The influence of menu labelling on food choices among children and adolescents: a systematic review of the literature

2016 ◽  
Vol 137 (3) ◽  
pp. 173-181 ◽  
Author(s):  
Jocelyn Sacco ◽  
Heather G Lillico ◽  
Emily Chen ◽  
Erin Hobin
Keyword(s):  
Children And Adolescents ◽  
Real World ◽  
Assessment Tool ◽  
Energy Content ◽  
Food Preferences ◽  
Food Choices ◽  
Health Concern ◽  
Childhood And Adolescence ◽  
Eating Behaviours ◽  
The Impact

Introduction: Childhood obesity is a serious public health concern internationally, and population-level interventions are needed to support healthy food choices. Existing reviews of menu labelling have focused predominantly on adults. However, childhood and adolescence are distinct periods of development during which longer term eating behaviours and food preferences are established. Although some studies have examined the effect of menu labelling among children and adolescents, no reviews have synthesised this evidence. Objective: To assess whether menu labelling influences the amount of calories ordered by children and adolescents (or parents on behalf of youth) in food outlets including restaurants and cafeterias. Methods: Comprehensive literature searches were conducted in Medline, Scopus, PsycINFO, CINAHL, SocINDEX and Embase databases. Eleven relevant studies were identified from an initial search yielding 1,682 results. Studies were assessed using a validated quality assessment tool. Results: Examinations of hypothetical food purchases in artificial environments suggest that menu labelling may be efficacious in reducing calories purchased for or by children and adolescents. Real-world studies are less supportive, although school-based studies were generally positive. It is unclear whether contextual or interpretive menu-labelling formats are more effective compared to numeric calorie information alone. Conclusion: Evidence supporting the impact of menu labelling on lowering the energy content of restaurant and cafeteria food choices made for or by children or adolescents is limited. There remains a need for high-quality studies conducted in real-world settings.

scholarly journals Impact assessment of the public health product tax in Hungary

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Zámbó ◽  
M Bakacs ◽  
É Illés ◽  
A Varga ◽  
E Sarkadi Nagy ◽  
...  
Keyword(s):  
Public Health ◽  
Health Communication ◽  
Energy Content ◽  
Adult Population ◽  
Food Choices ◽  
Development Project ◽  
Economic Effects ◽  
Health Product ◽  
The Law ◽  
The Impact

Abstract Many countries apply fiscal policies to promote healthy diets to reduce the risk factors of NCDs. In 2011, a public health product tax (PHPT) was introduced in Hungary, taxing non-staple food products that carry proven health risks when consumed. The objectives of PHPT were to promote healthier eating habits by increasing the availability of healthy choices; to encourage reformulation; and to increase revenues for public health. With the purpose of evaluating the social and economic effects of PHPT, impact assessments (IAs) were conducted in 2012, 2014, and in 2018. The IA in 2018 was conducted within the framework of an EU-cofunded development project. To measure the awareness of the population on the law; to assess the population's attitude towards PHPT; to map the consumption patterns and to examine the major factors influencing food choices were fundamental parts of the IAs. We aim to present the findings of the latest IA and compare them to the results of the previous studies. Population surveys with questionnaires including the same questions were applied in the three assessments, hence changes during the 6 years could be detected. A sample of the adult population was involved in form of personal interviews in each IA. Based on the results, the awareness of PHPT was less (66%) in 2018 than in 2012 (72%). The adult population's consumption of the taxed products increased in all categories between 2012 and 2018 (except for salty condiments). Sociodemographic factors and awareness of the law correlated with the consumption of certain PHPT products. Taste was the primary determinant of food choice both in 2012 and 2018. The role of the price and the energy content in food choices were decreased significantly by 2018. A higher proportion of people identified the aims of PHPT correctly and agreed with them in 2018. The results draw attention to the importance of further interventions and the need of targeted health communication. Key messages The impact of the PHPT should continue to be monitored and evaluated. To achieve the aims of PHPT in the long term, it is needed to use more effective health communication, furthermore harmonized intersectoral actions should be also implied to promote healthy diet.

Psychosocial Risks of Chronic Health Conditions in Childhood and Adolescence

PEDIATRICS ◽  
1993 ◽  
Vol 92 (6) ◽  
pp. 876-878 ◽  
Author(s):  
Keyword(s):  
Children And Adolescents ◽  
Health Condition ◽  
Work And Family ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Medical Attention ◽  
Childhood And Adolescence ◽  
Chronic Health ◽  
Persistent Symptoms ◽  
The Impact

Chronic health conditions affect many children and adolescents. These conditions are illnesses or impairments that are expected to last for an extended period of time and require medical attention and care that is above and beyond what would normally be expected for a child or adolescent of the same age, extensive hospitalization, or in-home health services.1 These conditions include, among others, juvenile rheumatoid arthritis, asthma, cystic fibrosis, diabetes, spina bifida, hemophilia, seizure disorders, neuromuscular disease, acquired immunodeficiency syndrome, and congenital heart diseases. Although each specific condition may be relatively or extremely rare, when they are considered together, many children and adolescents are affected. Health conditions may be characterized by their duration and their severity. Although these terms are often linked, they refer to different aspects of a health condition. A chronic condition is generally one that has lasted or is expected to last more than a defined period of time, usually 3 months or longer. Conditions vary widely in their onset, course, and duration.2 Severity refers to the impact a condition has on a child's physical, intellectual, psychological, or social functioning.3 This impact may occur as a result of persistent symptoms, required treatments, limitations of activity or mobility, or interference with school, recreation, work, and family activities. Current estimates are that between 10 and 20 million American children and adolescents have some type of chronic health condition or impairment. Most of these conditions are relatively mild and interfere little with the children's ability to participate in usual childhood activities.4 However.

scholarly journals Development of Sexuality in Female Children and Adolescents*

1989 ◽  
Vol 34 (9) ◽  
pp. 879-883 ◽  
Author(s):  
Margaret Whitfield
Keyword(s):  
Sex Differences ◽  
Children And Adolescents ◽  
Sexual Desire ◽  
Female Sexuality ◽  
The Body ◽  
Childhood And Adolescence ◽  
The Past ◽  
Female Children ◽  
Women's Lives ◽  
The Impact

Female sexuality (meaning sexual desire, excitement and orgasm) has been of considerable interest in psychiatry. Women's efforts to define and legitimize their own experience of their sexuality have increased in the past 25 years. However, the integration of these new views into the body of psychiatric (especially psychoanalytic) theory has not occurred very actively or successfully. Very little is known about the development of sexuality in childhood and adolescence. This paper looks at various behaviours, interests and events in women's lives that might reveal something about the development of their sexuality. The literature on female masturbation is reviewed and some sex differences highlighted. The literature on interest in babies, the wish to have babies, and menarche is explored for possible associations with sexuality. Rather than sexuality being a central organizer of experience, it seems quite possible that experience is an organizer of sexuality. Therefore, to better understand female sexuality we need to consider the impact of experiences during childhood and adolescence.

scholarly journals Exercise shifts hypothetical food choices towards greater amounts and more immediate consumption

2020 ◽  
Author(s):  
Karsten Koehler ◽  
Safiya E Beckford ◽  
Elise Thayer ◽  
Alexandra R Martin ◽  
Julie B Boron ◽  
...  
Keyword(s):  
Food Intake ◽  
Aerobic Exercise ◽  
Acute Exercise ◽  
Food Preferences ◽  
Exercise Bout ◽  
Food Choices ◽  
Post Exercise ◽  
Single Bout ◽  
Electronic Questionnaires ◽  
The Impact

Although exercise modulates appetite regulation and food intake, it remains poorly understood how exercise impacts decision making about food. The purpose of the present study was to assess the impact of an acute exercise bout on hypothetical choices related to the amount and timing of food intake. Forty-one healthy participants (22.0 ± 2.6 years; 23.7 ± 2.5 kg/m2, 56% female) completed 45 minutes of aerobic exercise and a resting control condition in randomized order. Food amount preferences and intertemporal food preferences (preference for immediate vs. delayed consumption) were assessed using electronic questionnaires with visual food. Compared to rest, exercise resulted in a greater increase in the food amount selected, both immediately post exercise (+25.8 ± 11.0 vs. +7.8 ± 11.0 kcal/item, p = 0.02) and 30 min post exercise (+47.3 ± 12.4 vs. +21.3 ± 12.4 kcal/item, p = 0.005). Exercise further resulted in a greater increase in the preference for immediate consumption immediately post exercise (+0.23 ± 0.10 vs. +0.06 ± 0.10; p = 0.03) and 30 min post exercise (+0.30 ± 0.12 vs. +0.08 ± 0.12; p = 0.01). Our findings demonstrate that a single bout of aerobic exercise shifts hypothetical food choices towards greater amounts and more immediate consumption, highlighting the importance of the timing of food choices made in the exercise context.

scholarly journals Reflections on How Tinnitus Impacts the Lives of Children and Adolescents

2021 ◽  
pp. 1-13
Author(s):  
Susan Tegg-Quinn ◽  
Robert H. Eikelboom ◽  
Christopher G. Brennan-Jones ◽  
Syndon Barabash ◽  
Wilhelmina H. A. M. Mulders ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Cognitive Processing ◽  
Management Strategies ◽  
Well Being ◽  
Chronic Tinnitus ◽  
Childhood And Adolescence ◽  
Moderate Degree ◽  
Group Level ◽  
Individual Assessment ◽  
The Impact

Objectives The aim of this study was to generate a conceptual framework describing which aspects of children and adolescents' lives are affected by chronic tinnitus. Design Views and experiences of 32 participants from two participant groups informed this study: (a) a tinnitus group, consisting of adults who had experienced tinnitus during childhood and/or adolescence and primary carers of children/adolescents with tinnitus, and (b) a clinicians' group, consisting of clinicians who provided care for children/adolescents with tinnitus. Participants produced statements describing aspects of children/adolescents' lives that may be affected by chronic tinnitus. Key concepts were identified through the processes of sorting the statements and rating them for degree of associated impact. Result Participants identified 118 unique aspects of the lives of children/adolescents who may be affected by chronic tinnitus. These were clustered into four concepts: (a) emotional well-being, (b) academic performances, (c) social/relationa, and (d) auditory/cognitive processing. At a group level, participants rated the impact of tinnitus as above a slight degree but below a moderate degree of impact. However, individual participant's ratings indicated a range of perceived impact for each statement. Conclusions The experience of chronic tinnitus during childhood and adolescence extends beyond the mere perception of sound. The perception of tinnitus may impact a child's emotional well-being, academic performances, social/relational, and auditory/cognitive processing. The impact of tinnitus in one aspect of a child's life may influence other aspects of their life. While at a group level, participants regarded the impact of tinnitus as “somewhat more than mild” to “less than moderate”; individual participant's ratings indicate that the impact from chronic tinnitus may be highly individual and highlighted the importance of individual assessment and management. Clinically, tinnitus management during childhood and adolescence may be improved if clinicians consider the impact and manifestation of tinnitus within each child's daily life and tailor tinnitus education and management strategies accordingly.

scholarly journals The Impact of Diabetes Mellitus on Cardiovascular Risk Onset in Children and Adolescents

2020 ◽  
Vol 21 (14) ◽  
pp. 4928
Author(s):  
Ida Pastore ◽  
Andrea Mario Bolla ◽  
Laura Montefusco ◽  
Maria Elena Lunati ◽  
Antonio Rossi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Cardiovascular Risk ◽  
Cardiovascular Diseases ◽  
Children And Adolescents ◽  
Pediatric Population ◽  
Early Adulthood ◽  
Glucose Variability ◽  
Diabetic Patients ◽  
Childhood And Adolescence ◽  
The Impact

The prevalence of diabetes mellitus is rising among children and adolescents worldwide. Cardiovascular diseases are the main cause of morbidity and mortality in diabetic patients. We review the impact of diabetes on establishing, during childhood and adolescence, the premises for cardiovascular diseases later in life. Interestingly, it seems that hyperglycemia is not the only factor that establishes an increased cardiovascular risk in adolescence. Other factors have been recognized to play a role in triggering the onset of latent cardiovascular diseases in the pediatric population. Among these cardiovascular risk factors, some are modifiable: glucose variability, hypoglycemia, obesity, insulin resistance, waist circumference, hypertension, dyslipidemia, smoking alcohol, microalbuminuria and smoking. Others are unmodifiable, such as diabetes duration and family history. Among the etiological factors, subclinical endothelial dysfunction represents one of the earliest key players of atherosclerosis and it can be detected during early ages in patients with diabetes. A better assessment of cardiovascular risk in pediatric population still represents a challenge for clinicians, and thus further efforts are required to properly identify and treat pediatric patients who may suffer from cardiovascular disease later in early adulthood.

Using Mobile, Wearable, Technology to Understand the Role of Built Environment Demand for Outdoor Mobility

2018 ◽  
Vol 51 (6) ◽  
pp. 671-688 ◽  
Author(s):  
Kate Duchowny ◽  
Philippa Clarke ◽  
Nancy Ambrose Gallagher ◽  
Robert Adams ◽  
Andrea L. Rosso ◽  
...  
Keyword(s):  
Built Environment ◽  
Real Time ◽  
Real World ◽  
Assessment Tool ◽  
Community Dwelling ◽  
Motion Sensors ◽  
Convenience Sample ◽  
Mobility Data ◽  
Environmental Demand ◽  
The Impact

Walking outdoors requires navigating a complex environment. However, no studies have evaluated how environmental barriers affect outdoor mobility in real time. We assessed the impact of the built environment on outdoor mobility, using mobile, wearable inertial measurement units. Data come from a convenience sample of 23 community-dwelling adults in Southeast Michigan. Participants walked a defined outdoor route where gait metrics were captured over a real-world urban environment with varying challenges. Street segments were classified as high versus low environmental demand using the Senior Walking Environmental Assessment Tool. Participants ranged in age from 22 to 74 years (mean age of 47 years). Outdoor gait speed was 0.3 m/s slower, and gait variability almost doubled, over the high- versus low-demand environments (coefficient of variability = 10.6% vs. 5.6%, respectively). This is the first study to demonstrate the feasibility of using wearable motion sensors to gather real-time mobility data in response to outdoor environmental demand. Findings contribute to the understanding of outdoor mobility by quantifying how real-world environmental challenges influence mobility in real time.

scholarly journals Reducing the Impact of Tinnitus on Children and Adolescents’ Lives: A Mixed-Methods Concept Mapping Study

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Susan Tegg-Quinn ◽  
Robert H. Eikelboom ◽  
Christopher G. Brennan-Jones ◽  
Syndon Barabash ◽  
Wilhelmina H. A. M. Mulders ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Concept Mapping ◽  
Clinical Care ◽  
Management Strategies ◽  
Chronic Tinnitus ◽  
Childhood And Adolescence ◽  
Mapping Study ◽  
Clinical Assessments ◽  
Education Support ◽  
The Impact

Objectives. To generate a conceptual framework describing what is done to reduce the impact of chronic tinnitus on the lives of children and adolescents. Design. Views and experiences of 32 adults from two participant groups informed this concept mapping study: (i) a tinnitus group (adults who experienced tinnitus during childhood/adolescence, and primary carers of children/adolescents with tinnitus) and (ii) a clinicians’ group (clinicians who provided care for children/adolescents with tinnitus). Participants produced statements describing what is done to reduce the impact of chronic tinnitus on the lives of children and adolescents who experience it. Through grouping and rating processes, they identified key concepts and inferred their associated benefit. Results. The participants generated 102 unique statements across four concepts: (1) Education, Support, and Counselling; (2) Support from Parents and Teachers; (3) Clinical Assessments and Management; and (4) Self-Management Techniques. Many statements highlighted the need for child-friendly and patient-centred care. Adults with personal experience of childhood tinnitus tended to perceive many of the statements as more beneficial than did the clinician group. Conclusions. Although many children will develop management strategies to assist them with their tinnitus, both the adults who experienced tinnitus as children and their parents valued strategies involving clinical care, knowledge, and expertise. Participants from the tinnitus group perceived a greater degree of benefit associated with strategies from all four clusters than the clinicians’ group. However, both groups perceived the greatest degree of benefit as being associated with activities and strategies within the Education, Support, and Counselling and the Clinical Assessments and Management clusters. Both groups identified that recognising the occurrence of tinnitus for children and adolescents, acknowledging the potential for associated distress, and initiating clinical care provide the nexus of effective management. Addressing the concerns and needs of parents was also perceived as valuable; hence, approaching the management of tinnitus during childhood and adolescence from a family-centred care framework is recommended.

scholarly journals The impact of systematized physical activity on parameters of health-related physical fitness in schoolchildren aged 8 to 11 years

2019 ◽  
Vol 24 ◽  
pp. 1-7
Author(s):  
Marcelo José Resende Gonçalves ◽  
Camila Ramos Santos ◽  
Carla Cristiane Silva
Keyword(s):  
Physical Activity ◽  
Physical Education ◽  
Physical Fitness ◽  
Children And Adolescents ◽  
Body Mass ◽  
Adult Life ◽  
The Body ◽  
Childhood And Adolescence ◽  
Motor Tests ◽  
The Impact

It is recommended that proper incorporation of healthy habits of physical activity in childhood and adolescence has a positive impact on a physically active lifestyle in adult life. Thus, the present study aimed to verify the effects of four weeks of systematized physical activity in addition to the classes of Physical Education on parameters of physical fitness related to health of children and adolescents. The sample was selected by convenience and composed of 73 children and adolescents aged 8-11 years. The subjects were subdivided into 2 groups; one group of children exclusively attending Physical Education classes (PEC); and another group that performed Systematized Physical Activity (SPA). The following tests were applied; the abdominal test to assess strength and muscle resistance; the Paccer to verify cardiorespiratory fitness; and the adapted sit-and-reach to evaluate flexibility. In addition, the Body Mass Index (BMI) and relative fat (%F) were assessed. Sample characterization data and motor tests are presented as median and interquartile range. The ANOVA test of repeated measurements was used to verify the effect of the moments. The results pre training did not demonstrate differences between groups in measures of body mass, stature, BMI, or motor tests. The effects of physical training were observed in all motor tests in favor of the SPA, while the PEC did not demonstrate significant differences between moments. In conclusion, four weeks of additional systematized physical activity promoted a significant positive effect in motor tests applied with a focus on heath.

scholarly journals Sleep-related difficulties in healthy children and adolescents

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Christiane Lewien ◽  
Jon Genuneit ◽  
Christof Meigen ◽  
Wieland Kiess ◽  
Tanja Poulain
Keyword(s):  
Gender Differences ◽  
Children And Adolescents ◽  
Parental Education ◽  
Self Report ◽  
Health Concern ◽  
Childhood And Adolescence ◽  
Healthy Children ◽  
Sleep Habits ◽  
Adolescent Sample ◽  
The Mean

Abstract Background As sleep-related difficulties are a growing public health concern, it is important to gain an overview of the specific difficulty areas of the most vulnerable individuals: children. The current descriptive study presents the prevalence of sleep-related difficulties in two large samples of healthy children and adolescents and outlines the effects of age, gender, and socioeconomic status (SES) on various sleep-related difficulties. Methods Participants were 855 4–9 year-old children (child sample) and 1,047 10–17 year-old adolescents (adolescent sample) participating 2011–2015 in the LIFE Child study, a population-based cohort study in Germany. Parents of the child participants completed the Children’s Sleep Habits Questionnaire (CSHQ), whereas adolescents self-administered the Sleep Self Report (SSR). Familial SES was determined by a composite score considering parental education, occupational status, and income. Multiple regression analyses were carried out to address the research question. Results Among 4−9 year-old children, the mean bedtime was reported to be 8 p.m., the mean wake-up time 7 a.m., and sleep duration decreased by 14 min/year of age. 22.6 % of the children and 20.0 % of the adolescents showed problematic amounts of sleep-related difficulties. In the child sample, bedtime resistance, sleep onset delay, sleep-related anxiety, night waking, and parasomnia were more frequent in younger than older children. In the adolescent sample, difficulties at bedtime were more frequent among the younger adolescents, whereas daytime sleepiness was more prominent in the older than the younger adolescents. Considering gender differences, sleep-related difficulties were more frequent among boys in the child sample and among girls in the adolescent sample. Lower SES was associated with increased sleep-related difficulties in the adolescent, but not the child sample. Conclusions The present results report sleep-related difficulties throughout both childhood and adolescence. Gender differences can already be observed in early childhood, while effects of SES emerge only later in adolescence. The awareness for this circumstance is of great importance for pediatric clinicians who ought to early identify sleep-related difficulties in particularly vulnerable individuals.

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