scholarly journals Breakfast Habits and Associations with Fruit and Vegetable Intake, Physical Activity, Sedentary Time, and Screen Time among Swedish 13–14-Year-Old Girls and Boys

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4467
Author(s):  
Björg Helgadóttir ◽  
Hanna Baurén ◽  
Karin Kjellenberg ◽  
Örjan Ekblom ◽  
Gisela Nyberg

This study explored whether breakfast habits were associated with intake of fruits and vegetables, minutes in moderate-to-vigorous physical activity (MVPA), minutes spent sedentary, and screen time among adolescents. Cross-sectional data were collected among 13–14-year-old boys and girls (n = 1139). Breakfast habits and screen time were determined via questionnaire, fruit and vegetable intake were determined through dietary recall, and physical activity and sedentary time were determined via accelerometers. Multilevel mixed models and general estimation equation models were applied. Almost 40% of participants skipped breakfast at least one day of the week. Participants with irregular breakfast habits on weekdays had lower fruit and vegetable consumption by 26.7 g (95% CI = −49.3, −5.9) while irregular breakfast habits during the whole week were associated with higher levels of screen time (OR = 1.5, 95% CI = 1.1, 2.1) compared to regular breakfast habits. Girls with irregular breakfast habits on weekdays had 7.7 min more sedentary time (95% CI = 0.8, 15.7) than girls with regular breakfast habits, while the opposite was found in boys (β = −13.3, 95% CI = −25.3, −2.6)). No significant associations were found for MVPA. Regular breakfast habits should be encouraged, as they might contribute to a higher intake of fruit and vegetables and are associated with lower levels of screen time, although further studies are necessary to establish causation.

2018 ◽  
Vol 28 (1) ◽  
pp. 10-18
Author(s):  
Zhi Yin Goh ◽  
Pei Ying Lee ◽  
Yi Feng Lai

Introduction: Many modifiable risk factors for chronic diseases are related to dietary patterns and physical activity. This study aims to establish the prevalence of adequate fruit and vegetable intake and physical activity among community-ambulant patients in Singapore. Methods: A cross-sectional study was conducted among community-ambulant patients using convenience sampling. Data were collected through a survey questionnaire, covering self-reported level of physical activity and daily fruit and vegetable intake. Demographic information, awareness and adherence to recommendations were summarised using descriptive statistics. To identify factors influencing awareness and behaviour, exploratory logistic regression analyses were performed. Results: Three hundred and eighty-five complete responses were analysed. For intake of fruits and vegetables, 29.1% and 21.3% of participants were aware of and adherent to the fruit and vegetable intake recommendation respectively. For physical activity, 21.3% and 26.8% of study participants were aware of and adherent to the recommendation respectively. Only 4.7% and 5.5% of participants were aware of and practising both recommendations respectively. Gender, age, ethnicity and body mass index were found to have significant influence on the awareness of the recommendations. However, there was no significant factor found to be contributing to the adherence to the recommendations. Conclusion: Awareness of and adherence to lifestyle recommendations among patients remain low despite ongoing publicity efforts. Many are not fully aware of and adherent to the dietary and physical activity recommendations publicised. Apart from intensifying public outreach on every possible occasion and delivering messages in manners understandable by our older patients, strategies targeting the knowledge–behaviour disconnect among working middle-aged patients also deserve continued attention in the near future.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tessa R. Englund ◽  
Valisa E. Hedrick ◽  
Sofía Rincón-Gallardo Patiño ◽  
Lauren E. Kennedy ◽  
Kathryn W. Hosig ◽  
...  

Abstract Background In 2015, the Partnership for a Healthier America launched the branded Fruits & Veggies (FNV) Campaign to apply a unique industry-inspired marketing approach to promote fruit and vegetable sales and intake to moms and teens in two US pilot markets: Fresno, California and Hampton Roads, Virginia. The aims of this cross-sectional study were to: 1) assess brand awareness and fruit- and vegetable-related outcomes among FNV Campaign target audiences in the California and Virginia market locations; and 2) examine whether reported awareness of the FNV Campaign was associated with differences in fruit- and vegetable-related cognitive and behavioral outcomes. Methods Data for this cross-sectional study were collected using an online survey administered to a non-probability convenience sample (n = 1604; February–July 2017) of youth aged 14–20 years (n = 744) and moms aged 21–36 years (n = 860) in the two pilot markets. Descriptive statistics were computed and outcomes compared between unaware and aware respondents, controlling for sociodemographic covariates. Multivariate analysis of covariance (MANCOVA) was conducted to assess whether fruit- and vegetable-related attitude, belief, and encouragement outcomes differed by FNV Campaign awareness; logistic regression was used to examine associations between FNV brand awareness and dichotomous variables (fruit- and vegetable-related behavioral intentions, trying new fruits and vegetables); and ANCOVA was used to assess associations with daily fruit and vegetable intake frequency. Results Approximately 20% (n = 315/1604) of respondents reported awareness of the FNV Campaign. Youth that reported awareness of the FNV Campaign (n = 167, 22.4%) had higher intentions to buy (p = 0.003) and eat (p = 0.009) fruits and vegetables than unaware respondents. Mothers that reported awareness of the FNV Campaign (n = 148, 17.2%) reported greater encouragement for friends and family to eat fruits and vegetables (p = 0.013) and were approximately 1.5 times more likely to report trying a new fruit or vegetable (p = 0.04) than mothers unaware of the Campaign. Daily fruit and vegetable intake frequency did not differ by Campaign awareness. Conclusions FNV Campaign awareness was associated with limited but positive short- and intermediate-term cognitive and behavioral outcomes among target audience respondents. These findings can inform future research to enhance understanding and improve the FNV Campaign as it is expanded to new markets nationwide.


2007 ◽  
Vol 5 (2) ◽  
pp. 157-162 ◽  
Author(s):  
Richard R. Rosenkranz ◽  
Karly S. Geller ◽  
David. A. Dzewaltowski

Many children do not meet current guidelines for physical activity and fruit and vegetable consumption, two areas of health-related behavior with links to obesity. Objective: To examine child and parent perceptions of child proxy agency, home physical activity opportunity, and home accessibility of fruits and vegetables. Methods: Dyads (N = 117) of parents and children completed questionnaires for this cross-sectional study. Results: For child proxy agency, fruits and vegetables accessibility, and physical activity opportunity, the parent and child perceptions were significantly related. Parent ratings of physical activity opportunity and child proxy agency were significantly greater than child ratings. Perceptions of both parents and children for proxy agency were associated with fruits and vegetables accessibility and physical activity opportunity. Conclusions: Parents and children hold similar, yet distinct perceptions of physical activity opportunity and child proxy agency. Perceptions of child proxy agency are associated with obesity-related home environmental characteristics.


2019 ◽  
Author(s):  
Michelle C Krzyzanowski ◽  
Paul N Kizakevich ◽  
Vanessa Duren-Winfield ◽  
Randall Eckhoff ◽  
Joel Hampton ◽  
...  

BACKGROUND With the increasing use of mobile devices to access the internet and as the main computing system of apps, there is a growing market for mobile health apps to provide self-care advice. Their effectiveness with regard to diet and fitness tracking, for example, needs to be examined. The majority of American adults fail to meet daily recommendations for healthy behavior. Testing user engagement with an app in a controlled environment can provide insight into what is effective and not effective in an app focused on improving diet and exercise. OBJECTIVE We developed Rams Have Heart, a mobile app, to support a cardiovascular disease (CVD) intervention course. The app tracks healthy behaviors, including fruit and vegetable consumption and physical activity, throughout the day. This paper aimed to present its functionality and evaluated adherence among the African American college student population. METHODS We developed the app using the Personal Health Informatics and Intervention Toolkit, a software framework. Rams Have Heart integrates self-reported health screening with health education, diary tracking, and user feedback modules to acquire data and assess progress. The parent study, conducted at a historically black college and university-designated institution in southeastern United States, consisted of a semester-long intervention administered as an academic course in the fall, for 3 consecutive years. Changes were made after the cohort 1 pilot study, so results only include cohorts 2 and 3, comprising a total of 115 students (n=55 intervention participants and n=54 control participants) aged from 17 to 24 years. Data collected over the study period were transferred using the secure Hypertext Transfer Protocol Secure protocol and stored in a secure Structured Query Language server database accessible only to authorized persons. SAS software was used to analyze the overall app usage and the specific results collected. RESULTS Of the 55 students in the intervention group, 27 (49%) students in cohort 2 and 25 (45%) in cohort 3 used the Rams Have Heart app at least once. Over the course of the fall semester, app participation dropped off gradually until exam week when most students no longer participated. The average fruit and vegetable intake increased slightly, and activity levels decreased over the study period. CONCLUSIONS Rams Have Heart was developed to allow daily tracking of fruit and vegetable intake and physical activity to support a CVD risk intervention for a student demographic susceptible to obesity, heart disease, and type 2 diabetes. We conducted an analysis of app usage, function, and user results. Although a mobile app provides privacy and flexibility for user participation in a research study, Rams Have Heart did not improve compliance or user outcomes. Health-oriented research studies relying on apps in support of user goals need further evaluation.


Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Jessie L Parker ◽  
Liwei Chen ◽  
Diane C Mitchell ◽  
Hsin-Chieh Yeh ◽  
Cheryl Anderson ◽  
...  

Background: Increased intake of fruits and vegetables (F/V) may protect against adiposity, but effects on weight have been inconsistent. Our objective was to examine the relationship between fruit and vegetable intake and weight, using direct and indirect measures of dietary intake: self-reported 24-hour recall and serum carotenoid levels. Methods: Participants from the PREMIER lifestyle intervention trial were included in this analysis (n=554). Dietary measures included 24-hour dietary recalls and serum carotenoid levels, from a fasting blood sample. The outcome was weight in pounds. Nested linear mixed models were used to examine the association between F/V and weight. Results: Mean F/V increased from 4.6 (SD 2.4) to 5.6 (SD 3.2) (p=<.01), mean serum carotenoids increased from 53.2 (SD 31.9) to 68.1 (SD 42.5) (p=<.01). At 18 months, participants in the lowest quintile of fruit and vegetable change reported an average intake of 4.42.8 servings of fruits and vegetables, and those in the highest quintile of change reported an average intake of 7.73.2 servings. In a multivariate model adjusting for age, race, gender, intervention, energy, study site, and time, lower body weight was associated with higher F/V intake measured by dietary recall (−0.63 lbs, 95% CI −0.83 to −0.42, per 1 serving increase in F/V) and serum carotenoids (−0.13 lbs, 95% CI −0.15 to −0.11, per 1 ug/dl increase in carotenoids). Results were somewhat attenuated but consistent after additional adjustments for working heart rate, exercise, calories from sugar-sweetened beverages, marital and employment status, and alcohol use . Conclusions: Greater fruit and vegetable consumption was associated with decreased body weight. Results were consistent for both objective and self-reported measures of fruit and vegetable intake.


2014 ◽  
Vol 27 (4) ◽  
pp. 413-422 ◽  
Author(s):  
Carla Regina Galego ◽  
Gisele Liliam D'avila ◽  
Francisco de Assis Guedes de Vasconcelos

Objective: To estimate the prevalence of the fruit and vegetable intake of schoolchildren aged 7 to 14 years from Florianópolis, Santa Catarina, Brazil, and analyze the associated factors. Methods: This cross-sectional study analyzed food intake, socioeconomic, and biological data of 2,836 schoolchildren. The Chi-square test analyzed the dependent (fruit and vegetable intake) and independent variables; the latter with p-value <0.20 were selected for logistic regression analysis. The level of significance was p<0.05. Results: Only 4.8% of the sample had adequate fruit and vegetable intake. The variables associated with adequate fruit and vegetable intake were school ownership status (private versus public), mother's education level, and family income per member. After adjustment only family income per capita remained associated with fruit and vegetable intake. Conclusion: The fruit and vegetable intake of schoolchildren aged 7 to 14 years from Florianópolis, Santa Catarina, Brazil, is inadequate.


2021 ◽  
Author(s):  
Gabriel L Fuligni ◽  
Christopher J Gonzalez ◽  
Roger Figueroa

Abstract Background Energy-balance behaviors are precursors to obesity shaped by the practices or strategies that many parents implement. Although key stakeholders to their families, adolescents are rarely considered to report on these obesity-related parenting practices. The aim of this study is to assess the factorial and predictive validity of adolescents’ proxy-report of parents’ obesity-related parenting across four behavioral domains. Methods This study used data from the Family Life, Activity, Sun, Health, and Eating (FLASHE) study. This study tests whether adolescents’ proxy reports about their parents’ obesity-related parenting are significantly associated with parents’ responses on their own obesity-related parenting, as well as whether these reports are significantly associated to parent-adolescent energy-balance behaviors. Factorial validity was assessed using linear regression and Confirmatory Factor Analysis (CFA), whereas predictive validity was assessed using Actor-Partner Interdependence Modeling (APIM). Results Regression results indicated that adolescents’ proxy report is significantly associated with parents’ report of their own parenting in all four domains (β = .59 − .71; p < 0.05). CFA results indicated a final factor structure that loaded significantly onto hypothesized obesity-related parenting domains (β > .30) in both adolescents and parents. APIM results indicated that both parent- (β = .32; p < 0.05) and adolescent-(β = .21; p < 0.05) reported obesity parenting for fruit and vegetable consumption were associated with their own fruit and vegetable intake. In addition, adolescent-reported physical activity parenting was significantly associated with adolescent physical activity (β = 0.23; p < 0.05). Regarding partner effects, only parent-reported parenting for fruit and vegetable consumption were significantly associated with adolescent intake of fruit and vegetables (β = 0.15, p < 0.05) and adolescent-reported physical activity parenting was significantly associated with parental physical activity (β = 0.16, p < 0.05). Neither adolescent nor parent reported parenting were significantly associated with screen time or junk food intake outcomes. Each final obesity-related parenting scale had good internal consistency (a = .74-.85). Conclusions We found that adolescent- and parent-reported obesity-related parenting were significantly associated, while adolescent-reported parenting were more influential of fruit and vegetable intake and physical activity than parent-reported parenting. These findings suggest that adolescent proxy reports may be a valid source of information on obesity-related parenting.


2021 ◽  
Author(s):  
Thomas Vogt ◽  
Per E Gustafsson

Abstract Background: Even though the existence of inequalities in fruit and vegetable consumption has been well established, it is not clear how it is patterned across intersections of multiple social positions and identities. This study aims to investigate disparities in fruit and vegetable intake between groups at the intersection of education and gender in northern Sweden, and to estimate the discriminatory accuracy of the intersectional groups.Methods: Cross-sectional data from the 2018 Health on Equal Terms survey conducted in four regions in northern Sweden was used (N=21,853). Four intersectional groups were created: high and low educated men, and high and low educated women. Prevalence differences corresponding to joint, referent, and excess intersectional inequalities, were estimated using linear binomial regression for three binary outcome variables: inadequate fruit and vegetable intake combined, inadequate fruit intake, and inadequate vegetable intake. The analysis was adjusted for potential confounders. The discriminatory accuracy of the intersectional groups was estimated by the area under the receiver operating characteristic curve.Results: Low educated men had the highest prevalence of inadequate intake of fruits and vegetables combined (81.4%), fruits (53.5%), and vegetables (54.2%), while high educated women had the lowest (47.7%, 28.6%, and 19.2% respectively). The joint disparities between high educated women and low educated men were both significant and substantial for all outcome variables (34.6 pp, 28.7pp, and 34.9pp respectively, adjusted). They were mostly explained by the two referent disparities for gender and education – the part of the joint disparity explained by differences in gender and education, respectively. An inconsistent direction, magnitude, and significance between outcomes was observed for the excess intersectional disparity - the part of the joint disparity not explained by either referent disparity (-5.5pp, 0.1pp, and 3.9pp respectively, adjusted). The discriminatory accuracy of the intersectional groups was moderate (0.67, 0.64, and 0.66 respectively).Conclusion: An intersectional approach can provide a more detailed view of inequalities in fruit and vegetable consumption between groups combining several social positions. The moderate discriminatory accuracy observed here suggests that interventions and policies aiming to reduce diet inequalities should not solely be targeted at certain groups, but also be universal.


2014 ◽  
Vol 2 (1) ◽  
pp. 3-11 ◽  
Author(s):  
A Vaidya ◽  
N Oli ◽  
UR Aryal ◽  
DB Karki ◽  
A Krettek

Background: Inadequate fruit and vegetable intake and other adverse dietary habits – along with tobacco and alcoholabuse and sub-optimal physical activity - make up the four most important behavioural risk factors of non-communicablediseases. Low fruit and vegetable intake is particularly associated with burden of high cardiovascular disease. It hasreceived more attention in the last decade, with studies that explore disparities and determinants in their intake, as wellas interventions that attempt to improve the intake.Objectives: Our study aimed to determine fruit and vegetable consumption in a peri-urban community of Nepal and tocompare this intake in relation to various socio-demographic variables.Methods: This cross-sectional study was conducted as a part of the HARDIC (Heart-Health Associated Research andDissemination in the Community) study in the Jhaukhel-Duwakot Health Demographic Surveillance Site in the Bhaktapurdistrict of Nepal during September-December 2011. Adults from six randomly selected clusters were interviewed by 12trained interviewers after taking informed consent. WHO-STEPS questions were used to elicit information on fruit andvegetable intake.Results: Fruit and vegetable intake in the community was low with 2.1 percent of the study population consumingthe WHO-recommended fi ve servings per day. There were differences in the intake according to the various sociodemographicfactors.Conclusions: Our study reaffi rms low fruit and vegetable intake as a public health problem in the Nepalese context.Health-promotional activities aimed at specifi c target groups are essential. Multi-sectoral coordination of health andother health-related sectors is therefore vital in addressing the issue.DOI: http://dx.doi.org/10.3126/jkmc.v2i1.10512Journal of Kathmandu Medical College, Vol. 2, No. 1, Issue 3, Jan.-Mar., 2013, Page: 3-11


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