Water and Beverage Consumption among a Nationally Representative Sample of Children and Adolescents in the United Arab Emirates

Examining Drinking Water Preferences among University Students: A Comparative Assessment

In recent years, there has been a clear increase in bottled water consumption globally, which has led to significant health and environmental concerns. This cross-sectional study aims to understand the attitude and preferences of university students in Qatar towards the use of bottled and tap drinking water using an online survey questionnaire (September and October 2022). The number of students who responded to the online survey was 14% (n = 688) of the student population, with a mean age of 22.23 ± 5.15 years from the different colleges. Overall, a higher fraction of students preferred plastic bottled water as the main drinking source on campus (n = 468; 68.02%), with a majority of them being females (72.08%). Out of the 468 students who preferred plastic bottled water, safety was the most important factor (43.80%), followed by convenience (16.88%) and taste (15.60%). Cost (15.17%), personal/family habits (5.13%), environmental concerns (2.14%), and mineral content (1.28%) were found to be the least important factors. Among the 45 students (6.54%) who preferred tap water over plastic bottled water, cost (46.67%) was the dominant factor, followed by convenience (20.00%), environmental concerns and safety (13.33% each), taste (4.44%), and personal/family habits (2.22%). Around 72% believed that plastic water bottles were more harmful to the environment, yet the greater majority still resorted to this source. The research study underscores safety as the major factor favoring bottled water over tap water. Further, it suggests that knowledge alone does not fully explain student behavior, implying other influential factors. This study recommends campaigns focus on attitude and behavior change and not solely emphasize knowledge. There is an immediate need to further educate students through environmental and health literacy programs on water consumption and quality. Enabling the population to understand the positive and negative aspects of their choices may be an effective remedy for ensuring a healthy population and healthy environment.

Online Arabic Beverage Frequency Questionnaire (ABFQ): evaluation of validity and reliability

BACKGROUND

Obesity and chronic diseases are significant public health issues in the Middle East and North Africa region. A robust body of evidence demonstrated the association between beverage consumption, obesity, and chronic diseases. Therefore, the assessment of beverage consumption is gaining more interest in health policy development, food industry partnerships, research expansion and community involvement. Although beverage-consumption assessment tools have been developed for various populations, none were developed for the Arabic population. In this study, we developed and validated an online Arabic Beverage Frequency Questionnaire (ABFQ) to assess the total beverage intake among Arabic speaking population.

METHODS

A cross-sectional validation study was conducted among healthy adults aged between 18 and 55 years. Participants (n = 49) completed a 24-item ABFQ on two occasions and provided one 24-h urine sample. For validity, total beverage consumption (ABFQ1) was assessed against a 24-h urine sample using an osmolality test and correlation analysis. Reliability was assessed by comparing the participants' consumption in total and for every 24 individual items from ABFQ1 with the total and individual items in ABFQ2 using correlation and paired sample t-test.

RESULTS

The average daily consumption of beverages was 1504 ml/day, while the average urine osmolality/kg was 614. The validity assessment between ABFQ and urine osmolality indicates a negative correlation. However, the correlation was week and not statistically significant (r_s = -0.2, p = 0.12). In reliability test, correlation analysis was positive and acceptable in all beverage categories (r_s = 0.4 - 0.9; all p < 0.05) except flavored milk (r_s = 0.2; p < 0.181) and sweetened coffee (r_s = 0.3; p < 0.022). Furthermore, no significant differences were found between the means of total consumption in both ABFQ1 and ABFQ2.

CONCLUSIONS

The finding of this study suggest that the ABFQ is a reliable reproducible tool for assessing beverage consumption among Arabic-speaking consumers. However, the survey could not be validated using 24-h urine osmolality only and other methods such as multi dietary records may use in future re-assessment.

Food Consumption Patterns and Nutrient Intakes of Children and Adolescents in the Eastern Mediterranean Region: A Call for Policy Action

The Eastern Mediterranean Region (EMR) has witnessed significant social and economic changes that may have influenced the diet of children and adolescents, and increased the risk for obesity and malnutrition in this age group. This review aims to characterize and assess food consumption patterns and nutrient intakes amongst school-aged children (5-10 years) and adolescents (10-19 years) in countries of the EMR. Electronic databases (MedLine, PubMed, Scopus, and Google Scholar) were searched for relevant articles published between 2005 and 2020; international organizations and governmental websites were also searched. Available studies documented low intakes of fruits, vegetables and fiber, inadequate consumption of water, milk and dairy products, coupled with high intakes of fat, saturated fat, and sugar sweetened beverages, as well as a frequent consumption of energy-dense, nutrient poor foods such as sweet and savory snacks. Micronutrient inadequacies were also observed, particularly for calcium, iron, zinc and vitamins A, D, C, and folate. Acknowledging the impact that nutrition may have on building societies and transforming the lives of children, adolescents and their families, there is a crucial need for a food system approach in developing and implementing national and regional policies and interventions aimed at improving the diet of children and adolescents.