduate School of Education, University of Buffalo, State University of New York, Buffalo, New York, USA. S.O. Hughes and T.M. O'Connor are with the US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA. S.P.J. Kremers is with the Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands. D.R. Musher-Eizenman is with the Department of Psychology, Bowling Green State University, Bowling Green, Ohio, USA. H. Patrick is with LiveHealthier, Inc., Bethesda, Maryland, USA. T.G. Power is with the Department of Human Development, Washington State University, Pullman, Washington, USA
| | - Jennifer O Fisher
- A.E. Vaughn and D.S. Ward are with the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. D.S. Ward is with the Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. J.O. Fisher is with the Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania, USA. M.S. Faith is with the Department of Counseling, School, and Educational Psychology, Graduate School of Education, University of Buffalo, State University of New York, Buffalo, New York, USA. S.O. Hughes and T.M. O'Connor are with the US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA. S.P.J. Kremers is with the Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands. D.R. Musher-Eizenman is with the Department of Psychology, Bowling Green State University, Bowling Green, Ohio, USA. H. Patrick is with LiveHealthier, Inc., Bethesda, Maryland, USA. T.G. Power is with the Department of Human Development, Washington State University, Pullman, Washington, USA
| | - Myles S Faith
- A.E. Vaughn and D.S. Ward are with the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. D.S. Ward is with the Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. J.O. Fisher is with the Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania, USA. M.S. Faith is with the Department of Counseling, School, and Educational Psychology, Graduate School of Education, University of Buffalo, State University of New York, Buffalo, New York, USA. S.O. Hughes and T.M. O'Connor are with the US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA. S.P.J. Kremers is with the Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands. D.R. Musher-Eizenman is with the Department of Psychology, Bowling Green State University, Bowling Green, Ohio, USA. H. Patrick is with LiveHealthier, Inc., Bethesda, Maryland, USA. T.G. Power is with the Department of Human Development, Washington State University, Pullman, Washington, USA
| | - Sheryl O Hughes
- A.E. Vaughn and D.S. Ward are with the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. D.S. Ward is with the Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. J.O. Fisher is with the Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania, USA. M.S. Faith is with the Department of Counseling, School, and Educational Psychology, Graduate School of Education, University of Buffalo, State University of New York, Buffalo, New York, USA. S.O. Hughes and T.M. O'Connor are with the US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA. S.P.J. Kremers is with the Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands. D.R. Musher-Eizenman is with the Department of Psychology, Bowling Green State University, Bowling Green, Ohio, USA. H. Patrick is with LiveHealthier, Inc., Bethesda, Maryland, USA. T.G. Power is with the Department of Human Development, Washington State University, Pullman, Washington, USA
| | - Stef P J Kremers
- A.E. Vaughn and D.S. Ward are with the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. D.S. Ward is with the Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. J.O. Fisher is with the Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania, USA. M.S. Faith is with the Department of Counseling, School, and Educational Psychology, Graduate School of Education, University of Buffalo, State University of New York, Buffalo, New York, USA. S.O. Hughes and T.M. O'Connor are with the US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA. S.P.J. Kremers is with the Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands. D.R. Musher-Eizenman is with the Department of Psychology, Bowling Green State University, Bowling Green, Ohio, USA. H. Patrick is with LiveHealthier, Inc., Bethesda, Maryland, USA. T.G. Power is with the Department of Human Development, Washington State University, Pullman, Washington, USA
| | - Dara R Musher-Eizenman
- A.E. Vaughn and D.S. Ward are with the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. D.S. Ward is with the Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. J.O. Fisher is with the Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania, USA. M.S. Faith is with the Department of Counseling, School, and Educational Psychology, Graduate School of Education, University of Buffalo, State University of New York, Buffalo, New York, USA. S.O. Hughes and T.M. O'Connor are with the US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA. S.P.J. Kremers is with the Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands. D.R. Musher-Eizenman is with the Department of Psychology, Bowling Green State University, Bowling Green, Ohio, USA. H. Patrick is with LiveHealthier, Inc., Bethesda, Maryland, USA. T.G. Power is with the Department of Human Development, Washington State University, Pullman, Washington, USA
| | - Teresia M O'Connor
- A.E. Vaughn and D.S. Ward are with the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. D.S. Ward is with the Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. J.O. Fisher is with the Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania, USA. M.S. Faith is with the Department of Counseling, School, and Educational Psychology, Graduate School of Education, University of Buffalo, State University of New York, Buffalo, New York, USA. S.O. Hughes and T.M. O'Connor are with the US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA. S.P.J. Kremers is with the Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands. D.R. Musher-Eizenman is with the Department of Psychology, Bowling Green State University, Bowling Green, Ohio, USA. H. Patrick is with LiveHealthier, Inc., Bethesda, Maryland, USA. T.G. Power is with the Department of Human Development, Washington State University, Pullman, Washington, USA
| | - Heather Patrick
- A.E. Vaughn and D.S. Ward are with the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. D.S. Ward is with the Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. J.O. Fisher is with the Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania, USA. M.S. Faith is with the Department of Counseling, School, and Educational Psychology, Graduate School of Education, University of Buffalo, State University of New York, Buffalo, New York, USA. S.O. Hughes and T.M. O'Connor are with the US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA. S.P.J. Kremers is with the Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands. D.R. Musher-Eizenman is with the Department of Psychology, Bowling Green State University, Bowling Green, Ohio, USA. H. Patrick is with LiveHealthier, Inc., Bethesda, Maryland, USA. T.G. Power is with the Department of Human Development, Washington State University, Pullman, Washington, USA
| | - Thomas G Power
- A.E. Vaughn and D.S. Ward are with the Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. D.S. Ward is with the Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. J.O. Fisher is with the Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania, USA. M.S. Faith is with the Department of Counseling, School, and Educational Psychology, Graduate School of Education, University of Buffalo, State University of New York, Buffalo, New York, USA. S.O. Hughes and T.M. O'Connor are with the US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA. S.P.J. Kremers is with the Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands. D.R. Musher-Eizenman is with the Department of Psychology, Bowling Green State University, Bowling Green, Ohio, USA. H. Patrick is with LiveHealthier, Inc., Bethesda, Maryland, USA. T.G. Power is with the Department of Human Development, Washington State University, Pullman, Washington, USA
| |
Collapse
|
99
|
Zakhem E, El Hage R, Pezé T, Hurdiel R, Zunquin G, Theunynck D. [Factors associated with eating disorders in students of the University of Littoral Côte d'Opale]. Rev Epidemiol Sante Publique 2015; 63:259-65. [PMID: 26143089 DOI: 10.1016/j.respe.2015.04.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2013] [Revised: 02/16/2015] [Accepted: 04/08/2015] [Indexed: 10/23/2022] Open
Abstract
AIMS Our study aimed to observe the rate of eating disorders in first year public health students (allied medical and sports) of the University of the Littoral Opal Coast (ULCO) using the SCOFF-F (Sick, Control, One, stone, Fat, Food; French version) questionnaire and to compare morphological characteristics, level of physical condition, level of physical activity and sleep quality. METHODS Overall 642 subjects (459 women and 183 men) aged 22years (20.9±4.9years) participated in this study (Universanté-CEMHaVi). Weight, height, and fat mass were measured, and waist-to-hip ratio and body mass index (BMI) were calculated. The level of physical condition was evaluated using several physical tests: Leger and Boucher (20m) and shuttle run (4×10m), Sargent-test and handgrip strength. The SCOFF-F questionnaire followed by a clinical maintenance conducted by a professional was used to detect eating disorders. Several other questionnaires were used to evaluate the physical activity level; General Practice Assessment Questionnaire (GPAQ) and wellness. Sleep quality index was evaluated using Pittsburgh Sleep Quality Index (PSQI). RESULTS SCOFF-F was positive in 24.2% of women and 10.2% of men. In women, there were no significant differences between those who had a positive SCOFF-F screening and those who had a negative SCOFF-F screening regarding age, height, waist-to-hip ratio, level of physical condition measured and level of physical activity evaluated. However, significant differences were found between women who had a positive SCOFF-F screening and women who had a negative SCOFF-F screening regarding sleep quality, well-being score, BMI and fat mass. In men, significant differences were found between those who had a positive SCOFF-F screening and those who had a negative SCOFF-F screening regarding BMI and fat mass. CONCLUSION This study suggests that in both sexes, having a positive SCOFF-F screening is associated with higher BMI. In women, the increase in BMI and the perturbations in sleep quality and well-being score may indicate bulimia nervosa. The definition of a panel of possible factors associated with eating disorders can help in screening and early detection of eating disorders.
Collapse
Affiliation(s)
- E Zakhem
- Département d'éducation physique, faculté des lettres et des sciences humaines, université de Balamand, El-Koura, P.O. Box 100, Tripoli, Liban; URePSSS-EA 4488_E1 ULCO, COMUE Lille Nord-de-France, 59383 Dunkerque cedex 01, France
| | - R El Hage
- Département d'éducation physique, faculté des lettres et des sciences humaines, université de Balamand, El-Koura, P.O. Box 100, Tripoli, Liban.
| | - T Pezé
- URePSSS-EA 4488_E1 ULCO, COMUE Lille Nord-de-France, 59383 Dunkerque cedex 01, France
| | - R Hurdiel
- URePSSS-EA 4488_E1 ULCO, COMUE Lille Nord-de-France, 59383 Dunkerque cedex 01, France
| | - G Zunquin
- URePSSS-EA 4488_E1 ULCO, COMUE Lille Nord-de-France, 59383 Dunkerque cedex 01, France
| | - D Theunynck
- URePSSS-EA 4488_E1 ULCO, COMUE Lille Nord-de-France, 59383 Dunkerque cedex 01, France
| |
Collapse
|
100
|
Sodium intake and its reduction by food reformulation in the European Union — A review. NFS JOURNAL 2015. [DOI: 10.1016/j.nfs.2015.03.001] [Citation(s) in RCA: 153] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
|