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Ariyo O, Alabi O, Aleru EO, Ojo TJ. Effect of emotion-based nutrition messages on consumption of calcium-rich foods among early adolescents in Ogbomoso, Nigeria. DIALOGUES IN HEALTH 2023; 2:100130. [PMID: 38515477 PMCID: PMC10953985 DOI: 10.1016/j.dialog.2023.100130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 03/25/2023] [Accepted: 03/26/2023] [Indexed: 03/23/2024]
Abstract
Introduction Calcium is a vital micronutrient for several physiological processes, yet it remains one of the significant shortfall nutrients among Nigerian adolescents. Objective This study was designed to assess the effect of emotion-based nutrition messages on the consumption of calcium-rich foods among early adolescents in Ogbomoso, Nigeria. Methodology The quasi-experimental study involved 220 adolescents (experimental: 110 and control: 110) selected using a three-stage sampling procedure. A semi-structured, interviewer-administered questionnaire was used to collect socio-demographic characteristics, dietary practice, calcium-rich foods consumption pattern, calcium intake, and anthropometric parameters. Second, calcium-rich foods consumption pattern was assessed using a food frequency questionnaire, and intake was evaluated using the multi-pass 24-hour dietary recall to define adequacy at intake level ≥1,300 mg per day. Third, the experimental group had five weeks of nutrition education using emotion-based nutrition messages. Data were analyzed using descriptive statistics and the Chi-square test at p < 0.05. Results The age of respondents (years) in experimental (12.88±1.41) and control (13.4±1.03) groups was similar. Primary dietary calcium sources were meat, chicken, egg, white beans, cheese, soy milk, oranges, and locust beans at baseline. At post-intervention, intake of other calcium-rich foods such as milk, yogurt, ice cream, okra, sardine, and unripe plantain increased, however, calcium intake remains similar in both control (238.41±92.4 mg; 235.40±92.92 mg) and experimental groups (239.76±51 mg; 241.46±100.89 mg) at baseline and post-intervention, respectively. The overall calcium intake of the adolescents remains below the recommended intake level of 1,300 mg. Conclusion Emotion-based nutritional messages did not significantly increase the total calcium intake among early adolescents.
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Affiliation(s)
- Oluwaseun Ariyo
- Department of Human Nutrition and Dietetics, University of Ibadan, Nigeria
| | - Olubunmi Alabi
- Department of Nutrition and Dietetics, Faculty of Food and Consumer Sciences, Ladoke Akintola University of Technology, Ogbomoso, Nigeria
| | - Elizabeth O. Aleru
- Department of Human Nutrition and Dietetics, Lead City University Ibadan, Nigeria
| | - Tomilola J. Ojo
- Department of Human Nutrition and Dietetics, University of Ibadan, Nigeria
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Racette CM, Nishku S, Drake MA. Parental perception of children's school lunch milk. J Dairy Sci 2023; 106:6771-6788. [PMID: 37210362 DOI: 10.3168/jds.2023-23326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 04/18/2023] [Indexed: 05/22/2023]
Abstract
School lunch programs are mandated by the US Code of Federal Regulations to serve pasteurized milk that is skim or 1% fat and fortified with vitamins A and D. In recent years, proposals have been made to alter nutritional requirements for school lunches and school lunch milk, including changes to the milk fat and flavor options available. The objective of this study was to evaluate parental understanding and perception of school lunch milk to better understand how changes to school lunch milk are perceived by parents. Four focus groups (n = 34) were conducted with parents of school-aged children (5-13 yr) who purchased milk as part of a lunch at school. Participants were asked about school lunch milk, including nutritional content, packaging, and flavoring. Focus groups included a build-your-own milk activity and discussion of children's milk products currently available on the market. Two subsequent online surveys were conducted with parents of school-aged children (survey 1, n = 216; survey 2, n = 133). Maximum difference scaling was used to evaluate what beverages parents would prefer their child to drink at school (survey 1) and which attributes of chocolate milk for children were most important to parents (survey 2). An adaptive choice-based conjoint activity (survey 1) included flavor, milk fat, heat treatment, label claims, and packaging type. Both surveys included questions to evaluate knowledge of milk nutrition and attitudes regarding milk and flavored milk. Agree/disagree questions were used in both surveys to assess parental opinions of school lunch milk. Survey 2 also included semantic differential (sliding scale) questions to assess parental opinions of chocolate milk and their acceptance of sugar alternatives in chocolate milk served in schools. Parents were familiar with the flavor options and packaging of school lunch milk, but expressed limited familiarity with school lunch milk fat content. Parents perceived milk to be healthy and a good source of vitamin D and calcium. From survey results, parents placed the highest importance on school lunch milk packaging, followed by milk fat percentage and flavoring over label claims and heat treatment. The ideal school lunch milk for parents was unflavored (white milk) or chocolate, 2% fat, and packaged in a cardboard gabletop carton. For school lunch chocolate milk, 3 distinct clusters of parents with differing opinions for children's chocolate milk were identified. Parents are largely unfamiliar with the specific attributes and nutritional profile of milk served in schools but believe that schools should offer milk to their children as part of breakfast and lunch. Parents in both surveys also displayed a preference for 2% fat milk over low-fat options, which provides actionable insight for both governmental bodies determining educational and nutritional policies for school meals and fluid milk producers seeking to optimize their products intended for schools.
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Affiliation(s)
- C M Racette
- Southeast Dairy Foods Research Center, Department of Food, Bioprocessing, and Nutrition Sciences, North Carolina State University, Raleigh, NC 27606
| | - S Nishku
- Southeast Dairy Foods Research Center, Department of Food, Bioprocessing, and Nutrition Sciences, North Carolina State University, Raleigh, NC 27606
| | - M A Drake
- Southeast Dairy Foods Research Center, Department of Food, Bioprocessing, and Nutrition Sciences, North Carolina State University, Raleigh, NC 27606.
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Rouf A, Clayton S, Allman‐Farinelli M. The barriers and enablers to achieving adequate calcium intake in young adults: a qualitative study using focus groups. J Hum Nutr Diet 2019; 32:443-454. [DOI: 10.1111/jhn.12653] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- A. Rouf
- Discipline of Nutrition and Dietetics, School of Life and Environmental Sciences Charles Perkins Centre The University of Sydney Sydney NSW Australia
| | - S. Clayton
- Discipline of Nutrition and Dietetics, School of Life and Environmental Sciences Charles Perkins Centre The University of Sydney Sydney NSW Australia
| | - M. Allman‐Farinelli
- Discipline of Nutrition and Dietetics, School of Life and Environmental Sciences Charles Perkins Centre The University of Sydney Sydney NSW Australia
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Rose AM, Williams RA, Rengers B, Kennel JA, Gunther C. Determining attitudinal and behavioral factors concerning milk and dairy intake and their association with calcium intake in college students. Nutr Res Pract 2018; 12:143-148. [PMID: 29629031 PMCID: PMC5886966 DOI: 10.4162/nrp.2018.12.2.143] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2017] [Revised: 02/28/2018] [Accepted: 03/02/2018] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND/OBJECTIVES Average intake of calcium among college students is below the recommended intake, and knowledge surrounding the attitudinal and behavioral factors that influence milk and dairy intake, a primary food source of calcium, is limited. The purpose of this study was to evaluate college students' attitudes and behaviors concerning milk and dairy consumption and their association with calcium intake. SUBJECTS/METHODS Participants were 1,730 undergraduate students who completed an online survey (SurveyMonkey) as part of baseline data collection for a social marketing dairy campaign. The online survey assessed attitudes and behaviors concerning milk and dairy intake, and calcium intake. Questions about milk- and dairy-related attitudes and behaviors were grouped into 14 factors using factor analysis. Predictors of calcium intake were then evaluated. RESULTS Median calcium intake across all participants was 928.6 mg/day, with males consuming higher calcium intakes than females (P < 0.001). Adjusted for gender, calcium intakes were most strongly (and positively) correlated with associating milk with specific eating occasions and availability (i.e., storing calcium-rich foods in one's dorm or apartment) (both P < 0.001). Other correlates of calcium intake included: positive-viewing milk as healthy (P = 0.039), having family members who drink milk) (P = 0.039), and taking calcium supplements (P = 0.056); and negative-parent rules concerning milk (P = 0.031) and viewing milk in dining halls negatively (P = 0.05). CONCLUSIONS Calcium intakes among college students enrolled in the current study was below the recommended dietary allowance of 1,000 mg/day, reinforcing the need for dietary interventions in this target population, especially females. Practitioners and researchers should consider the factors found here to impact calcium intake, particularly associating milk with specific eating occasions (e.g., milk with breakfast) and having calcium-rich foods available in the dorm room or apartment, as intervention strategies in future efforts aimed at promoting milk and dairy foods and beverages for improved calcium intake in college students.
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Affiliation(s)
- Angela M Rose
- Department of Human Sciences, Ohio State University, Human Nutrition Program, 1787 Neil Ave, Columbus, OH 43210, USA
| | - Rachel A Williams
- Department of Human Sciences, Ohio State University, Human Nutrition Program, 1787 Neil Ave, Columbus, OH 43210, USA
| | - Brooke Rengers
- Department of Human Sciences, Ohio State University, Human Nutrition Program, 1787 Neil Ave, Columbus, OH 43210, USA
| | - Julie A Kennel
- Department of Human Sciences, Ohio State University, Human Nutrition Program, 1787 Neil Ave, Columbus, OH 43210, USA
| | - Carolyn Gunther
- Department of Human Sciences, Ohio State University, Human Nutrition Program, 1787 Neil Ave, Columbus, OH 43210, USA
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Thomson N, Worsley A, Wang W, Sarmugam R, Pham Q, Februhartanty J. Country context, personal values and nutrition trust: Associations with perceptions of beverage healthiness in five countries in the Asia Pacific region. Food Qual Prefer 2017. [DOI: 10.1016/j.foodqual.2017.04.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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Zahid A, Davey C, Reicks M. Beverage Intake among Children: Associations with Parent and Home-Related Factors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14080929. [PMID: 28820455 PMCID: PMC5580631 DOI: 10.3390/ijerph14080929] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 08/10/2017] [Accepted: 08/15/2017] [Indexed: 12/17/2022]
Abstract
Beverage intake can influence child diet quality in a positive or negative manner depending on the beverage type and amounts consumed. Parenting practices such as role modeling and control of home beverage availability have been associated with child beverage intake, whereas examination of the influence of parental beverage nutrition knowledge has been more limited. The purpose of this study was to examine the relationships between sugar-sweetened and dairy beverage intake among children (9–12 years) and home and parental factors. A questionnaire was administered among a convenience sample of parents (n = 194) to assess beverage nutrition knowledge, beverage intake and home availability of beverages. Children completed a questionnaire to estimate usual beverage intake. Daily sugar-sweetened beverage intake by children ranged from 0.4 to 48 oz. Logistic regression analysis was used to examine relationships. Parents were mostly female, white, well educated, and employed. Home availability of sugar-sweetened and dairy beverages was positively associated with child sugar-sweetened (OR = 1.48, p = 0.03) and dairy beverage intake (OR = 1.34, p = 0.03), respectively. Parent dairy beverage intake was associated with child dairy beverage intake (OR = 1.06, p = 0.01). Parent knowledge about sugar in beverages was related to child dairy beverage intake (OR = 1.46, p = 0.02), whereas calcium/dairy knowledge and general beverage nutrition knowledge were not related to child beverage intake. Parenting practices and knowledge may play a role in determining child beverage intake.
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Affiliation(s)
- Arwa Zahid
- Department of Food Science and Nutrition, University of Minnesota, Minneapolis, MN 55455, USA.
| | - Cynthia Davey
- Clinical and Translational Science Institute, University of Minnesota, Minneapolis, MN 55455, USA.
| | - Marla Reicks
- Department of Food Science and Nutrition, University of Minnesota, Minneapolis, MN 55455, USA.
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Rubio-López N, Llopis-González A, Picó Y, Morales-Suárez-Varela M. Dietary Calcium Intake and Adherence to the Mediterranean Diet in Spanish Children: The ANIVA Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14060637. [PMID: 28613243 PMCID: PMC5486323 DOI: 10.3390/ijerph14060637] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 06/06/2017] [Accepted: 06/10/2017] [Indexed: 02/07/2023]
Abstract
The aim of this study was to evaluate the relationship of dietary calcium intake with anthropometric measures, physical activity and adherence to the Mediterranean diet (MedDiet) in 1176 Spanish children aged 6-9 years. Data were obtained from "Antropometría y Nutrición Infantil de Valencia" (ANIVA), a cross-sectional study of a representative sample. Dietary calcium intake assessed from three-day food records was compared to recommended daily intakes in Spain. Anthropometric measures (weight and height) were measured according to international standards and adherence to the MedDiet was evaluated using the Mediterranean Diet Quality Index (KIDMED) test. For the total sample of children, 25.8% had inadequate calcium intake, a significantly higher prevalence in girls (p = 0.006) and inadequate calcium intake was associated with lower height z-score (p = 0.001) for both sexes. In girls, there was an inverse relationship between calcium intake and body mass index (p = 0.001) and waist/hip ratio (p = 0.018). Boys presented a polarization in physical activity, reporting a greater level of both physical and sedentary activity in comparison with girls (p = 0.001). Children with poor adherence to MedDiet, even if they consume two yogurts or cheese (40 g) daily, adjusted by gender, age, total energy intake, physical activity and father's level of education, are at risk of inadequate total calcium intake (odds ratio adjusted [ORa]: 3.36, 95% confidence interval [CI]: 1.13-9.94, p = 0.001). The intake of these dairy products was insufficient to cover calcium intake recommendations in this age group (6-9 years). It is important to prioritize health strategies that promote the MedDiet and to increase calcium intake in this age group.
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Affiliation(s)
- Nuria Rubio-López
- Unit of Public Health, Hygiene and Environmental Health, Department of Preventive Medicine and Public Health, Food Science, Toxicology and Legal Medicine, University of Valencia, 46100 Valencia, Spain.
- Biomedical Research Center Network on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
| | - Agustín Llopis-González
- Unit of Public Health, Hygiene and Environmental Health, Department of Preventive Medicine and Public Health, Food Science, Toxicology and Legal Medicine, University of Valencia, 46100 Valencia, Spain.
- Biomedical Research Center Network on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
| | - Yolanda Picó
- Biomedical Research Center Network on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Environmental and Food Safety Research Group (SAMA-UV), Faculty of Pharmacy, University of Valencia, 46100 Valencia, Spain.
- Research Center on Desertification (CIDE, UV-CSIC-GV), Carretera Moncada-Náquera, 46113 Moncada, Spain.
| | - María Morales-Suárez-Varela
- Unit of Public Health, Hygiene and Environmental Health, Department of Preventive Medicine and Public Health, Food Science, Toxicology and Legal Medicine, University of Valencia, 46100 Valencia, Spain.
- Biomedical Research Center Network on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
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Banna JC, Reicks M, Gunther C, Richards R, Bruhn C, Cluskey M, Wong SS, Misner S, Hongu N, Johnston NP. Evaluation of emotion-based messages designed to motivate Hispanic and Asian parents of early adolescents to engage in calcium-rich food and beverage parenting practices. Nutr Res Pract 2016; 10:456-63. [PMID: 27478554 PMCID: PMC4958650 DOI: 10.4162/nrp.2016.10.4.456] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2015] [Revised: 02/29/2016] [Accepted: 03/01/2016] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND/OBJECTIVES Setting healthful beverage expectations, making calcium-rich foods and beverages (CRF/B) available, and role modeling are parenting practices promoting calcium intake among early adolescents. This study aimed to evaluate emotion-based messages designed to motivate parents of early adolescents to perform these practices. SUBJECTS/METHODS Emotion-based messages were developed for each parenting practice and tested in 35 parents from 5 states. Findings were used to modify messages and develop a survey administered via Amazon MechanicalTurk to a convenience sample of Asian (n = 166) and Hispanic (n = 184) parents of children 10-13 years. Main outcome measures were message comprehension, motivation, relevance, acceptability, and novelty. Engagement in the parenting practices was also assessed. RESULTS Message comprehension was acceptable for the majority of parents. Most also agreed that messages were motivational (setting healthful beverage expectations (69.0%), making CRF/B available (67.4%), and role modeling (80.0%)), relevant and acceptable. About 30-50% indicated they had not seen the information before. Many parents indicated they were already engaging in the practices (> 70%). No racial/ethnic differences were observed for responses to messages or engaging in parenting practices. CONCLUSIONS Results indicate that emotion-based messages designed to motivate parents to engage in parenting practices that promote calcium intake among early adolescents were motivating, relevant, and acceptable.
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Affiliation(s)
- Jinan Corinne Banna
- Department of Human Nutrition, Food and Animal Sciences, 1955 East West Road, Agricultural Sciences 216, University of Hawaii at Manoa, Honolulu, HI 96822, USA
| | - Marla Reicks
- Food Science and Nutrition, University of Minnesota, Minneapolis, MN 55455, USA
| | - Carolyn Gunther
- Department of Human Nutrition, The Ohio State University, Columbus, OH 43210, USA
| | - Rickelle Richards
- Department of Nutrition, Dietetics and Food Science, Brigham Young University, Provo, UT 84602, USA
| | - Christine Bruhn
- Center for Consumer Research, Food Science and Technology, University of California-Davis, Davis, CA 95616, USA
| | - Mary Cluskey
- Nutrition, School of Biological and Population Health Sciences, Oregon State University, Corvallis, OR 97331, USA
| | - Siew Sun Wong
- Nutrition, School of Biological and Population Health Sciences, Oregon State University, Corvallis, OR 97331, USA
| | - Scottie Misner
- Department of Nutritional Sciences, University of Arizona, Tucson, AZ 85721, USA
| | - Nobuko Hongu
- Department of Nutritional Sciences, University of Arizona, Tucson, AZ 85721, USA
| | - N Paul Johnston
- Department of Nutrition, Dietetics and Food Science, Brigham Young University, Provo, UT 84602, USA
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Social support and dairy products intake among adolescents: a study from Iran. BMC Public Health 2015; 15:1078. [PMID: 26493841 PMCID: PMC4619222 DOI: 10.1186/s12889-015-2399-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Accepted: 10/07/2015] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Adequate daily milk and dairy products intake seems to an important for adolescents' health. This study aimed to identify the high-risk group adolescents who did not meet the recommended daily serving milk and dairy products and indeed to find out associated factors relating to their nutrition behaviors. METHODS This cross sectional study was carried out on 7th grade students, in Tabriz, East Azerbaijan province, Iran. An anonymous self-administrated questionnaire including items on perceived social support, physical activity, and sedentary behaviors was administered. In addition a valid food frequency questionnaire (FFQ) measuring daily milk products serving intake as a main outcome measure was completed for each respondent. Logistic regression analysis was applied to examine the association between milk and dairy products consumption and independents variables. RESULTS In all 402 students (51.5 % female) participated in the study. The mean age of students was 12.9 (SD = 0.49) years. The average daily intake of milk and dairy products was 1.64 (SD = 0.78) servings per day. Overall 14.2 % of adolescents (18.8 % of girls, and 9.2 % of boys, p = 0.006) reported consumption of the recommended daily milk and dairy products serving per day. The results indicated that gender boys (OR for boys = 2.41, 95 % CI = 1.25-4.67), mother age (OR for age group 40-55 years = 2.52, 95 % CI = 1.18-5.38), poor perceived emotional family support, (OR = 1.10, 95 % CI = 1.05-3.61), and poor perceived practical family support (OR = 2.04, 95 % CI = 1.18-4.17) were the most significant contributing factors to low level milk and dairy products intake in adolescents. CONCLUSION The findings indicated that adolescents did not take the recommended daily amount of milk and dairy products and this appeared to be strongly related to low perceived family support. To achieve the recommended daily milk and dairy products serving consumption, family involvements in any programs that specifically address emotional and practical support for promoting daily milk and dairy products intake among adolescents are suggested.
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Gleason PM, Boushey CJ, Harris JE, Zoellner J. Publishing Nutrition Research: A Review of Multivariate Techniques—Part 3: Data Reduction Methods. J Acad Nutr Diet 2015; 115:1072-82. [DOI: 10.1016/j.jand.2015.03.011] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2014] [Accepted: 03/06/2015] [Indexed: 12/20/2022]
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