Participation in Physical Education Classes and Health-Related Behaviours among Adolescents from 67 Countries

The present study sought to examine the associations between participation in physical education (PE) classes and a range of health-related behaviours among adolescents. Secondary analysis of self-reported data from the Global Student Health Survey, collected between 2010 and 2017 from 222,121 adolescents (N = 117,914 girls; 49.0%; aged 13–17 years) from 67 countries and five world regions, was carried out. Participation in PE classes (0, 1–2, ≥3 days/week) was the independent variable. Physical activity (PA); sedentary behaviour (SB); active travel to school; fruit, vegetables, and alcohol consumption; and smoking; as well as adopting ≥5 of these healthy behaviours; were the dependent variables. Complex samples logistic regressions were performed to explore the associations between participation in PE classes and health-related behaviours. The results revealed that 18.2% of adolescents did not take part in PE classes. A total of 56.7% and 25.1% of adolescents reported participating in PE classes on 1–2 and ≥3 days/week, respectively. Only 26.8% of adolescents adopted ≥5 healthy behaviours. Participation in PE classes was positively associated with PA, active travel, fruit consumption, and vegetable consumption (only for ≥3 days/week), but was negatively associated with meeting SB recommendations, and with not smoking (only for girls and ≥3 days/week). Overall, PE participation was positively associated with adopting ≥5 healthy behaviours, with favourable results found for those who attended more PE classes. The findings revealed a positive association between participation in PE classes and a range of health-related behaviours among adolescents. This suggests that, worldwide, quality PE should be delivered at least 3 days per week up to daily to promote healthy lifestyles among adolescents.

Poor Diet, Long Sleep, and Lack of Physical Activity Are Associated with Inflammation among Non-Demented Community-Dwelling Elderly

Inflammation in elderly is associated with physical and cognitive morbidity and mortality. We aimed to explore the association of modifiable lifestyle parameters with inflammation among non-demented, community-dwelling elderly. A sub-sample of 117 patients with mild cognitive impairment (MCI, n = 63) and cognitively non-impaired controls (CNI, n = 54) were recruited from a large, population-based cohort in Crete, Greece, of 3140 elders (> 60 years old). All participants underwent assessment of medical history/physical examination, extensive neuropsychiatric/neuropsychological evaluation, diet, three-day 24-h actigraphy, subjective sleep, physical activity, and measurement of IL-6 and TNFα plasma levels. Associations between inflammatory markers and diet, objective sleep duration, subjective sleep quality, and lack of physical activity were assessed using multivariate models. Regression analyses in the total group revealed significant associations between TNF-α and low vegetable consumption (p = 0.003), and marginally with objective long nighttime sleep duration (p = 0.04). In addition, IL-6 was associated with low vegetable consumption (p = 0.001) and lack of physical activity (p = 0.001). Poor diet and lack of physical activity appear to be modifiable risk factors of inflammation, whereas long sleep appears to be a marker of increased inflammatory response in elderly. Our findings may have clinical implications given the association of inflammatory response with morbidity, including cognitive decline, and mortality in elderly.

Exercise, Urban Food Production, Preparation and Consumption: Implications, Benefits and Risks to Grow-Your-Own (GYO) Gardeners

This study is the first to consider, and estimate, the influence of gardening routines on exposures to both health benefits and health risks. This holistic approach helped to contrast the healthy lifestyle of gardening with health risks from exposures to potentially toxic elements such as Cd and Pb in urban environments. A total of 120 participants who grew their own produce in an urban setting were recruited to the study. A detailed questionnaire was developed that included sections on gardening activity, cultivation and consumption of produce, consumption of commercially grown produce, and other lifestyle factors. Administered alongside the questionnaire was the Short Form 36 (v2) as a standardised tool for measuring physical and mental health. Fruit and vegetable consumption was found to be correlated with the amount of gardening individuals did in autumn/winter and was greater than fruit and vegetable consumption, on average, in the UK general population. Levels of physical activity were also found to be higher in our study than regional averages, whilst BMI was lower than average. This is the first study to find a relationship between gardening more regularly (in autumn/winter) and the physical component of the Short Form 36, and this relationship was elevated compared to non-gardening populations. The physical component scores from this study were also significantly higher for older participants, compared to means from a Western population. This finding supports studies suggesting that gardening may be more beneficial for the elderly generation. These benefits were assessed in the context of potential exposures estimated from the type and frequency of produce being consumed. The benefit of maintaining a healthy lifestyle is likely to outweigh the health risks of gardening on soils mildly contaminated with Cd and Pb but requires formal consideration within a risk management framework.

Examining Elementary School Children’s Knowledge about Food and Nutrition in Southwestern Ontario, Canada

Purpose: Knowledge is fundamental to helping children make nutritional choices that support lifelong healthy behaviours. This study (i) investigates elementary school children’s knowledge about food and nutrition and (ii) identifies sociodemographic factors influencing children’s reported knowledge. Methods: In 2017–2019, a survey was administered to 2443 students (grades 5–8) at 60 schools across southwestern Ontario, Canada, and a parent survey was used to validate self-reported sociodemographics. Multiple regression was used to analyse children’s knowledge scores and related sociodemographic factors. A total knowledge score was calculated by summing correct responses derived from 46 individual questions in the student survey. Results: Mean total knowledge score was 29.2 out of a possible 46 points (63.5% correct). Students demonstrated some knowledge and awareness of strategies to encourage fruit and vegetable consumption, healthy food selection, nutrition, and food preparation skills, although knowledge of food guide recommendations and locally sourced produce were limited. Female sex, family income, and rurality were associated with higher knowledge scores. Conclusions: Results provide insight regarding strengths and gaps in elementary-school children’s food and nutrition knowledge. Poor performance of students on specific food guide-related questions suggests that the general guidance of the 2019 Canada’s Food Guide might be better understood by children and adolescents.

Benefits of Fruit and Vegetable Consumption on Prevalence of Metabolic Syndrome Are Independent of Physical Activity Behaviors in Older Adults

Although consumption of fruits and vegetables (FV) is suggested to reduce metabolic risk, there is a paucity of studies taking advantage of objectively assessed physical activity (PA) behaviors when exploring links between FV intake and metabolic syndrome (MetS) in older adults. The aim of the present study was to determine the relationship between FV intake and MetS prevalence in a population of older community-dwelling adults, while considering time spent being sedentary and health-enhancing PA. Prevalence of MetS was determined in a population of 93 men and 152 women (age: 65–70 years). FV intake was determined by self-report and PA behaviors (time spent in moderate-to-vigorous PA (MVPA) and in sedentary) were assessed by accelerometry. Likelihood of having MetS by FV intake was determined using logistic regression with stepwise backward elimination including age, sex, educational level, total energy intake, adherence to MVPA guideline and total sedentary time as covariates. A main finding was that lower FV intakes were significantly related to higher prevalence of MetS (odds ratio [OR]: 1.23; 95% confidence interval [CI]: 1.03–1.47) after considering potential influences by covariates. Additionally, we found that lower intake of vegetables but not fruits was significantly related to higher prevalence of MetS (OR: 1.47; 95%CI: 1.04–2.07). In conclusion, lower intakes of FV in general, and of vegetables in particular, significantly increased likelihood of MetS, regardless of time spent sedentary and adherence to the MVPA guideline. From a public health perspective, our findings emphasize adequate intakes of FV as an independent contributor to metabolic health status in older adults.

Kripik Bayam di Campur dengan Gula Aren (Amaranthus Gengeticus Arenga Pinuata) Sebagai Alternatif Cemilan Bergizi pada Anak

ABSTRAKUsia 5-10 tahun merupakan usia pertumbuhan maksimal. Pada masa ini anak mengalami masa pertumbuhan dan perkembangan yang membutuhkan konsumsi pangan dengan gizi seimbang. Hasil Riset Kesehatan Dasar (Riskesdas) 2018 menunjukan bahwa Proporsi Konsumsi Buah/Sayur per Hari dalam Seminggu pada Penduduk Umur ≥ 5 Tahun ≥ 5 porsi di Propinsi NTT adalah 7,61 % dan secara spesifik pada Kabupaten Manggarai lebih renda yakni 4,49%. Hasil tersebut berbeda jauh dengan rekomendasi yang dikeluarkan oleh WHO, bahwa konsumsi buah dan sayur adalah 400 g (5 porsi) per hari untuk semua kelompok usia. Permasalahan utama yang dialami oleh anak-anak adalah kurangnya minat anak untuk mengkonmsumsi sayuran. Tujuan dari pembuatan Kripik bayam dicampur dengan gula aren (Amaranthus Gengeticus Arenga Pinuata), adalah menghasilkan inovasi cemilan yang berbahan dasar sayur bayam sebagai alternative pemenuhan gizi pada anak. Kegiatan ini sudah dilakukan di Kecamatan Wae Rii Kabupaten Manggarai, NTT pada bulan Juli 2021. Hasinya 90% anak mengatakan Kripik ini enak dikonsumsi dan menjadi alternative cemilan bergizi untuk mereka. Kata Kunci: Sayur, Kripik Bayam, Gula Aren ABSTRACTThe age of 5-10 years is the age of maximum growth. At this time children experience a period of growth and development that requires food consumption with balanced nutrition. The results of the 2018 Basic Health Research (Riskesdas) show that the proportion of fruit/vegetable consumption per day of the week in the population aged 5 years 5 portions in NTT Province is 7.61% and specifically in Manggarai Regency it is lower at 4.49%. These results differ greatly from the recommendations issued by WHO, that consumption of fruit and vegetables is 400 g (5 servings) per day for all age groups. The main problem experienced by children is their lack of interest in consuming vegetables. The purpose of making spinach chips mixed with palm sugar (Amaranthus Gengeticus Arenga Pinuata), is to produce an innovative snack made from spinach as an alternative for nutritional fulfillment in children. This activity was carried out in Wae Rii Subdistrict, Manggarai Regency, NTT in July 2021. As a result, 90% of children said these chips were delicious to eat and became an alternative nutritious snack for them. Keywords: Vegetables, Spinach Chips, Palm Sugar