A Prospective Study of Alcohol Use Patterns and Short-Term Weight Change in College Freshmen

Adherence to aerobic and muscle-strengthening components of the physical activity guidelines and mental health

Despite a clear distinction between aerobic and muscle strengthening (MS) components in the physical activity guidelines, public health surveillance has largely focused only on aerobic components, limiting the reach of epidemiological research on the physical activity guidelines. Hence, this study investigated the association between adherence to both components (i.e. aerobic and muscle-strengthening) of the World Health Organization’s physical activity guidelines and mental health among the college student population. A cross-sectional study was conducted among a nationally representative sample of Irish college students (7088 participants, M age: 23.17 years; 50.9% female). Participants were categorized as meeting both components of the guidelines (n = 41%), only the aerobic component (n = 25.3%) or the MS component (n = 7.3%), and neither (n = 26.4%). Group membership effects on mental health was determined through mixed univariate ANOVAs, with a Bonferroni correction for post hoc analyses to assess multiple comparisons. Results revealed that meeting both components of the guidelines was significantly (all p < 0.01) associated with greater self-reported happiness, body image and general health, and less mental ill-being, relative to all other respective groupings. Meeting aerobic or MS components in isolation was significantly (p < 0.05) associated with better happiness, general health and body image compared to not meeting either component. To conclude, 59% of the college-aged population are insufficiently active, and adherence to both guideline components is positively associated with mental health. Co-produced, evidence-based, physical activity interventions are needed in students and could contribute to mental health promotion.

Alcohol consumption among students and its relationship with nutritional intake: a cross-sectional study

OBJECTIVE

Excessive alcohol consumption during reproductive years may impact the integrity of developing eggs and sperm, potentially affecting the life-long health of future children. Inadequate diets could aggravate these preconception effects of alcohol. The aim of the present study was to assess the prevalence of excessive alcohol consumption and explore whether weekly alcohol intake is associated with energy and nutrient intake and adequacy of micronutrient intake among students.

DESIGN

Cross-sectional survey using a validated and reproducibility-tested FFQ.

SETTING

University of Agder, Norway, in 2018.

PARTICIPANTS

622 students (71 % female).

RESULTS

More than 80 % reported having consumed alcoholic beverages the past 4 weeks. One-third of men and 13 % of women exceeded the upper recommended limit of 14 UK alcohol units/week. An inverse association between increasing alcohol intake and energy-adjusted micronutrient intake was evident for thiamine, phosphate, Fe, Zn and Se in men, and for vitamin A, β-carotene, vitamin E and C, thiamine, vitamin B6, folate, P, Mg, K, Fe, Zn and Cu in women. A substantial proportion had vitamin D, folate, Fe and I intakes below average requirement regardless of alcohol consumption level. The combination of prevalent alcohol use, decreasing micronutrient density of diet across alcohol consumption level and a high probability of micronutrient inadequacy indicate reason for concern in a preconception public health perspective.

CONCLUSIONS

Our findings call for investigations into young adults' knowledge, reflections and beliefs regarding diet and alcohol use to understand how these behaviours could be improved ahead of parenthood.

Impulsivity as a risk factor for weight gain and body roundness change among college freshmen

BACKGROUND

The college setting is considered an obesogenic environment due to high availability of palatable foods. However, only a minority of freshmen gain weight. Individual-level risk factors, such as impulsivity, may hold utility in predicting weight and adiposity changes. Individuals with an impulsive decision-making style may favor immediately rewarding foods at the expense of long-term health. Individuals who seek rewarding foods during strong emotions may also be at risk. The study tested decisional (delay-discounting; DD) and emotion-driven impulsivity (urgency) as risk factors for 1) weight and 2) body roundness change during freshman year.

METHODS

Freshmen (N = 103) completed questionnaires assessing DD, positive urgency (PU), and negative urgency (NU). Weight and body roundness index (BRI) were collected at the beginning and end of the academic year. Four repeated measures regression models examined impulsivity factors predicting change in 1) weight and 2) BRI. Models included baseline weight and height or BRI, respectively. Covariates included average daily caloric intake, energy expenditure from walking, and sex.

RESULTS

In models examining weight, neither DD nor NU were significantly associated with weight at follow-up (b = 0.008, p = .977; b = 0.280, p = .075) when holding covariates constant. In contrast, PU was significantly associated with weight at follow-up (b = 0.303, p = .033). In models examining BRI, DD (b = -0.039, p = .511) and PU (b = 0.049, p = .072) were not associated with BRI at follow-up. In contrast, NU was significantly associated with BRI at follow-up (b = 0.068, p = .017).

CONCLUSIONS

Emotion-driven impulsivity may be a risk factor for weight gain or change in body roundness during freshman year.

A systematic review of the methodology used to study weight change among young adults attending college

INTRODUCTION

Young adulthood is a sensitive developmental period that is high-risk for weight gain. Ample research has focused on weight gain among college students; however meta-analyses report <2 kg pooled estimates of weight gain, which is in the range of normal weight fluctuation, and there is disagreement in the literature regarding common predictors of weight gain. These limitations pose a major barrier to targeted obesity prevention efforts. The present study reviewed the literature assessing college weight gain with a focus on three methodological factors that could contribute to variability in the literature: 1) use of an evidence-supported definition of weight gain (>2 kg or ≥3%); 2) weight measurement protocols; and 3) including weight/BMI in analyses of predictors of weight change.

METHODS

Three databases were systematically searched. Studies were included in the review if the primary goal was to determine magnitude of weight change and/or test predictors of weight change during the academic year, and they reported weight at 2+ time points.

RESULTS

A total of 81 studies were included in the review. Most studies (90%; 73/81) did not use an evidence-supported definition of weight gain. Studies that used an evidence-supported definition reported estimates of gain among students who gained weight to be beyond the range of normal weight fluctuation (4.0-7.5 kg), and occurred in a subset (<32%) of participants. Studies that did not use an evidence-supported definition reported weight gain to be 2.0-4.5 kg, and occurred in the majority >50% of students. Most studies that measured height and weight (71%; 42/59) did not use a fasting protocol and the majority (63%; 37/59) did not conduct measurements at the same time of day. A higher percentage of studies that used a standardized measurement protocol reported weight change >2 kg (44% vs 20%). A lower percentage of studies that used a standardized measurement protocol had substantial variability in weight change estimates (50% vs 69%). The majority of studies that tested predictors of weight gain (74%; 42/57) included weight/BMI as a covariate in analyses.

CONCLUSIONS

The body of literature examining weight change among college students suffers from limitations that may have contributed to overestimations in the percent of students who gain weight, and simultaneous underestimations of the magnitude of weight gain among those who gain weight. Weight gain may be limited to approximately 30% of students in a sample, and weight gain among this subset of students may be substantial (>4 kg). Going forward, use of both an evidence-supported weight gain definition and fasting measurement protocol will likely enhance accuracy in characterizing weight gain among college students, as well as improve researchers' ability to detect important predictors of weight gain.