Patterns of daily energy drink consumption differ by gender among Belgian adolescents

AbstractOver the past decade, energy drinks (ED) have become increasingly popular among adolescents. Due to their high content in caffeine, sugar and other energy-promoting components, frequent ED consumption may have adverse health effects, like cardiovascular symptoms, sleep impairment, and nervousness. Previous studies have shown that ED consumption was more frequent among males. To extend this knowledge, our analysis examined how sociodemographic and lifestyle determinants of frequent ED consumption may differ by gender among Belgian adolescents. This study was based on data self-reported by 9,119 12–19 year-old French-speaking Belgian adolescents in secondary school, within the 2014 cross-sectional Health Behaviour in School-Aged Children survey. Pupils reporting they usually consumed ED once a day or more were considered as “high ED consumers”. Sociodemographic and lifestyle characteristics were described in relation to ED consumption, for boys and girls separately. We used multiple logistic regression models, stratified by gender, to assess the associations between the sociodemographic and lifestyle variables, with high ED consumption. Daily ED consumption was reported by 7.9% of boys and 4.6% of girls. In both genders, the proportion of high ED consumers was significantly higher among adolescents of grades 1–3, those of lower family affluence, in first- and second-generation immigrants, those watching TV more than 6 hours/day, those reporting later bedtimes, and those consuming soft drinks daily. In girls only, higher percentages were observed in girls from single- (7.6%) or blended-families (5.2%), than in girls from two-parent families (3.5%). In boys only, this percentage was higher among adolescents meeting physical activity recommendations (14.5% vs 6.5%). Multivariate analyses showed that high ED consumption was associated with lower grades, long screen time, later bedtimes, and daily soft drink consumption in both genders. In girls only, adolescents from single-parent families were more likely to consume ED daily (OR 1.70; 95% CI 1.23–2.37) (vs. two-parent families). In boys only, first-generation immigrants (OR 1.53; 95% CI 1.06–2.21) (vs. natives) and youth sufficiently physically active (OR 2.19; 95% CI 1.65–2.90) were more likely to consume ED daily. High ED consumption was more frequent among boys and showed gender-specific patterns, with associations with family structure in girls only, and with migration status and physical activity in boys only. Our findings provide evidence about patterns of high ED consumption among adolescents and should be used to inform the development of prevention strategies.

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Food insecurity and its association with changes in nutritional habits among adults during the COVID-19 confinement measures in Belgium

Public Health Nutrition ◽

10.1017/s1368980020005005 ◽

2020 ◽

pp. 1-7

Author(s):

Stefanie Vandevijvere ◽

Karin De Ridder ◽

Sabine Drieskens ◽

Rana Charafeddine ◽

Finaba Berete ◽

...

Keyword(s):

Food Insecurity ◽

Multinomial Logistic Regression ◽

Soft Drink ◽

Household Composition ◽

Healthy Diet ◽

Cross Sectional ◽

Nutritional Habits ◽

Logistic Regression Models ◽

Soft Drink Consumption ◽

Snack Consumption

Abstract Objective: To assess food insecurity and its association with changes in nutritional habits among Belgian adults during confinement due to COVID-19. Design: Three cross-sectional online health surveys were conducted during March–May 2020. Multinomial logistic regression models were used to determine associations between self-reported changes in fruit, vegetable, soft drink and sweet and salted snack consumption or weight as dependent variables and food insecurity indicators as independent variables, adjusted for gender, household composition, educational attainment and household income. Setting: Belgium. Participants: In total, 8640 adults recruited by convenience sampling. Results: About 10·4 % of Belgians often or sometimes feared food shortages, 5·0 % were often or sometimes short of food without money to buy more and 10·3 % often or sometimes could not afford to eat a healthy diet during confinement. These percentages were highest among single-parent families (26·7, 14·4 and 23·4 %, respectively). Adults who often or sometimes feared that food would run out during confinement had significantly higher odds of decreased v. unchanged fruits (3·53; 95 % CI = 2·06, 6·05) and vegetables (5·42; 95 % CI = 2·90, 10·11) consumption and significantly higher odds of increased v. unchanged soft drink consumption (3·79; 95 % CI = 2·20, 6·54). Similar results were found for adults who often or sometimes ran out of food and for adults who often or sometimes were not able to afford a healthy diet. Conclusion: Food insecurity during the COVID-19 confinement measures in Belgium was associated with adverse changes in most dietary behaviours. A strong government response is needed to tackle malnutrition and food insecurity to protect public health from ongoing and future pandemics.

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Single and Combinative Impacts of Healthy Eating Behavior and Physical Activity on COVID-19-like Symptoms among Outpatients: A Multi-Hospital and Health Center Survey

Nutrients ◽

10.3390/nu13093258 ◽

2021 ◽

Vol 13 (9) ◽

pp. 3258

Author(s):

Minh H. Nguyen ◽

Thu T. M. Pham ◽

Dinh N. Vu ◽

Binh N. Do ◽

Hoang C. Nguyen ◽

...

Keyword(s):

Physical Activity ◽

Eating Behavior ◽

Healthy Eating ◽

Physical Inactivity ◽

Short Form ◽

Cross Sectional Study ◽

Cross Sectional ◽

Physically Active ◽

Logistic Regression Models ◽

Healthy Eating Behavior

Background: Healthy eating and physical activity are effective non-pharmacological approaches to boost immune function and contain the pandemic. We aimed to explore the associations and interactions between physical activity and healthy eating behavior with COVID-19-like symptoms (Slike-CV19S). Methods: A cross-sectional study was conducted on 3947 outpatients, from 14 February to 2 March 2020, at nine health facilities in Vietnam. Data collection included sociodemographic characteristics, healthy eating behavior (using the healthy eating score (HES) questionnaire), physical activity (using the short form international physical activity questionnaire), and Slike-CV19S. The associations and interactions were tested using logistic regression models. Results: Frequent intake of fruits (OR = 0.84; p = 0.016), vegetables (OR = 0.72; p = 0.036), and fish (OR = 0.43; p < 0.001) were associated with a lower Slike-CV19S likelihood, as compared with infrequent intake. Patients with higher HES levels (OR = 0.84; p = 0.033 for medium HES; OR = 0.77; p = 0.006 for high HES) or being physically active (OR = 0.69; p < 0.001) had a lower Slike-CV19S likelihood, as compared to those with low HES or physical inactivity, respectively. Patients with medium HES who were physically active (OR = 0.69; p = 0.005), or with high HES and physically active (OR = 0.58; p < 0.001), had a lower Slike-CV19S likelihood, as compared to those with low HES and physical inactivity. Conclusions: Healthy eating behavior and physical activity showed single and combinative impacts on protecting people from Slike-CV19S. Strategic approaches are encouraged to improve healthy behaviors, which may further contribute to containing the pandemic.

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The Association between US Adolescents’ Weight Status, Weight Perception, Weight Satisfaction, and Their Physical Activity and Dietary Behaviors

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15091931 ◽

2018 ◽

Vol 15 (9) ◽

pp. 1931 ◽

Cited By ~ 7

Author(s):

Furong Xu ◽

Steven Cohen ◽

Mary Greaney ◽

Geoffrey Greene

Keyword(s):

Physical Activity ◽

Weight Status ◽

Weight Perception ◽

Normal Weight ◽

Dietary Behaviors ◽

Cross Sectional ◽

Physically Active ◽

Logistic Regression Models ◽

Weight Satisfaction ◽

Policies And Programs

Background: It remain unclear that the association between weight status, weight perception, weight satisfaction and the clustering of physical activity (PA) and dietary behaviors in adolescents. Method: A cross-sectional analysis of National Health and Nutrition Examination Survey and the US Department of Agriculture’s Food Patterns Equivalents 2007–2014 data from adolescents aged 12–17 years (n = 2965) was conducted. Multivariable logistic regression models adjusted for demographic characteristics examined the association between weight status, weight perception, weight satisfaction, and the four created lifestyle groups (healthier behaviors, healthier diet only, physically active only, unhealthier behaviors). Results: Males with obesity were more likely to be in the healthier diet only group than males with a normal weight (OR = 1.90, 95% CI: 1.02, 3.52). Similar patterns were found in males who perceived themselves as being overweight or having obesity (OR = 2.09, 95% CI: 1.09, 3.99) and males with obesity who perceived their weight status accurately (OR = 2.33, 95% CI: 1.12, 4.88). Female respondents who were satisfied with their weight were 59% less likely to be in the healthier diet only group than healthier behaviors group compared with females who were weight dissatisfied (OR = 0.41, 95% CI: 0.23, 0.75). This pattern was not observed in males. Conclusions: Clustering PA and dietary behaviors were associated with weight status and weight perception for males but not females. Weight satisfaction was associated with clustered PA and dietary behaviors for females. These findings are important for obesity prevention policies and programs to better address adolescents’ obesity and reduce health disparities in this population.

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Progress and setbacks in socioeconomic inequalities in adolescent health-related behaviours in Brazil: results from three cross-sectional surveys 2009–2015

BMJ Open ◽

10.1136/bmjopen-2018-025338 ◽

2019 ◽

Vol 9 (3) ◽

pp. e025338 ◽

Cited By ~ 3

Author(s):

Catarina Machado Azeredo ◽

Leandro F M de Rezende ◽

Poppy Alice Carson Mallinson ◽

Camila Zancheta Ricardo ◽

Sanjay Kinra ◽

...

Keyword(s):

Physical Activity ◽

Domestic Violence ◽

Adolescent Health ◽

Soft Drink ◽

Socioeconomic Inequalities ◽

Unsafe Sex ◽

Cross Sectional ◽

Soft Drink Consumption ◽

Health Related ◽

Bullying Victimisation

ObjectivesDespite some progress, Brazil is still one of the most unequal countries, and the extent of socioeconomic inequalities in adolescent health is unclear. We assessed trends in socioeconomic inequalities in adolescent’s health-related behaviours in Brazil between 2009 and 2015.DesignWe used cross-sectional data from the Brazilian National Survey of School Health carried out in 2009, 2012 and 2015.SettingBrazilian state capitals.ParticipantsStudents attending ninth grade from public and private schools in Brazilian state capitals in 2009 (60 973 students), 2012 (61 145 students) and 2015 (51 192 students).Main outcome measureWe assessed 12 health-related behaviours (irregular fruit, vegetables and bean consumption; regular soft drink consumption; irregular physical activity; alcohol, drug and tobacco use; unsafe sex; involvement in gun fights; bullying victimisation and domestic violence victimisation), under the broad domains of lifestyle risk behaviours, engagement in risky activities and exposure to violence. Socioeconomic status was assessed through an asset-based wealth index derived from principal component analysis. Absolute and relative inequalities in these health behaviours and inequalities trends were investigated.ResultsFrom 2009 to 2015, prevalence of certain harmful health-related behaviours increased, such as unsafe sex (21.5% to 33.9%), domestic violence (9.5% to 16.2%), bullying victimisation (14.2% to 21.7%) and irregular consumption of beans (37.5% to 43.7%). Other indicators decreased: alcohol use (27.1% to 23.2%), irregular physical activity (83.0% to 75.6%) and consumption of soft drinks (37.2% to 28.8%). Over the period, we found consistent evidence of decreasing health inequalities for lifestyle behaviours (fruit, bean and soft drink consumption) and alcohol use, set against increasing inequalities in violence (domestic violence, fights using guns and bullying victimisation).ConclusionSocioeconomic inequality increased in the violence domain and decreased for lifestyle behaviours among Brazilian adolescents. Widening gaps in violence domain urge immediately policy measures in Brazil.

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Investigating a Message Tailoring Strategy to Improve Efficacy of Activity Promotion Interventions: A Study Protocol (Preprint)

10.2196/preprints.6424 ◽

2016 ◽

Author(s):

Leila Sadat Rezai ◽

Catherine Marie Burns

Keyword(s):

Physical Activity ◽

Regulatory Focus ◽

Message Framing ◽

Physical Activity Behaviour ◽

Activity Level ◽

Regulatory Focus Theory ◽

Cross Sectional ◽

Physically Active ◽

Activity Promotion ◽

Focus Theory

BACKGROUND There have been challenges in designing effective behaviour-change interventions, including those that promote physical activity. One of the key reasons is that many of those systems do not account for individuals’ characteristics and their psychological differences, which affect their approach toward adopting target behaviour. For decades, tailoring has been used as a common technique to effectively communicate health-related information to persuade people to follow a healthier living. However, its use in the design of persuasive technologies has not been adequately investigated. OBJECTIVE The objective of this research is to explore the effects of tailoring when it is grounded in Higgins’ regulatory focus theory. METHODS A combination of cross-sectional and longitudinal studies has been proposed to examine how individuals’ intention to become more physically active would be affected by receiving health messages that may or may not match their self-regulatory orientation. The research would also subjectively, as well as objectively, measures the changes in individuals’ physical activity level. RESULTS The anticipated completion date for the consequent studies is December 2016. CONCLUSIONS In this article, the importance of refining message-framing research questions and a stepwise approach to develop an efficient experimental design to examine a new tailoring strategy is discussed. A set of small studies is proposed that would inform the best approach to design the principal experiment. The findings of principal experiment will provide a deeper insight into the relationship between regulatory-focus theory, persuasive message construction, and individuals’ physical activity behaviour.

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Association between Physical Activity and Comorbidities in Spanish People with Asthma-COPD Overlap

Sustainability ◽

10.3390/su13147580 ◽

2021 ◽

Vol 13 (14) ◽

pp. 7580

Author(s):

Sheila Sánchez Castillo ◽

Lee Smith ◽

Arturo Díaz Suárez ◽

Guillermo Felipe López Sánchez

Keyword(s):

Physical Activity ◽

Short Form ◽

National Health Survey ◽

Lumbar Pain ◽

Chronic Obstructive ◽

Cross Sectional ◽

Obstructive Pulmonary Disease ◽

Logistic Regression Models ◽

Adjusted Model ◽

Activity Questionnaire

Asthma and chronic obstructive pulmonary disease (COPD) are important conditions which often coexist. Higher rates of comorbidities among people with asthma-COPD overlap (ACO) may complicate clinical management. The aim of this study was to determine the prevalence of 30 different comorbidities and to analyze associations between these comorbidities and physical activity (PA) in Spanish people with ACO. Cross-sectional data from the Spanish National Health Survey 2017 were analyzed. A total of 198 Spanish people with ACO aged 15–69 years (60.6% women) were included in this study. PA was measured with the International Physical Activity Questionnaire (IPAQ) short form. Diagnosis of chronic conditions were self-reported. Associations between PA and comorbidities were analyzed using multivariable logistic regression models. The most prevalent comorbidities were chronic allergy (58.1%), chronic lumbar pain (42.4%), chronic cervical pain (38.4%), hypertension (33.3%) and arthrosis (31.8%). A PA level lower than 600 MET·min/week was significantly associated with urinary incontinence (OR = 3.499, 95% CI = 1.369–8.944) and osteoporosis (OR = 3.056, 95% CI = 1.094–8.538) in the final adjusted model. Therefore, the potential influence of PA on reducing the risk of these conditions among people with ACO should be considered, not only because of the health benefits, but also because PA can contribute to a more sustainable world.

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Physical Activity Patterns of Women with a Twin Pregnancy—A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18157724 ◽

2021 ◽

Vol 18 (15) ◽

pp. 7724

Author(s):

Katarzyna Kwiatkowska ◽

Katarzyna Kosińska-Kaczyńska ◽

Izabela Walasik ◽

Agnieszka Osińska ◽

Iwona Szymusik

Keyword(s):

Physical Activity ◽

Pregnant Women ◽

Twin Pregnancy ◽

Activity Patterns ◽

Multiple Pregnancy ◽

Cross Sectional Study ◽

Sources Of Information ◽

Sectional Study ◽

Cross Sectional ◽

Physically Active

Background: No specific physical activity guidelines are available for women in multiple pregnancy. Aim of the study was to assess the knowledge and experience of women regarding physical activity during their latest twin pregnancy. Methods: A cross-sectional study including women after a twin delivery was conducted in Poland. A questionnaire was distributed in 2018 via web pages and Facebook groups designed for pregnant women. Results: 652 women filled out the questionnaire completely. Only 25% of women performed any physical exercises during twin gestation. The frequency of preterm delivery was similar in physically active and non-active participants. 35% of the respondents claimed to have gained information on proper activity from obstetricians during antenatal counselling while 11% claimed to be unable to identify the reliable sources of information. 7% of women admitted to feel discriminated by social opinion on exercising during a twin pregnancy. Conclusions: The population of women with a twin gestation is not sufficiently physically active and is often discouraged from performing exercises during gestation. Therefore, it is crucial to inform obstetricians to recommend active lifestyle during a twin gestation and to provide reliable information on physical activity to pregnant women. Further research on this topic is necessary in order for obstetric providers to counsel women on appropriate exercise with a twin pregnancy.

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Physical Activity, Sedentary Behavior, and Cardiorespiratory Fitness in Hazardous and Non-Hazardous Alcohol Consumers

American Journal of Health Promotion ◽

10.1177/0890117120985830 ◽

2021 ◽

pp. 089011712098583

Author(s):

Mats Hallgren ◽

Davy Vancampfort ◽

Thi-Thuy-Dung Nguyen ◽

Elin Ekblom-Bak ◽

Peter Wallin ◽

...

Keyword(s):

Physical Activity ◽

Sedentary Behavior ◽

Cardiorespiratory Fitness ◽

Leisure Time ◽

Health Assessment ◽

Cross Sectional Study ◽

Cycle Ergometer ◽

Cross Sectional ◽

Physically Active ◽

Alcohol Abstainers

Purpose: To describe physical activity habits, sedentary behavior, and cardiorespiratory fitness levels among alcohol abstainers, hazardous and non-hazardous drinkers. Design: Cross-sectional study with data collected between 2017-19. Setting: Sweden. Subjects: Adults aged 18-65 years (n = 47,559; 59.4% male). Measures: During a routine health assessment, participants answered validated single-item questions regarding: habitual physical activity, structured exercise, and the percentage of time spent sedentary during leisure-time (past 30 days), and completed a 6-minute cycle ergometer test (V02max) to determine cardiorespiratory fitness (CRF). Participants were categorized as alcohol abstainers, non-hazardous drinkers or hazardous drinkers (low/high) based on the Alcohol Use Disorders Identification Test (AUDIT-C) cut-points for men and women. Analysis: Logistic regression models stratified by sex and age. Results: Compared to non-hazardous drinkers, the heaviest drinkers were less physically active (males: OR = 1.38, CI = 1.13-1.67, p = .001; females: OR = 1.41, CI = 1.01-1.97, p = .040) and more sedentary during leisure time (males: OR = 1.94, CI = 1.62-2.32, p = .000; females: OR = 1.62, CI = 1.21-2.16, p = .001). Apart from young females, the heaviest drinkers also did less structured exercise than non-hazardous drinkers (males: OR = 1.22, CI = 1.15-1.51, p = .000; females: OR = 1.43, CI = 1.15-1.78, p = .001). The strongest associations were seen among adults aged 40-65 years (shown here). High-hazardous drinking was associated with low CRF among older males only (OR = 1.19, CI = 1.00-1.41). Conclusion: Middle-aged adults with AUDIT-C scores of ≥6 (women) and ≥7 (men) were less physically active and more sedentary during leisure time and may be appropriate targets for physical activity interventions.

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Impact of Coffee/Green Tea/Soft Drink Consumption on the Risk of Hyperuricemia: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18147299 ◽

2021 ◽

Vol 18 (14) ◽

pp. 7299

Author(s):

Joong Seob Lee ◽

Tae Jun Kim ◽

Sung Kwang Hong ◽

Chanyang Min ◽

Dae Myoung Yoo ◽

...

Keyword(s):

Green Tea ◽

Reference Group ◽

Smoking Status ◽

Soft Drink ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Soft Drink Consumption ◽

Increased Risk

This cross-sectional study aimed to investigate the association between hyperuricemia and the frequency of coffee, tea, and soft drink consumption, based on data from the Korean Genome and Epidemiology Study (KoGES) (2004–2016). We used the KoGES health examinee data, obtained from urban residents aged ≥ 40 years. Information on the participants’ medical history, nutrition (total calorie, protein, fat, and carbohydrate intake), frequency of alcohol consumption, smoking status, household income, and frequency of coffee/green tea/soft drink intake was collected. A logistic regression model was used to analyze the data. Subgroup analyses were performed according to the participant’s age and sex. Among 173,209 participants, there were 11,750 and 156,002 individuals with hyperuricemia and non-hyperuricemia controls, respectively. In an adjusted model, frequent coffee and green tea consumption did not increase the risk of hyperuricemia, compared to the “no intake” reference group. However, an adjusted odds ratio of hyperuricemia was 1.23 (95% confidence interval, 1.11–1.35, p < 0.001) for participants who reported consuming soft drinks ≥ 3 times per day, compared to the respective “no drink” reference group. Even after adjusting for nutritional and sociodemographic factors, frequent soft drink intake was associated with an increased risk of hyperuricemia. Meanwhile, neither coffee nor green tea intake was associated with an increased risk of hyperuricemia.

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Evidence-Based Overview of Accelerometer-Measured Physical Activity during School Recess: An Updated Systematic Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020578 ◽

2021 ◽

Vol 18 (2) ◽

pp. 578

Author(s):

Sergio Pulido Sánchez ◽

Damián Iglesias Gallego

Keyword(s):

Physical Activity ◽

Systematic Review ◽

School Environment ◽

Vigorous Physical Activity ◽

Extraction Process ◽

Intervention Programs ◽

World Health ◽

After School ◽

Cross Sectional ◽

Physically Active

Interest in analyzing physically active behaviors during school recesses has grown in recent years as the school environment has consolidated (recess, physical education classes, lunch-time, before and after school) as a crucial space to bring these levels towards those recommended through intervention programs and improvements in the school environment. Unfortunately, in most of these studies, children do not achieve the 60 min a day of moderate to vigorous physical activity (MVPA) recommended by the World Health Organization. The aim of this systematic review is to analyze the cross-sectional, longitudinal, and intervention studies objectively measured with accelerometers that have emerged in recent years to determine the amount of MVPA of children at recess. This systematic review followed the PRISMA guidelines. The extraction process for the studies included in this systematic review yielded a total of 43 articles. The studies were classified according to the methodological nature of the research: cross-sectional (n = 34), longitudinal (n = 3) and quasi-experimental (n = 6). The results of the studies confirm that during the recess period younger children are physically more active than older ones and that in general, boys are more physically active than girls. In addition, the data show that the school contributes to more than 40% of the total MVPA. The intervention programs led to an increase in MVPA of up to 5%. Providing schools with equipment and facilities shows that intervention programs are beneficial for raising children’s levels of physical activity.

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