Psychological factors associated with fruit and vegetable intake and with biomarkers in adults from a low-income neighborhood.

Steptoe, Andrew; Perkins-Porras, Linda; McKay, Colette M.; Rink, Elizabeth; Hilton, Sean; Cappuccio, Francesco P.

doi:10.1037/0278-6133.22.2.148

Cited by 95 publications

(100 citation statements)

References 51 publications

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“…Research shows that chance health locus of control (belief that good health is a result of chance) is consistently related to being of lower socio-economic status and the higher likelihood of healthcompromising behaviours, such as smoking, sedentary lifestyles and poorer diet (40) . Women of lower educational attainment and low socio-economic status are more likely to feel that their future health is an inevitable consequence of chance rather than under their control (39,41) . Other research has shown that women with higher levels of education eat fruit and vegetables more frequently and believe less in chance and more in eating healthily as a way of maintaining their health (42,43) .…”

Section: Controlmentioning

confidence: 99%

A review of factors affecting the food choices of disadvantaged women

Lawrence

Barker

2009

Proc. Nutr. Soc.

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The diets of young women are important not just for their own health but also for the long-term health of their offspring. Unbalanced unvaried diets are more common amongst poor and disadvantaged women. If the diets of these women are to be improved, it is first necessary to understand why they make the food choices they do. Influences on women's food choices range from the global to the individual: environmental factors, such as difficulty in acquiring and affording good-quality healthy foods; social support and social relationships, such as those with parents, spouses and children; life transitions, such as leaving home, living with a partner or having children; individual factors, such as having low perceived control or self-efficacy in making food choices and placing a low value on health in general and on their own health in particular. These interrelated factors all influence food choice, suggesting that if the diets of disadvantaged women are to be improved, it will be necessary to do more than simply educate about the link between diet and health. The present paper aims to review the range of factors that affect the food-choice decisions made by disadvantaged women as a step towards meeting the challenge of improving the health and nutrition of disadvantaged populations. The diets of young women are important not just for their own health, but also for the long-term health of their offspring (1,2) . Unbalanced and unvaried diets are known to be detrimental to the growth of babies (3)(4)(5) and are more common in disadvantaged women (6,7) . Women of lower educational attainment are much more likely to eat a poorquality diet than women of higher educational attainment (8) . Improving the diets of disadvantaged women before and during pregnancy may hold the key to breaking the cycle of disadvantage and ill health suffered by the poor in Britain today. Understanding food choiceInfluences on women's food choices range from the global to the individual. Global influences are shaped by the productionist paradigm of food provision, which in today's developed world means extensive food choice is available to individuals who have the necessary resources (9) . These resources include money, access to shops, time and the knowledge required to choose and prepare the variety of food products on offer. The negative side to the extensive range of foods available is that many of the cheapest easiest-to-prepare 'convenience' foods are high in saturated fats and sugars, which are undesirable in a healthy diet. The choices an individual makes are going to be determined partly by what retailers offer.Macro-environmental influences will vary according to local community and social circumstances shared by individuals living in similar situations. Micro-environmental influences such as family dynamics will affect the choices made by the household. Individual influences, such as preferences, will determine who eats what within that household. To make food choices individuals need to consider what, how, when, where and with whom ...

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Section: Controlmentioning

confidence: 99%

A review of factors affecting the food choices of disadvantaged women

Lawrence

Barker

2009

Proc. Nutr. Soc.

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“…First, the measurement of dietary consumption was self-reported which can cause bias as people may miss calculation of consumed portions in the previous weeks and may hold biased views about their own eating patterns. In spite of such potential bias, dietary self-reports have been validated against objective assessment such as biomarkers (30) . Second, there was an increase in self-reported healthy nutrition over time but the overall efficacy of the treatment could not be evaluated because this was not a randomized controlled trial, and no control group was available.…”

Section: Discussionmentioning

confidence: 99%

Who benefits from a dietary online intervention? Evidence from Italy, Spain and Greece

Schwarzer

Fleig

Warner

et al. 2016

Public Health Nutr.

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Objective: The traditional Mediterranean diet includes high consumption of fruits, vegetables, olive oil, legumes, cereals and nuts, moderate to high intake of fish and dairy products, and low consumption of meat products. Intervention effects to improve adoption of this diet may vary in terms of individuals' motivational or volitional prerequisites. In the context of a three-country research collaboration, intervention effects on these psychological constructs for increasing adoption of the Mediterranean diet were examined. Design: An intervention was conducted to improve Mediterranean diet consumption with a two-month follow-up. Linear multiple-level models examined which psychological constructs (outcome expectancies, planning, action control and stage of change) were associated with changes in diet scores. Setting: Web-based intervention in Italy, Spain and Greece. Subjects: Adults (n 454; mean age 42·2 (SD 10·4) years, range 18-65 years; n 112 at follow-up). Results: Analyses yielded an overall increase in the Mediterranean diet scores. Moreover, there were interactions between time and all four psychological constructs on these changes. Participants with lower levels of baseline outcome expectancies, planning, action control and stage of change were found to show steeper slopes, thus greater behavioural adoption, than those who started out with higher levels. Conclusions: The intervention produced overall improvements in Mediterranean diet consumption, with outcome expectancies, planning, action control and stage of change operating as moderators, indicating that those with lower motivational or volitional prerequisites gained more from the online intervention. Individual differences in participants' readiness for change need to be taken into account to gauge who would benefit most from the given treatment. Keywords Dietary change Digital interventionAction planning Action control Outcome expectancies Stages of change Online surveyThe traditional Mediterranean diet includes high consumption of fruits, vegetables, olive oil, legumes, cereals and nuts, moderate to high intake of fish, moderate intake of dairy products and low consumption of meat products. It has been found to protect overall health and is associated with a low risk of CVD (1)(2)(3)(4) and certain cancers (2,3,(5)(6)(7) . Accordingly many institutions have recommended adopting and maintaining nutritional habits in line with this type of diet, and in particular with a focus on fruit and vegetable consumption.Although the WHO has advised to eat at least five portions of fruit and vegetables daily, globally fruit and vegetable consumption is lower than this recommendation (8,9) . Thus, behavioural interventions are needed to promote the Mediterranean diet. Social-cognitive mechanisms of behaviour change can serve as a psychological underpinning of such interventions and a number of relevant intervention components have been identified (10) . Most of this research examines main effects of predictors such as attitudes, motivation, planning...

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“…It would not be correct to state that less vegetable consumption is a sign of a low income because low vegetable consumption is considered as a more complex problem with the combined effect of several factors such as motivation, psychology, or lifestyle. Therefore, providing consumers with information about the energy, vitamin, and mineral content and recommended intake of vegetables is considered to be highly beneficial (Steptoe et al, 2003). Moreover, people should be motivated to increase their intake of vegetables for a healthier diet (Dibsdall et al, 2003).…”

Section: Discussionmentioning

confidence: 99%

Impact of socio-cultural and economic factors on vegetable consumption behaviours: case of Giresun province, Turkey

Uğur

Gök

Uğur

2014

Food Sci. Technol (Campinas)

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Many factors impact on food consumption behaviours. The aim of the study is to determine the impact of socio-demographic and ecological factors on vegetable consumption. A 14-question questionnaire was applied on a voluntary basis to 200 individuals who accepted to participate in the study. Their socio-demographic attributes and the vegetable consumption habits of their families were determined. Their average monthly budget for vegetables is € 31.82±12.72. The two attributes of purchased vegetables with most demand are cleanliness (61.5%) and freshness (22%). The maximum price per 1 kg of vegetables, which individuals with an income of € 301-450 can afford, is € 0.96, but for individuals with an income of > € 450, it is € 1.25. It was observed that the amount of purchased vegetables increased with the increase in the budget allocated for vegetables.

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Psychological factors associated with fruit and vegetable intake and with biomarkers in adults from a low-income neighborhood.

Cited by 95 publications

References 51 publications

A review of factors affecting the food choices of disadvantaged women

A review of factors affecting the food choices of disadvantaged women

Who benefits from a dietary online intervention? Evidence from Italy, Spain and Greece

Impact of socio-cultural and economic factors on vegetable consumption behaviours: case of Giresun province, Turkey

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