Hadil A Ghazy Elsayed1, Lauren Lissner1, Kirsten Mehlig1, Barbara Franziska Thumann2,3, Antje Hebestreit2, Valeria Pala4, Toomas Veidebaum5, Tonia Solea6, Luis Moreno7, Dénes Molnár8, Ratih Wirapuspita Wisnuwardani3, Fabio Lauria9, Monica Hunsberger1. 1. Section for Epidemiology and Social Medicine (EPSO), The Sahlgrenska Academy, University of Gothenburg, Box 453, Gothenburg SE-405 30, Sweden. 2. Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany. 3. Department of Public Health, Ghent University, Ghent, Belgium. 4. Department of Research, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy. 5. National Institute for Health Development, Tallinn, Estonia. 6. Research and Education Institute of Child Health, Strovolos, Cyprus. 7. GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain. 8. Department of Pediatrics, University of Pécs, Pécs, Hungary. 9. Institute of Food Sciences - CNR, Avellino, Italy.
Abstract
OBJECTIVE: Consumption of fruits and vegetables (F&V) among adolescents falls below recommendations in many Western countries. The impact of social and emotional aspects of family life on adolescent dietary behaviour may contribute to this, yet remains under-investigated. The present study examines the association between adolescents' perceptions of emotional home atmosphere (EHA) and their F&V consumption frequency. DESIGN: An FFQ was used to assess F&V consumption frequency. EHA was assessed by an eight-item measure with three subscales: perceived home warmth, strictness and relational tension. EHA subscales were used as binary variables: a score equal to or above the median value was considered as a higher perception, while a score below the median was considered as a lower perception of the EHA in question. Country differences in meeting the European 5-a-day recommendations were described. Further, the association between EHA and F&V consumption frequency was investigated using multiple linear regression. SETTING: Regional examination centres in eight European countries. PARTICIPANTS: Adolescents (n 3196) aged 12-18 years. RESULTS: The mean F&V consumption frequency was 3·27 (sd 2·84) times/d. Only 16·1 % of boys and 18 % of girls in our study sample met the recommendation of five F&V daily. After controlling for age, sex, education level of the parents and country of origin, perceived home warmth was associated with a 16 (95 % CI 9, 22) % higher F&V consumption frequency (P < 0·001). CONCLUSIONS: F&V consumption frequency was suboptimal in the survey areas. Interventions targeting perceived warmth as a component of EHA could potentially have a positive effect on adolescents' dietary behaviour.
OBJECTIVE: Consumption of fruits and vegetables (F&V) among adolescents falls below recommendations in many Western countries. The impact of social and emotional aspects of family life on adolescent dietary behaviour may contribute to this, yet remains under-investigated. The present study examines the association between adolescents' perceptions of emotional home atmosphere (EHA) and their F&V consumption frequency. DESIGN: An FFQ was used to assess F&V consumption frequency. EHA was assessed by an eight-item measure with three subscales: perceived home warmth, strictness and relational tension. EHA subscales were used as binary variables: a score equal to or above the median value was considered as a higher perception, while a score below the median was considered as a lower perception of the EHA in question. Country differences in meeting the European 5-a-day recommendations were described. Further, the association between EHA and F&V consumption frequency was investigated using multiple linear regression. SETTING: Regional examination centres in eight European countries. PARTICIPANTS: Adolescents (n 3196) aged 12-18 years. RESULTS: The mean F&V consumption frequency was 3·27 (sd 2·84) times/d. Only 16·1 % of boys and 18 % of girls in our study sample met the recommendation of five F&V daily. After controlling for age, sex, education level of the parents and country of origin, perceived home warmth was associated with a 16 (95 % CI 9, 22) % higher F&V consumption frequency (P < 0·001). CONCLUSIONS: F&V consumption frequency was suboptimal in the survey areas. Interventions targeting perceived warmth as a component of EHA could potentially have a positive effect on adolescents' dietary behaviour.
Entities:
Keywords:
Adolescents; Emotional home atmosphere; Family; Fruits and vegetables; Socio-emotional
Authors: Katrin Ziser; Florian Junne; Stefan Ehehalt; Katrin E Giel; Anne Herschbach; Peter Martus; Johann Jacoby; Felicitas Stuber; Zahra Rahmani Azad; Isabelle Mack; Alisa Weiland; Inga Krauß; Constanze Greule; Gorden Sudeck; Lydia Kastner; Guido Zurstiege; Andreas Hoell; Wolfgang Bethge; Torben Sammet; Olaf Schliesing; Stephan Zipfel Journal: Trials Date: 2022-07-23 Impact factor: 2.728