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Why do adolescents eat what they eat? Personal and social environmental predictors of fruit, snack and breakfast consumption among 12– 14-year-old Dutch students

Published online by Cambridge University Press:  02 January 2007

MK Martens ,
P van Assema  and
J Brug
MK Martens*
Affiliation:
Department of Health Education and Promotion, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands
P van Assema
Affiliation:
Department of Health Education and Promotion, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands
J Brug
Affiliation:
Department of Health Education and Promotion, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands Department of Public Health, Erasmus Medical Centre, Rotterdam, The Netherlands
*
*Corresponding author: Email [email protected]
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Abstract

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Objective

The aim of the study was to investigate the relative importance of personal and social environmental predictors of the consumption of fruit, high-fat snacks and breakfast.

Design

A school-based cross-sectional survey. Data were collected through written questionnaires.

Setting

Students from eight schools in the southern part of The Netherlands.

Subjects

Six hundred and one students from preparatory secondary vocational education schools.

Results

About a quarter of the variation in actual behaviours and intentions to change the behaviours could be explained. Stepwise multiple regression analysis revealed that, for all three behaviours, higher intention to change was especially associated with a more positive attitude and subjective norm, and higher intentions to increase fruit intake with more positive self-efficacy expectations. With regard to actual consumption, a more positive attitude towards eating fruit was the only significant correlate of a higher consumption of fruit. A more positive attitude towards eating high-fat snacks, perceived lower intake of the mother, and higher food availability and accessibility were associated with consumption of high-fat snacks, and a more positive attitude to breakfast more frequently was associated with more frequent breakfast consumption.

Conclusion

The results indicate that adolescents’ attitudes are the most important determinants of different health-related eating behaviours and intentions to change. Interventions promoting a healthy diet for adolescents should include creative strategies to achieve positive associations with healthy dietary changes.

Keywords

AdolescentsNutritionBehavioural determinants
Type
Research Article
Information
Public Health Nutrition , Volume 8 , Issue 8 , December 2005 , pp. 1258 - 1265
Copyright
Copyright © The Authors 2005

References

1Schaalma, H, Bolman, C, de Nooijer, J, de Vries, H, Paulussen, T, Aarts, T, et al. Jongeren en de preventie van hart- en vaatziekten. Een leefstijl- en determinantenanalyse [Adolescents and the Prevention of Cardiovascular Disease]. Den Haag: Nederlandse Hartstichting, 1997.Google Scholar
2Voedingscentrum, . Zo eet Nederland, Resultaten van de Voedselconsumptiepeiling 1997–1998 [The Results of the Dutch National Food Consumption Survey 1997–1998]. Den Haag: Voedingscentrum, 1998.Google Scholar
3Department of Health. The NHS Plan: A Plan for Investment, A Plan for Reform. London: HMSO, 2000.Google Scholar
4Health Education Authority (HEA). Young People and Health: Health Behaviour in School Aged Children. A Report of the 1997 Findings. London: HEA, 1999.Google Scholar
5Munoz, KA, Krebs-Smith, SM, Ballard-Barbasch, R, Cleveland, LE. Food intake of US children and adolescents compared with recommendations. Pediatrics 1997; 100: 323–9.Google Scholar
6Matthews, R. Importance of breakfast to cognitive performance and health. Perspectives on Applied Nutrition 1996; 3: 204–12.Google Scholar
7Pollit, E. Does breakfast make a difference in school?. Journal of the American Dietetic Association 1995; 95: 1134–9.Google Scholar
8Pollit, E. Breakfast and cognition: an integrative summary. American Journal of Clinical Nutrition 1998; 67: 804S–13S.Google Scholar
9Willett, WCDiet and health: what should we eat?. Science 1994; 264: 532–7.Google Scholar
10Gezondheidsraad, . Overgewicht en obesitas (a report on overweight and obesity of the Health Council of the Netherlands). Den Haag: Gezondheidsraad, 2003.Google Scholar
11Hirasing, RA, Fredriks, AM, Van Buren, S, Verloove-Vanhorick, SP, Wit, JM. Toegenomen prevalentie van overgewicht en obesitas bij Nederlandse kinderen en signalering daarvan aan de hand van internationale normen en nieuwe referentiediagrammen [Increased prevalence of overweight and obesity among Dutch children and pointing this out using international norms and new reference diagrams]. Nederlands Tijdschrift voor Geneeskunde 2001; 145: 1303–8.Google Scholar
12World Health Organization (WHO). Life in the 21st Century–A Vision for All. The World Health Report. Geneva: WHO, 1998.Google Scholar
13Krebs-Smith, SM, Heimendinger, J, Patterson, BH, Subar, AF, Kessler, R, Pivonka, E. Psychosocial factors associated with fruit and vegetable consumption. American Journal of Health Promotion 1995; 10: 89–104.Google Scholar
14Branen, L, Fletcher, J. Comparison of college students’ current eating habits and recollections of their childhood food practices. Journal of Nutrition Education 1999; 31: 304–10.Google Scholar
15Lytle, LA, Seifert, S, Greenstein, J, McGovern, P. How do children's eating patterns and food choices change over time? Results from a cohort study. American Journal of Health Promotion 2000; 14: 222–8.Google Scholar
16de Vries, M, da Costa Senior, R. Scholieren en tussendoortjes: onderzoek naar eet- en drinkgewoonten tijdens schooltijd van leerlingen in het basis- en voortgezet onderwijs in Midden-Holland [Research into Eating and Drinking Habits during School Hours among Students of Secondary Schools and High Schools]. Gouda: GGD Midden Holland, 1992.Google Scholar
17Koivisto Hursti, UK. Factors influencing children's food choice. Annals of Behavioral Medicine 1999; 31: 26–32.Google Scholar
18Roos, E, Lahelma, E, Virtanen, M, Prättälä, R, Pietinen, P. Gender, socioeconomic status and family status as determinants of food behaviour. Social Science & Medicine 1998; 46: 1519–29.Google Scholar
19Green, LW, Kreuter, MW. Health Promotion Planning: An Educational and Ecological Approach, 3rd ed. Mountain View, CA: Mayfield, 1999.Google Scholar
20de Vries, H, Dijkstra, M, Kuhlman, P. Self-efficacy: the third factor besides attitude and subjective norm as a predictor of behavioural intentions. Health Education Research 1988; 3: 273–82.Google Scholar
21de Bourdeaudhuij, I. Family food rules and healthy eating in adolescents. Journal of Health Psychology 1997; 2: 45–56.Google Scholar
22Baranowski, T, Davis, M, Resnicow, K, Baranowski, J, Doyle, C, Lin, L, et al. Gimme 5 fruit, juice, and vegetables for fun and health: outcome evaluation. Health Education & Behavior 2000; 27: 96–111.Google Scholar
23van Assema, P, Brug, J, Ronda, G, Steenhuis, I, Oenema, A. A short Dutch questionnaire to measure fruit and vegetable intake: relative validity among adults and adolescents. Nutrition and Health 2002; 16: 85–106.Google Scholar
24van Assema, P, Brug, J, Ronda, G, Steenhuis, IMH. The relative validity of a short Dutch questionnaire as a means to rank adults to total and saturated fat intake. Journal of Human Nutrition and Dietetics 2001; 14: 377–90.CrossRefGoogle Scholar
25Cohen, J. Statistical Power Analysis for Behavioural Sciences. Hillsdale, New York: Erlbaum, 1988.Google Scholar
26Baranowski, T, Cullen, KW, Baranowski, J. Psychosocial correlates of dietary intake: advancing dietary intervention. Annual Review of Nutrition 1999; 19: 17–40.Google Scholar
27Kremers, SPJ, Brug, J, de Vriesna, H, Engels, RCME. Parenting style and adolescent fruit consumption. Appetite 2003; 41: 43–50.Google Scholar
28Lytle, LA, Varnell, S, Murray, DM, Story, M, Perry, C, Birnbaum, AS, et al. Predicting adolescents’ intake of fruit and vegetables. Journal of Nutrition Education and Behavior 2003; 35: 170–5.Google Scholar
29Dennison, CM, Shepherd, R. Adolescent food choice: an application of the theory of planned behaviour. Journal of Human Nutrition and Dietetics 1995; 8: 9–23.CrossRefGoogle Scholar
30Zajonc, RB. Attitudinal effects of mere exposure. Journal of Personality and Social Psychology 1968; 9: 1–27.CrossRefGoogle Scholar