Fruit Consumption Research Articles

Development and validation of the Health Activation Scale for Children (HAS-C): an important intermediate outcome measure for health promotion initiatives

BackgroundValid and reliable measures for assessing health activation in school-aged children are currently lacking. This study aimed to develop a scale to measure health activation and evaluate its psychometric properties among English-speaking primary school children in Singapore.MethodsThe development of the Health Activation Scale for Children (HAS-C) involved an extensive literature review, expert consultations, cognitive interviews with primary school children, and thorough discussions for dimension and item refinement. A cross-sectional study was conducted with 597 children aged 8 to 12 years, recruited from four mainstream primary schools, comprising 50.1% boys and 64.8% Chinese students. The potential scale, along with other measures, was independently completed by the children. Descriptive statistics were provided for individual scale items. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to assess factorial validity. Convergent validity was examined by correlating the scale scores with scores of health confidence and self-efficacy measures. Hypothesis-testing validity was evaluated by assessing the scale’s correlation with self-reported health behaviours, including daily consumption of vegetables and fruits, time spent on sedentary activities and physical activities. Internal consistency reliability was measured using Cronbach’s alpha.ResultsEFA suggested a three-factor structure for the 12-item HAS-C, which was subsequently confirmed by CFA with a good model fit. All three HAS-C dimension scores demonstrated moderate correlations (rho = 0.34–0.52) with health confidence and self-efficacy measures, indicating good convergent validity. They were positively correlated with more vegetable and fruit intakes, more time spent on exercises, and negatively correlated with time spent on sedentary activities, supporting hypothesis-testing validity. Internal consistency reliability for individual HAS-C dimensions was generally acceptable, with Cronbach’s alpha values of 0.70 or above.ConclusionThe 12-item multi-dimensional HAS-C exhibited good validity and reliability, making it a valuable tool for assessing health activation in primary school-aged children.

Nutrition literacy and eating habits in children from food-secure versus food-insecure households: A cross-sectional study.

This study aimed to explore whether maternal food and nutrition literacy (FNL) can mitigate negative effects of food insecurity on children's eating habits and assist food-insecure households in making better nutrition choices with limited resources available. A cross-sectional study was conducted on children aged 6 to 12 years and their mothers. FNL was assessed using a validated Food and Nutrition Literacy Assessment Tool, and household food security was evaluated with the Household Food Insecurity Access Scale. Eating habits were measured through a structured questionnaire that focused on various dietary habits. Logistic regression was used to determine the associations between maternal FNL, food insecurity status, and children's eating habits. A total of 327 children-mothers, comprising 159 food-secure and 168 food-insecure households, were evaluated. Maternal FNL was inversely associated with consumption of fast-foods and fried foods, and skipping breakfast in both food-secure and food-insecure participants. However, only food-secure participants showed an inverse association between FNL and the habit of eating out. Both groups indicated lower sweet consumption associated with higher FNL. Maternal FNL was inversely associated with lower dairy and nut intake in food-secure group and lower fruit and vegetable consumption in food-insecure participants. This study suggests that in conditions of food insecurity FNL may reduce the negative impact of food insecurity on children's nutrition choices and food habits.

Effectiveness of the CATCH (Coordinated Approach to Child’s Health) Rainbow Program in Elementary Schools for Change in Fruit and Vegetable Intake

Background: Nutrition, cooking, and gardening lessons individually and together have been shown to increase fruit and vegetable (FV) consumption in school-aged children. The CATCH Rainbow program incorporated nutrition education, cooking, and gardening lessons aimed at increasing FV consumption in elementary school-aged children and assessed changes in participants’ BMI, self-reported FV consumption, and skin carotenoid levels at baseline and post-intervention. Methods: Two-hundred and twenty-five 4th and 5th graders (mean age: 9.8 years and 52% male participants) at Genoa Elementary School participated in six cooking and six gardening sessions between September 2021 and May 2022. Each nutrition education session was 25 min long, paired with either hands-on cooking activities or gardening skills. At baseline and post-intervention, participants’ height and weight were assessed with a stadiometer/scale, and skin carotenoid measurement was taken by a Veggie Meter® (Longevity Link Corporation (Salt Lake City, UT, USA)). Students also completed the Block Food Frequency Questionnaire to self-report FV consumption at both time points. Focus groups were conducted with children at the end of the program for qualitative feedback. Results: paired samples T-test and regression analysis results indicate no significant decrease in BMI or significant increase in skin carotenoid scores from pre- to post-intervention. However, though not significant, there was an increase in self-reported FV intake by 0.4 servings. Additionally, the qualitative feedback was positive, as children mentioned benefits of healthy eating and expressed enjoyment for growing, cooking, and tasting fruits and vegetables. Conclusion: Results from this study can be used to guide future cooking and gardening programs for elementary school children. Time of the year when implementing these programs and collecting data may impact study outcomes due to seasonal variations in fruit and vegetable intake.

A comprehensive analysis of fruit, vegetable, and legume consumption and the risk of hypertension: results from the KoGES_CAVAS cohort.

This study aimed to investigate the association between total consumption of fruits (F), vegetables (V), and legumes (L) and their subgroups and hypertension risk in adults aged ≥ 40years in the Cardiovascular Disease Association Study (CAVAS). We analyzed data from 10,325 normotensive participants using cumulative average dietary consumption from repeated food frequency questionnaires during the follow-up. Incidence rate ratios (IRRs) were estimated with a modified Poisson regression model and a robust error estimator to evaluate the association between hypertension risk and total consumption of fruits, vegetables, and legumes, as well as their 17 subgroups. During an average follow-up of 5.20years, 2159 cases of hypertension were recorded. Total consumption of FVL, FV, fruits, vegetables, and legumes showed overall inverse trends with hypertension risk. Considering multiplicity, fruit consumption was inversely associated with hypertension risk in both men (IRR 0.64; 95% CI 0.52-0.79) and women (IRR 0.76; 95% CI 0.64-0.91). Vegetables were inversely associated with hypertension in women (IRR 0.67; 95% CI 0.53-0.86). Most subgroups showed inverse associations, especially in men with overweight/obesity. However, frequent pickled green leafy vegetable consumption was positively associated with hypertension risk in postmenopausal women but not in premenopausal women (Pinteraction = 0.0004). Consumption of FVL, including their subgroups, generally shows inverse associations with hypertension risk. However, caution is advised for recommending pickled vegetables, particularly for postmenopausal women, due to the potential adverse effects of sodium. The benefits of these foods in preventing hypertension are especially pronounced in men with overweight/obesity.

Magnitude and Associated Factors of Gestational Excessive Weight Gain Among Pregnancy Women at St Paul’s Hospital, Addis Ababa, Ethiopia 2024, a Crosse-Sectional Study

<i>Background:</i> Women invariably gain weight during pregnancy due to fat deposition, fluid retention, and the weight attributed to the growth of the fetus, uterus, and breasts. Gestational weight gain can influence pregnancy outcomes as well as the long-term health of both the mother and child. It is reported that nearly 50 percent of mothers worldwide experience excessive weight gain during pregnancy. Suboptimal weight gain during pregnancy is also a recognized risk factor for adverse delivery outcomes. <i>Objective:</i> To assess the magnitude of excess maternal gestational weight gain and the associated factors influencing pregnancy complications among pregnant women at St. Paul’s Hospital, Addis Ababa, Ethiopia, in 2024. <i>Methods and Materials:</i> An institutional-based descriptive cross-sectional quantitative approach was used to conduct the study. Data were collected using both primary and secondary sources. Well-organized interviewer-administered questionnaires and a checklist were utilized. The sample size was determined using a single population formula Considering the proportion to be 50% to get the maximum possible sample size. A total of 422 mothers participated in the study, and a systematic random sampling technique was employed to select the study population. Data were collected, summarized, tabulated, and analyzed using the Statistical Package Epi-Info version 7 and SPSS version 26 software. Frequencies, proportions, and dispersions were estimated to describe the variables. Multivariate analysis was used to determine the association between explanatory variables and gestational weight gain. <i>Results:</i> A total of 422 pregnant mothers participated in the study, resulting in a 100% response rate. The majority, 201 (47.6%), were in the age group of 20 to 25 years, and 179 (42.4%) had delivered two children. Additionally, 112 (26.5%) ate more than four times per day, and 303 (71.8%) consumed carbohydrates daily. Of the participants, 375 (88.9%) gained adequate weight, 35 (8.3%) gained excessive weight, and 12 (2.8%) gained inadequate weight during their current pregnancy. Being employed and consuming fruits and vegetables were associated with a lower likelihood of excessive gestational weight gain, while high carbohydrate consumption was linked to a higher risk of excessive weight gain. <i>Conclusion and Recommendation: </i>A significant proportion of women (35%) gained excessive weight. Unemployment and daily carbohydrate and fruits consumption were significantly associated with excessive weight gain. Women of childbearing age should be informed about the importance of consuming fruits and vegetables and reducing carbohydrate intake during pregnancy to prevent excessive weight gain.

Trend Analysis of the Burden of Hypertensive Heart Disease in China from 1990 to 2021

Objective: To quantitatively analyze the burden of hypertensive heart disease (HHD) in China and provide a scientific basis for prevention and control strategies. Methods: Data from the Global Burden of Disease 2021 database were used to assess the disease burden, deaths, years lived with disability (YLDs), and risk factors for HHD in the Chinese population from 1990 to 2021. Results: From 1990 to 2021, HHD cases in China increased from 1.5 million to 3.9 million, with an average annual growth rate of 2.83%. Prevalence rose from 127.76/100,000 to 259.00/100,000, while age-standardized prevalence decreased by 0.68% annually. HHD deaths increased from 232,478 to 320,247, with a mortality rate rise from 19.76/100,000 to 22.56/100,000, though age-standardized mortality decreased by 2.68% annually. YLDs rose from 124,386 to 301,426, with the rate increasing by 2.20% annually, while age-standardized YLDs decreased by 0.67% annually. High sodium intake and low fruit consumption were key risk factors for HHD deaths. Deaths related to low vegetable intake decreased until 2005 and then rose, while deaths from lead exposure showed a similar pattern. Conclusion: HHD cases and prevalence increased significantly, but age-standardized prevalence and mortality rates declined, reflecting the impact of an aging population and improved health interventions. The rise in YLDs highlights the long-term impact on patients’ quality of life. Key risk factors included high sodium intake and low fruit consumption, emphasizing the importance of dietary improvements in HHD prevention. HHD remains a significant public health challenge in China, requiring continuous research and targeted prevention strategies.

Maternal dietary practices during pregnancy and obesity of neonates: a machine learning approach towards hierarchical and nested relationships in a Tibet Plateau cohort study.

Studies on obesity and risk factors from a life-course perspective among residents in the Tibet Plateau with recent economic growth and increasing obesity are important and urgently needed. The birth cohort in this area provides a unique opportunity to examine the association between maternal dietary practice and neonatal obesity. The study aims to detect the prevalence of obesity among neonates, associated with maternal diet and other factors, supporting life-course strategies for obesity control. A cohort of pregnant women was enrolled in Tibet Plateau and followed till childbirth. Dietary practice during pregnancy was assessed using the Chinese FFQ - Tibet Plateau version, food items and other variables were associated with the risk for obesity of neonates followed by logistic regression, classification and regression trees (CART) and random forest. Of the total 1226 mother-neonate pairs, 40·5 % were Tibetan and 5·4 % of neonates with obesity. Consuming fruits as a protective factor for obesity of neonates with OR (95 % CI) = 0·61 (0·43, 0·87) from logistic regression; as well as OR = 0·20 (0·12, 0·35) for consuming fruits (≥ weekly) from CART. Removing fruit consumption to avoid overshadowing effects of other factors, the following were influential from CART: maternal education (more than middle school, OR = 0·22 (0·13, 0·37)) and consumption of Tibetan food (daily, OR = 3·44 (2·08, 5·69). Obesity among neonates is prevalent in the study population. Promoting healthy diets during pregnancy and strengthening maternal education should be part of the life-course strategies for obesity control.

Abuse and neglect as indicators of unhealthy behaviours among 15-year-old schoolchildren in Albania

ObjectiveWe assessed the independent associations of lifetime child abuse and neglect indices with behavioural characteristics of children. Study designA cross-sectional study was conducted in Albania in 2022. MethodsParticipants consisted of a nationwide representative sample of 1877 schoolchildren aged 15 years (55 % girls; response: 96 %). Data on lifetime child abuse and neglect were collected, along with behavioural factors and sociodemographic characteristics. Binary logistic regression was used to assess the independent associations of child abuse and neglect with behavioural factors of schoolchildren. ResultsIrrespective of sociodemographic characteristics, lifetime physical abuse was positively related to lifetime smoking (OR = 1.8, 95%CI = 1.4–2.3), lifetime alcohol consumption (OR = 2.4, 95%CI = 1.9–2.9), and breakfast skipping (OR = 1.3, 95%CI = 1.0–1.6). Furthermore, positive independent factors associated with emotional abuse included lifetime alcohol intake (OR = 1.7, 95%CI = 1.3–2.1) and breakfast skipping (OR = 1.4, 95%CI = 1.0–1.8). Additionally, positive factors associated with lifetime emotional neglect consisted of lifetime smoking (OR = 2.2, 95%CI = 1.6–3.0) and alcohol intake (OR = 2.0, 95%CI = 1.5–2.6), and a lower fruit consumption (OR = 1.7, 95%CI = 1.3–2.3). Positive factors associated with lifetime sexual abuse included lifetime alcohol consumption (OR = 2.4, 95%CI = 1.4–4.1) and especially smoking (OR = 4.3, 95%CI = 2.6–7.3). Also, lifetime witnessing of family violence was positively related to lifetime smoking (OR = 2.7, 95%CI = 1.8–4.1) and alcohol intake (OR = 1.7, 95%CI = 1.2–2.6). ConclusionsWe evidenced strong and consistent links between child maltreatment indices and unhealthy behavioural practices among 15-year-old children in Albania. These findings underscore the potential impact of early trauma on developmental trajectories. The association between child abuse and the adoption of detrimental behaviours highlights the urgent need for comprehensive support and intervention strategies to break the cycle of harm.

Food craving, vitamin A, and menstrual disorders: A comprehensive study on university female students.

Menstrual disorders, influenced by dietary habits like high fat intake and low fruit and vegetable consumption, are a global public health issue. This study assessed the prevalence of dysmenorrhea, premenstrual syndrome (PMS), and irregular menstrual cycle (IMC) among female university students in Bangladesh, focusing on food cravings and low vitamin A intake as risk factors. In this comprehensive study, data from randomly selected female university students were collected using a structured questionnaire. The associations were analyzed through chi-square tests and multivariable logistic regression, reported as adjusted odds ratios (AOR). The most prevalent menstrual disorder was dysmenorrhea (68.3%) followed by PMS (33.8%), and IMC (24.3%). Food cravers for high-fat and sweet foods were likely to experience dysmenorrhea (AOR: 2.4, 95% CI: 1.5-3.9, P<0.001), suffer from PMS (AOR: 3.9, 95% CI: 2.3-6.6, P<0.001), and have IMC (AOR: 3.0, 95% CI: 1.6-5.3, P<0.001) vs. subjects who didn't. Subjects consuming vitamin A-rich plant foods had 40% (AOR: 0.6, 95% CI: 0.4-0.9, P < 0.01) and 60% (AOR: 0.4, 95% CI: 0.2-0.6, P<0.001) less likely suffering from dysmenorrhea and IMC vs. who didn't. Both underweight and overweight/obese subjects experienced more than 2-fold dysmenorrhea vs. normal-weight peers. The chance of IMC was nearly 3-fold among overweight/obese subjects. However, lower physical activity was associated with PMS and IMC whereas family history was associated with dysmenorrhea and PMS. Among the socio-demographic factors, maternal education, place of residence, and earlier menarche (≤12 years) were associated with dysmenorrhea while marital status was associated with IMC. This study indicates that increasing the intake of vitamin A-rich plant foods and reducing high-fat, sweet foods can lower the risk of dysmenorrhea and IMC. Additionally, it highlights the need for regular exercise to mitigate the increased risk of PMS and IMC.

PELATIHAN PENGOLAHAN “PAYA BITES”, CEMILAN SEHAT BERBAHAN PEPAYA, BAGI ANGGOTA FKIF UNNES

&lt;em&gt;Papaya is a seasonal fruit that is rich in water content and has a relatively short shelf life. Nowadays, people's interest in consuming fruit directly after it is ripe is relatively low because some of them don't like fruit. For this reason, it is necessary to innovate fruit-based products, as an effort to overcome the problem of lack of fruit consumption. This article discusses "PAYA BITES", an entrepreneurial venture that presents papaya crackers as an innovative snack product made from papaya with a variety of contemporary flavors. In this activity, the method used was training (socialization) aimed at 41 members of the Islamic Physics Study Forum (FKIF) at Semarang State University. This activity aims to be a form of education and training for FKIF UNNES members in processing papaya fruit into papaya crackers and has the potential to be marketed to the general public. The result of this training is to provide knowledge and convenience for FKIF UNNES members in processing papaya fruit into papaya crackers which have so far been underutilized so that they become a more valuable commodity&lt;/em&gt;

Fatores de risco e sua influência na Síndrome Metabólica: Uma revisão narrativa da literatura

Objective: To analyze risk factors and their influence on Metabolic Syndrome. Literature Review: METABOLIC SYNDROME (MS) represents a set of risk factors of metabolic origin that promote the development of cardiovascular diseases and type 2 diabetes mellitus (DM). Regardless of the group or entity that defines MS, the risk factors, that is, the components adopted for its definition, are practically the same. The following components are included: obesity (especially abdominal obesity), high blood pressure levels, glucose metabolism disorders, and hypertriglyceridemia and/or low levels of HDL cholesterol. Final considerations: It is noteworthy that dietary factors can play a fundamental role both in the individual components and in the prevention and control of MS. Recent data associate the presence of MS with lower consumption of whole grains, fruits, and vegetables. There is a close relationship between these foods and dietary fiber, and it is likely that soluble fibers are more directly related to these effects

Interventions for increasing fruit and vegetable consumption in children aged five years and under.

Interventions for increasing fruit and vegetable consumption in children aged five years and under.

Urban-rural differences in food consumption and central obesity among middle-aged adults: A cross-sectional population study in Indonesia

Background: The prevalence of central obesity is increasing in many regions, including low- and middle-income countries. It has been identified that a poor diet has become a significant risk factor for central obesity. However, the relationship between diet and the prevalence of central obesity among rural and urban communities remains unclear in low- and middle-income countries. Aim: This study aimed to analyze the association of food consumption with central obesity among middle-aged adults (45–59 years) in urban and rural areas in Indonesia. Methods: This was a cross-sectional study using secondary data from a national survey (Indonesia Basic Health Survey) in Indonesia in 2018. A total of 154,449 subjects were analyzed for the study. We used the International Diabetes Federation to define central obesity. Food consumption was measured using a validated food frequency questionnaire. Multivariable logistic regression was used to explore the association between food consumption and central obesity. Results: Frequent consumption of refined desserts, fried food, processed food, and inadequate consumption of fruit was significantly associated with central obesity in urban and rural areas ( p &lt; 0.05). In contrast, frequent consumption of seasoning and inadequate consumption of vegetables was significantly associated with central obesity only in rural areas ( p &lt; 0.05). Conclusion: Food consumption has a different association with central obesity risk in rural and urban areas in Indonesia.

Dried Fruit, Acetate, and Asthma: A Mediation Mendelian Randomization Analysis

Background Asthma is a common chronic condition with increasing prevalence. Diet, including dried fruit consumption, has been linked to asthma risk, but the mechanisms remain unclear. This study investigates how dried fruit consumption affects asthma risk, focusing on acetate as a potential mediator. Methods We used Mendelian Randomization (MR) to analyze the relationships between dried fruit intake, acetate levels, and asthma. We applied three MR methods—Inverse-Variance Weighted (IVW), Weighted Median (WM), and MR-Egger—to determine causal effects. Results Dried fruit intake was inversely associated with asthma risk (IVW: β=-0.506, p = 0.0135) and positively associated with acetate levels (IVW: β = 0.269, p < 0.0001). Higher acetate levels were also linked to lower asthma risk (IVW: β=-0.361, p < 0.0001). Mediation analysis showed that acetate mediates approximately 19.22% of the effect of dried fruit on asthma risk. Conclusion Dried fruit consumption reduces asthma risk, partly through increasing acetate levels. This acetate-mediated pathway accounts for about 20% of the effect, suggesting potential for dietary strategies in asthma prevention and management. Further research could enhance the understanding and applicability of these findings.

Health promotion through the adoption of the mediterranean diet as a therapeutic proposal in the treatment and prevention of metabolic syndrome: a systematic review

Introduction: Excessive weight gain generates comorbidities, many of which are characterized as metabolic syndrome (MetS). It is important to highlight the association of MetS with cardiovascular diseases, increasing global mortality by approximately 1.5 times and cardiovascular mortality by approximately 2.5 times. In this sense, the Mediterranean diet presents itself as the main therapeutic proposal in the treatment of MetS, as it corresponds to caloric limitations without altering the patient's adequate nutritional status. Objective: It was to investigate the effects of health promotion through the adoption of the Mediterranean diet as a therapeutic proposal in the treatment and prevention of metabolic syndrome, evaluating the nutritional benefit on quality of life. Methods: The PRISMA Platform systematic review rules were followed. The research was carried out from April to June 2024 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: 157 articles were found. A total of 26 articles were evaluated in full and 21 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 29 studies with a high risk of bias and 28 studies that did not meet GRADE and AMSTAR-2. It was concluded that the studies showed the beneficial effects of the Mediterranean diet in reducing the prevalence of MetS. Furthermore, the dietary pattern described in the Mediterranean diet combined with physical activities can be used as a useful clinical tool in the treatment of metabolic syndrome. The suggested menu, with foods rich in fiber, is associated with reducing cardiovascular risk and, therefore, the Mediterranean diet is recognized as an agent for promoting health and preventing and treating obesity. In this sense, it appears that dietary factors can play a fundamental role both in the individual components and in the prevention and control of metabolic syndrome. Recent data associate the presence of MetS with lower consumption of whole grains, fruits, and vegetables. Therefore, there is a close relationship between these foods and dietary fiber, and, probably, soluble fiber is more directly related to these effects. A reduced prevalence of MetS was also observed in patients with systemic lupus erythematosus, a result of the good level of adherence to the Mediterranean diet. Furthermore, 25(OH)D status is associated with the composition, diversity, and functionality of the gut microbiota, and lifestyle intervention can modulate both the gut microbiota and 25(OH)D levels, potentially influencing metabolic pathways.

Risk of developing Type 2 Diabetes Mellitus in a vulnerable community in northern Argentina

Introduction: Prevention of diabetes requires sustained lifestyle changes as well as identification of groups at higher risk. Objective: The aim of this research was to estimate the risk of diabetes in vulnerable subjects from a primary care center in northern Argentina, with no known glucose abnormalities, using the FINDRISC questionnaire, investigate the relationship between survey variables and the final score, and explore its association with metabolic risk factors and body composition. Methodology: This cross-sectional design included 498 patients without type 2 diabetes or known glycemic abnormalities. All subjects underwent a complete medical history and completed the FINDRISC questionnaire. Results: The predominant age group was 18-45 years old. Around 64% were physically active and 44% reported daily consumption of fruit and vegetables. Most of them had a BMI higher than 25 kg/m2. Regarding the risk of developing type 2 diabetes in the next 10 years, 24.3% were at low risk and the remaining fraction was distributed in slightly elevated, moderate, high and very high risk. All variables influenced the individuals' variance (p &lt; 0.05). The hierarchical clustering and principal component analysis (PCA) revealed that elevated FINDRISC score was strongly associated with: age &gt; 65 years, fasting blood glucose, BMI ? 30 kg/m2 and antihypertensives use. CONCLUTION: We found a high percentage of obesity and overweight, as well as a high risk of cardiometabolic disease and of developing T2D. In addition, in the population studied, the variables that compose the FINDRISC did not influence the highest score in the same way.

Weekend Variation in Ultra-Processed Food Intake of Patients after Metabolic and Bariatric Surgery: A Cross-Sectional Study

This study analyzed changes in ultra-processed food consumption patterns during weekends in patients in the post-metabolic and bariatric surgery periods. It is a cross-sectional study, which recruited and collected data via social media from adults who underwent metabolic and bariatric surgery. The Brazil Food and Nutritional Surveillance System markers of dietary consumption and the NOVA Ultra-Processed Food Screening tools were applied to evaluate dietary patterns and ultra-processed food consumption from the previous day. A total of 1525 participants were included, with a mean age of 38 ± 8 years and a mean body mass index of 29.9 ± 5.8 kg/m2. From these, 766 (50.3%) individuals answered the questionnaire referring to a weekend day. After adjusting for confounders, ultra-processed food consumption was higher on weekends compared to weekdays (NOVA Score 3.07 vs. 2.42; p &lt; 0.01). The consumption of fruits and vegetables was lower on weekends, whereas the consumption of hamburgers/sausages, sugar-sweetened beverages, boxed/canned juice, and frozen pizza increased on weekends. Instant noodles and sandwich cookies did not show differences between weekdays and weekend days. This pattern suggests the need to monitor eating habits on weekends in individuals after metabolic and bariatric surgery.

Associations between the nutritional quality of snacks, overall diet quality and adiposity: findings from a nationally representative study of Australian adolescents.

The primary aim of this study was to examine the association between snack nutritional quality, overall diet quality and adiposity among Australian adolescents. The secondary aim was to assess the distribution of discretionary foods (i.e. energy-dense and nutrient-poor foods and beverages) and intakes from the five food groups at different levels of snack nutritional quality. Dietary data collected from nationally representative adolescents (12-18 years old) during a 24-h dietary recall in the National Nutrition and Physical Activity Survey were analysed (n 784). Snacks were defined based on participant-identified eating occasions. Snack nutritional quality was assessed using the Nutrient Profiling Scoring Criterion (NPSC), whereas diet quality was evaluated using the Dietary Guideline Index for Children and Adolescents. Adiposity was assessed through BMI Z-score waist circumference and waist:height ratio (WHtR). Higher nutritional quality of snacks, as assessed by the NPSC, has been associated with higher diet quality among both boys and girls (P < 0·001). However, there is no association between snacks nutritional quality with BMI Z-score, waist circumference and WHtR. Among both boys and girls, the consumption of fruits, vegetables and legumes/beans at snacks increased with improvement in snack nutritional quality. Conversely, the consumption of discretionary foods at snack decreased with improvement in snack nutritional quality. In conclusion, improved snack quality was associated with better diet quality in adolescents. However, there was no association between snack nutritional quality and adiposity. Future, snack nutrition quality indices should consider optimum snack characteristics related with adiposity and diet quality.

Sustainable fresh strawberry consumption: environmental, genetically modified food, and climate concerns in Europe and North Africa

Background and gap in the literatureSeasonal strawberries are a tasty fruit with many significant health and environmental benefits. Despite these attributes, the determinants influencing strawberry consumption remain underexplored. Few existing research studies are focused on conventional factors, such as taste, freshness, and price, leaving aside some critical, current dimensions, such as consumers’ environmental attitude, sustainability, genetically modified (GM) food knowledge, and climate change concerns. This article aims to explore the impact of the aforementioned factors on the purchasing behavior of strawberries among consumers.MethodologyA designed questionnaire for a final sample of 2,378 consumers from Italy, Germany, France, Spain, Turkey, and Morocco was used to collect data about sociodemographic attributes, strawberry purchasing habits, respondents’ level of knowledge on the topic of GM food, and climate change issue. The generalized ordinal logistic approach was performed deriving from the ordinal qualitative type of our two variables of interest (seasonal and non-seasonal strawberries purchase) and relaxing the assumption of parallel lines.Main resultsFrom the sociodemographic factors, the more educated individuals, living in urban areas and having higher income levels are more likely to purchase frequently seasonal strawberries, while older people buy less often non-seasonal strawberries. Individuals who are more aware of sustainability issues, exhibit sustainable behaviors, and have greater concerns about climate change are more likely to buy non-seasonal strawberries less frequently, which is the most important result of our analysis.ImplicationsThese results offer a comprehensive understanding of other drivers than the conventional ones related to seasonal and non-seasonal strawberry purchase patterns, giving significant insights for policymakers in formulating tailored interventions for other dimensions: promoting sustainable agricultural practices (following the seasonality of the fruit), increasing consumer awareness about the environmental implications of the non-seasonal fruit purchases, and shifting individual eating patterns toward more sustainable and healthy ones (fresh and seasonal fruit consumption).

Assessing through a longitudinal study of dietary habits among Romanian school children: effects of COVID-19 pandemic as well as of a school based educational program for promotion of healthy nutrition.

The outbreak of COVID-19 has forced implementation of safety measures, leading to changes in people's lives. This study investigated several dietary habits among Romanian children before and during the pandemic. Also, it assessed the effectiveness of an educational program promoting healthy diet and evaluated factors influencing certain eating habits. A longitudinal study was conducted in schools. Students were assigned to Control and Intervention groups. Data were collected at baseline (T1) (October -November 2019, 880 children) and post-intervention (T2) (December 2020-February 2021, 484 students). 350 children participated in both assessments. Baseline measurements revealed inadequate consumptions of fruits, vegetables, dairy products, and increased intake of soft drinks and sweets. At follow-up, the Intervention showed significant improvements on average intake of fruits and vegetables and in children eating ≥ 5 servings/day, compared to its baseline. Regarding self-perceptions on dietary habits during confinement, children from both groups reported healthier behaviors, with a significant decrease of comfort food. Compared to the Control group, Intervention increased its average intake of fruits and vegetables, consumed more ≥ 5 portions/day, reduced the number ≥ 2 cups/day of carbonated beverages and ≥ 3 portions/day of sweets. Age, gender, weight management, body mass index were associated with dietary habits at T1. Age, gender, Intervention group, weight management influenced eating patterns at T2. Eating behaviors at T1 influenced dietary habits at T2. Our program demonstrated positive changes in students' dietary habits, despite challenges of COVID-19. Results highlight the role of health education and emphasize the importance of integrating such programs consistently in schools.