Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-19T05:53:19.377Z Has data issue: false hasContentIssue false

Perceived barriers of, and benefits to, healthy eating reported by a Spanish national sample

Published online by Cambridge University Press:  02 January 2007

Isabel López-Azpiazu
Affiliation:
Department of Physiology and Nutrition, University of Navarra, Pamplona, Spain
Miguel Ángel Martínez-González
Affiliation:
Department of Epidemiology and Public Health, University of Navarra, Pamplona, Spain
John Kearney
Affiliation:
Institute for European Food Studies, Dublin, Ireland
Michael Gibney
Affiliation:
Institute for European Food Studies, Dublin, Ireland
J. Alfredo Martínez*
Affiliation:
Department of Physiology and Nutrition, University of Navarra, Pamplona, Spain
*
*Corresponding author: Email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective

A national survey was developed in order to assess the difficulties and the potential benefits that the adult Spanish population perceive when they try to eat a healthier diet and also to help nutrition educators to develop relevant and specific strategies to promote healthy eating.

Design

The study survey was carried out according to an established protocol on a representative sample of 1009 Spanish subjects over 15 years of age selected by a multi-stage procedure. This study belongs to a partnership in a pan-European survey about food, nutrition and health. The analysis was focused on the evaluation of the seven most frequently chosen barriers and benefits.

Results

There was a trend to select as the main barriers: ‘irregular work hours’ (29.7%), ‘willpower’ (29.7%) and ‘unappealing food’ (21.3%), while ‘prevent disease’ (73.6%) was the most frequently selected benefit to healthy eating. About 20% of the subjects said they did not have any difficulty eating healthier and most people believed that healthy eating was associated with at least one benefit.

Conclusions

In Spain, nutrition educators should be aware that an irregular and busy lifestyle, willpower and food-related factors (such as price and unappealing foods) are the main perceived barriers to healthy eating. Conversely, the prevention and health promotion aspects are the main perceived benefits.

Type
Research Article
Copyright
Copyright © CABI Publishing 1999

References

1McGinnis, JM, Hamburg, MA. Opportunities for health promotion and disease prevention in the clinical setting. West. J. Med. 1988; 149: 468–74.Google ScholarPubMed
2Serra-Majem, Ll, Ribas, M. Hábitos alimentarios y consumo de alimentos en España. Dieta mediterránea. In: Serra-Majem, Ll, Araceta, J, Mataix, J (eds) Nutrición y Salud Pública. Métodos, Bases Científicas y Aplicaciones. Barcelona: Masson, 1995: 303–10.Google Scholar
3Trichopoulou, A, Lagiou, P. Healthy traditional Mediterranean diet: an expression of culture, history, and lifestyle. Nutr. Rev. 1997; 55: 383–9.CrossRefGoogle ScholarPubMed
4Baghurst, KI. Food consumption patterns in an affluent society and barriers to overcoming dietary change. Ann. Acad. Med. Singapore 1992; 21: 145–51.Google Scholar
5Sparks, P, Shepherd, R, Wieringa, N, Zimmermmans, N. Barriers to healthy eating: an examination of perceived behavioural control and unrealistic optimism. Appetite 1994; 23: 290.Google ScholarPubMed
6Lappalainen, R, Saba, A, Holm, L, Mykkanen, H, Gibney, MJ. Difficulties in trying to eat healthier: descriptive analysis of perceived barriers for healthy eating. Eur. J. Clin. Nutr. 1997; 51 (suppl. 2): S36–40.Google ScholarPubMed
7Zunft, HJF, Friebe, D, Seppelt, B, de Graaf, C, Margetts, B, Schmitt, A, Gibney, MJ. Perceived benefits of healthy eating among a nationally-representative sample of adults in the European Union. Eur. J. Clin. Nutr. 1997; 51 (suppl. 2): S41–6.Google ScholarPubMed
8Almeida, MDV, Graca, P, Lapplainen, R et al. Sources used and trusted by nationally-representative adults in the European Union for information on healthy eating. Eur. J. Clin. Nutr. 1997; 51 (suppl. 2): S16–22.Google ScholarPubMed
9Serra-Majem-Ll, , Ribas, L, Tresserras, R et al. How could changes in diet explain changes in coronary heart disease mortality in Spain? The Spanish paradox. Am. J. Clin. Nutr. 1995; 61 (suppl. 6): 1351–9.CrossRefGoogle Scholar
10Varela, G, Carbajal, A, Nuñez, C et al. Influencia de la ingesta energética y del índice de masa corporal en la incidencia del cáncer de mama. Estudio caso–control en una muestra procedente de tres poblaciones hospitalarias españolas Nutr. Hosp. 1996; 11 (suppl. 1): 54–8.Google Scholar
11Varela, G, Moreiras-Varela, O, Carbajal, A et al. Estudio transversal entre la cantidad y calidad de la grasa consumida en España y la mortalidad por diferentes tipos de neoplasias del aparato reproductor. Rev. Clin. Esp. 1991; 189: 55–9.Google Scholar
12Adams, LB. An overview of adolescent eating behaviour barriers to implementing dietary guidelines. Ann. NY Acad. Sci. 1997; 817: 3648.CrossRefGoogle ScholarPubMed
13IEFS. A pan EU Survey of Consumer Attitudes to Food, Nutrition and Health. Institute of European Food Studies. Dublin, IEFS, 1996: 129.Google Scholar
14Margetts, BM, Martínez, JA, Saba, A, Holm, L, Kearney, M. Definition of ‘healthy eating’, a pan EU Survey of consumer attitudes to food, nutrition and health. Eur. J. Clin. Nutr. 1997; 51 (suppl. 2): S23–9.Google ScholarPubMed
15Kearney, M, Kearney, JM, Gibney, MJ. Methods used to conduct the survey on consumer attitudes to food, nutrition and health on nationally representative samples of adults of each member state from the European Union. Eur. J. Clin. Nutr. 1997; 51: S3–7.Google ScholarPubMed
16Comunidad de Madrid. Consejería de Economía. Censos de Población y Vivienda de 1991: de la, Comunidad de Madrid. Tomo I: Características demográficas básicas y fecundidad de la población. Madrid: Consejería de Economía, 1993.Google Scholar
17Glanz, K, Mullis, RM. Environmental interventions to promote healthy eating: a review of models, programs, and evidence. Health Educ. Q. 1988; 15: 395415.CrossRefGoogle ScholarPubMed
18Barnett, V. Sample Survey: principles and methods. London: Arnold, 1991.Google Scholar
19Kushner, RF. Barriers to providing nutrition counselling by physicians: a survey of primary care practitioners. Prev. Med. 1995; 24: 543–5.CrossRefGoogle ScholarPubMed
20Martínez-González, MA, López-Azpiazu, I, Kearney, J, Kearney, M, Gibney, M, Martínez, JA. Definition of healthy eating in the Spanish population: a national sample in a pan-European survey. Publ. Health 1998; 112: 17.Google Scholar
21Prevost, AT, Wichelow, MJ, Cox, BD. Longitudinal dietary changes between 1984–5 and 1991–2 in British adults: associations with sociodemographic, lifestyle and health factors. Br. J. Nutr. 1997; 78: 873–88.CrossRefGoogle ScholarPubMed
22Moreiras-Varela, O, Carbajal, A. Determinantes socioculturales del comportamiento alimentario de los adolescentes. An. Esp. Pediatr. 1992; 36 (suppl. 49): 102–5.Google Scholar
23Bolton-Smith, C, Smith, WCS, Woodward, M, Tunstall-Pedoe, H. Nutrient intakes of different social-class groups: results from the Scottish Heart Health Study. Br. J. Nutr. 1991; 65: 321–35.CrossRefGoogle ScholarPubMed
24López-Azpiazu, I, Martínez-González, MA, Gibney, M, Kearney, J, Kearney, M, Martínez, JA. Factores con mayor influencia en la elección de los alimentos en la población española. Rev. Esp. Nutr. Comun. 1997; 3: 113–21.Google Scholar
25López Nomdedeu, C. Cuándo y cómo educar en nutrición. Unas reflexiones sobre Educación Nutricional Alim. Nutri. Salud. 1997; 4: 110–13.Google Scholar
26Smith, AM, Baghurst, KI. Public health implications of dietary differences between social status and occupational category groups. J. Epidemiol. Comm. Health. 1992; 46: 409–16.CrossRefGoogle ScholarPubMed
27Buttriss, JL. Food and nutrition: attitudes, beliefs; and knowledge in the United Kingdom. Am. J. Clin. Nutr. 1997; 65 (suppl. 6): S1985–95.CrossRefGoogle ScholarPubMed
28Paisley, C, Lloyd, H, Sparks, P, Mela, DJ. Consumer perceptions of dietary changes for reducing fat intake. Nutr. Res. 1995; 15: 1755–66.CrossRefGoogle Scholar
29Ortega, RM, Andrés, P, Melendez, A. Influencia de la nutrición en la capacidad funcional de un grupo de ancianos españoles. Arch. Latinoam. Nutr. 1992; 42 (suppl. 2): 133–45.Google Scholar
30Willett, WC, Sacks, F, Trichopoulou, A, Drescher, G, Ferro-Luzzi, A, Helsing, E, Trichopoulos, D. Mediterranean diet pyramid: a cultural model for healthy eating. Am. J. Clin. Nutr. 1995; 61 (suppl. 6): S1402–6.CrossRefGoogle ScholarPubMed