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Franchini C, Biasini B, Sogari G, Wongprawmas R, Andreani G, Dolgopolova I, Gómez MI, Roosen J, Menozzi D, Mora C, Scazzina F, Rosi A. Adherence to the Mediterranean Diet and its association with sustainable dietary behaviors, sociodemographic factors, and lifestyle: a cross-sectional study in US University students. Nutr J 2024; 23:56. [PMID: 38797846 PMCID: PMC11129378 DOI: 10.1186/s12937-024-00962-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Accepted: 05/21/2024] [Indexed: 05/29/2024] Open
Abstract
BACKGROUND Promoting healthy and sustainable diets is increasingly important and the Mediterranean Diet (MD) has been recognized as an appropriate example that can be adapted to different countries. Considering that the college years are the time when US young adults are most likely to adopt unhealthy eating habits, the present study assessed adherence to the MD and the sustainability of dietary behaviors in a nationally representative sample of US university students, aiming to identify crucial levers for improving their eating behaviors. METHODS MD adherence and the adoption of healthy and sustainable dietary patterns were assessed through the KIDMED and the Sustainable-HEalthy-Diet (SHED Index questionnaires, respectively, administered through an online survey that also included sociodemographic and behavioral questions. Non-parametric and logistic regression analyses were performed. RESULTS A sample of 1485 participants (median (IQR) age 21.0 (19.0-22.0); 59% women) correctly completed the survey. A medium adherence to the MD was the most prevalent (47%). According to multivariate logistic regression analysis, the likelihood of being more compliant with the MD increased when meeting physical activity recommendations, having a high SHED Index score, having the willingness to purchase and eat healthy and sustainable dishes, eating ultra-processed plant-based meat alternatives foods daily, and regularly attending the university canteen. CONCLUSIONS Encouraging dietary patterns rich in plant-based foods and with a moderate intake of animal products is crucial to increasing the adoption of healthy and sustainable diets, and university dining services represent a suitable setting to build a supportive environment that educates students on human and planetary health.
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Affiliation(s)
- Cinzia Franchini
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
| | - Beatrice Biasini
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
| | - Giovanni Sogari
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
| | | | - Giulia Andreani
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
| | - Irina Dolgopolova
- Department of Marketing and Supply Chain Management, School of Business and Economics, Maastricht University, LM Maastricht, 6211, The Netherlands
| | - Miguel I Gómez
- Charles H. Dyson School of Applied Economics and Management, Cornell University, Ithaca, NY, 14853, USA
| | - Jutta Roosen
- Marketing and Consumer Research, School of Management, Technical University of Munich, 85354, Freising, Weihenstephan, Germany
| | - Davide Menozzi
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
| | - Cristina Mora
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
| | - Francesca Scazzina
- Department of Food and Drug, University of Parma, Parma, 43124, Italy.
- Medical School, Building A, Via Volturno 39, Parma, 43125, Italy.
| | - Alice Rosi
- Department of Food and Drug, University of Parma, Parma, 43124, Italy
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Lonati E, Cazzaniga E, Adorni R, Zanatta F, Belingheri M, Colleoni M, Riva MA, Steca P, Palestini P. Health-Related Lifestyles among University Students: Focusing on Eating Habits and Physical Activity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:626. [PMID: 38791840 PMCID: PMC11120768 DOI: 10.3390/ijerph21050626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Revised: 05/08/2024] [Accepted: 05/13/2024] [Indexed: 05/26/2024]
Abstract
The transition to higher education at University is a critical moment for young adults to acquire unhealthy habits regarding physical activity (PA) and adherence to a healthy diet. Negative behaviors might be maintained in the years to come with a major risk of suffering from a Non-Communicable Disease. This study aims to determine the relationship between diet and PA in the student community of University of Milano-Bicocca. Students between 18 and 30 years old completed an online survey (6949 students). Two analyses of covariance (ANCOVA), chi-square tests of independence, and a binomial logistic regression were performed to examine the relationship between adequacy of food consumption and PA, in association also with sociodemographic characteristics. Data show a strong correlation between behaviors analyzed, with a proportional positive association between PA and healthy diet. Nevertheless, a third of the sample students incur in incorrect habits for both diet and PA. Further, students performing intensive PA have the healthiest food consumption in general but the worst red meat and pork intake. Accordingly, men practice more PA but have a less adequate diet, exactly contrary to women. In conclusion, policies promoting consciousness of well-being would transform Universities into healthy hubs for virtuous habits.
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Affiliation(s)
- Elena Lonati
- School of Medicine and Surgery, University of Milano-Bicocca, Via Cadore, 48, 20900 Monza, Italy; (E.C.); (M.B.); (M.A.R.); (P.P.)
| | - Emanuela Cazzaniga
- School of Medicine and Surgery, University of Milano-Bicocca, Via Cadore, 48, 20900 Monza, Italy; (E.C.); (M.B.); (M.A.R.); (P.P.)
| | - Roberta Adorni
- Department of Psychology, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo, 20126 Milan, Italy; (F.Z.); (P.S.)
| | - Francesco Zanatta
- Department of Psychology, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo, 20126 Milan, Italy; (F.Z.); (P.S.)
| | - Michael Belingheri
- School of Medicine and Surgery, University of Milano-Bicocca, Via Cadore, 48, 20900 Monza, Italy; (E.C.); (M.B.); (M.A.R.); (P.P.)
| | - Matteo Colleoni
- Department of Sociology and Social Research, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo, 20126 Milan, Italy;
- BASE Bicocca Sustainability Committee, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo, 20126 Milan, Italy
| | - Michele Augusto Riva
- School of Medicine and Surgery, University of Milano-Bicocca, Via Cadore, 48, 20900 Monza, Italy; (E.C.); (M.B.); (M.A.R.); (P.P.)
- BASE Bicocca Sustainability Committee, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo, 20126 Milan, Italy
| | - Patrizia Steca
- Department of Psychology, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo, 20126 Milan, Italy; (F.Z.); (P.S.)
- BASE Bicocca Sustainability Committee, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo, 20126 Milan, Italy
| | - Paola Palestini
- School of Medicine and Surgery, University of Milano-Bicocca, Via Cadore, 48, 20900 Monza, Italy; (E.C.); (M.B.); (M.A.R.); (P.P.)
- BASE Bicocca Sustainability Committee, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo, 20126 Milan, Italy
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Almoraie NM, Alothmani NM, Alomari WD, Al-Amoudi AH. Addressing nutritional issues and eating behaviours among university students: a narrative review. Nutr Res Rev 2024:1-16. [PMID: 38356364 DOI: 10.1017/s0954422424000088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2024]
Abstract
University life is a critical period for establishing healthy eating habits and attitudes. However, university students are at risk of developing poor eating habits due to various factors, including economic conditions, academic stress and lack of information about nutritional concepts. Poor diet quality leads to malnutrition or overnutrition, increasing the risk of preventable diseases. Food environments on university campuses also play a significant role in shaping the dietary habits of students, with the availability of and accessibility to healthy food options being important factors influencing food choices and overall diet quality. Disordered eating habits and body dissatisfaction are prevalent among university students and can lead to eating disorders. Income and living arrangements also influence dietary habits, with low household income and living alone being associated with unhealthy eating habits. This study is a narrative review that aimed to address nutritional issues and eating behaviours, specifically among university students. We investigated the eating behaviours of university students, including their dietary patterns, food choices and food environments. The objective of this review was to provide insights into the nutritional issues and eating behaviours of university students, with the aim of identifying target areas for intervention to improve the overall health and wellbeing among college students. University food environments need to be restructured to promote healthy eating, including the availability, accessibility, affordability and labelling of healthy foods, and policies to limit the availability of unhealthy foods and drinks on campus.
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Affiliation(s)
- Noha M Almoraie
- Department of Food and Nutrition, Faculty of Human Sciences and Design, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Noor M Alothmani
- Department of Food and Nutrition, Faculty of Human Sciences and Design, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Wajd D Alomari
- Department of Food and Nutrition, Faculty of Human Sciences and Design, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Amal H Al-Amoudi
- Department of Food and Nutrition, Faculty of Human Sciences and Design, King Abdulaziz University, Jeddah, Saudi Arabia
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Sahasakul Y, Amonsusawat N, Phansuea P. Lifestyles, Food Consumption Frequencies, and Eating Behaviors among Three Main Disciplines of Undergraduate Students during the Early COVID-19 Outbreak in Thailand. Nutrients 2023; 15:2765. [PMID: 37375675 DOI: 10.3390/nu15122765] [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: 04/05/2023] [Revised: 05/25/2023] [Accepted: 06/12/2023] [Indexed: 06/29/2023] Open
Abstract
University students' lifestyles and dietary habits have been considerably impacted by the coronavirus disease 2019 (COVID-19) outbreak and its related policies and restrictions. An online cross-sectional survey was conducted from March to May 2020 to compare lifestyles, food consumption frequencies, and eating behaviors among three main disciplines of undergraduate students during the early COVID-19 outbreak in Thailand. The study involved 584 participants from Mahidol University, with 45.2% from Health Sciences (HS), 29.1% from Sciences and Technologies (ST), and 25.7% from Social Sciences and Humanities (SH). The results showed that ST students had the highest proportion of overweight and obese (33.5%) individuals, followed by HS (23.9%) and SH (19.3%) students. ST students skipped breakfast the most (34.7%), followed by SH (34%) and HS (30%) students. Furthermore, 60% of SH students spent 7 h or more daily on social media, and they had the least exercise and the highest frequency of ordering home-delivery food. SH students (43.3%) reported a higher likelihood of making unhealthier food choices and consuming fast food, processed meat, bubble tea, boxed fruit and vegetable juice, and crunchy snacks more frequently than students from other disciplines. The findings show that undergraduate students had poor eating behaviors and lifestyles during the early COVID-19 outbreak, highlighting the urgent need to promote food and nutrition security among students during and after the pandemic.
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Affiliation(s)
- Yuraporn Sahasakul
- Food and Nutrition Academic and Research Cluster, Institute of Nutrition, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand
| | - Nantakan Amonsusawat
- Food and Nutrition Academic and Research Cluster, Institute of Nutrition, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand
| | - Phenphop Phansuea
- Food and Nutrition Academic and Research Cluster, Institute of Nutrition, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand
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Bachner J, García-Massó X, Castillo I, Mess F, Molina-García J. Do Active Commuters Feel More Competent and Vital? A Self-Organizing Maps Analysis in University Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127239. [PMID: 35742487 PMCID: PMC9223208 DOI: 10.3390/ijerph19127239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Revised: 06/09/2022] [Accepted: 06/11/2022] [Indexed: 02/01/2023]
Abstract
University students represent a population that faces high risks regarding physical inactivity. Research suggests that a regular engagement in physical activity (PA) may be more likely established when it leads to the experience of subjective vitality. Subjective vitality, in turn, is more likely achieved through physical activities that individuals feel competent in, and that take place in natural outdoor environments. An activity that may fulfill these conditions is active commuting to and from university (ACU). To examine whether and in which form ACU can combine this promising pattern of aspects, a person-oriented analysis was conducted. The sample contained 484 university students (59.3% females). Leisure-time PA, ACU by walking, ACU by cycling, subjective vitality, PA-related competence and body mass index were included as input variables in a self-organizing maps analysis. For both female and male university students, the identified clusters indicated that students who intensively engaged in ACU did not exhibit subjective vitality levels above average. Consistently, they did not show elevated levels of PA-related competence, which suggests that ACU does not support the perception of their physical abilities. Considerations regarding urban university environments lacking sufficient natural elements finally add to the conclusion that engaging in ACU does not suffice to establish a vitality-supportive and thus sustainable PA behavior. Additionally, the identified clusters illustrate a large heterogeneity regarding the interaction between leisure-time PA, body mass index and subjective vitality.
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Affiliation(s)
- Joachim Bachner
- Associate Professorship of Didactics in Sport and Health, Technical University of Munich, 80992 Munich, Germany;
- Correspondence:
| | - Xavier García-Massó
- Department of Teaching of Musical, Visual and Corporal Expression, University of Valencia, 46022 Valencia, Spain; (X.G.-M.); (J.M.-G.)
- AFIPS Research Group, University of Valencia, 46022 Valencia, Spain;
| | - Isabel Castillo
- AFIPS Research Group, University of Valencia, 46022 Valencia, Spain;
- Department of Social Psychology, University of Valencia, 46010 Valencia, Spain
| | - Filip Mess
- Associate Professorship of Didactics in Sport and Health, Technical University of Munich, 80992 Munich, Germany;
| | - Javier Molina-García
- Department of Teaching of Musical, Visual and Corporal Expression, University of Valencia, 46022 Valencia, Spain; (X.G.-M.); (J.M.-G.)
- AFIPS Research Group, University of Valencia, 46022 Valencia, Spain;
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Friedman VJ, Wright CJC, Molenaar A, McCaffrey T, Brennan L, Lim MSC. The Use of Social Media as a Persuasive Platform to Facilitate Nutrition and Health Behavior Change in Young Adults: Web-Based Conversation Study. J Med Internet Res 2022; 24:e28063. [PMID: 35583920 PMCID: PMC9161050 DOI: 10.2196/28063] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Revised: 06/20/2021] [Accepted: 12/30/2021] [Indexed: 01/26/2023] Open
Abstract
Background Globally, suboptimal dietary choices are a leading cause of noncommunicable diseases. Evidence for effective interventions to address these behaviors, particularly in young adults, is limited. Given the substantial time young adults spend in using social media, there is interest in understanding the current and potential role of these platforms in shaping dietary behavior. Objective This study aims to explore the influence of social media on young adults’ dietary behaviors. Methods We recruited 234 young adults aged 18-24 years and living in Australia, using market and social research panels. We applied a digital ethnography approach to collect data from web-based conversations in a series of forums, where participants responded to different health-themed questions related to health behavior change and persuasion on social media. We conducted a qualitative thematic analysis. Results Participants described how social media influenced their decisions to change their health behaviors. Access to social support and health information through web-based communities was juxtaposed with exposure to highly persuasive fast-food advertisements. Some participants expressed that exposure to web-based health-focused content induced feelings of guilt about their behavior, which was more prominent among women. Fast-food advertisements were discussed as a contributor to poor health behaviors and indicated as a major barrier to change. Conclusions Young adults reported that social media is highly persuasive toward dietary behavior through different pathways of social influence. This suggests that social norms on the web are an important aspect of changing young adults’ health behaviors. The commercialization of social media also encourages poor health behaviors, largely through fast-food advertisements. Future social media–delivered dietary interventions should acknowledge the social and environmental factors that challenge the ability of young adults to make individual health behavior improvements. Care should also be taken to ensure that future interventions do not further elicit guilt in a way that contributes to poor mental health within this community.
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Affiliation(s)
- Vanessa J Friedman
- Burnet Institute, Melbourne, Australia.,Monash University, Melbourne, Australia
| | - Cassandra J C Wright
- Burnet Institute, Melbourne, Australia.,Monash University, Melbourne, Australia.,Menzies School of Health Research, Darwin, Australia
| | | | | | - Linda Brennan
- Royal Melbourne Institute of Technology, Melbourne, Australia
| | - Megan S C Lim
- Burnet Institute, Melbourne, Australia.,Monash University, Melbourne, Australia.,University of Melbourne, Carlton, Australia
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Ferrara M, Langiano E, Falese L, Diotaiuti P, Cortis C, De Vito E. Changes in Physical Activity Levels and Eating Behaviours during the COVID-19 Pandemic: Sociodemographic Analysis in University Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095550. [PMID: 35564943 PMCID: PMC9105810 DOI: 10.3390/ijerph19095550] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 04/27/2022] [Accepted: 04/29/2022] [Indexed: 12/18/2022]
Abstract
The COVID-19 pandemic has forced schools and universities to shift their activities online, influencing the adoption of health-related behaviours such as physical activity and healthy dietary habits. The present study investigates the changes in adherence to a healthy diet and regular physical activity in university students in Italy before and during the COVID-19 pandemic and understands the role of sociodemographic variables in creating the changes above. We conducted a repeated cross-sectional survey performing the same sampling strategy at the first data collection (T0) and second data collection (T1) with a combination of convenience and snowball sampling approaches. The sample is composed of a total of 2001 students, 60.2% women and 39.8% men, with an average age of 22.7 (±5.5 SD). At T1, 39.9% of the students reported regular physical activity. During the pandemic, however, many, especially male students, abandoned or reduced physical activity practice (T1 40%), with an increase in social media use (T0 52.1%; T1 90%). A direct association between very low frequency of physical activity and increased sedentary time (r = 0.2, p = 0.001) and between change in dietary style and increased Body Mass Index (BMI) value (r = 0.3, p = 0.002) was found. The multivariate analysis for the total sample showed that some sociodemographic variables such as gender, age, parents’ level of education, area of study, household type, and perception of one’s body influence eating behaviours and physical activity. Our findings suggest that universities should invest in the protection and promotion of the health of their students with specific awareness programmes, and further research should repeat the survey in the post-lockdown period to investigate the long-term effects on health-related behaviours.
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Valand IU, Øverby NC, Strömmer S, Barker M, Bjornes C, Nordli J, Pettersen L, Bjørkkjær T, Vik FN, Kiland C, Hillesund ER. "It is really just brilliant to get credits for something that is so important to you!" Skills for Life: University students' perceptions of a planned dietary life skills course. PLoS One 2022; 17:e0260890. [PMID: 35389990 PMCID: PMC8989186 DOI: 10.1371/journal.pone.0260890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 11/18/2021] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE Universities have a role in educating and empowering students to become healthy and literate citizens of the 21st century society. The aim of this study was to explore university students' perceptions regarding the relevance and utility of a planned dietary life skills course. DESIGN Qualitative design including focus group discussions. SETTING A Norwegian university with participating undergraduate students from seven different disciplines. METHOD Data collection included 13 semi-structured focus group discussions involving 57 university students (35 women and 22 men aged 18-38 years). The focus group discussions were recorded and transcribed verbatim. To ensure in-depth knowledge of the research participants' thoughts and reflections, thematic analysis strategy was undertaken by a team of researchers. RESULTS When presented to the idea of a dietary life skills course as a university course, the students were mostly positive regarding its relevance and utility, however both motivators and barriers for attending were put forward. Some mentioned potential academic course benefits, such as enhanced CV, and a few mentioned potential societal benefits such as a healthy population and sustainable food consumption. Several motivators for attending the course were launched, such as increased knowledge and cooking skills, having dinner and expanded network. The students wanted to learn about food, nutrients and health, and how to cook simple, affordable, healthy and sustainable meals. Potential barriers for attending were mostly related to practicalities, such as potential lack of alignment with ordinary study programme or too demanding lectures. CONCLUSION Most students acknowledged the value of a dietary life skills course and thought that such a course could benefit their personal life. This encourages the offering of such courses at university level, tailored to consider both motivators and barriers for attending.
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Affiliation(s)
- Ida Ulrikke Valand
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Nina C. Øverby
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Sofia Strömmer
- MRC Lifecourse Epidemiology Unit, University of Sout,lhampton, Southampton General Hospital, Southampton, United Kingdom and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - Mary Barker
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
- MRC Lifecourse Epidemiology Unit, University of Sout,lhampton, Southampton General Hospital, Southampton, United Kingdom and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
- School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, United Kingdom
| | - Camilla Bjornes
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Julie Nordli
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Line Pettersen
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
- Department of Upbringing and Culture, Bjerkreim Municipality, Bjerkreim, Norway
| | - Tormod Bjørkkjær
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Frøydis N. Vik
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Charlotte Kiland
- Department of Political Science and Management, Faculty of Social Sciences, University of Agder, Kristiansand, Norway
| | - Elisabet R. Hillesund
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
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Lovan P, George F, Coccia C. Calorie Compensation and Self-Regulation of Food Intake in College Students. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2022; 54:311-319. [PMID: 35400396 DOI: 10.1016/j.jneb.2021.12.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Revised: 11/29/2021] [Accepted: 12/22/2021] [Indexed: 06/14/2023]
Abstract
OBJECTIVE To examine self-regulation of food intake among college students. DESIGN Randomized cross-over study completed between September and November, 2019. SETTING A large public university, Florida International University in South Florida. PARTICIPANTS A total of 60 undergraduate college students, mean age of 19.8 ± 1.43 years old, 62% female, 74% Hispanic, 76% White. INTERVENTION(S) Participants attended 2 trials 1 week apart. During each visit, students were offered a preload drink (either 0 or 210 kcal) followed by a buffet-style lunch. Food intake was estimated using weights and pictures of the plates before and after eating and was compared between the 2 sessions. MAIN OUTCOME MEASURE(S) Self-regulation by calculating compensation indices (COMPX) and their correlation with students' body mass index (BMI). ANALYSIS Intake differences were examined using Welch and t tests. Regression analysis was used to assess correlations. RESULTS Students exhibited the ability to calorie compensate when intake is manipulated with a mean COMPX of 95.57 ± 71.19. No score was perfect. There was a significant correlation between BMI and COMPX scores (F = 10.71, P < 0.001, r2 = 0.292). Food choices differed between different BMI categories. CONCLUSIONS AND IMPLICATIONS Participants showed some degree of self-regulation, which suggests opportunities for creating effective interventions to improve health status and promote a more sustainable method to control consumption among college students.
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Affiliation(s)
- Padideh Lovan
- Department of Psychology, University of Miami, Miami, FL
| | - Florence George
- Department of Mathematics and Statistics, Florida International University, Miami, FL
| | - Catherine Coccia
- Department of Dietetics and Nutrition, Florida International University, Miami, FL.
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Effects of Exergaming on College Students' Situational Interest, Self-Efficacy, and Motion Sickness. J Clin Med 2022; 11:jcm11051253. [PMID: 35268345 PMCID: PMC8911363 DOI: 10.3390/jcm11051253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 02/14/2022] [Accepted: 02/22/2022] [Indexed: 02/08/2023] Open
Abstract
Objective: Given the low levels of physical activity (PA) among U.S. college students, the use of exergaming as a supplement to traditional exercise may promote higher levels of motivation and PA. Therefore, this study’s purpose was to examine the effect of two different exergames on college students’ situational interest (SI), self-efficacy (SE), and equilibrium change (EQC) compared to traditional treadmill walking. Methods: Sixty college students (30 female; Mage = 23.6 ± 4.1 years; MBMI = 23.9 ± 4.0 kg/m2) participated in three separate 20 min exercise sessions: (1) Xbox 360 Kinect Just Dance; (2) Xbox 360 Kinect Reflex Ridge; and (3) traditional treadmill walking at 4.0 mph. Participants’ SI, SE, and EQC were measured after each session using a series of validated surveys. Results: A mixed model analysis of covariance (ANCOVA) with repeated measures evaluated mean differences between exercise sessions for all outcomes. Significant main effects were observed between the three exercise sessions (all p < 0.01). Specifically, Just Dance and Reflex Ridge sessions yielded significantly higher SI scores than treadmill exercise, F (10, 49) = 54.61, p < 0.01, η2 = 0.92. In addition, participants experienced significantly lower EQC in Reflex Ridge than in treadmill exercise, F (2, 58) = 4.26, p = 0.02, η2 = 0.13. No differences were identified for SE. Conclusion: The integration of exergaming into traditional exercise routines may help to promote higher levels of SI but not SE amongst college students. RR exergaming also demonstrated low EQC as compared to traditional exercise. Experimental study designs are warranted to provide additional evidence on the efficacy of exergaming.
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Blanke J, Billieux J, Vögele C. A theory‐driven design framework for smartphone applications to support healthy and sustainable grocery shopping. HUMAN BEHAVIOR AND EMERGING TECHNOLOGIES 2021. [DOI: 10.1002/hbe2.307] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Julia Blanke
- Department of Behavioural and Cognitive Sciences University of Luxembourg Esch‐sur‐Alzette Luxembourg
| | - Joël Billieux
- Institute of Psychology University of Lausanne Lausanne Switzerland
| | - Claus Vögele
- Department of Behavioural and Cognitive Sciences University of Luxembourg Esch‐sur‐Alzette Luxembourg
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12
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Vanzella LM, Rouse V, Ajwani F, Deilami N, Pokosh M, Oh P, Ghisi GLDM. Barriers and facilitators to participant adherence of dietary recommendations within comprehensive cardiac rehabilitation programmes: a systematic review. Public Health Nutr 2021; 24:4823-4839. [PMID: 34344495 PMCID: PMC11082819 DOI: 10.1017/s1368980021002962] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Revised: 06/03/2021] [Accepted: 07/08/2021] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To identify individual-, provider- and system/environmental-level barriers and facilitators affecting cardiac rehabilitation (CR) participants' adherence to dietary recommendations. DESIGN A systematic review of the medical literature was conducted. Six databases were searched from inception through March 2021: APA PsycInfo, CINAHL, Embase, Emcare, Medline and PubMed. Only those studies referring to barriers and facilitators reported by CR participants were considered. Pilot and case report studies, non-peer-reviewed literature and studies published in a language other than English, Portuguese or Spanish were excluded. RESULTS Data were extracted and analysed on the basis of individual-, provider- and system/environmental-level factors. Of 2083 initial citations, sixteen studies were included, with nine being qualitative and seven observational in design. From these, ten multi-level barriers and seven multi-level facilitators were identified. Dietary recommendations included developing healthy eating habits, transitioning to vegetarian-rich diets and increasing fish oil and n-3 intake. Only one study reported on all of the nutrition education programme factors recommended by the Workgroup for Intervention Development and Evaluation Research. CONCLUSION To the best of our knowledge, this review is the first to summarise specific barriers and facilitators to recommendation adherence among CR participants. Few of the studies offered any conclusions regarding programme design that could facilitate improved dietary adherence practices. Future studies should aim to explore patient perspectives on the nutritional patterns and recommendations outlined in the Mediterranean Diet, the Dietary Approaches to Stop Hypertension Diet, Vegetarian or Vegan diets and the Portfolio Diet.
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Affiliation(s)
- Lais Manata Vanzella
- São Paulo State University, School of Technology and Sciences, Presidente Prudente, São Paulo, Brazil
| | - Veronica Rouse
- Toronto Rehabilitation Institute, Cardiovascular Prevention and Rehabilitation Program, University Health Network, 347 Rumsey Road, Toronto, ONM4G 2R6, Canada
| | - Fatim Ajwani
- Toronto Rehabilitation Institute, Cardiovascular Prevention and Rehabilitation Program, University Health Network, 347 Rumsey Road, Toronto, ONM4G 2R6, Canada
| | - Niloufar Deilami
- Toronto Rehabilitation Institute, Cardiovascular Prevention and Rehabilitation Program, University Health Network, 347 Rumsey Road, Toronto, ONM4G 2R6, Canada
| | - Maureen Pokosh
- Library and Information Services, University Health Network, Toronto Rehabilitation Institute, Toronto, ON, Canada
| | - Paul Oh
- Toronto Rehabilitation Institute, Cardiovascular Prevention and Rehabilitation Program, University Health Network, 347 Rumsey Road, Toronto, ONM4G 2R6, Canada
| | - Gabriela Lima de Melo Ghisi
- Toronto Rehabilitation Institute, Cardiovascular Prevention and Rehabilitation Program, University Health Network, 347 Rumsey Road, Toronto, ONM4G 2R6, Canada
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13
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Kim AY, Gieng JH, Osako Luna S, Mauldin K. Physical activity and sleep quality correlations with anthropometric measurements in young adults. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2021:1-8. [PMID: 34398709 DOI: 10.1080/07448481.2021.1926262] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 04/14/2021] [Accepted: 05/02/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE This cross-sectional study examined correlations between physical activity and anthropometrics as well as sleep quality and anthropometrics. PARTICIPANTS College students (n = 85) with average age 25.6 ± 5.4 years. METHODS Participants received full-body dual-energy x-ray absorptiometry scans and completed validated surveys: Habitual Physical Activity questionnaire, Pittsburgh Sleep Quality Index (PSQI), and Epworth Sleepiness Scale. RESULTS Males reported more sports-related physical activity than females (p = 0.041). Physical activity indices and percent body fat were inversely correlated (total ⍴ = -0.320, p < 0.001; sport β = -0.378, p = 0.003). Participants had poor overall sleep quality (PSQI = 6.19 ± 2.99). The PSQI sleep quality index: disturbance was directly correlated with body mass index (BMI) (β = 0.328, p = 0.007). CONCLUSION Health interventions on college campuses should promote more physical activity and better quality sleep as these factors were related to improved body anthropometrics and potentially reduced chronic disease risk.
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Affiliation(s)
- Ashley Y Kim
- Department of Nutrition, Food Science, and Packaging, San José State University, San José, California, USA
| | - John H Gieng
- Department of Nutrition, Food Science, and Packaging, San José State University, San José, California, USA
| | - Shiho Osako Luna
- Department of Nutrition, Food Science, and Packaging, San José State University, San José, California, USA
| | - Kasuen Mauldin
- Department of Nutrition, Food Science, and Packaging, San José State University, San José, California, USA
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14
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Blanke J, Billieux J, Vögele C. Improving food shopping behaviour: A model-based review of mobile applications to assist with healthy and sustainable grocery shopping. COMPUTERS IN HUMAN BEHAVIOR REPORTS 2021. [DOI: 10.1016/j.chbr.2021.100147] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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15
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Willmott TJ, Pang B, Rundle-Thiele S. Capability, opportunity, and motivation: an across contexts empirical examination of the COM-B model. BMC Public Health 2021; 21:1014. [PMID: 34051788 PMCID: PMC8164288 DOI: 10.1186/s12889-021-11019-w] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Accepted: 05/09/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND There is limited evidence for successful weight gain prevention interventions targeting young adults. Developing effective interventions necessitates a theoretical model that can identify barriers and enablers for healthy eating and physical activity among young adults to support weight management. This study empirically examines the utility of the COM-B model as a framework for intervention planning across two behavioural contexts: eating and physical activity. METHODS A cross-sectional survey research design was employed to empirically test the COM-B model in the contexts of young adult's eating and physical activity behaviours. Informed by the Theoretical Domains Framework, pre-validated measures appropriate for capturing the latency of the COM (Capability, Opportunity, and Motivation) constructs were sourced. Both surveys (eating and physical activity) were administered online to two independent samples of young adults aged 18-35 years. Models were specified and tested using structural equation modelling. RESULTS A total of 582 (mean age = 22.8 years; 80.3% female) and 455 (mean age = 24.9 years; 80.8% female) participants were included in the physical activity and eating analyses, respectively. The COM-B model explained 31% of variance in physical activity behaviour and 23% of variance in eating behaviour. In the physical activity model (N = 582), capability and opportunity were found to be associated with behaviour through the mediating effect of motivation. In the eating model (N = 455), capability was found to be associated with behaviour through the mediating effect of motivation. Capability was also found to mediate the association between opportunity and motivation. Consistencies and variations were observed across both models in terms of COM indicators. CONCLUSIONS Findings support the COM-B model's explanatory potential in the context of young adult's physical activity and eating behaviours. Barriers and enablers underlying young adult's physical activity and eating behaviours were identified that represent potential targets for future intervention design. Further research is needed to validate present study findings across different populations and settings.
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Affiliation(s)
- Taylor Jade Willmott
- Social Marketing @ Griffith, Griffith University, 170 Kessels Road, Nathan, QLD, 4111, Australia.
| | - Bo Pang
- Social Marketing @ Griffith, Griffith University, 170 Kessels Road, Nathan, QLD, 4111, Australia
| | - Sharyn Rundle-Thiele
- Social Marketing @ Griffith, Griffith University, 170 Kessels Road, Nathan, QLD, 4111, Australia
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17
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Sexton-Dhamu MJ, Livingstone KM, Pendergast FJ, Worsley A, McNaughton SA. Individual, social-environmental and physical-environmental correlates of diet quality in young adults aged 18-30 years. Appetite 2021; 162:105175. [PMID: 33640428 DOI: 10.1016/j.appet.2021.105175] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Revised: 02/14/2021] [Accepted: 02/19/2021] [Indexed: 02/05/2023]
Abstract
Many young adults eat a poor-quality diet. However, understanding of the social-ecological correlates of diet quality in young adults is limited. The aim of the present study was to examine the correlates of diet quality in a cohort of young Australian adults. Data from the cross-sectional Measuring EAting in everyday Life Study were used. Young adults (n = 625; 18-30 years; 73% female) were included if they provided dietary data over three or four non-consecutive days using 'FoodNow', a real-time food diary smartphone application. Diet quality was estimated using the 2013 Dietary Guidelines Index (DGI). Thirty correlates from three levels of the social-ecological framework were collected using an online questionnaire: individual (e.g., self-efficacy), social-environmental (e.g., social support) and physical-environmental (e.g., living situation). Linear regression analyses were used to examine associations between correlates and DGI. Six individual-level correlates were associated with DGI: perceived time scarcity (b = -0.664, CI: 1.160, -0.168), food insecurity (b = -0.962, CI: 1.746, -0.178), self-efficacy (b = 0.230, CI: 0.137, 0.323), being born in Australia (b = -3.165, CI: 5.521, -0.808), being employed in non-trade roles (b = -4.578, CI: 8.903, -0.252) and preparing a meals with vegetables daily (b = 4.576, CI: 1.652, 7.500). No social-environmental or physical-environmental correlates were associated with DGI. Overall, this study showed that young adults had a higher diet quality if they had higher self-efficacy, perceived themselves to be less time scarce and less food insecure, were born in Australia, were employed in non-trade roles and prepared a meal with vegetables daily. Healthy eating policies and interventions in young adults may benefit from targeting individual-level correlates.
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Affiliation(s)
- Meaghan J Sexton-Dhamu
- Deakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Geelong, 3220, Australia
| | - Katherine M Livingstone
- Deakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Geelong, 3220, Australia.
| | - Felicity J Pendergast
- Deakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Geelong, 3220, Australia
| | - Anthony Worsley
- Deakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Geelong, 3220, Australia
| | - Sarah A McNaughton
- Deakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Geelong, 3220, Australia
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18
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Webster A, Banna J, Lim E, Gibby CLK, Rose AM, Hopkins LC, Kennel JA, Orchard TS, Bomser JA, Gunther C. Knowledge, Attitudes, and Practices Regarding Dietary Sodium in College Students. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2020; 52:1139-1147. [PMID: 33308515 DOI: 10.1016/j.jneb.2020.09.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Revised: 09/10/2020] [Accepted: 09/10/2020] [Indexed: 06/12/2023]
Abstract
OBJECTIVE Test a dietary sodium survey in a US adult population of college students using a survey previously validated in a non-US adult population. METHODS Cross-sectional study of a convenience sample of college students from a Midwest (n = 168) and Pacific Island (n = 152) university. Main outcome measures were knowledge, attitudes, and practices regarding dietary sodium (38 items). Sum scores and percentages for constructs were calculated. A score <75% was considered unfavorable; t test or ANOVA were used to examine group differences. RESULTS Midwest students were primarily non-Hispanic White individuals (81%) and 65% female. Pacific Island students were predominantly Asian (51%) and 66% female. Mean ± SD construct scores (percentage) for knowledge, attitudes, and practices were 58.69 ± 10.62, 63.96 ± 16.18, 66.00 ± 12.34 (Midwest) and 57.54 ± 10.93, 64.84 ± 14.96, 64.94 ± 13.18 (Pacific Island), respectively; there were no significant differences between schools or race. CONCLUSIONS AND IMPLICATIONS College students scored low in knowledge, attitudes, and practices regarding sodium. Results from this formative study may inform assessment strategies in future dietary sodium interventions.
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Affiliation(s)
- Alison Webster
- Department of Human Sciences, Human Nutrition Program, The Ohio State University, Columbus, OH
| | - Jinan Banna
- Department of Human Nutrition, Food and Animal Sciences, University of Hawai'i at Mānoa, Honolulu, HI
| | - Eunjung Lim
- Department of Quantitative Health Sciences, Biostatistics Core Facility, University of Hawai'i at Mānoa, Honolulu, HI
| | - Cheryl L K Gibby
- Department of Human Nutrition, Food and Animal Sciences, University of Hawai'i at Mānoa, Honolulu, HI
| | - Angela M Rose
- Department of Human Sciences, Human Nutrition Program, The Ohio State University, Columbus, OH
| | - Laura C Hopkins
- Department of Public Health and Prevention Science, Baldwin Wallace University, Berea, OH
| | - Julie A Kennel
- Department of Human Sciences, Human Nutrition Program, The Ohio State University, Columbus, OH
| | - Tonya S Orchard
- Department of Human Sciences, Human Nutrition Program, The Ohio State University, Columbus, OH
| | - Joshua A Bomser
- Department of Human Sciences, Human Nutrition Program, The Ohio State University, Columbus, OH
| | - Carolyn Gunther
- Department of Human Sciences, Human Nutrition Program, The Ohio State University, Columbus, OH.
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19
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Stellefson M, Ferguson L, Spratt S, Zhang L. Development of Conceptual Animation Video Library to Explain Health Behavior Theory Applications from the Peer-reviewed Public Health Literature. AMERICAN JOURNAL OF HEALTH EDUCATION 2020. [DOI: 10.1080/19325037.2020.1822239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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20
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Pilcher JJ, Erikson DN, Yochum CA. Fighting the Freshman Fifteen: Sleep, Exercise, and BMI in College Students. Am J Health Promot 2020; 35:580-583. [PMID: 33111531 DOI: 10.1177/0890117120969065] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE To examine how sleep and physical activity predict body mass index (BMI) in college students. DESIGN Cross-sectional. SETTING Medium-sized public university in the Southeastern United States. SUBJECTS 386 undergraduate students (245 females; 18-25 years). MEASURES Surveys included the Pittsburg Sleep Quality Index (PSQI) and Concise Physical Activity Questionnaire (CPAQ). PSQI provided 5 sleep scores: PSQI Global Score, Sleep Quality Factor Score, Sleep Efficiency Factor Score, Sleep Duration, and Habitual Sleep Efficiency. Height and weight measurements were taken to calculate Body Mass Index (BMI). ANALYSIS Correlational analyses were completed first. Linear and moderation regression models using CPAQ as the moderator were used to predict BMI. The Johnson-Neyman technique determined regions of significance where sleep significantly predicted BMI dependent on CPAQ score. RESULTS Sleep Duration significantly predicted BMI (β = -.385, p = .043) while significant interaction terms predicting BMI were found for Global PSQI Score × CPAQ (β = -.103, p = .015) and Sleep Quality Factor Score × CPAQ (β = -.233, p = .013). Johnson-Neyman analyses demonstrated that better sleep quality (measured by Global PSQI and Sleep Quality Factor Scores) predict lower BMI when exercise levels are low and higher BMI when exercise levels are high. CONCLUSION At low levels of exercise, better sleep quality significantly predicts lower BMI, suggesting that interventions designed to increase sleep quality could promote healthy weight maintenance in college students.
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Affiliation(s)
- June J Pilcher
- Department of Psychology, 2545Clemson University, Clemson, SC, USA
| | - Dylan N Erikson
- Department of Psychology, 2545Clemson University, Clemson, SC, USA
| | - Carolyn A Yochum
- Department of Psychology, 2545Clemson University, Clemson, SC, USA
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21
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Alhazmi A, Aziz F. Dietary assessment and its awareness in female students from different Health Departments: unhealthy diet with normal BMI. J Public Health Res 2020; 9:1799. [PMID: 32874966 PMCID: PMC7445438 DOI: 10.4081/jphr.2020.1799] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 07/02/2020] [Indexed: 11/23/2022] Open
Abstract
Background: Dietary habits are of substantial concern related to the health of college students. Medical students are expected to have better dietary habits and healthy lifestyle, but due to various factors they are least bothered to follow recommended healthy diet. The present study assessed and compared the eating habits, nutritional awareness and BMI in females from health departments of King Khalid University (KKU), Saudi Arabia. Designs and Methods: The cross-sectional survey was conducted in undergraduate females from eight health departments: Public Health, Nursing, Medical Laboratory Science, Physiotherapy, Medicine and Surgery, Dental and Oral surgery, Diagnostic Radiology and Pharmacy. Participants completed online questionnaire that include demographic, anthropometric information, questions related to food preference and nutritional awareness. BMI, food preferences, and nutritional awareness responses were assessed and compared among different departments at 0.05 and 0.001 level of significance. Results: Total of 377 females were analysed and the mean BMI differ significantly at p<0.05 in all departments reporting the highest BMI mean in medicine and surgery department. Upon further stratification of BMI 53% of total analysed students comes under normal BMI. The utmost frequency of overweight students (55.3%) were observed in physiotherapy with no obese category followed by nursing with least obese students (2.2%). Conclusions: Inadequate food preference with unhealthy dietary habits but satisfactory nutritional awareness was observed in students of all departments with no significant difference. Designing of nutrition promotional programs and motivation is required for the acquisition of healthy dietary habits.
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Affiliation(s)
- Amani Alhazmi
- Department of Public Health, College of Applied Medical Sciences, Khamis Mushayt, Saudi Arabia
| | - Farah Aziz
- Department of Public Health, College of Applied Medical Sciences, Khamis Mushayt, Saudi Arabia
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22
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Kayode OO, Alabi QK. Food consumption patterns, physical activity and overweight and obesity among undergraduates of a private university in Nigeria. CLINICAL NUTRITION EXPERIMENTAL 2020. [DOI: 10.1016/j.yclnex.2020.01.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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23
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McNamara J, Olfert MD, Sowers M, Colby S, White A, Byrd-Bredbenner C, Kattelmann K, Franzen-Castle LD, Brown O, Kidd T, Shelnutt KP, Horacek T, Greene GW. Development of an Instrument Measuring Perceived Environmental Healthfulness: Behavior Environment Perception Survey (BEPS). JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2020; 52:152-161. [PMID: 31648882 DOI: 10.1016/j.jneb.2019.09.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Revised: 09/03/2019] [Accepted: 09/04/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To create a tool to measure college students' perception of the healthfulness of their environment. DESIGN (1) Item generation, (2) cognitive interview testing and exploratory factor analysis, (3) item refinement/modification, (4) factor structure validation, and (5) criterion validation. SETTING Ten college campuses. PARTICIPANTS Time point 1 (n = 120 cognitive interviews; n = 922 factor analysis); time point 2 (n = 2,676), convenience sample of undergraduate students. MAIN OUTCOME MEASURES Cognitive interviews and survey data were used to assess perceptions about the environment. ANALYSIS Exploratory factor analysis, structural equation confirmatory factor analysis, correlations, and regressions. RESULTS Item generation resulted in 93 items. Items were eliminated based on cognitive interviews, exploratory factor analysis of pilot data, and elimination of cross-loading or weak loading items. In confirmatory analyses, a 21-item, 5-factor structure was the best fit for the data (χ2 = 3,286.77, degrees of freedom = 189; comparative fit index = 0.840; root-mean-square error of approximation = 0.078). Environmental factors include physical activity (α = 0.68, 4 items), healthful eating (α = 0.86, 5 items), mental health (α = 0.85, 5 items), barriers to healthful eating (α = 0.70, 4 items), and peer influences (α = 0.73, 3 items). There were significant associations between scales and validation criteria (P < .05). CONCLUSIONS AND IMPLICATIONS The Behavior Environment Perception Survey is a novel instrument measuring perceptions of the healthfulness of the campus environment. Strengths include a development process involving 10 different universities, strong psychometric properties, and breadth of constructs.
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Affiliation(s)
- Jade McNamara
- School of Food and Agriculture, University of Maine, Orono, ME
| | - Melissa D Olfert
- Department of Human Nutrition and Foods, West Virginia University, Morgantown, WV
| | - Morgan Sowers
- Department of Nutrition, University of Tennessee, Knoxville, TN
| | - Sarah Colby
- Department of Nutrition, University of Tennessee, Knoxville, TN
| | - Adrienne White
- School of Food and Agriculture, University of Maine, Orono, ME
| | - Carol Byrd-Bredbenner
- Department of Nutritional Sciences, Rutgers, The State University of New Jersey, New Brunswick, NJ
| | - Kendra Kattelmann
- Department of Health and Nutritional Sciences, South Dakota State University, Brookings, SD
| | - Lisa D Franzen-Castle
- Nutrition and Health Sciences Department, University of Nebraska-Lincoln, Lincoln, NE
| | - Onikia Brown
- Department of Nutrition, Dietetics, and Hospitality Management, Auburn University, Auburn, AL
| | - Tandalayo Kidd
- Department of Food, Nutrition, Dietetics, and Health, Kansas State University, Manhattan, KS
| | - Karla P Shelnutt
- Department of Family, Youth, and Community Sciences, University of Florida, Gainesville, FL
| | - Tanya Horacek
- Department of Public Health, Food Studies, and Nutrition, Syracuse University, Syracuse, NY
| | - Geoffrey W Greene
- Department of Nutrition and Food Sciences, University of Rhode Island, Kingston, RI.
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Kimiecik J, Horn T, Newman TJ, Kimiecik CM. Moving adolescents for a lifetime of physical activity: shifting to interventions aligned with the third health revolution. Health Psychol Rev 2019; 14:486-503. [PMID: 31814512 DOI: 10.1080/17437199.2019.1700820] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Public health advocates have been calling for an intensified focus on early, middle, and late adolescence health behaviours due to both the short- and long-term health consequences. Hence, both the health-risk (e.g., alcohol consumption) and health-promoting (e.g., physical activity) behaviours of adolescents have been widely studied to better understand the underlying causes or determinants with an eye towards implementing more effective interventions. The success of these interventions, typically grounded in a risk-reduction/prevention-oriented intervention approach has been modest, especially those focused on health-promoting behaviours, such as physical activity. The purposes of this paper are to (1) conduct a conceptual critique of the risk-reduction/prevention-oriented approach underlying traditional adolescent physical activity interventions, and (2) examine the potential usefulness of an emerging person-based, development-oriented (PBDO) approach for enhancing the motivation and sustainability of adolescent physical activity. Within this PBDO perspective, emphasis is on adolescent growth and development as the starting point for initiating and sustaining physical activity. Implications of the PBDO approach for adolescent physical activity interventions are presented.
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Affiliation(s)
- Jay Kimiecik
- Department of Kinesiology and Health, Miami University, Oxford, OH, USA
| | - Thelma Horn
- Department of Kinesiology and Health, Miami University, Oxford, OH, USA
| | | | - Carlyn M Kimiecik
- Department of Health and Kinesiology, Purdue University, West Lafayette, IN, USA
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25
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Rondanelli M, Perna S, Tagliacarne SC, Valsecchi C, Nicosanti G, Peroni G, Rossi F, Iannello G, Azzolini E, Ghiselli A, Morelli L, Castellazzi AM. Comparing the dietary habits and social-health behaviors among University students living at or away from home. MINERVA GASTROENTERO 2019; 66:82-84. [PMID: 31760733 DOI: 10.23736/s1121-421x.19.02626-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Mariangela Rondanelli
- IRCCS Mondino Foundation, Pavia, Italy.,Unit of Human and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
| | - Simone Perna
- Department of Biology, College of Science, Sakhir Campus, University of Bahrain, Kingdom of Bahrain
| | - Sara C Tagliacarne
- Department of Clinical Surgical Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
| | - Chiara Valsecchi
- Department of Pediatrics, IRCCS Policlinico San Matteo Foundation, Pavia, Italy
| | - Giada Nicosanti
- Endocrinology and Nutrition Unit, Azienda di Servizi alla Persona ''Istituto Santa Margherita'', University of Pavia, Pavia, Italy
| | - Gabriella Peroni
- Endocrinology and Nutrition Unit, Azienda di Servizi alla Persona ''Istituto Santa Margherita'', University of Pavia, Pavia, Italy -
| | - Filippo Rossi
- Faculty of Agriculture, Food and Environmental Science, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Giancarlo Iannello
- General Management, Azienda di Servizi alla Persona ''Istituto Santa Margherita'', Pavia, Italy
| | - Elena Azzolini
- Istituto di Sanità Pubblica, Sezione di Igiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Andrea Ghiselli
- Agriculture Research Council-Food and Nutrition Research Centre (CRA-NUT), Rome, Italy
| | - Lorenzo Morelli
- Istituto di Microbiologia, Università Cattolica del Sacro Cuore, Piacenza, Italy
| | - Anna M Castellazzi
- Department of Clinical Surgical Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
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Joo J, Williamson SA, Vazquez AI, Fernandez JR, Bray MS. The influence of 15-week exercise training on dietary patterns among young adults. Int J Obes (Lond) 2019; 43:1681-1690. [PMID: 30659257 PMCID: PMC6639161 DOI: 10.1038/s41366-018-0299-3] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Revised: 11/18/2018] [Accepted: 11/29/2018] [Indexed: 12/17/2022]
Abstract
BACKGROUND/OBJECTIVES Little is currently known about how exercise may influence dietary patterns and/or food preferences. The present study aimed to examine the effect of a 15-week exercise training program on overall dietary patterns among young adults. SUBJECTS/METHODS This study consisted of 2680 young adults drawn from the Training Intervention and Genetics of Exercise Response (TIGER) study. Subjects underwent 15 weeks of aerobic exercise training, and exercise duration, intensity, and dose were recorded for each session using computerized heart rate monitors. In total, 4355 dietary observations with 102 food items were collected using a self-administered food frequency questionnaire before and after exercise training (n = 2476 at baseline; n = 1859 at 15 weeks). Dietary patterns were identified using a Bayesian sparse latent factor model. Changes in dietary pattern preferences were evaluated based on the pre/post-training differences in dietary pattern scores, accounting for the effects of gender, race/ethnicity, and BMI. RESULTS Within each of the seven dietary patterns identified, most dietary pattern scores were decreased following exercise training, consistent with increased voluntary regulation of food intake. A longer duration of exercise was associated with decreased preferences for the western (β: -0.0793; 95% credible interval: -0.1568, -0.0017) and snacking (β: -0.1280; 95% credible interval: -0.1877, -0.0637) patterns, while a higher intensity of exercise was linked to an increased preference for the prudent pattern (β: 0.0623; 95% credible interval: 0.0159, 0.1111). Consequently, a higher dose of exercise was related to a decreased preference for the snacking pattern (β: -0.0023; 95% credible interval: -0.0042, -0.0004) and an increased preference for the prudent pattern (β: 0.0029; 95% credible interval: 0.0009, 0.0048). CONCLUSIONS The 15-week exercise training appeared to motivate young adults to pursue healthier dietary preferences and to regulate their food intake.
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Affiliation(s)
- Jaehyun Joo
- Department of Nutritional Sciences, The University of Texas at Austin, Austin, TX, USA
| | - Sinead A Williamson
- Departments of Information, Risk, & Operations Management and Statistics & Data Science, The University of Texas at Austin, Austin, TX, USA
| | - Ana I Vazquez
- Department of Epidemiology & Biostatistics and Institute for Quantitative Health Science and Engineering, Michigan State University, East Lansing, MI, USA
| | - Jose R Fernandez
- Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Molly S Bray
- Department of Nutritional Sciences, The University of Texas at Austin, Austin, TX, USA.
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Cooking and Meal Planning as Predictors of Fruit and Vegetable Intake and BMI in First-Year College Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16142462. [PMID: 31373293 PMCID: PMC6679210 DOI: 10.3390/ijerph16142462] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 07/03/2019] [Accepted: 07/09/2019] [Indexed: 12/16/2022]
Abstract
The objective was to determine if cooking skills and meal planning behaviors are associated with greater fruit and vegetable intake and lower body mass index (BMI) in first-year college students who are at risk for excessive weight gain. A cross-sectional analysis was conducted using baseline data from a multi-state research project aimed at preventing weight gain in first-year college students. Cooking type, frequency and confidence, self-instruction for healthful mealtime behavior intention, self-regulation of healthful mealtime behavior, and cup equivalents of fruits and vegetables (FV) were measured using validated surveys. BMI was calculated from measured height and weight. First-year students (n = 1108) considered at risk for weight gain from eight universities completed baseline assessments within the first month of entering college. Multiple linear regression was used to determine associations among independent variables of cooking patterns, meal planning behaviors, and dependent variables of fruit and vegetable intake and BMI, after controlling for the influence of sex. Cooking more frequently, cooking with greater skills, and practicing meal planning behaviors are associated with greater fruit and vegetable intake and lower BMI in first-year college students. Interventions aimed at improving health in college students may be enhanced by incorporating cooking and meal planning components.
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Haidar SA, Karavetian M, Radwan H, de Vries NK. University Lebanese students are not immune to the metabolic syndrome. MEDITERRANEAN JOURNAL OF NUTRITION AND METABOLISM 2019. [DOI: 10.3233/mnm-180237] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Affiliation(s)
- Suzan A. Haidar
- Maastricht University/Lebanese International University, Beirut, Lebanon
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Willmott TJ, Pang B, Rundle-Thiele S, Badejo A. Weight Management in Young Adults: Systematic Review of Electronic Health Intervention Components and Outcomes. J Med Internet Res 2019; 21:e10265. [PMID: 30724736 PMCID: PMC6381405 DOI: 10.2196/10265] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Revised: 11/23/2018] [Accepted: 12/10/2018] [Indexed: 01/11/2023] Open
Abstract
Background Young adulthood is a vulnerable period for unhealthy lifestyle adoption and excess weight gain. Scant attention has been focused on developing and evaluating effective weight gain prevention strategies for this age group. Electronic health (eHealth) offers potential as a cost-effective means of delivering convenient, individually-tailored, and contextually-meaningful interventions at scale. Objective The primary aim of this systematic review was to locate and synthesize the evidence on eHealth weight management interventions targeting young adults, with a particular focus on (eHealth) intervention components and outcomes. Methods A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search strategy was executed across the following electronic databases: Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, EBSCO, EMBASE, Emerald, Education Resources Information Center, Medical Literature Analysis and Retrieval System Online, Ovid, ProQuest, PsycINFO, PubMed, Science Direct, Scopus, and Web of Science. Furthermore, 2 reviewers independently assessed records for eligibility: peer-reviewed, published in English, and report evaluations of eHealth weight management interventions targeting healthy young adults (aged 18-35 years). Data were then extracted from studies that met the criteria for inclusion. The methodological quality of studies was independently assessed by 2 reviewers using the Effective Public Health Practice Project’s (EPHPP) quality assessment tool. A comprehensive narrative evidence synthesis was then completed. Results Out of the 1301 studies assessed for eligibility, 24 met the criteria for inclusion. According to the EPHPP quality assessment tool, overall, 19 studies were as rated weak, 5 as moderate, and none as strong. The narrative synthesis of intervention outcomes found 8 studies reported positive weight-related outcomes, 4 reported mixed outcomes, and 12 did not report any significant changes in weight-related outcomes. The narrative synthesis of (eHealth) intervention components led to 3 levels of classification. A total of 14 studies were classified as Web-based, 3 as mobile-based, and 7 as multicomponent interventions. Following the narrative synthesis, 5 key strategies were thematically identified: self-regulation (goal setting and self-monitoring), tailored or personalized feedback, contact with an interventionist, social support, and behavioral prompts (nudges and reminders) and booster messages. Conclusions Findings highlight the limited evidence base for eHealth weight management interventions targeting young adults. The complex nature of weight management presents an ongoing challenge for interventionists to identify what works, for whom, how, and when. The quality of the evidence in this review was generally assessed as weak; however, assessment tools such as the EPHPP are principally concerned with what should be and this is seldom equivalent to what works. Thus, while sampling, study design and retention rates will remain key determining factors of reliability and validity, further research attention directed toward the development of guiding tools for community trials is warranted.
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Affiliation(s)
- Taylor Jade Willmott
- Social Marketing @ Griffith, Griffith Business School, Griffith University, Nathan, Australia
| | - Bo Pang
- Social Marketing @ Griffith, Griffith Business School, Griffith University, Nathan, Australia
| | - Sharyn Rundle-Thiele
- Social Marketing @ Griffith, Griffith Business School, Griffith University, Nathan, Australia
| | - Abi Badejo
- Social Marketing @ Griffith, Griffith Business School, Griffith University, Nathan, Australia
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Messaging for Interventions Aiming to Improve Calcium Intake in Young Adults-A Mixed Methods Study. Nutrients 2018; 10:nu10111673. [PMID: 30400574 PMCID: PMC6266213 DOI: 10.3390/nu10111673] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Revised: 10/30/2018] [Accepted: 11/01/2018] [Indexed: 01/31/2023] Open
Abstract
Social media channels are the preferred communication tools for many young adults and therefore may have applications in health promotion. The framing of messages is important, as an intervention must resonate with the target group. The aim of this study was to determine what type of messaging is preferred by young adults to improve their calcium intake. A cross-sectional web-based survey was conducted and young adults aged 18 to 25 years recruited. A 14-item survey collected information on the participants’ demographics, ranking of text messages, mock Facebook posts with images, preferences related to type of posts they find personally relevant, and frequency and likelihood of engagement with posts and polls in social media. In addition, optional responses from participants about factors that motivate them to consume more calcium-rich foods were included and thematically analysed using NVivo. Eighty-one participants (17 males) completed the survey. No significant difference in ranking of the text messages and Facebook posts were found. Participants indicated that recipe demonstrations (n = 71), cost-saving tips (n = 70), and information on recommended daily intake (n = 62) were personally relevant, while meal inspiration (n = 70), awareness-raising posts (n = 41), and messages about obtaining enough calcium from non-dairy sources (n = 38) would encourage them to eat more calcium-rich foods. The qualitative replies indicated the tone (in young adults’ language) and length (short) of messages preferred, and the messaging they perceived would motivate young adults. In conclusion, short, aesthetically pleasing and personally relevant messages written in the language of young adults were recommended.
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Multilevel Structural Equation Modeling of Students' Dietary Intentions/Behaviors, BMI, and the Healthfulness of Convenience Stores. Nutrients 2018; 10:nu10111569. [PMID: 30360538 PMCID: PMC6266756 DOI: 10.3390/nu10111569] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Revised: 10/17/2018] [Accepted: 10/20/2018] [Indexed: 11/16/2022] Open
Abstract
Background: When dietary behaviors are habitual, intentions are low, and environmental cues, such as the consumer food environment, might guide behavior. How might intentions to eat healthily and ultimately actual dietary behaviors, be influenced by the consumer food environment (including the availability and affordability of healthy foods) in convenience stores? This study will determine pathways between the healthfulness of convenience stores and college students’ dietary intentions/behaviors, and body mass index (BMI). Methods: Through multilevel structural equation modeling, a comparison was made of students’ healthful meal intentions (HMI); intake (fruits/vegetables, %kcal/fat, sugar-sweetened beverages (SSBs) and whole-grains); and measured BMI; as well as the healthfulness of convenience stores (fruits/vegetables availability/quality, healthy food availability/affordability). Data was collected on 1401 students and 41 convenience stores across 13 US college campuses. Results: Controlling for gender, HMI was negatively associated with SSBs (β = −0.859) and %kcal/fat (β = −1.057) and positively with whole-grains (β = 0.186) and fruits/vegetables intake (β = 0.267); %Kcal/fat was positively (β = 0.098) and fruits/vegetables intake (β = −0.055) negatively associated with BMI. Campus level, fruits/vegetables availability were positively associated to HMI (β = 0.214, β = 0.129) and directly/negatively to BMI (β = −2.657, β = −1.124). Conclusions: HMI modifies dietary behaviors, with energy from fat and fruit/vegetable intake the most predictive of weight. Availability of fruit/vegetables in convenience stores make it easier for young adults to eat well.
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Omage K, Omuemu VO. Assessment of dietary pattern and nutritional status of undergraduate students in a private university in southern Nigeria. Food Sci Nutr 2018; 6:1890-1897. [PMID: 30349678 PMCID: PMC6189614 DOI: 10.1002/fsn3.759] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2017] [Revised: 07/09/2018] [Accepted: 07/10/2018] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Analysis of dietary patterns gives a more comprehensive impression of the food consumption habits within a population. Poor dietary habits among undergraduate students have been reported as a lifestyle challenge they face while in school. This study was carried out to assess the dietary pattern and nutritional status of undergraduate students in Igbinedion University, Okada. METHODOLOGY This study applied a cross-sectional, descriptive study design and 800 undergraduate students selected by multistage sampling method participated in the study. Data were collected using pretested, structured self-administered questionnaires and anthropometric measurements were obtained. Data were analyzed using SPSS statistical package (version 22.0) and level of significance was set at p < 0.05. RESULTS Mean age of respondents was 23.5 ± 2.4 years, with a higher proportion being females (468; 58.5%). Over half of the respondents 448 (56.0%) skipped breakfast and 608 (76.0%) ate in between meals. More females 280 (59.8%) compared to males 168 (50.6%) skipped breakfast and the association between gender of respondents and breakfast skipping was statistically significant (p < 0.010). Majority of the respondents 744 (93.0%) ate snacks and the association between age group and snacking status of respondents was statistically significant (p < 0.034). Three hundred and ninety-two (49.0%) of the respondents had high dietary diversity score while 212 (26.5%) had low dietary diversity score. The association between age group and dietary diversity was statistically significant (p < 0.001). More males 172 (51.8%) had a significantly (p < 0.004) higher dietary diversity score compared to the females 220 (47.0%). Over two-thirds of the respondents 564 (70.5%) had normal BMI, 112 (14.0%) were overweight, and 76 (9.5%) were underweight. CONCLUSION Skipping of breakfast and eating in-between meals are common among the study population. Regular nutrition education program by the institution with emphasis on adequate dietary practices is recommended.
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Affiliation(s)
- Kingsley Omage
- Department of BiochemistryCollege of Basic Medical SciencesIgbinedion UniversityOkadaEdo StateNigeria
| | - Vivian O. Omuemu
- Department of Community HealthCollege of Medical SciencesUniversity of BeninBeninEdo StateNigeria
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Food Choice Priorities Change Over Time and Predict Dietary Intake at the End of the First Year of College Among Students in the U.S. Nutrients 2018; 10:nu10091296. [PMID: 30217004 PMCID: PMC6164337 DOI: 10.3390/nu10091296] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Revised: 09/04/2018] [Accepted: 09/07/2018] [Indexed: 11/17/2022] Open
Abstract
This study assessed food choice priorities (FCP) and associations with consumption of fruits and vegetables (FV), fiber, added sugars from non-beverage sources, and sugar-sweetened beverages (SSB) among college students. Freshmen from eight U.S. universities (N = 1149) completed the Food Choice Priorities Survey, designed for college students to provide a way to determine the factors of greatest importance regarding food choices, and the NCI Dietary Screener Questionnaire. Changes in FCP and dietary intake from fall 2015 to spring 2016 were assessed. Multiple regression models examined associations between FCP and log-transformed dietary intake, controlling for sex, age, race, and BMI. Participant characteristics and FCP associations were also assessed. FCP importance changed across the freshmen year and significantly predicted dietary intake. The most important FCP were price, busy daily life and preferences, and healthy aesthetic. Students who endorsed healthy aesthetic factors (health, effect on physical appearance, freshness/quality/in season) as important for food choice, consumed more FV and fiber and less added sugar and SSB. Busy daily life and preferences (taste, convenience, routine, ability to feel full) predicted lower FV, higher added sugar, and higher SSB consumption. Price predicted lower FV, higher SSB, and more added sugar while the advertising environment was positively associated with SSB intake. FCP and demographic factors explained between 2%–17% of the variance in dietary intake across models. The strongest relationship was between healthy aesthetic factors and SSB (B = −0.37, p < 0.01). Self-rated importance of factors influencing food choice are related to dietary intake among students. Interventions that shift identified FCP may positively impact students’ diet quality especially considering that some FCP increase in importance across the first year of college.
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Brace AM, De Andrade FC, Finkelstein B. Assessing the effectiveness of nutrition interventions implemented among US college students to promote healthy behaviors: A systematic review. Nutr Health 2018; 24:171-181. [PMID: 30014743 DOI: 10.1177/0260106018785528] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND: Nutrition interventions are used to increase knowledge, change attitudes and beliefs about healthy eating, to increase skills, and promote healthy eating. AIMS: To review the effectiveness of published nutrition interventions implemented among college students to promote healthy behaviors. METHODS: The authors explored multiple electronic databases, such as ERIC, Science Direct, and EBSCOhost. Search criteria included nutritional interventions implemented among students attending US colleges, written in English, and published in peer-reviewed journals between 2000 and 2015. The authors conducted a systematic search of 1413 articles, and an in-depth review of 30 articles. The authors evaluated the following: (a) participants; (b) research design; (c) assessment instruments; (d) outcome measures; (e) results; and (f) methodological issues. RESULTS: Short-term interventions showed promise in promoting positive dietary changes, which can serve as a protective factor for developing overweight and obesity. Methodological issues related to lack of comparison groups and minimal long-term follow-up do not allow researchers to determine if the interventions were the cause of the change, or if these changes are sustained over time. Studies that have a comparison group, use visual displays, or have longer durations, may maximize outcomes, improving long-term effects. CONCLUSIONS: Nutrition interventions can effectively change dietary habits among college students. This can lead to healthy weight management and reduce the risk for overweight and obesity. Future research should consider the highlighted methodological issues to improve the quality of nutrition interventions.
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Affiliation(s)
| | | | - Bobbi Finkelstein
- 3 Department of Occupational Science and Studies, Towson University, USA
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Royal KD, Hunt S, Scharf V, Correa M, Mariani C. Strategies Used for Making Healthy Eating Choices among Veterinary Medical Students. JOURNAL OF VETERINARY MEDICAL EDUCATION 2018; 45:364-380. [PMID: 29897314 DOI: 10.3138/jvme.0317-041r] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Healthy eating is a challenge for most college students, and students in the field of veterinary medicine are no exception. Health experts have recommended that universities emphasize the importance of healthy eating and promote healthy eating habits among students. However, before we can begin offering targeted interventions to promote healthy eating strategies and behaviors, we must first understand students' current strategies used for making healthy eating choices, self-reported eating habits, and perceptions of diet quality. Thus, the purpose of this study was to understand veterinary medical students' perceptions of current diet quality and to characterize their strategies for making healthy eating choices. Results indicate veterinary medical students employ a wide range of strategies and behaviors for healthy eating, yet few students reported eating a diet of poor quality. We conclude that while most students report eating a relatively healthy diet, variation in strategies used suggests room for improvement for many. This article discusses potential intervention strategies to promote healthy eating among veterinary students.
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Affiliation(s)
- Kenneth D Royal
- Assistant Professor of Educational Assessment & Outcomes, North Carolina State University, College of Veterinary Medicine, Department of Clinical Sciences, 1060 William Moore Dr., Raleigh, NC 27607 USA.
| | - Suzanne Hunt
- North Carolina State University, Department of University Recreation, 2611 Cates Avenue, Raleigh, NC 27695 USA
| | - Valery Scharf
- North Carolina State University, College of Veterinary Medicine, Department of Clinical Sciences, 1060 William Moore Dr., Raleigh, NC 27607 USA
| | - Maria Correa
- North Carolina State University, College of Veterinary Medicine, Department of Population Health and Pathobiology, 1060 William Moore Dr., Raleigh, NC 27607 USA
| | - Christopher Mariani
- North Carolina State University, College of Veterinary Medicine, Department of Clinical Sciences, 1060 William Moore Dr., Raleigh, NC 27607 USA
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Stok FM, Renner B, Clarys P, Lien N, Lakerveld J, Deliens T. Understanding Eating Behavior during the Transition from Adolescence to Young Adulthood: A Literature Review and Perspective on Future Research Directions. Nutrients 2018; 10:E667. [PMID: 29794986 PMCID: PMC6024552 DOI: 10.3390/nu10060667] [Citation(s) in RCA: 95] [Impact Index Per Article: 15.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2018] [Revised: 05/18/2018] [Accepted: 05/22/2018] [Indexed: 01/27/2023] Open
Abstract
INTRODUCTION Eating behavior often becomes unhealthier during the transition from adolescence to young adulthood, but not much is known about the factors that drive this change. We assess the available evidence on this topic through a literature review and pay special attention to the research designs employed in the studies available as well as the modifiability of the factors investigated in previous research. METHOD We systematically conducted a scoping review by searching literature published in or after 2000 in three databases that described one or more factors associated with eating behavior or changes in eating behavior during the transition from adolescence to adulthood in the general population. Our search identified eighteen articles meeting these inclusion criteria. The socio-ecological DONE (Determinants of Nutrition and Eating) framework, a recently developed dynamic framework of factors shaping dietary behavior, was used to structure and categorize the factors identified. RESULTS Most factors identified in the literature were individual-level factors (67%) such as food beliefs, time constraints, and taste preferences; on the other hand, interpersonal-level factors (e.g., social support), environmental-level factors (e.g., product characteristics) and policy-level factors (e.g., market regulations) have been reported on less extensively. Furthermore, most factors discussed in the literature have been classified in the DONE framework as not easily modifiable. Moreover, previous studies largely used static research designs and focused primarily on one specific population (US freshmen). DISCUSSION This systematic scoping review identified several gaps in the available literature that hinder insight into the drivers of eating behavior (change) during the transition from adolescence to young adulthood. There is an urgent need for research on broader populations, employing dynamic repeated-measures designs, and taking modifiability of factors into account.
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Affiliation(s)
- F Marijn Stok
- Department of Psychological Assessment and Health Psychology, University of Konstanz, P.O. Box 47, 78457 Konstanz, Germany.
| | - Britta Renner
- Department of Psychological Assessment and Health Psychology, University of Konstanz, P.O. Box 47, 78457 Konstanz, Germany.
| | - Peter Clarys
- Department of Movement and Sport Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, 1050 Brussels, Belgium.
| | - Nanna Lien
- Department of Nutrition, University of Oslo, 0315 Oslo, Norway.
| | - Jeroen Lakerveld
- Department of Epidemiology and Biostatistics & the EMGO Institute for Health and Care Research, VU University Medical Center, 1081 BT Amsterdam, The Netherlands.
| | - Tom Deliens
- Department of Movement and Sport Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, 1050 Brussels, Belgium.
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Rose AM, Williams RA, Rengers B, Kennel JA, Gunther C. Determining attitudinal and behavioral factors concerning milk and dairy intake and their association with calcium intake in college students. Nutr Res Pract 2018; 12:143-148. [PMID: 29629031 PMCID: PMC5886966 DOI: 10.4162/nrp.2018.12.2.143] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2017] [Revised: 02/28/2018] [Accepted: 03/02/2018] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND/OBJECTIVES Average intake of calcium among college students is below the recommended intake, and knowledge surrounding the attitudinal and behavioral factors that influence milk and dairy intake, a primary food source of calcium, is limited. The purpose of this study was to evaluate college students' attitudes and behaviors concerning milk and dairy consumption and their association with calcium intake. SUBJECTS/METHODS Participants were 1,730 undergraduate students who completed an online survey (SurveyMonkey) as part of baseline data collection for a social marketing dairy campaign. The online survey assessed attitudes and behaviors concerning milk and dairy intake, and calcium intake. Questions about milk- and dairy-related attitudes and behaviors were grouped into 14 factors using factor analysis. Predictors of calcium intake were then evaluated. RESULTS Median calcium intake across all participants was 928.6 mg/day, with males consuming higher calcium intakes than females (P < 0.001). Adjusted for gender, calcium intakes were most strongly (and positively) correlated with associating milk with specific eating occasions and availability (i.e., storing calcium-rich foods in one's dorm or apartment) (both P < 0.001). Other correlates of calcium intake included: positive-viewing milk as healthy (P = 0.039), having family members who drink milk) (P = 0.039), and taking calcium supplements (P = 0.056); and negative-parent rules concerning milk (P = 0.031) and viewing milk in dining halls negatively (P = 0.05). CONCLUSIONS Calcium intakes among college students enrolled in the current study was below the recommended dietary allowance of 1,000 mg/day, reinforcing the need for dietary interventions in this target population, especially females. Practitioners and researchers should consider the factors found here to impact calcium intake, particularly associating milk with specific eating occasions (e.g., milk with breakfast) and having calcium-rich foods available in the dorm room or apartment, as intervention strategies in future efforts aimed at promoting milk and dairy foods and beverages for improved calcium intake in college students.
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Affiliation(s)
- Angela M Rose
- Department of Human Sciences, Ohio State University, Human Nutrition Program, 1787 Neil Ave, Columbus, OH 43210, USA
| | - Rachel A Williams
- Department of Human Sciences, Ohio State University, Human Nutrition Program, 1787 Neil Ave, Columbus, OH 43210, USA
| | - Brooke Rengers
- Department of Human Sciences, Ohio State University, Human Nutrition Program, 1787 Neil Ave, Columbus, OH 43210, USA
| | - Julie A Kennel
- Department of Human Sciences, Ohio State University, Human Nutrition Program, 1787 Neil Ave, Columbus, OH 43210, USA
| | - Carolyn Gunther
- Department of Human Sciences, Ohio State University, Human Nutrition Program, 1787 Neil Ave, Columbus, OH 43210, USA
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Karabulut US, Romero Z, Conatser P, Karabulut M. Assessing Overweight/Obesity, Dietary Habits, and Physical Activity in Hispanic College Students. EXERCISE MEDICINE 2018. [DOI: 10.26644/em.2018.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Abstract
All racial/ethnic groups are at higher risk for type 2 diabetes compared to whites, but it is unknown if young adults recognize their risk. Risk knowledge and individual risk perception were examined in 1579 multiracial urban college students. Students have little knowledge of diabetes risk factors; identifying less than three of ten. Considerable variation exists in the understanding of risk; only .02 % of Asian, 14.0 % of Hispanic and 22.8 % of black students recognized that their race increased risk. Among those with ≥3 risk factors (n = 541) only 39 % perceived their risk. These under-estimators had lower knowledge scores (p = .03) than those who acknowledged their risk; indicating that the cause of under-estimating risk may be, at least, in part due to a lack of information. There is a pressing need to heighten understanding of type 2 diabetes risk among young adults to decrease the future burden of this disease.
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Royal KD, Hunt SA, Gonzalez LM, Lewbart GA, Bailey KM. Veterinary Medical Students' Motivations for Exercise. JOURNAL OF VETERINARY MEDICAL EDUCATION 2018; 45:367-373. [PMID: 30106662 DOI: 10.3138/jvme.0117-004r] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The Centers for Disease Control (CDC) declares exercise to be one of the most important activities one can do to improve health. The benefits of exercise are well documented and include both physiologic and psychological health. Given the current landscape of wellness issues in veterinary medical education, it is necessary that students engage in exercise activities to manage stress and increase overall health. Therefore, to develop targeted interventions with the greatest likelihood for success, it is first necessary to understand what motivates veterinary medical students to exercise given their unique situational and environmental factors. This study is the first to explore this issue systematically in veterinary medical education, thus it is the authors' hope that the findings from this research will help identify exercise-related wellness interventions that could be implemented in veterinary medical schools.
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Affiliation(s)
- Kenneth D Royal
- Assistant Professor of Educational Assessment & Outcomes, North Carolina State University, College of Veterinary Medicine, Department of Clinical Sciences, 1060 William Moore Dr., Raleigh, NC 27609 USA.
| | - Suzanne A Hunt
- Assistant Director of Wellbeing, Health Promotion at Wake Forest University and Adjunct Assistant Professor, North Carolina State University, College of Veterinary Medicine, Department of Clinical Sciences, 1060 William Moore Dr., Raleigh, NC 27607 USA
| | - Liara M Gonzalez
- Assistant Professor of Gastroenterology and Equine Surgery, North Carolina State University, Department of Clinical Sciences, 1060 William Moore Dr., Raleigh, NC 27609 USA
| | - Gregory A Lewbart
- Professor of Aquatic Animal Medicine, North Carolina State University, Department of Clinical Sciences, 1060 William Moore Dr., Raleigh, NC 27607 USA
| | - Kate M Bailey
- Clinical Assistant Professor of Anesthesiology, North Carolina State University, Department of Molecular Biomedical Sciences, 1060 William Moore Dr., Raleigh, NC 27607 USA
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The influence of social networks in increasing fruit and vegetables consumption in university students: a randomised controlled study. Proc Nutr Soc 2018. [DOI: 10.1017/s0029665117004384] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Arigo D, Butryn ML, Raggio GA, Stice E, Lowe MR. Predicting Change in Physical Activity: a Longitudinal Investigation Among Weight-Concerned College Women. Ann Behav Med 2017; 50:629-641. [PMID: 26984236 DOI: 10.1007/s12160-016-9788-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
BACKGROUND Engaging in regular physical activity (PA) is critical for health, and adopting a consistent PA routine early in life is associated with greater PA over the lifespan. College women with weight concerns are at risk for weight gain, which may be prevented with regular PA. However, little is known about changes in PA engagement in this at-risk group. PURPOSE Using an outcome expectancy framework, this study used a prospective longitudinal design to examine changes in PA during the first 2 years of college. We tested for concurrent and prospective within-person relations between body satisfaction/perceived eating behavior and PA to determine when weight-concerned college women may increase or decrease PA. METHODS Women who reported weight concerns at the start of college (n = 294) completed five assessments over 2 years, including measured weight, body/eating experiences, and 4 days of pedometer steps (per assessment). Multilevel models addressed the resulting nested data structure (days within assessments within participants). RESULTS Over 2 years, within-person change accounted for 65 % of PA variability (ICC = 0.35). PA was greatest at (and subsequent to) times when body satisfaction was lower, and when disinhibited eating and hedonic hunger were higher, than an individual's average (ps < 0.05). These changes were associated with 1-3 % of the recommended daily step totals. CONCLUSIONS Weight-conscious college women show greater PA after negative eating and weight experiences. As these experiences change over time, health promotion efforts should help college women identify alternative, positive motivators for PA, which could facilitate consistent PA engagement.
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Affiliation(s)
- Danielle Arigo
- The University of Scranton, 800 Linden Street 205 Alumni Memorial Hall, Scranton, PA, 18510, USA.
| | - Meghan L Butryn
- Department of Psychology, Drexel University, 3141 Chestnut Street Stratton 119, Philadelphia, PA, 19104, USA
| | - Greer A Raggio
- VA Boston Healthcare System, 150 S. Huntington Avenue, Boston, MA, 02130, USA
| | - Eric Stice
- Oregon Research Institute, 1776 Millrace Dr, Eugene, OR, 97403, USA
| | - Michael R Lowe
- Department of Psychology, Drexel University, 3141 Chestnut Street Stratton 119, Philadelphia, PA, 19104, USA
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Alexander GL, Lindberg N, Firemark AL, Rukstalis MR, McMullen C. Motivations of Young Adults for Improving Dietary Choices: Focus Group Findings Prior to the MENU GenY Dietary Change Trial. HEALTH EDUCATION & BEHAVIOR 2017; 45:492-500. [PMID: 29068724 DOI: 10.1177/1090198117736347] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
BACKGROUND Young adulthood is often associated with poor dietary habits that may increase risk of obesity and chronic diseases. As independence grows, little is known about strategies to help balance social, work, and education commitments that may override desires to incorporate healthful food choices. OBJECTIVE In advance of a randomized trial to test an online intervention targeting young adults, we sought to identify views and experiences with healthy eating, and specifically, eating more fruits and vegetables. METHODS We conducted 13 focus groups with 68 young adults in metropolitan Detroit (Henry Ford Health System) and rural Pennsylvania (Geisinger Health System). Randomly selected adults aged 21 to 30 years, using health system automated data, were sent recruitment letters. Questions were grounded in social cognitive theory and self-determination theory. Audiotapes were transcribed, content themes identified, coded, verified for reliability, and analyzed qualitatively. RESULTS Young adults' efforts to eat healthfully included three major themes of (1) motivations to create a healthy lifestyle, teach by example, feel better, and manage weight and future health problems; (2) learning to eat well from childhood, independent living, and peers; and (3) strategies to eat better through planning, tracking, and commitment. DISCUSSION We uncovered theory-based factors that facilitate healthy dietary behavior change among young adults, including managing their behavior through self-monitoring, goal-setting, small steps, meaningful reinforcements, and social opportunities. CONCLUSIONS Targeted interventions encouraging reflection on personal values related to meaningful contemporary health benefits are likely to resonate with young adults, as will opportunities to receive and share new information.
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Affiliation(s)
| | - Nangel Lindberg
- 2 Kaiser Permanente Northwest, Center for Health Research, Portland, OR, USA
| | - Alison L Firemark
- 2 Kaiser Permanente Northwest, Center for Health Research, Portland, OR, USA
| | | | - Carmit McMullen
- 2 Kaiser Permanente Northwest, Center for Health Research, Portland, OR, USA
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Nour MM, Rouf AS, Allman-Farinelli M. Exploring young adult perspectives on the use of gamification and social media in a smartphone platform for improving vegetable intake. Appetite 2017; 120:547-556. [PMID: 29032184 DOI: 10.1016/j.appet.2017.10.016] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2017] [Revised: 09/22/2017] [Accepted: 10/11/2017] [Indexed: 10/18/2022]
Abstract
Young adults are the poorest consumers of vegetables. Social media and smartphones are frequently used by this demographic and could serve as an engaging medium for nutrition promotion. Five focus groups were conducted to capture participants' perceptions of a theory-based gamified self-monitoring app for improving vegetable intake of young adults. Ranking activities were used to gather feedback on preferences for social media posts. Data arising from group discussion were analysed using NVivo software using a deductive approach to group common ideas into themes. Thirty two participants (14 males) attended (mean age 23.1 (SD 2.7) years). Qualitative analyses of open discussion revealed two major themes regarding preferred features for a smartphone app; (1) the use of visual guides for estimating quantities of vegetables and tracking progress, and (2) a simple interface. Gamification strategies such as earning badges were viewed more positively than the use of a self-reward framework. Social media posts which presented food pictures and recipes were ranked most motivating, while awareness-raising posts received lower scores. Participants indicated a preference for viewing but reluctance to post information onto social media. "Just in time" situational cues were ranked highly and the use of an "authoritative" tone was preferred and associated with credibility. Young adults also ranked messages containing "Gen Y" language highly, with a preference for those which were personally relevant. The proposed use of social media and mobile-gaming was seen as an acceptable approach for improving vegetable intake. Materials should be visually appealing, simply designed, credible, and personally relevant to appeal to this population. This feedback may inform future mobile-phone based interventions targeting improved nutrition in young adults.
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Affiliation(s)
- Monica Marina Nour
- The University of Sydney, School of Life and Environmental Sciences, Charles Perkins Centre, Sydney, New South Wales, 2006, Australia.
| | - Anika Saiyara Rouf
- The University of Sydney, School of Life and Environmental Sciences, Charles Perkins Centre, Sydney, New South Wales, 2006, Australia
| | - Margaret Allman-Farinelli
- The University of Sydney, School of Life and Environmental Sciences, Charles Perkins Centre, Sydney, New South Wales, 2006, Australia
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Monroe CM, Turner-McGrievy G, Larsen CA, Magradey K, Brandt HM, Wilcox S, Sundstrom B, West DS. College Freshmen Students' Perspectives on Weight Gain Prevention in the Digital Age: Web-Based Survey. JMIR Public Health Surveill 2017; 3:e71. [PMID: 29025698 PMCID: PMC5658646 DOI: 10.2196/publichealth.7875] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Revised: 09/09/2017] [Accepted: 09/10/2017] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND College freshmen are highly vulnerable to experiencing weight gain, and this phenomenon is associated with an increased risk of chronic diseases and mortality in older adulthood. Technology offers an attractive and scalable way to deliver behavioral weight gain prevention interventions for this population. Weight gain prevention programs that harness the appeal and widespread reach of Web-based technologies (electronic health or eHealth) are increasingly being evaluated in college students. Yet, few of these interventions are informed by college students' perspectives on weight gain prevention and related lifestyle behaviors. OBJECTIVE The objective of this study was to assess college freshmen students' concern about weight gain and associated topics, as well as their interest in and delivery medium preferences for eHealth programs focused on these topics. METHODS Web-based surveys that addressed college freshmen students' (convenience sample of N=50) perspectives on weight gain prevention were administered at the beginning and end of the fall 2015 semester as part of a longitudinal investigation of health-related issues and experiences in first semester college freshmen. Data on weight gain prevention-related concerns and corresponding interest in eHealth programs targeting topics of potential concern, as well as preferred program delivery medium and current technology use were gathered and analyzed using descriptive statistics. RESULTS A considerable proportion of the freshmen sample expressed concern about weight gain (74%, 37/50) and both traditional (healthy diet: 86%, 43/50; physical activity: 64%, 32/50) and less frequently addressed (stress: 82%, 41/50; sleep: 74%, 37/50; anxiety and depression: 60%, 30/50) associated topics within the context of behavioral weight gain prevention. The proportion of students who reported interest in eHealth promotion programs targeting these topics was also generally high (ranging from 52% [26/50] for stress management to 70% [35/50] for eating a healthy diet and staying physically active). Email was the most frequently used electronic platform, with 96% (48/50) of students reporting current use of it. Email was also the most frequently cited preferred eHealth delivery platform, with 86% (43/50) of students selecting it. Facebook was preferred by the second greatest proportion of students (40%, 20/50). CONCLUSIONS Most college freshmen have concerns about an array of weight gain prevention topics and are generally open to the possibility of receiving eHealth interventions designed to address their concerns, preferably via email compared with popular social media platforms. These preliminary findings offer a foundation to build upon when it comes to future descriptive investigations focused on behavioral weight gain prevention among college freshmen in the digital age.
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Affiliation(s)
- Courtney M Monroe
- Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
| | | | - Chelsea A Larsen
- Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
| | - Karen Magradey
- Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
| | - Heather M Brandt
- Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
| | - Sara Wilcox
- Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
| | - Beth Sundstrom
- Department of Communication, College of Charleston, Charleston, SC, United States
| | - Delia Smith West
- Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
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Rose AM, Williams RA, Hanks AS, Kennel JA, Gunther C. Milk Vending Does Not Improve College Students’ Milk and Calcium Intakes. Health Promot Pract 2017; 19:295-302. [DOI: 10.1177/1524839917717227] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In the transition from adolescence to young adulthood, overall diet quality decreases, including a reduction in both dairy and calcium consumption. The objective of this pilot study was to determine the impact of milk vending on milk and calcium intakes in college students. Participants were 124 college students living in dorms at a large public university (Fall 2012). Milk vending machines were installed in two campus dorms. Before and 2 months after installation, students were surveyed about milk and calcium intakes, as well as attitudes regarding milk vending. Sales data for the newly installed machines were also collected between the pre- and posttest surveys. Students reported similar milk and calcium consumption before and after the intervention. Mean calcium intakes were lower than the recommended dietary allowance for students in either life stage group (18 years old or 19 years and older). Milk vending sales data showed that during the study period, approximately nine bottles of milk were bought each day from the two dorms combined. Results from this study suggest that milk vending alone may not be an effective strategy for preventing the commonly observed decrease in milk and calcium intakes among college students.
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Sarcona A, Kovacs L, Wright J, Williams C. Differences in Eating Behavior, Physical Activity, and Health-related Lifestyle Choices between Users and Nonusers of Mobile Health Apps. AMERICAN JOURNAL OF HEALTH EDUCATION 2017. [DOI: 10.1080/19325037.2017.1335630] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Nour M, Yeung SH, Partridge S, Allman-Farinelli M. A Narrative Review of Social Media and Game-Based Nutrition Interventions Targeted at Young Adults. J Acad Nutr Diet 2017; 117:735-752.e10. [DOI: 10.1016/j.jand.2016.12.014] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Accepted: 12/22/2016] [Indexed: 10/20/2022]
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Gonzales R, Laurent JS, Johnson RK. Relationship Between Meal Plan, Dietary Intake, Body Mass Index, and Appetitive Responsiveness in College Students. J Pediatr Health Care 2017; 31:320-326. [PMID: 27839633 DOI: 10.1016/j.pedhc.2016.10.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2016] [Accepted: 10/02/2016] [Indexed: 11/17/2022]
Abstract
INTRODUCTION One third of the approximately 23,000 undergraduates in the United States are overweight or obese. College students appear to be more vulnerable to disproportionate weight gain during this time. METHOD Cross-sectional. Diet, body mass index, and appetitive responsiveness were assessed in 80 undergraduates enrolled in three different meal plans, unlimited access, points, and none. RESULTS Appetitive responsiveness was positively correlated with fat (r = 0.34, p = .002) but not added sugars across groups. Unlimited access-plan students had higher fat consumption than no-plan students, regardless of appetitive responsiveness. Unlimited access-plan students had higher fruit and vegetable consumption and higher dairy consumption than point-plan students. There were no group differences for body mass index. All groups were below the U.S. Department of Agriculture guidelines for dairy and fruit and vegetable intake. DISCUSSION Optimizing the college campus food environment toward healthful, affordable choices is likely to improve dietary habits and might minimize college weight gain.
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Tay I, Garland S, Gorelik A, Wark JD. Development and Testing of a Mobile Phone App for Self-Monitoring of Calcium Intake in Young Women. JMIR Mhealth Uhealth 2017; 5:e27. [PMID: 28270379 PMCID: PMC5360908 DOI: 10.2196/mhealth.5717] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2016] [Revised: 10/24/2016] [Accepted: 01/30/2017] [Indexed: 11/19/2022] Open
Abstract
Background Interventions to prevent osteoporosis by increasing dairy intake or physical activity in young women have been limited to increasing osteoporosis knowledge and awareness. However, findings have shown that this does not always lead to a change in behaviors. Self-monitoring using mobile devices in behavioral interventions has yielded significant and positive outcomes. Yet, to our knowledge, mobile self-monitoring has not been used as an intervention strategy to increase calcium intake, particularly in young women, for better bone health outcomes. Objective As development and testing of mobile app–based interventions requires a sequence of steps, our study focused on testing the acceptability and usability of Calci-app, a dietary app to self-monitor calcium consumption, before it is used in a behavioral change intervention in young women aged 18-25 years. Methods Calci-app development followed 4 steps: (1) conceptualization, (2) development and pretesting, (3) pilot testing, and (4) mixed methods evaluation. Results We present the development process of Calci-app and evaluation of the acceptability and usability of the app in young women. Overall, 78% (31/40) of study participants completed the 5-day food record with high compliance levels (defined as more than 3 days of full or partial completion). There was a significant reduction in the proportion of participants completing all meal entries over the 5 days (P=.01). Participants generally found Calci-app easy and convenient to use, but it was time-consuming and they expressed a lack of motivation to use the app. Conclusions We present a detailed description of the development process of Calci-app and an evaluation of its usability and acceptability to self-monitor dietary calcium intake. The findings from this preliminary study demonstrated acceptable use of Calci-app to self-monitor calcium consumption. However, for regular and long-term use the self-monitoring function in Calci-app could be expanded to allow participants to view their total daily calcium intake compared with the recommended daily intake. Additionally, to facilitate sustainable lifestyle behavior modifications, a combination of various behavior change techniques should be considered, such as education, goal setting, and advice to participants based on their stage of change. The feedback on barriers and facilitators from testing Calci-app will be used to design a bone health mHealth intervention to modify risky lifestyle behaviors in young women for better bone health outcomes.
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Affiliation(s)
- Ilona Tay
- Department of Medicine, University of Melbourne, Parkville, VIC, Australia
| | - Suzanne Garland
- The Royal Women's Hospital, Department of Microbiology & Infectious Diseases, Parkville, VIC, Australia.,Department of Obstetrics & Gynaecology, University of Melbourne, Parkville, Australia.,Murdoch Childrens Hospital, Parkville, Australia
| | - Alexandra Gorelik
- Royal Melbourne Hospital, Melbourne EpiCentre, University of Melbourne, Parkville, VIC, Australia
| | - John Dennis Wark
- Department of Medicine, University of Melbourne, Parkville, VIC, Australia.,Royal Melbourne Hospital, Bone and Mineral Medicine, Parkville, VIC, Australia
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