Purchases of Food in Youth

Epstein, Leonard H.; Handley, Elizabeth A.; Dearing, Kelly K.; Cho, David D.; Roemmich, James N.; Paluch, Rocco A.; Raja, Samina; Pak, Youngju; Spring, Bonnie

doi:10.1111/j.1467-9280.2005.01668.x

Cited by 117 publications

(57 citation statements)

References 24 publications

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“…Autonomy, food accessibility and food availability have been shown to influence schoolchildren's dietary intakes (18,34). Schoolchildren will eat foods sold by vendors within the school precincts (35) and they will eat more fruits when these are free or cheap (34,36). Similarly, low price acts as incentive for unhealthy food consumption (34).…”

Section: Discussionmentioning

confidence: 99%

“…Schoolchildren will eat foods sold by vendors within the school precincts (35) and they will eat more fruits when these are free or cheap (34,36). Similarly, low price acts as incentive for unhealthy food consumption (34).…”

Section: Discussionmentioning

confidence: 99%

“…This underlines the crucial role of facilitating factors in eliciting food consumption in schoolchildren. Autonomy, food accessibility and food availability have been shown to influence schoolchildren's dietary intakes (18,34). Schoolchildren will eat foods sold by vendors within the school precincts (35) and they will eat more fruits when these are free or cheap (34,36).…”

Section: Discussionmentioning

confidence: 99%

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Predisposing, facilitating and reinforcing factors of healthy and unhealthy food consumption in schoolchildren: a study in Ouagadougou, Burkina Faso

2013

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Abstract:Objective: African schoolchildren's dietary habits are likely changing in the realm of the nutrition transition, particularly in urban areas, but data on their diet and on determinants are scanty. In order to design relevant interventions for this priority target group, the study aimed to assess food habits and their determinants in schoolchildren of Ouagadougou. Methods: In a cross-sectional survey, fifth-grade schoolchildren filled during school hours a questionnaire to assess consumption frequency of 'healthy' foods (fruits, vegetables, meat, fish, legumes) and 'unhealthy' (superfluous) items (cake, cookies, candies, ice, soda) and underlying factors, using Green's PRECEDE model. Results:The study included 769 schoolchildren, mean age 11.7 ± 1.4 years, from eight public and four private schools. Consumption scores of unhealthy items were significantly higher than healthy foods (p = 0.001). During the week prior to the survey, 25% of children had eaten no fruit, 20% no meat, 20% no legumes, 17% no fish and 17% no vegetables. While less than 4% ate fruits or vegetables every day, 18.3% ate ice pop every day. Children eating cookies, cakes and candy every day were up to seven-fold those eating fruits, vegetables or legumes. Compared to public-school pupils, those from private schools consumed both healthy and unhealthy items more frequently (p = 0.002 and p = 0.007, respectively). Urban schoolchildren had significantly higher unhealthy food scores (p = 0.027) compared to peri-urban schools. Children's healthy and unhealthy food consumption was primarily explained by perceived decisional power and availability [facilitating factors] for both types of foods, and maternal reinforcement for healthy foods and peers' reinforcement for consumption of unhealthy items. Overall, facilitating factors rated higher for unhealthy than healthy foods. Conclusion: The study showed that city schoolchildren's eating behaviours are far from optimal. Nutrition interventions should be tailored to address the underlying factors in order to impact on behaviours, thereby preventing both dietary inadequacies and excess. (Global Health Promotion, 2013; 20(1): 68-77)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Predisposing, facilitating and reinforcing factors of healthy and unhealthy food consumption in schoolchildren: a study in Ouagadougou, Burkina Faso

2013

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“…A clear way to increase healthy choices over unhealthy choices is to provide an economic incentive by, for example, healthy food subsidies and unhealthy food taxes. It was shown that young individuals do respond to this, with price rises reducing purchases of a particular food, and substitution between healthy and unhealthy foods occurring as prices rise or fall depending on the amount of disposable income 190 .…”

Section: The Macro-environmentmentioning

confidence: 99%

The aetiology of childhood obesity: a review

Procter

2007

Nutr. Res. Rev.

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Whilst the prevention of childhood obesity is the only viable, enduring, cost-effective solution to the obesity epidemic, effective methods for it remain elusive. Furthermore, strategies to influence obesogenic environments remain relatively unexplored. In order to be able to develop powerful population-level interventions and public health policies to prevent childhood obesity, it is important to understand its aetiology and those environments that are most amenable to measurable change. First, the present paper considers why we should be concerned about obesity in children, from both the perspective of the increased health risk to the individual and the high economic cost of treatment of obesity and related diseases, highlighting why the prevention of childhood obesity is important. Next, the determinants of health behaviour and the obesogenic environment are explored, which helps us to understand why the aetiology is so complex and that potential causal factors should not be considered in isolation, as the interaction between these factors is also important. The paper then considers the multi-factorial aetiology of childhood obesity and the rationale for the increasing trends in obesity that are evident, in order to understand what is changing in society and our children's behaviour that is triggering the positive energy balance leading to obesity. The review emphasises the need for multi-level approaches if we truly want to prevent childhood obesity. It also serves to highlight that there is a need to extend the current research base in order to build a well-founded framework to form the basis of a strategy for the prevention of childhood obesity.Aetiology of childhood obesity: Prevention of obesity: Obesogenic environments

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“…13 Experimental work has found that children decrease their consumption of certain foods when the price is increased. 14 Living in areas with higher-priced fast foods and soda is associated with lower body weight and BMI, whereas higher fruit and vegetable prices demonstrate the opposite association. [15][16][17][18][19][20][21][22] These relationships appear to be larger among low-income children as compared with their higherincome counterparts, 15,17,18 presumably because their families have less disposable income.…”

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confidence: 99%

Local Food Prices and Their Associations With Children’s Weight and Food Security

2014

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WHAT'S KNOWN ON THIS SUBJECT: A growing body of research suggests that the food environment affects children' s weight. Specifically, living in areas with higher-priced fast foods and soda is associated with lower weight and BMI, whereas higher fruit and vegetable prices demonstrate the opposite association. WHAT THIS STUDY ADDS:Using longitudinal data on lowerincome young children, this study finds that higher-priced fruits and vegetables are associated with higher child BMI, but not food insecurity, and that this relationship is driven by the prices of fresh fruits and vegetables. abstract OBJECTIVES: Both obesity and food insecurity are important public health problems facing young children in the United States. A lack of affordable, healthy foods is one of the neighborhood factors presumed to underlie both food insecurity and obesity among children. We examine associations between local food prices and children' s BMI, weight, and food security outcomes. METHODS:We linked data from the Early Childhood Longitudinal StudyBirth Cohort, a nationally representative study of children from infancy to age 5, to local food price data from the Council for Community and Economic Research (C2ER) Cost-of-Living Index (n = 11 700 observations). Using ordinary least squares (OLS), linear probability, and within-child fixed effects (FE) models, we exploit the variability in food price data over time and among children who move residences focusing on a subsample of households under 300% of the Federal Poverty Level. RESULTS:Results from ordinary least squares and FE models indicate that higher-priced fruits and vegetables are associated with higher child BMI, and this relationship is driven by the prices of fresh (versus frozen or canned) fruits and vegetables. In the FE models, higher-priced soft drinks are associated with a lower likelihood of being overweight, and surprisingly, higher fast food prices are associated with a greater likelihood of being overweight. CONCLUSIONS:Policies that reduce the costs of fresh fruits and vegetables may be effective in promoting healthy weight outcomes among young children. Pediatrics 2014;133:422-430

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Purchases of Food in Youth

Cited by 117 publications

References 24 publications

Predisposing, facilitating and reinforcing factors of healthy and unhealthy food consumption in schoolchildren: a study in Ouagadougou, Burkina Faso

Predisposing, facilitating and reinforcing factors of healthy and unhealthy food consumption in schoolchildren: a study in Ouagadougou, Burkina Faso

The aetiology of childhood obesity: a review

Local Food Prices and Their Associations With Children’s Weight and Food Security

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