Development of inequalities in fruit and vegetable intake through early adulthood: insights from household panel surveys in the United Kingdom and Australia.

IF 3.6 3区 医学 Q2 NUTRITION & DIETETICS
Tanya Braune, Katherine M Livingstone, Jean Adams, Eleanor M Winpenny
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引用次数: 0

Abstract

Background: Adequate fruit and vegetable intake is important for preventing chronic disease. The transition from adolescence to early adulthood involves changes in their social and environmental context, lifestyle and behaviours that may determine lifelong dietary patterns. Differences that emerge between populations over this age range may lead to long-term health inequalities. This study examined the trajectories of fruit and vegetable intake among young adults in the United Kingdom (UK) and Australia.

Methods: We analysed data from young adults aged 16-30 years from the UK Household Longitudinal Study (UKHLS; n = 2751) and the Household, Income and Labour Dynamics in Australia Survey (HILDA; n = 6255). Hybrid mixed-effect regression models were fitted to assess intake trajectories of fruit and vegetables, exploring differences by sex and socioeconomic position.

Results: Fruit intake decreased and vegetable intake increased with age in both countries. Fruit intake trajectories differed by sex in both cohorts, while vegetable intake trajectories differed by sex in Australia only. Parental education was a predictor of fruit and vegetable intake trajectories in both cohorts, with differences between groups with high and low parental education narrowing with age in Australia for fruit intake.

Conclusions: The differing trajectories emphasise the importance of understanding contextual influences to effectively tailor public health strategies. Our study highlights early adulthood as a critical period for developing dietary patterns that could influence long-term health outcomes, with differences between groups emerging quickly. Addressing these inequalities is essential when developing policies aimed at improving diet among young adults and reducing the prevalence of chronic disease.

成年早期水果和蔬菜摄入不平等的发展:来自英国和澳大利亚家庭小组调查的见解。
背景:摄入足够的水果和蔬菜对预防慢性疾病很重要。从青春期到成年早期的过渡涉及到他们的社会和环境背景、生活方式和行为的变化,这些变化可能决定一生的饮食模式。这一年龄段人口之间出现的差异可能导致长期的健康不平等。这项研究调查了英国和澳大利亚年轻人的水果和蔬菜摄入量轨迹。方法:我们分析了来自英国家庭纵向研究(UKHLS)的16-30岁年轻人的数据;n = 2751)和澳大利亚家庭、收入和劳动力动态调查(HILDA;n = 6255)。采用混合效应回归模型来评估水果和蔬菜的摄入轨迹,探索性别和社会经济地位的差异。结果:随着年龄的增长,两国的水果摄入量减少,蔬菜摄入量增加。在两个队列中,水果摄入轨迹因性别而异,而蔬菜摄入轨迹仅在澳大利亚因性别而异。父母受教育程度是两个队列中水果和蔬菜摄入轨迹的预测因子,在澳大利亚,父母受教育程度高和低的群体之间的差异随着年龄的增长而缩小。结论:不同的发展轨迹强调了理解环境影响对有效制定公共卫生战略的重要性。我们的研究强调,成年早期是形成饮食模式的关键时期,饮食模式可能影响长期健康结果,群体之间的差异很快就会显现出来。在制定旨在改善年轻人饮食和减少慢性病患病率的政策时,解决这些不平等现象至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
10.60
自引率
2.10%
发文量
189
审稿时长
3-6 weeks
期刊介绍: The European Journal of Clinical Nutrition (EJCN) is an international, peer-reviewed journal covering all aspects of human and clinical nutrition. The journal welcomes original research, reviews, case reports and brief communications based on clinical, metabolic and epidemiological studies that describe methodologies, mechanisms, associations and benefits of nutritional interventions for clinical disease and health promotion. Topics of interest include but are not limited to: Nutrition and Health (including climate and ecological aspects) Metabolism & Metabolomics Genomics and personalized strategies in nutrition Nutrition during the early life cycle Health issues and nutrition in the elderly Phenotyping in clinical nutrition Nutrition in acute and chronic diseases The double burden of ''malnutrition'': Under-nutrition and Obesity Prevention of Non Communicable Diseases (NCD)
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