Do descriptive norms related to parents and friends predict fruit and vegetable intake similarly among 11-year-old girls and boys?

We examined whether there are sex differences in children’s fruit and vegetable (FV) intake and in descriptive norms (i.e. perceived FV intake) related to parents and friends. We also studied whether friends’ impact is as important as that of parents on children’s FV intake. Data from the PRO GREENS project in Finland were obtained from 424 children at the age 11 years at baseline. At baseline, 2009 children filled in a questionnaire about descriptive norms conceptualised as perceived FV intake of their parents and friends. They also filled in a validated FFQ that assessed their FV intake both at baseline and in the follow-up in 2010. The associations were examined with multi-level regression analyses with multi-group comparisons. Girls reported higher perceived FV intake of friends and higher own fruit intake at baseline, compared with boys, and higher vegetable intake both at baseline and in the follow-up. Perceived FV intake of parents and friends was positively associated with both girls’ and boys’ FV intake in both study years. The impact of perceived fruit intake of the mother was stronger among boys. The change in children’s FV intake was affected only by perceived FV intake of father and friends. No large sex differences in descriptive norms were found, but the impact of friends on children’s FV intake can generally be considered as important as that of parents. Future interventions could benefit from taking into account friends’ impact as role models on children’s FV intake.

The PRO GREENS intervention in Finnish schoolchildren – the degree of implementation affects both mediators and the intake of fruits and vegetables

Little is known about the mediating effects of the determinants of fruit and vegetable (FV) intake in school-based interventions that promote FV intake, and few studies have examined the impact of the degree of implementation on the effects of an intervention. The present study examined whether the degree of implementation of an intervention had an effect on children's fruit or vegetable intake and determined possible mediators of this effect. The study is part of the European PRO GREENS intervention study which aimed to develop effective strategies to promote consumption of fruit and vegetables in schoolchildren across Europe. Data from 727 Finnish children aged 11 years were used. The baseline study was conducted in spring 2009 and the follow-up study 12 months later. The intervention was conducted during the school year 2009–2010. The effects were examined using multilevel mediation analyses. A high degree of implementation of the intervention had an effect on children's fruit intake. Knowledge of recommendations for FV intake and liking mediated the association between a high degree of implementation of the intervention and an increase in the frequency of fruit intake. Knowledge of recommendations for FV intake and bringing fruits to school as a snack mediated the association between a low degree of implementation of the intervention and an increase in the frequency of fruit intake. Overall, the model accounted for 34 % of the variance in the change in fruit intake frequency. Knowledge of recommendations acted as a mediator between the degree of implementation of the intervention and the change in vegetable intake frequency. In conclusion, the degree of implementation had an effect on fruit intake, and thus in future intervention studies the actual degree of implementation of interventions should be assessed when considering the effects of interventions.

Fruit and vegetable consumption in a sample of 11-year-old children in ten European countries – the PRO GREENS cross-sectional survey

ObjectiveTo describe fruit and vegetable intake of 11-year-old children in ten European countries and compare it with current dietary guidelines.DesignCross-sectional survey. Intake was assessed using a previously validated questionnaire containing a pre-coded 24 h recall and an FFQ which were completed in the classroom. Portion sizes were calculated using a standardized protocol.SettingSurveys were performed in schools regionally selected in eight countries and nationally representative in two countries.SubjectsA total of 8158 children from 236 schools across Europe participating in the PRO GREENS project.ResultsThe total mean consumption of fruit and vegetables was between 220 and 345 g/d in the ten participating countries. Mean intakes did not reach the WHO population goal of ≥400 g/d in any of the participating countries. Girls had a significantly higher intake of total fruit and vegetables than boys in five of the countries (Sweden, Finland, Iceland, Bulgaria and Slovenia). Mean total fruit intake ranged between 114 and 240 g/d and vegetable intake between 73 and 141 g/d. When using the level ≥400 g/d as a cut-off, only 23·5 % (13·8–37·0 %) of the studied children, depending on country and gender, met the WHO recommendation (fruit juice excluded).ConclusionsFruit and vegetable consumption was below recommended levels among the schoolchildren in all countries and vegetable intake was lower than fruit intake. The survey shows that there is a need for promotional activities to improve fruit and vegetable consumption in this age group.

COULD GREEN TAXATION MEASURES HELP INCENTIVISE FUTURE CHINESE CAR DRIVERS TO PURCHASE LOW EMISSION VEHICLES?

The paper begins with a brief review of evidence related to the different types of ‘green’ taxation measures that have been introduced by governments worldwide as a means to lessen the environmental consequences of private car ownership by incentivising the purchase of Low Emission Vehicles (LEV’s). An overview is then provided of current understanding of individuals’ car purchasing decisions, highlighting gaps in knowledge that exist with current explanatory models. Based on these gaps in knowledge and to investigate the potential of various taxation measures in influencing individuals’ car purchasing decisions, an online survey was conducted with students from Dalian University of Technology, China. The questionnaire was designed to measure: (1) situational and psychological factors that would be important for their next car purchase; (2) the impacts of adapting current taxation measures to incentivise LEV purchases; (3) the potential role of a range of taxation measures on their decisions on type of future car purchases. K-Cluster means analysis was employed to identify population segments according to their psychological preparedness and importance attached to situational factors in their future decisions to purchase a LEV, or not. This resulted in three distinct segments – Pro-Greens (33.6% of sample), Maybe-Greens (20.2%) and No-Greens (46.2%). Pro-Greens were more psychologically prepared to purchase LEV’s than the other two segments, whose future car purchasing decisions were primarily driven by situational factors (vehicle characteristics, performance, etc.). Pro-Greens were also more likely to be influenced by changes in current Chinese taxation measures (VAT and fuel duty), and also significantly more likely to be influenced by the introduction of future measures that would incentivise LEV purchases than the other two segments. In terms of future measures to incentivise future Chinese drivers LEV purchases and use, the introduction of a feebate system, a CO2 emissions VAT system, a distance based user charging scheme and annual road tax based on CO2 emissions would appear to have the greatest potential overall.

Does eating family meals and having the television on during dinner correlate with overweight? A sub-study of the PRO GREENS project, looking at children from nine European countries

ObjectiveFamily meals have been negatively associated with overweight in children, while television (TV) viewing during meals has been associated with a poorer diet. The aim of the present study was to assess the association of eating family breakfast and dinner, and having a TV on during dinner, with overweight in nine European countries and whether these associations differed between Northern and Southern & Eastern Europe.DesignCross-sectional data. Schoolchildren reported family meals and TV viewing. BMI was based on parental reports on height and weight of their children. Cut-off points for overweight by the International Obesity Task Force were used. Logistic regressions were performed adjusted by age, gender and parental education.SettingSchools in Northern European (Sweden, the Netherlands, Iceland, Germany and Finland) and Southern & Eastern European (Portugal, Greece, Bulgaria and Slovenia) countries, participating in the PRO GREENS project.SubjectsChildren aged 10–12 years in (n 6316).ResultsIn the sample, 21 % of the children were overweight, from 35 % in Greece to 10 % in the Netherlands. Only a few associations were found between family meals and TV viewing during dinner with overweight in the nine countries. Northern European children, compared with other regions, were significantly more likely to be overweight if they had fewer family breakfasts and more often viewed TV during dinner.ConclusionsThe associations between family meals and TV viewing during dinner with overweight were few and showed significance only in Northern Europe. Differences in foods consumed during family meals and in health-related lifestyles between Northern and Southern & Eastern Europe may explain these discrepancies.

Mediation of parental educational level on fruit and vegetable intake among schoolchildren in ten European countries

ObjectiveTo examine which factors act as mediators between parental educational level and children's fruit and vegetable (F&V) intake in ten European countries.DesignCross-sectional data were collected in ten European countries participating in the PRO GREENS project (2009). Schoolchildren completed a validated FFQ about their daily F&V intake and filled in a questionnaire about availability of F&V at home, parental facilitation of F&V intake, knowledge of recommendations about F&V intake, self-efficacy to eat F&V and liking for F&V. Parental educational level was determined from a questionnaire given to parents. The associations were examined with multilevel mediation analyses.SettingSchools in Bulgaria, Finland, Germany, Greece, Iceland, the Netherlands, Norway, Portugal, Slovenia and Sweden.SubjectsEleven-year-old children (n 8159, response rate 72%) and their parents.ResultsIn five of the ten countries, children with higher educated parents were more likely to report eating fruits daily. This association was mainly mediated by knowledge but self-efficacy, liking, availability and facilitation also acted as mediators in some countries. Parents’ education was positively associated with their children's daily vegetable intake in seven countries, with knowledge and availability being the strongest mediators and self-efficacy and liking acting as mediators to some degree.ConclusionsParental educational level correlated positively with children's daily F&V intake in most countries and the pattern of mediation varied among the participating countries. Future intervention studies that endeavour to decrease the educational-level differences in F&V intake should take into account country-specific features in the relevant determinants of F&V intake.

Förderung des Obst- und Gemüseverzehrs bei Schulkindern – Mission (im-)possible?

ZusammenfassungEine Ernährung, reich an Obst und Gemüse, ist wichtig für die physische und kognitive Entwicklung des Kindes sowie zur Prävention ernährungsabhängiger Erkrankungen. In Deutschland wurden im Mai 2009 insgesamt 816 Schulkinder (Jungen und Mädchen im Alter von 10-13 Jahren) von 14 allgemeinbildenden Schulen in Mittelhessen zum Obst- und Gemüseverzehr befragt. Anschließend wurden von November 2009–April 2010 in 7 Schulen schulische Aktivitäten zur Förderung des Obst- und Gemüseverzehrs durchgeführt. Die Interventionsgruppe erhielt Arbeitsblätter zum Thema Obst und Gemüse und führte weitere ernährungsbildende Aktivitäten durch. Die anderen sieben Schulen dienten als Kontrollgruppe. Nach der Interventionsphase wurden alle Schulen im Rahmen eines follow-up survey erneut befragt. Beide Surveys basierten auf demselben standardisierten Fragebogen zur Erfassung des Obst- und Gemüseverzehrs. Der Vergleich des baseline survey und follow-up zeigte innerhalb der Interventionsgruppe keine Veränderung der Verzehrmenge. In der Kon­trollgruppe ging der Obstverzehr allerdings signifikant zurück (p=0,034). Die Intervention beeinflusst die Diversität der verzehrten Obst- und Gemüsesorten positiv. Die PRO GREENS-Strategien bieten eine Grundlage zur Förderung des Obst- und Gemüseverzehrs bei Schulkindern. Sie sind allerdings hinsichtlich Einbezugs der Eltern, Erlebnisorientierung, Verhältnisprävention und Aufbau von langfristigen Kooperationen weiter zu verbessern, um eine vielseitige Lebensmittelauswahl und Nährstoffaufnahme zu gewährleisten.