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Werneck AO, Araujo RHO, Oyeyemi AL, Silva DR. Social isolation is associated with higher leisure-time sedentary behavior and lower physical activity practice: A multi-country analysis of data from 79 countries from the Global School-Based Student Health Survey. Prev Med 2023; 175:107677. [PMID: 37607660 DOI: 10.1016/j.ypmed.2023.107677] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 08/16/2023] [Accepted: 08/18/2023] [Indexed: 08/24/2023]
Abstract
AIM To investigate the association of social isolation with physical activity and leisure-time sedentary behavior among adolescents. METHODS We used data from the Global School-based Health Survey, including a representative sample of 296,861 adolescents (11-18y) from 79 countries (48.9% girls, 14.5 ± 1.6 years). Social isolation was estimated by combining the self-reported number of friends and loneliness perception. Physical activity and leisure-time sedentary behavior were assessed through questionnaires. Multinomial logistic regression models were created to analyze the associations of social isolation with physical activity and leisure-time sedentary behavior. RESULTS Compared with those practicing ≥60 min of physical activity during 1-4 days/week, social isolation was associated with a higher prevalence of not practicing physical activity (Prevalence ratio [PR]:1.24; 95%CI:1.19-1.29), and a lower prevalence of practicing during ≥5d/wk. (PR:0.91; 95%CI:0.88-0.94). Compared with <4 h/d of leisure-time sedentary behavior, being socially isolated was also associated with a higher prevalence of 4-7 h/d (PR: 1.08; 95%CI:1.03-1.14) and ≥ 8 h/d (PR: 1.24; 95%CI:1.16-1.33) of leisure-time sedentary behavior. Compared with those participants without elevated leisure-time sedentary behavior and with those practicing adequate physical activity, social isolation was independently associated with a higher prevalence of physical inactivity (PR: 1.20; 95%CI: 1.15-1.26) and elevated leisure-time sedentary behavior (PR: 1.21; 95%CI: 1.14-1.30), as well as with both risk factors simultaneously (PR: 1.36; 95%CI: 1.28-1.45). CONCLUSION Reducing social isolation could be an important component of future interventions to reduce sedentary behavior and physical inactivity among adolescents.
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Affiliation(s)
- André O Werneck
- Center for Epidemiological Research in Nutrition and Health, Department of Nutrition, School of Public Health, University of São Paulo (USP), São Paulo, SP, Brazil.
| | - Raphael H O Araujo
- Graduation Program in Health Sciences, Londrina State University, Londrina, Brazil
| | | | - Danilo R Silva
- Department of Sports and Computer Science, Universidad Pablo de Olavide (UPO), 41013 Seville, Spain; Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
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2
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Calabro R, Kemps E, Prichard I. Socio-cognitive determinants of sugar-sweetened beverage consumption among young people: A systematic review and meta-analysis. Appetite 2023; 180:106334. [PMID: 36209669 DOI: 10.1016/j.appet.2022.106334] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 07/08/2022] [Accepted: 09/28/2022] [Indexed: 11/05/2022]
Abstract
The overconsumption of sugar sweetened beverages is an increasing public health concern. Understanding the socio-cognitive determinants that drive such consumption could inform the development of interventions to reduce sugar sweetened beverage consumption. The aim of the present review and meta-analysis was to determine the strength of associations between socio-cognitive determinants and the amount and frequency of sugar sweetened beverage consumption among young people. A systematic review was conducted in accordance with PRISMA guidelines. A search was performed using the following databases: PsycINFO, MEDLINE, Scopus, ProQuest, and PubMed. The key search terms were: (1) children, adolescents, young adults; (2) sugar sweetened beverage consumption, choice or purchasing behaviour; and (3) socio-cognitive determinants related to sugar sweetened beverage consumption. The search identified 4325 papers, with 22 papers remaining after screening. Two separate meta-analyses were performed, one for amount (n = 14) and one for frequency (n = 8) of consumption. The most strongly associated determinants with amount of sugar sweetened beverage consumed were habit, intention to consume, and attitudes, whereas the most strongly associated determinants with frequency of consumption were intentions, injunctive norms, and descriptive norms. Comparisons between the meta-analyses revealed two distinct differences: injunctive norms were more strongly correlated with frequency of consumption, and self-efficacy with amount consumed. It was suggested that interventions that focus on multiple determinants, including components of the Theory of Planned Behaviour may result in the largest reductions in consumption. Specifically, focussing on changing attitudes, norms and habits, and increasing perceived behavioural control related to sugar sweetened beverages may be maximally effective in reducing consumption behaviour.
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Affiliation(s)
- Ryan Calabro
- Psychology, College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia.
| | - Eva Kemps
- Psychology, College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia
| | - Ivanka Prichard
- Health & Exercise Sciences, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
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3
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Zhang S, Gao H, Cui Y, Wang X, Cao W, Ding Q, Chang B. Relationship between energy balance-related behaviors and personal and family factors in overweight/obese primary school students aged 10-12 years in China: a cross-sectional study. BMC Public Health 2022; 22:1968. [PMID: 36303130 PMCID: PMC9608935 DOI: 10.1186/s12889-022-14238-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 09/19/2022] [Indexed: 11/24/2022] Open
Abstract
Background Increasing rates of childhood obesity worldwide are a serious threat to the health of school-aged children. Unhealthy behavioral habits are modifiable factors in the control of childhood obesity, and personal and family factors are key influencing factors of behavioral habits in school-aged children. This study assessed the relationship between overweight/obesity, energy balance-related behaviors (EBRB), and their influencing factors in school-aged children. Methods This cross-sectional survey included 4412 primary school-aged (10–12 years) students who underwent body tests and were selected through stratified sampling in the Northeast, North, Northwest, and Southwest regions of China from March to July 2021. Independent sample t test was used to compare differences between behaviors and influencing factors of energy balance among overweight/obesity and normal weight students. Logistic regression analysis was used to assess the influence of EBRB on body shape. Multiple linear regression was used to assess the influence of personal and family factors on EBRB effects. Results Compared with normal-weight students, number of breakfasts consumed per week by overweight/obese students was significantly lower (p < 0.01), and weekly screen-viewing time was significantly longer (p < 0.01). Overweight/obese students’ health beliefs, parental subjective norms, parental modelling, parental practices, and home availability scores increased significantly in terms of beverage consumption behavior (p < 0.01 or p < 0.05). Attitude, health beliefs, self-efficacy, parental subjective norms, and parental support scores decreased significantly in terms of breakfast consumption (p < 0.01 or p < 0.05). Health belief scores on physical activity increased significantly (p < 0.01), while preference and autonomy scores decreased significantly (p < 0.01). Health beliefs, parental subjective norms, and parental practices scores of screen-viewing activities increased significantly (p < 0.01 or p < 0.05). Breakfast consumption (odds ratio [OR]: 0.911; 95% confidence interval [CI]: 0.870–0.954) and screen-viewing activities (OR:1.055; 95% CI: 1.030–1.080) correlated negatively and positively with overweight/obesity, respectively. The main influencing factors of breakfast behavior in overweight/obese students were self-efficacy (0.14), preference (0.11), attitude (0.07), home availability (0.18), and parent modelling (0.09); those for screen-viewing behavior were preference (0.19), self-efficacy (− 0.15), parental practices (0.13), and parental subjective norm (0.12). Conclusions Irregular breakfast consumption and excessive screen-viewing time are key EBRB associated with overweight/obesity among these Chinese participants. Their unhealthy breakfast consumption and screen-viewing activities result from a combination of personal and family factors. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-14238-x.
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Affiliation(s)
- Shicheng Zhang
- grid.440818.10000 0000 8664 1765Liaoning Normal University, Dalian, 116029 Liaoning China
| | - Haining Gao
- grid.443556.50000 0001 1822 1192Shenyang Sport University, Shenyang, 110115 Liaoning China
| | - Ying Cui
- grid.443556.50000 0001 1822 1192Shenyang Sport University, Shenyang, 110115 Liaoning China
| | - Xin Wang
- grid.443556.50000 0001 1822 1192Shenyang Sport University, Shenyang, 110115 Liaoning China
| | - Wenshuo Cao
- grid.443556.50000 0001 1822 1192Shenyang Sport University, Shenyang, 110115 Liaoning China
| | - Qian Ding
- grid.443556.50000 0001 1822 1192Shenyang Sport University, Shenyang, 110115 Liaoning China
| | - Bo Chang
- grid.443556.50000 0001 1822 1192Shenyang Sport University, Shenyang, 110115 Liaoning China
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4
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van den Broek N, de la Haye K, Veldhuis L, Verhagen M, Larsen JK, Vink JM, Burk WJ. Examining food intake similarities in adolescent best friend dyads using longitudinal Actor-Partner Interdependence Models. Appetite 2022; 175:106072. [PMID: 35500723 DOI: 10.1016/j.appet.2022.106072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 03/29/2022] [Accepted: 04/26/2022] [Indexed: 11/02/2022]
Abstract
Little is known about how adolescent best friends may affect each other's food intake. This study explored whether friendship selection and socialization mechanisms explained potential food intake similarities in adolescent reciprocated best friend dyads. We also tested whether socialization processes were moderated by dyad member's relative zBMI. Members of 145 same-gender best friendship dyads (56% female; Mage = 12.79; SDage = 0.61) reported on their intake of food obtained from home and from outside the home at the beginning and the end of the school year through food frequency questionnaires. Longitudinal Actor-Partner Interdependence Models results showed no indication of selection or socialization, and very limited evidence for the moderation of socialization processes by relative zBMI. These findings indicate that focusing on adolescent reciprocated best friends in dietary interventions may not be valuable.
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Affiliation(s)
- Nina van den Broek
- Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands.
| | - Kayla de la Haye
- Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, United States
| | | | - Maaike Verhagen
- Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands
| | - Junilla K Larsen
- Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands
| | - Jacqueline M Vink
- Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands
| | - William J Burk
- Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands
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5
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Cross-Sectional Associations Between Mothers and Children's Breakfast Routine-The Feel4Diabetes-Study. Nutrients 2021; 13:nu13030720. [PMID: 33668380 PMCID: PMC7996176 DOI: 10.3390/nu13030720] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 02/17/2021] [Accepted: 02/20/2021] [Indexed: 12/15/2022] Open
Abstract
Positive influences of family members have been associated with a high probability of children’s daily breakfast consumption. Therefore, the aim of this study was to scrutinize the association of breakfast routines between mothers and their children. The baseline data of the Feel4Diabetes-study was obtained in 9760 children (49.05% boys)–mother pairs in six European countries. A parental self-reported questionnaire gauging the frequency of breakfast consumption and of breakfast´ foods and beverages consumption was used. Agreement in routines of mothers and their children’s breakfast consumption was analyzed in sex-specific crosstabs. The relationship of breakfast routine and food groups’ consumption between mothers and their children was assessed with analysis of covariance. The highest proportion of children who always consumed breakfast were those whose mothers always consumed it. Children consuming breakfast regularly had a higher intake of milk or unsweetened dairy products and all kind of cereal products (low fiber and whole-grain) than occasional breakfast consumers (p < 0.05). The strong similarity between mothers and children suggests a transfer of breakfast routine from mothers to their children, as a high proportion of children who usually consume breakfast were from mothers also consuming breakfast. All breakfast foods and beverages consumption frequencies were similar between children and their mothers.
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Pregestational BMI and higher offspring's risk of overweight/obesity in smoker and non-smoker mothers. Public Health Nutr 2020; 24:4204-4211. [PMID: 33336642 DOI: 10.1017/s1368980020005194] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
OBJECTIVE To assess the association between pregestational BMI and offspring's risk of overweight/obesity after accounting for the most important confounders, especially maternal smoking habit. DESIGN Prospective cohort study. SETTING The Seguimiento Universidad de Navarra (SUN) study is a prospective cohort of Spanish graduates with more than 22 000 participants nationwide. Recruitment started in 1999, and it is permanently open. Data on diet, lifestyle and clinical diagnoses are collected at baseline and every 2 years. PARTICIPANTS Women from the SUN cohort who reported at least one pregnancy during follow-up (n 3496) were invited to this study. Among them, 1527 agreed to participate and completed an additional more detailed online questionnaire on their pregnancy history and their offspring's nutritional status. RESULTS After excluding 165 children, we analysed data of 2791 participants born to 1485 mothers and observed that each 5 kg/m2 increase in pregestational BMI was associated with a 0·22 (95 % CI 0·15, 0·29) higher z-score in offspring's BMI and higher risk of overweight/obesity (multivariable-adjusted relative risk (RR) 1·57 (95 % CI 1·39, 1·77)) in childhood or adolescence. Furthermore, we observed stronger association in children born to smoker mothers (RR 1·91; 95 % CI 1·48, 2·46) than from non-smoker mothers (RR 1·51; 95 % CI 1·31, 1·73) (Pfor interaction = 0·02). CONCLUSIONS We found a synergistic interaction between pregestational BMI and maternal smoking habit on offspring's z-score of the BMI and in their risk of overweight/obesity. Although further research is needed to analyse dose-response relationships, these findings reinforce the importance of promoting healthy lifestyles in pregnant women in order to prevent childhood obesity.
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Like Mother, like Son: Physical Activity, Commuting, and Associated Demographic Factors. SUSTAINABILITY 2020. [DOI: 10.3390/su12145631] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
A mother’s healthy conduct may lead to the healthy conduct of their children. Thus, this study aimed to verify the role of demographic factors in the relationship between mothers’ physical activity (PA) and commuting to work with children and adolescent’s PA and commuting to school. This cross-sectional study comprised 1421 children and adolescents aged 6 to 17 years and 1421 mothers, from Brazil. PA, commuting, socioeconomic status (SES), skin color/ethnicity, and living area were evaluated by questionnaire. Logistic binary regression models were used. Results indicated that mothers’ PA and commuting were associated with children and adolescent’s PA and commuting to school in crude and adjusted models. Considering the role of the demographic factors, an association was only observed for girls in the relationship between mother’s PA with children’s PA. In adolescents, an association was observed in both high/low SES, boys/girls, and rural/urban areas. Regarding children and adolescent active commuting to school, there was an association with mothers commuting. All demographic factors were strongly associated, except for rural areas. Therefore, mothers’ PA as well as commuting to work are associated with children and adolescent’s PA and commuting to school. Sex, living area, and SES are the related demographic factors.
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8
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Is Adolescents' Food Intake Associated with Exposure to the Food Intake of Their Mothers and Best Friends? Nutrients 2020; 12:nu12030786. [PMID: 32192005 PMCID: PMC7146583 DOI: 10.3390/nu12030786] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 03/06/2020] [Accepted: 03/14/2020] [Indexed: 11/23/2022] Open
Abstract
Both mothers’ and best friends’ food intake are associated with adolescents’ food intake, but they are rarely investigated simultaneously. In this study, we tested the associations of mothers’ and best friends’ food intake with adolescents’ intake of unhealthy and healthy food, obtained from home and from outside the home, and the moderating role of adolescents’ exposure to their food intake. Participants included 667 adolescents (53% female, Mage = 12.9) and 396 of their mothers. Within this adolescent sample, 378 best friend dyads were identified. All participants completed food frequency questionnaires. Mothers separately reported on their food intake in the presence and absence of their child, and adolescents indicated how often they ate and drank together with their best friend during school breaks. Mothers’, but not best friends’, food intake was positively related to adolescents’ intake of unhealthy and healthy food obtained from home and healthy food obtained from outside the home. Exposure to mothers’ healthy food intake magnified mother-child similarities in healthy food intake. Exposure to best friends’ intake of unhealthy food moderated adolescent-friend similarities in unhealthy food intake. Future work should assess the mechanisms that underlie these similarities, and should investigate these associations over time and in later developmental periods.
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9
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Loucaides CA. Screen time behaviour in a sample of 11- to 12-year-old Greek-Cypriot children: A cross-sectional study of parental and child reports. SAGE Open Med 2020; 8:2050312120946232. [PMID: 35154755 PMCID: PMC8826109 DOI: 10.1177/2050312120946232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2019] [Accepted: 07/09/2020] [Indexed: 11/15/2022] Open
Abstract
Objective: This cross-sectional study examined the association between parental and child-reported correlates and children’s screen time. Methods: Children (N = 154) and their parents completed questionnaires examining correlates of screen time. Children recorded the time they devoted to screen-based and study-related sedentary activities and wore a pedometer for 6 days (four weekdays and two weekend days). Parents also provided information relating to the time their children devoted to screen time. Results: Children reported significantly higher time watching television and playing electronic games as well as higher total screen time during the weekend compared to weekdays. On the contrary, they reported significantly lower time doing homework and recorded significantly lower steps during the weekend compared to weekdays. The scale ‘Parent-child Television Viewing’ yielded significant associations with both parent and child-reported total screen time and television watching. Associations ranged from r = 0.193, p < 0.05 to r = 0.599, p < 0.001. The scales ‘Child Screen Time with Friends’ and ‘Friends’ Norms for Screen Time’ demonstrated significant associations with child-reported electronic games and total screen time, and with parent-reported electronic games and computer use. Associations ranged from r = 0.180, p < 0.05 to r = 0.478, p < 0.001. Variance explained for total screen time at the multivariate level ranged from 8% to 37% with the scale ‘Parent-child Television Viewing’ having significant associations with both parent and child-reported weekday total screen time. Conclusions: Obtaining data from both parents and children may provide further understanding of screen time behaviour. While parental factors appear to be consistently associated with children’s total screen time, studies may consider focusing more on parents to reduce time spent watching television, and more on friends to limit time spent in electronic games.
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10
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Werneck AO, Collings PJ, Barboza LL, Stubbs B, Silva DR. Associations of sedentary behaviors and physical activity with social isolation in 100,839 school students: The Brazilian Scholar Health Survey. Gen Hosp Psychiatry 2019; 59:7-13. [PMID: 31054464 DOI: 10.1016/j.genhosppsych.2019.04.010] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 04/15/2019] [Accepted: 04/16/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVE To examine the relationship between physical activity, sedentary behaviors, and social isolation in a representative sample of Brazilian adolescents. METHOD Cross sectional analyses using data from the Brazilian Scholar Health Survey conducted in 2015. The sample included 100,839 adolescents (mean age: 14.3 y, 51.4% Female) from 3040 schools. Information about social isolation (number of close friends and perceived loneliness), physical activity (International Physical Activity Questionnaire) and sedentary behaviors (total sitting time and TV viewing) were self-reported. Chronological age, race and type of city (state capital or other) were co-variables. Logistic regression models were used to analyze the data (results are presented as odds ratios (OR) with 95% confidence intervals). RESULTS Physical activity was associated with lower odds of both social isolation indicators in boys, and with lower likelihood of having few friends in girls. Greater sitting time was associated with higher likelihood of social isolation, as was low (<1 h/d) [boys: OR: 1.54 (95% CI: 1.33 to 1.77); girls: OR: 1.31 (95% CI: 1.17 to 1.48] and high TV viewing (≥8 h/d) [boys: OR: 1.75 (95% CI: 1.47 to 2.09)]; girls: OR: 1.58 (95% CI: 1.37 to 1.82)]. More than 300 min/week of physical activity was sufficient to eliminate the association of high TV viewing and high sitting time with markers of social isolation in boys. CONCLUSION Physical activity is associated with a lower prevalence of social isolation, especially among boys. Both high and low amounts of TV viewing increase the likelihood of social isolation. Physical activity reduced the association between TV viewing and sitting with social isolation among boys.
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Affiliation(s)
- André O Werneck
- Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, Brazil.
| | - Paul J Collings
- Bradford Institute for Health Research, Bradford Teaching Hospitals Foundation Trust, Bradford, UK; Department of Health Sciences, University of York, UK
| | - Luciana L Barboza
- Department of Physical Education, Federal University of Sergipe - UFS, São Cristóvão, Sergipe, Brazil
| | - Brendon Stubbs
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, Box SE5 8AF, UK; South London and Maudsley NHS Foundation Trust, London, UK
| | - Danilo R Silva
- Department of Health Sciences, University of York, UK; Department of Physical Education, Federal University of Sergipe - UFS, São Cristóvão, Sergipe, Brazil
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11
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Deliens T, Versele V, Vanden Eynde H, Clarys P, Devlieger R, Bogaerts A, Gucciardo L, Schreurs A, Van Holsbeke C, Aerenhouts D. Body weight, body composition and energy balance related behaviour during the transition to parenthood: study protocol of a multi-centre observational follow-up study (TRANSPARENTS). BMC Public Health 2019; 19:516. [PMID: 31060535 PMCID: PMC6501312 DOI: 10.1186/s12889-019-6884-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Accepted: 04/23/2019] [Indexed: 11/10/2022] Open
Abstract
Background The transition to parenthood is a cornerstone event for both parents, potentially leading to relevant changes in lifestyle and behaviour. In women, the metabolic changes during and after pregnancy and the deleterious effects of excessive gestational weight gain and postpartum weight retention have been extensively described. However, there is no full understanding about which specific energy balance related behaviours (EBRB) contribute to unfavourable weight gain and weight retention. Furthermore, information on how transition to parenthood affects men is lacking. Therefore, this study aims to investigate changes in body weight, body composition and EBRB in couples transitioning to parenthood. Methods TRANSPARENTS is a multi-centre observational follow-up study that focuses on body weight, body composition and EBRB during the transition to parenthood. Couples (women and men) will be recruited during the first trimester of their first pregnancy. Study visits will occur at four occasions (12 weeks of pregnancy, 6 weeks postpartum, 6 months postpartum and 12 months postpartum). Anthropometrics of the parents and new-borns will be assessed including body weight, height/length, body composition (using bio-electrical impedance analysis and measurement of four skinfold thicknesses (biceps, triceps, subscapular and supraspinal/suprailiac)) and waist and hip circumference. Dietary intake, physical activity, sedentary behaviour, smoking habits, sleeping pattern, fatigue, diet and exercise related partner support, mental health, breastfeeding, contraception use, and socio-demographics will be assessed using a questionnaire. In addition, accelerometry will be used to assess physical activity and sedentary behaviour objectively. Also data from women’s medical record, such as pre-pregnancy weight and pregnancy outcomes, will be included. Multilevel modelling will be used to evaluate maternal and paternal changes in body weight, body composition and EBRB during and after pregnancy (primary outcomes). Multiple linear regression analyses will be performed to identify predictors of changes in body weight, body composition and EBRB. All analyses will be adjusted for possible confounders. Discussion TRANSPARENTS is a unique project identifying vulnerable parents and (un)favourable changes in EBRB throughout this potentially critical life period. Provided insights will facilitate the development of effective intervention strategies to help couples towards a healthy transition to parenthood. Trial registration Clinicaltrials.gov Identifier: NCT03454958. Registered March 2018.
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Affiliation(s)
- Tom Deliens
- Faculty of Physical Education and Physiotherapy, Department of Movement and Sport Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.
| | - Vickà Versele
- Faculty of Physical Education and Physiotherapy, Department of Movement and Sport Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.,Faculty of Medicine, Department of Development and Regeneration, KU Leuven, Herestraat 49, 3000, Leuven, Belgium
| | - Hannelore Vanden Eynde
- Faculty of Physical Education and Physiotherapy, Department of Movement and Sport Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.,Faculty of Medicine, Department of Development and Regeneration, KU Leuven, Herestraat 49, 3000, Leuven, Belgium
| | - Peter Clarys
- Faculty of Physical Education and Physiotherapy, Department of Movement and Sport Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium
| | - Roland Devlieger
- Faculty of Medicine, Department of Development and Regeneration, KU Leuven, Herestraat 49, 3000, Leuven, Belgium.,Obstetrics and Gynaecology, University Hospitals KU Leuven, Herestraat 49, 3000, Leuven, Belgium
| | - Annick Bogaerts
- Faculty of Medicine, Department of Development and Regeneration, KU Leuven, Herestraat 49, 3000, Leuven, Belgium.,Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Universiteitsplein 1, 2610, Wilrijk, Belgium
| | - Leonardo Gucciardo
- Faculty of Medicine, Department of Obstetrics and Prenatal Medicine, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium.,Obstetrics and Prenatal Medicine, University Hospital Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium
| | - Annick Schreurs
- Obstetrics and Gynaecology, Jessa Ziekenhuis, Stadsomvaart 11, 3500, Hasselt, Belgium
| | - Caroline Van Holsbeke
- Obstetrics and Gynaecology, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600, Genk, Belgium
| | - Dirk Aerenhouts
- Faculty of Physical Education and Physiotherapy, Department of Movement and Sport Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium
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12
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Mikaelsson K, Rutberg S, Lindqvist AK, Michaelson P. Physically inactive adolescents’ experiences of engaging in physical activity. EUROPEAN JOURNAL OF PHYSIOTHERAPY 2019. [DOI: 10.1080/21679169.2019.1567808] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Katarina Mikaelsson
- Department of Health Sciences, Luleå University of Technology, Luleå, Sweden
| | - Stina Rutberg
- Department of Health Sciences, Luleå University of Technology, Luleå, Sweden
| | | | - Peter Michaelson
- Department of Health Sciences, Luleå University of Technology, Luleå, Sweden
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Lindqvist AK, Löf M, Ek A, Rutberg S. Active School Transportation in Winter Conditions: Biking Together is Warmer. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16020234. [PMID: 30650653 PMCID: PMC6352108 DOI: 10.3390/ijerph16020234] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/23/2018] [Revised: 01/04/2019] [Accepted: 01/11/2019] [Indexed: 11/16/2022]
Abstract
There has been a decline in children's use of active school transportation (AST) while there is also limited research concerning AST in winter conditions. This study aimed to explore the prerequisites and experiences of schoolchildren and parents participating in an empowerment- and gamification-inspired intervention to promote students' AST in winter conditions. Methods: Thirty-five students, who were aged 12⁻13 years, and 34 parents from the north of Sweden participated in the study. Data were collected using photovoice and open questions in a questionnaire and analyzed using qualitative content analysis. Results: The results show that involvement and togetherness motivated the students to use AST. In addition, during the project, the parents changed to have more positive attitudes towards their children's use of AST. The students reported that using AST during wintertime is strenuous but rewarding and imparts a sense of pride. Conclusion: Interventions for increasing students' AST in winter conditions should focus on the motivational aspects for both children and parents. For overcoming parental hesitation with regards to AST during winter, addressing their concerns and empowering the students are key factors. To increase the use of AST all year around, targeting the challenges perceived during the winter is especially beneficial.
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Affiliation(s)
- Anna-Karin Lindqvist
- Department of Health Sciences, Luleå University of Technology, 971 87 Luleå, Sweden.
| | - Marie Löf
- Department of Biosciences and Nutrition, Karolinska Institutet, 141 83 Huddinge, Sweden.
- Department of Medical and Health Sciences, Linköping University, 581 85 Linköping, Sweden.
| | - Anna Ek
- Department of Biosciences and Nutrition, Karolinska Institutet, 141 83 Huddinge, Sweden.
| | - Stina Rutberg
- Department of Health Sciences, Luleå University of Technology, 971 87 Luleå, Sweden.
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Schoeppe S, Vandelanotte C, Bere E, Lien N, Verloigne M, Kovács É, Manios Y, Bjelland M, Vik FN, Van Lippevelde W. The influence of parental modelling on children's physical activity and screen time: Does it differ by gender? Eur J Public Health 2018; 27:152-157. [PMID: 28177458 DOI: 10.1093/eurpub/ckw182] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Stephanie Schoeppe
- Central Queensland University, School of Human Health and Social Sciences, Physical Activity Research Group, Rockhampton, Australia
| | - Corneel Vandelanotte
- Central Queensland University, School of Human Health and Social Sciences, Physical Activity Research Group, Rockhampton, Australia
| | - Elling Bere
- Department of Public Health, Sport and Nutrition, University of Agder, Kristiansand, Norway
| | - Nanna Lien
- Department of Nutrition, University of Oslo, Oslo, Norway
| | - Maïté Verloigne
- Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium
| | - Éva Kovács
- Department of Paediatrics, University of Pécs, Pécs, Hungary, and Institute for Medical Information Processing, Biometrics and Epidemiology and German Centre for Vertigo and Balance Disorders, Ludwig Maximilian University, Munich, Germany
| | - Yannis Manios
- Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, Athens, Greece
| | - Mona Bjelland
- Department of Nutrition, University of Oslo, Oslo, Norway
| | - Frøydis Nordgård Vik
- Department of Public Health, Sport and Nutrition, University of Agder, Kristiansand, Norway
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Militello LK, Hanna N, Nigg CR. Pokémon GO Within the Context of Family Health: Retrospective Study. JMIR Pediatr Parent 2018; 1:e10679. [PMID: 31518294 PMCID: PMC6715058 DOI: 10.2196/10679] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Revised: 08/09/2018] [Accepted: 08/26/2018] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND Pokémon GO illuminated the potential for mobile phone gaming apps to engage users and promote health. However, much work is needed to fully understand the mechanisms through which digitally supported behavior change interventions operate, particularly for children and families. OBJECTIVE The aims of this study were (1) to explore the Pokémon GO user experience from a family perspective and (2) to investigate Pokémon GO within the context of family health. METHODS Between January and February 2017, congruent with one of the largest anticipated Pokémon GO updates Gen 2, participants were recruited from parks, word of mouth, and social media to complete a Web-based survey. Participants were surveyed about family characteristics, interest, and experiences playing Pokémon GO and healthy lifestyle beliefs. Using a revised Godin Leisure-Time Exercise Questionnaire, a retrospective pre-post design assessed changes in parent physical activity (PA) before and after playing Pokémon GO. RESULTS Self-reported data from 160 parents and 31 children were included in the final analyses (representing 129 parents and 31 parent-child dyads). Gameplay most often occurred between sons aged 10 years or younger and mothers. "Spending time together" was the most cited reason for gameplay by both parents (122/160, 76.3%) and children (24/31, 77%), followed by "it helped me go outdoors" for parents (113/160, 70.1%) and "I am a Pokémon fan" by children (21/31, 68%). Interestingly, open-ended responses indicated that gameplay could trigger both positive and negative emotional parent response. The most cited reason for app disengagement was boredom; conversely, the most cited reason for app re-engagement was in-app events. For parents, there were significant increases in minutes spent in mild (mean 23.36 [SD 66.02]; t97=3.50, P<.001) and moderate (mean 21.76 [SD 53.04]; t130=4.70, P<.001) PA per week after playing Pokémon GO. However, child perceptions of parental influence on PA most significantly associated with parents who reported weekly strenuous PA both before (rs=.514, P=.003) and after (rs=.536, P=.003) Pokémon GO uptake. CONCLUSIONS Pokémon GO transcended traditional understanding of digital health and uniquely reached across generations to engage users. Findings from this study highlight that, for a period of time, Pokémon GO fostered social and physical well-being for children and families through a multifaceted approach.
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Affiliation(s)
- Lisa K Militello
- Martha S Pitzer Center for Women, Children, and Youth, College of Nursing, The Ohio State University, Columbus, OH, United States
| | - Nathan Hanna
- College of Nursing, The Ohio State University, Columbus, OH, United States
| | - Claudio R Nigg
- Office of Public Health Studies, University of Hawaii, Honolulu, HI, United States
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16
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Howie EK, Daniels BT, Guagliano JM. Promoting Physical Activity Through Youth Sports Programs: It's Social. Am J Lifestyle Med 2018; 14:78-88. [PMID: 31903087 DOI: 10.1177/1559827618754842] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Youth sport is a key physical activity opportunity for children and adolescents. Several factors influence youth sport participation, including social factors, but this has not to date been clearly delineated. This study is a scoping review to survey the literature on the influence of family and peers on youth sports participation. The review identified 111 articles of which the majority were cross-sectional, included boys and girls, and were conducted primarily in the United States, Canada, Australia, and the United Kingdom. The articles were grouped into 8 research themes: (1) reasons for participation, (2) social norms, (3) achievement goal theory, 4) family structure, (5) sports participation by family members, (6) parental support and barriers, (7) value of friendship, and (8) influence of teammates. Friendships were key to both initiation and maintenance of participation, parents facilitated participation, and children with more active parents were more likely to participate in sport. Less is known on how family structure, sibling participation, extended family, and other theoretical frameworks may influence youth sport. The review suggests that social influences are important factors for ensuring participation, maximizing the quality of the experience, and capitalizing on the benefits of youth sport. Future research studies, programs, and policies promoting and developing evidence-based youth sporting experiences should consider social influences on youth sport participation.
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Affiliation(s)
- Erin K Howie
- Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, Arkansas (EKH, BD).,School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia (EKH).,MRC Epidemiology Unit & UKCRC Centre for Diet and Activity Research (CEDAR).,University of Cambridge School of Clinical Medicine, Cambridge, UK (JMG)
| | - Bryce T Daniels
- Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, Arkansas (EKH, BD).,School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia (EKH).,MRC Epidemiology Unit & UKCRC Centre for Diet and Activity Research (CEDAR).,University of Cambridge School of Clinical Medicine, Cambridge, UK (JMG)
| | - Justin M Guagliano
- Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, Arkansas (EKH, BD).,School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia (EKH).,MRC Epidemiology Unit & UKCRC Centre for Diet and Activity Research (CEDAR).,University of Cambridge School of Clinical Medicine, Cambridge, UK (JMG)
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17
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Kocak N, Acikel C, Gulsun M, Istanbulluoglu H, Ozdemir B, Aydemir E, Gocgeldi E. Evaluation of peer effects on eating behaviors: a cluster analysis approach. PSYCHIAT CLIN PSYCH 2017. [DOI: 10.1080/24750573.2017.1326739] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
| | - Cengizhan Acikel
- Department of Biostatistics, Gulhane Military Medical Academy, Ankara, Turkey
| | - Murat Gulsun
- Department of Psychiatry, Gulhane Military Medical Academy, Ankara, Turkey
| | | | - Barbaros Ozdemir
- Department of Psychiatry, Gulhane Military Medical Academy, Ankara, Turkey
| | - Emre Aydemir
- Department of Psychiatry, Gulhane Military Medical Academy, Ankara, Turkey
| | - Ercan Gocgeldi
- Department of Public Health, Gulhane Military Medical Academy, Ankara, Turkey
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18
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Lindqvist AK. Physiotherapists enabling school children's physical activity using social cognitive theory, empowerment and technology. EUROPEAN JOURNAL OF PHYSIOTHERAPY 2017. [DOI: 10.1080/21679169.2017.1322141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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19
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Associations between Parental and Friend Social Support and Children's Physical Activity and Time Spent outside Playing. Int J Pediatr 2017; 2017:7582398. [PMID: 28348605 PMCID: PMC5350297 DOI: 10.1155/2017/7582398] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2016] [Revised: 01/19/2017] [Accepted: 02/15/2017] [Indexed: 01/26/2023] Open
Abstract
The purpose of this study was to examine the structural validity of a parent and a child questionnaire that assessed parental and friends' influences on children's physical activity and investigate the associations between the derived factors, physical activity, and time spent outside. Children (N = 154, mean age = 11.7) and 144 of their parents completed questionnaires assessing parental and friends' influences on children's physical activity. Children wore a pedometer for six days. Exploratory factor analyses revealed four factors for the parental and five for the child's questionnaire that explained 66.71% and 63.85% of the variance, respectively. Five factors were significantly associated with physical activity and five significantly associated with time spent outside. Higher correlations were revealed between “general friend support,” “friends' activity norms,” and physical activity (r = 0.343 and 0.333 resp., p < 0.001) and between “general friend support” and time spent outside (r = 0.460, p < 0.001). Obtaining information relating to parental and friends' influences on physical activity from both parents and children may provide a more complete picture of influences. Parents and friends seem to influence children's physical activity behavior and time spent outside, but friends' influences may have a stronger impact on children's behaviors.
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20
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Treur JL, Boomsma DI, Ligthart L, Willemsen G, Vink JM. Heritability of high sugar consumption through drinks and the genetic correlation with substance use. Am J Clin Nutr 2016; 104:1144-1150. [PMID: 27581476 DOI: 10.3945/ajcn.115.127324] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2015] [Accepted: 07/22/2016] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND High sugar consumption contributes to the rising prevalence of obesity. Sugar can have rewarding effects that are similar to, but less strong than, the effects of addictive substances. People who consume large amounts of sugar also tend to use more addictive substances, but it is unclear whether this is due to shared genetic or environmental risk factors. OBJECTIVE We examined whether there are genetic influences on the consumption of sugar-containing drinks and whether genetic factors can explain the association with substance use. DESIGN The frequency of consumption of sugar-containing drinks (e.g., cola, soft drinks, and energy drinks) and addictive substances (nicotine, caffeine, alcohol, cannabis, and illicit drugs) was obtained for 8586 twins who were registered at the Netherlands Twin Register (women: 68.7%; mean ± SD age: 33.5 ± 15.3 y). Participants were categorized as high or low sugar consumers (>1 compared with ≤1 SD above daily consumption in grams) and as high or low substance users (≥2 compared with <2 substances). Through bivariate genetic modeling, genetic and environmental influences on sugar consumption, substance use, and their association were estimated. RESULTS Genetic factors explained 48% of the variation in high sugar consumption, whereas unique environmental factors explained 52%. For high substance use, these values were 62% and 38%, respectively. There was a moderate phenotypic association between high sugar consumption and high substance use (r = 0.2), which was explained by genetic factors (59%) and unique environmental factors (41%). CONCLUSIONS The positive association between high sugar consumption and high substance use was partly due to unique environmental factors (e.g., social situations). Genetic factors were also of influence, suggesting that neuronal circuits underlying the development of addiction and obesity are related. Further research is needed to identify genes that influence sugar consumption and those that overlap with substance use.
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Affiliation(s)
- Jorien L Treur
- Department of Biological Psychology, Vrije University (VU) Amsterdam, Amsterdam, Netherlands; EMGO+ Institute for Health and Care Research and
| | - Dorret I Boomsma
- Department of Biological Psychology, Vrije University (VU) Amsterdam, Amsterdam, Netherlands; EMGO+ Institute for Health and Care Research and Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, Netherlands; and
| | - Lannie Ligthart
- Department of Biological Psychology, Vrije University (VU) Amsterdam, Amsterdam, Netherlands; EMGO+ Institute for Health and Care Research and
| | - Gonneke Willemsen
- Department of Biological Psychology, Vrije University (VU) Amsterdam, Amsterdam, Netherlands; EMGO+ Institute for Health and Care Research and
| | - Jacqueline M Vink
- Department of Biological Psychology, Vrije University (VU) Amsterdam, Amsterdam, Netherlands; EMGO+ Institute for Health and Care Research and Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, Netherlands; and Behavioral Science Institute, Radboud University, Nijmegen, Netherlands
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21
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Pettigrew S, Jongenelis M, Quester P, Chapman K, Miller C. Factors associated with parents' attitudes to unhealthy foods and beverages. J Paediatr Child Health 2016; 52:449-54. [PMID: 27145509 DOI: 10.1111/jpc.13148] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2015] [Accepted: 01/28/2016] [Indexed: 01/01/2023]
Abstract
AIM Previous research has identified convenience, enjoyment, value for money and perceived goodness as primary dimensions of parents' attitudes to foods and beverages. The aim of the present study was to examine the factors associated with parents' scores on each of these attitudinal dimensions to identify key issues for future interventions designed to improve parents' food provision behaviours and children's diets. METHODS A sample of 1302 Australian parents of children aged 8 to 14 years completed an online survey relating to their food-related beliefs. Linear regression analyses were undertaken to examine factors associated with parents' attitudes to soft drinks and energy-dense nutrient-poor foods. RESULTS Consistent factors were identified for both energy-dense, nutrient-poor foods and soft drinks, indicating that similar approaches could be adopted in interventions for both product categories. The primary factors were social norms, child pestering, television viewing and exposure to food advertising. CONCLUSIONS Food advertising represents a common link between the primary factors, indicating that it constitutes a critical component of future interventions designed to modify parents' attitudes to unhealthy food products and to reduce the frequency with which these foods are consumed by children.
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Affiliation(s)
- Simone Pettigrew
- School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia
| | - Michelle Jongenelis
- School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia
| | | | - Kathy Chapman
- Cancer Council New South Wales, Sydney, New South Wales, Australia
| | - Caroline Miller
- The University of Adelaide.,South Australian Health and Medical Research Institute, Adelaide, South Australia
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22
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Baranowski T, Lytle L. Should the IDEFICS outcomes have been expected? Obes Rev 2015; 16 Suppl 2:162-72. [PMID: 26707025 DOI: 10.1111/obr.12359] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Accepted: 10/27/2015] [Indexed: 01/16/2023]
Abstract
The Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS (IDEFICS) study evaluated with a large sample a comprehensive carefully planned obesity prevention intervention targeting multiple levels of influence that were culturally adapted to the situations in eight European countries. Despite the great effort and attention to detail, the IDEFICS study did not achieve its targeted adiposity or behaviour change objectives. Should we be surprised that the IDEFICS trial did not have its intended effects? We think not, and would have been surprised if it did. Recent research has revealed the lack of consistent meaningful relationships between several apparently obesogenic behaviours and adiposity, weak or no relationships among behavioural change procedures, mediating variables and targeted behaviours and inadequate attention to moderating effects. Future obesity prevention interventions would benefit from a more thorough understanding of the complex relationships that have been hypothesized and the interrelationships with biological factors. While systems modelling has been proposed as providing the solution, important less complex identification of new constructs, new relationships and community interventions are still needed, both to find innovative solutions and to provide input into the systems models. We should question results from cross-sectional studies and be satisfied only with longitudinal or experimental tests of relationships.
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Affiliation(s)
- T Baranowski
- USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
| | - L Lytle
- Department of Health Behavior, School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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23
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Reicks M, Banna J, Cluskey M, Gunther C, Hongu N, Richards R, Topham G, Wong SS. Influence of Parenting Practices on Eating Behaviors of Early Adolescents during Independent Eating Occasions: Implications for Obesity Prevention. Nutrients 2015; 7:8783-801. [PMID: 26506384 PMCID: PMC4632451 DOI: 10.3390/nu7105431] [Citation(s) in RCA: 83] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2015] [Revised: 09/22/2015] [Accepted: 10/12/2015] [Indexed: 12/16/2022] Open
Abstract
Among early adolescents (10-14 years), poor diet quality along with physical inactivity can contribute to an increased risk of obesity and associated biomarkers for chronic disease. Approximately one-third of United States (USA) children in this age group are overweight or obese. Therefore, attention to factors affecting dietary intake as one of the primary contributors to obesity is important. Early adolescents consume foods and beverages during eating occasions that occur with and without parental supervision. Parents may influence eating behaviors of early adolescents during eating occasions when they are present or during independent eating occasions by engaging in practices that affect availability of foods and beverages, and through perceived normative beliefs and expectations for intake. Therefore, the purpose of this article was to describe the influence of parenting practices on eating behaviors in general and when specifically applied to independent eating occasions of early adolescents. This information may be helpful to inform parenting interventions targeting obesity prevention among early adolescents focusing on independent eating occasions.
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Affiliation(s)
- Marla Reicks
- Department of Food Science and Nutrition, University of Minnesota, 1334 Eckles Ave., St. Paul, MN 55108-6099, USA.
| | - Jinan Banna
- Department of Human Nutrition, Food and Animal Sciences, Agricultural Sciences 216, University of Hawaii at Manoa, 1955 East-West Rd, Honolulu, HI 96822, USA.
| | - Mary Cluskey
- College of Public Health and Human Sciences, Nutrition, Oregon State University, 101 Milam Hall, Corvallis, OR 97331-3303, USA.
| | - Carolyn Gunther
- Department of Human Sciences, the Ohio State University, 313 Campbell Hall, 1787 Neil Ave, Columbus, OH 43210, USA.
| | - Nobuko Hongu
- Department of Nutritional Sciences, University of Arizona, 406 Shantz Building, 1177 E. 4th Street, Tucson, AZ 85721-0038, USA.
| | - Rickelle Richards
- Department of Nutrition, Dietetics & Food Science, Brigham Young University, S233 Eyring Science Center, Provo, UT 84602, USA.
| | - Glade Topham
- Department of Human Development and Family Science, Oklahoma State University, 243 Human Sciences, Stillwater, OK 74078, USA.
| | - Siew Sun Wong
- College of Public Health and Human Sciences, School of Biological and Population Health Sciences, Hallie E. Ford Center for Healthy Children and Families, Extension Family and Community Health Program, Nutrition, Oregon State University, Ballard Hall 105E, Corvallis, OR 97331-3303, USA.
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Sawka KJ, McCormack GR, Nettel-Aguirre A, Swanson K. Associations between aspects of friendship networks and dietary behavior in youth: Findings from a systematized review. Eat Behav 2015; 18:7-15. [PMID: 25841218 DOI: 10.1016/j.eatbeh.2015.03.002] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2014] [Accepted: 03/11/2015] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To gather and synthesize current evidence on the associations between aspects of friendship networks (e.g., friends' dietary behavior, popularity) and an individual's dietary behavior among children and adolescents. METHODS A systematic search of six scientific online databases was conducted in August 2013. Eligible studies included child or adolescent participants (aged 6 to 18years), a measure of each participant's friendship network, and a measure of habitual dietary behavior for both the participant and the participant's nominated friend(s). Data on study design, participant characteristics, friendship networks, dietary behavior, and study outcomes were abstracted. RESULTS From a total of 9041 articles retrieved, seven studies were included in this review. Overall, friends' unhealthy food consumption was associated with an individual's unhealthy food consumption, and this association appeared to be stronger for boys compared with girls. More popular adolescents also tended to consume more unhealthy foods. Best friends' total energy intake was correlated with an individual's total energy intake. Similarities among friends' healthy food consumption, as well as daily breakfast consumption, were inconclusive. Longitudinal evidence showed that an individual's unhealthy food consumption tended to become similar to friends' unhealthy food consumption over time. CONCLUSIONS Social network analysis in the adolescent dietary behavior literature is beginning to emerge. Results highlight friends' particular influence on unhealthy food consumption among adolescents. Focus on modeling healthy dietary behaviors among adolescent friendship group may help reduce unhealthy dietary behaviors and promote healthy weight status among youth.
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Affiliation(s)
- Keri Jo Sawka
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3rd Floor TRW Building, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6, Canada
| | - Gavin R McCormack
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3rd Floor TRW Building, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6, Canada.
| | - Alberto Nettel-Aguirre
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3rd Floor TRW Building, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6, Canada; Department of Pediatrics, Cumming School of Medicine, University of Calgary, Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, Alberta T3B 6A8, Canada
| | - Kenda Swanson
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3rd Floor TRW Building, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6, Canada
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Dwyer L, Oh A, Patrick H, Hennessy E. Promoting family meals: a review of existing interventions and opportunities for future research. Adolesc Health Med Ther 2015; 6:115-31. [PMID: 26124690 PMCID: PMC4482375 DOI: 10.2147/ahmt.s37316] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Evidence suggests that regular family meals protect against unhealthy eating and obesity during childhood and adolescence. However, there is limited information on ways to promote family meals as part of health promotion and obesity prevention efforts. The primary aim of this review was to synthesize the literature on strategies to promote family meals among families with school-aged children and adolescents. First, we reviewed interventions that assess family meals as an outcome and summarized strategies that have been used in these interventions. Second, we reviewed correlates and barriers to family meals to identify focal populations and target constructs for consideration in new interventions. During May 26-27, 2014, PubMed and PsycInfo databases were searched to identify literature on family meals published between January 1, 2000 and May 27, 2014. Two reviewers coded 2,115 titles/abstracts, yielding a sample of 139 articles for full-text review. Six interventions and 43 other studies presenting data on correlates of or barriers to family meals were included in the review. Four interventions resulted in greater family meal frequency. Although there were a small number of interventions, intervention settings were diverse and included the home, community, medical settings, the workplace, and the Internet. Common strategies were goal setting and interactive group activities, and intervention targets included cooking and food preparation, cost, shopping, and adolescent influence. Although methodological nuances may contribute to mixed findings, key correlates of family meals were employment, socioeconomic and demographic factors, family structure, and psychosocial constructs. Barriers to consider in future interventions include time and scheduling challenges, cost, and food preferences. Increasing youth involvement in mealtime, tailoring interventions to family characteristics, and providing support for families experiencing time-related barriers are suggested strategies for future research.
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Affiliation(s)
- Laura Dwyer
- Health Behaviors Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA
| | - April Oh
- Health Communication and Informatics Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA
| | - Heather Patrick
- Health Behaviors Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA
- Live Healthier, Bethesda, MD, USA
| | - Erin Hennessy
- Clinical Research Directorate/Clinical Monitoring Research Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD, USA
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