Food and nutrient intake, nutritional knowledge and diet-related attitudes in European adolescents

Kersting, Mathilde; Sichert-Hellert, Wolfgang; Vereecken, Carine; Diehl, Joshua; Béghin, Laurent; Henauw, Stefaan De; Grammatikaki, Evangelia; Μanios, Yannis; Mesana, M.I.; Papadaki, Angeliki; Phillipp, K.; Plada, María; Poortvliet, Eric; Sette, Stefania

doi:10.1038/ijo.2008.181

Cited by 55 publications

(51 citation statements)

References 40 publications

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“…Similar accounts were found in the literature on the lack of association between awareness and levels of physical activity, age, socioeconomic status, gender 16,25,28 and BMI, 28,30 except for the Italian study 27 which showed a slightly higher awareness score (1 point total score) in healthy subjects compared to overweight ones (p < 0.003). Studies are consistent on the grounds that food consciousness is related to environmental and family factors, besides state of motivation itself, and not to organic factors.…”

Section: Discussionsupporting

confidence: 87%

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What do active male brazilian adolescents know about fruits and vegetables?

Machado¹,

Iglesia²,

Hartwick

et al. 2016

J. Hum. Growth Dev.

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What do active male brazilian adolescents know about fruits and vegetables? J Hum Growth Dev. 2016; 26(3): 316-322 J Hum Growth Dev. Abstract:Objective: To describe and compare data on nutritional awareness regarding FV among adolescents from fi ve Brazilian regions, according to demographics, physical activity levels, screen time and BMI.Methods: Cross-sectional study with 1.190 males aged 10-12 in fi ve Brazilian regions, enrolled in a football tournament, with parental consent. BMI, weekly physical activity and daily screen time in minutes, awareness of FV recommendations in daily servings and recognition of food groups, home region, and residents of the household were obtained through self-administered questionnaire, adapted from a previously validated tool. ANOVA, Spearman correlation and chi-squared tests were performed, with a signifi cance level of 5%.Results: Analysis showed 29% of overweight and obesity, less than 2 hours of daily screen time (70%) and insuffi cient levels of weekly physical activity (mean 226 minutes). Most (95%) lived with parents and with siblings (73%). About 29% of the sample were aware of FV recommendations and 60% recognized food groups. Awareness was not associated with BMI (p = 0.95), home region (p = 0,88), physical activity (p = 0.21), screen time (p = 0.46) or housing characteristics (p = 0.33). Conclusions:Data found on awareness of food groups are consistent with national and international studies, suggesting patterns of poor awareness worldwide. To our knowledge, there are no other Brazilian reports of level of awareness on recommendations of FV in this age group. The importance of behavioral interventions is acknowledged for stimulating healthy habits, which renders the results useful for the development of educational activities for this age group in Brazil.

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Section: Discussionsupporting

confidence: 87%

“…In Europe, the HELENA study 28 has found percentages ranging 50-70% for adequate nutritional awareness among adolescents aged 13-16. These studies, however, do not discriminate specifi c data related to FV awareness.…”

Section: Discussionmentioning

confidence: 99%

What do active male brazilian adolescents know about fruits and vegetables?

Machado¹,

Iglesia²,

Hartwick

et al. 2016

J. Hum. Growth Dev.

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“…41 To assess eating behaviour, a validated eating inventory questionnaire was adapted for the study, as described. 42,43 Briefly, the Eating Behaviour and Weight Problems Inventory for Children (EWI-C) includes 60 items on 10 subscales measuring (1) hunger level and susceptibility to food cues, (2) importance and impact of eating on sense of well-being, (3) eating as a means of coping with emotional stress, (4) concerns about eating and weight, (5) dietary restraint, (6) attitude towards healthful nutrition, (7) attitude towards the obese, (8) pressures to eat from parents, (9) fear of weight gain and (10) figure dissatisfaction. To determine attitudes regarding food choices, a purpose-built food choices and preferences questionnaire was used, which includes three sections: (1) opinions about food choices, preferences, diet and health, (2) choices and preferences of snack foods and drinks and (3) important influences on food choices and preferences.…”

Section: Study Subjectsmentioning

confidence: 99%

Influence of maternal educational level on the association between the rs3809508 neuromedin B gene polymorphism and the risk of obesity in the HELENA study

et al. 2009

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Objective: Neuromedin B (NMB) is a bombesin-like peptide, which inhibits food intake and modulates stress-related behaviour. An NMB gene polymorphism (P73T) has been earlier associated with obesity and abnormal eating behaviour in adults. Methods: The association between four NMB polymorphisms and obesity-related phenotypes was investigated in the Healthy Lifestyle in Europe by Nutrition in Adolescence cross-sectional study (n ¼ 1144, 12-17-year-old European adolescents). This population was genotyped for the NMB rs1107179, rs17598561, rs3809508 and rs1051168 (P73T) polymorphisms. Obesity was defined according to Cole et al. (BMJ 2000; 320: 1240-1243 criteria; eating behaviour was assessed by the Eating Behaviour and Weight Problems Inventory for Children (EWI-C) and the food choices and preferences questionnaires. Familial socioeconomic status (SES) was assessed through the parents' educational level. Results: Only the genotype distribution of rs3809508 differed according to obesity status, as the TT genotype was more frequent in obese than in non-obese adolescents (8.6% vs 3.1%, P ¼ 0.05; adjusted odds ratio for obesity (95% confidence interval): 2.85 (1.11-7.31), P ¼ 0.03). Moreover, TT subjects had higher body mass index (22.8 ± 4.4 kg m -2 vs 21.3 ± 3.7 kg m -2 , P ¼ 0.02), waist circumference (75.8±9.7 cm vs 72.2±9.3 cm, P ¼ 0.006), waist-to-hip ratio (0.84±0.14 vs 0.79±0.07, Po0.0001) and waist-to-height ratio (0.47 ± 0.06 vs 0.44 ± 0.55, P ¼ 0.002) than C allele carriers. The effects of this single nucleotide polymorphism on all anthropometric values were influenced by the maternal SES, in that a low maternal educational level aggravated the phenotype of adolescents carrying the TT genotype (interactions: Po0.02). No association with EWI-C scores was found, although sweet craving was a more frequent cause of between-meal food intake in TT subjects than in C allele carriers (24.3% vs 9.2%, P ¼ 0.01). Conclusion: In European adolescents, the TT genotype of the NMB rs3809508 polymorphism was associated with a higher risk of obesity. Moreover, the effects of this polymorphism on anthropometric values were influenced by the maternal educational level.

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“…13 Microsoft Visual Basic6.0 was used to develop the program, which implies that the current version is a desktop version.…”

Section: Instrumentmentioning

confidence: 99%

Development and evaluation of a self-administered computerized 24-h dietary recall method for adolescents in Europe

et al. 2008

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Objective: To describe the development of a European computerized 24-h dietary recall method for adolescents, and to investigate the feasibility of self-administration (self report) by comparison with administration by a dietician (interview). Methods: Two hundred and thirty-six adolescents (mean age 14.6 years (s.d. ¼ 1.7)) of eight European cities completed the 24-h recall (Young Adolescents Nutrition Assessment on Computer (YANA-C)) twice (once by self-report and once by interview). Results: A small but significant underestimate in energy (61 (s.e. ¼ 31) kcal) and fat (4.2 (s.e. ¼ 1.7) g) intake was found in the self-reports in comparison with the interviews; no significant differences were found for the intake of carbohydrates, proteins, fibre, calcium, iron and ascorbic acid. Spearman's correlations were highly significant for all nutrients and energy ranging between 0.86 and 0.91. Agreement in categorizing the respondents as consumers and non-consumers for the 29 food groups was high (kappa statistics X0.73). Percentage omissions were on average 3.7%; percentage intrusions: 2.0%. Spearman's correlations between both modes were high for all food groups, for the total sample (X0.76) as well as for the consumers only (X0.72). Analysing the consumer only, on an average 54% of the consumed amounts were exactly the same; nevertheless, only for one group 'rice and pasta' a significant difference in consumption was found. Conclusion: Adaptation, translation and standardization of YANA-C make it possible to assess the dietary intake of adolescents in a broad international context. In general, good agreement between the administration modes was found, the latter offering significant potential for large-scale surveys where the amount of resources to gather data is limited.

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Food and nutrient intake, nutritional knowledge and diet-related attitudes in European adolescents

Cited by 55 publications

References 40 publications

What do active male brazilian adolescents know about fruits and vegetables?

What do active male brazilian adolescents know about fruits and vegetables?

Influence of maternal educational level on the association between the rs3809508 neuromedin B gene polymorphism and the risk of obesity in the HELENA study

Development and evaluation of a self-administered computerized 24-h dietary recall method for adolescents in Europe

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