Public Health Nutrition最新文献

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Evaluation of the school-based 'PhunkyFoods' intervention: a cluster randomised controlled trial in the UK. 以学校为本的“PhunkyFoods”食物素养和烹饪技能干预评估在英国进行的一项随机对照试验
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-04-14 DOI: 10.1017/S1368980025000552
Karen L Vaughan, Milca Vidal, Janet E Cade, Marion M Hetherington, Charlotte E L Evans
{"title":"Evaluation of the school-based 'PhunkyFoods' intervention: a cluster randomised controlled trial in the UK.","authors":"Karen L Vaughan, Milca Vidal, Janet E Cade, Marion M Hetherington, Charlotte E L Evans","doi":"10.1017/S1368980025000552","DOIUrl":"10.1017/S1368980025000552","url":null,"abstract":"<p><strong>Objective: </strong>We evaluated the impact of an established nutrition education intervention, 'PhunkyFoods' on food literacy, cooking skills and fruit and vegetable intake in primary school aged children.</p><p><strong>Design: </strong>A pre-registered cluster randomised controlled trial was used; the intervention group received the 'PhunkyFoods' programme and the wait-list control group received the usual school curriculum. Primary outcomes measured were differences in food literacy and cooking skills scores between the intervention and control arms after 12 months adjusted for baseline values.</p><p><strong>Setting: </strong>The trial was undertaken in twenty-six primary schools in North Yorkshire, UK.</p><p><strong>Participants: </strong>631 children aged 6-9 years participated (intervention <i>n</i> 307, control <i>n</i> 324) through assemblies, classroom activities and after-school clubs.</p><p><strong>Results: </strong>There were no significant effects of the intervention compared with control on food literacy, cooking skills, vegetable intake or fruit intake. Adjusting for baseline, the Food Literacy Total Score was 1·13 points lower in the intervention group than the control (95 % CI -2·87, 0·62, <i>P</i> = 0·2). The Cooking Skills Total Score was 0·86 lower in the intervention group compared with the control (95 % CI = -5·17, 3·45, <i>P</i> = 0·69). Girls scored 2·8 points higher than boys in cooking skills across the sample (95 % CI = 0·88, 4·82, <i>P</i> < 0·01).</p><p><strong>Conclusion: </strong>The intervention did not result in improved food literacy or cooking skills, though sex effects on these outcomes were observed. More practical food preparation hours are needed in primary schools to improve the likelihood of an effect on outcomes.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e86"},"PeriodicalIF":3.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Instruments for assessing organisational food environments of workplaces: a scoping review. 评估工作场所的组织食物环境的工具:范围审查。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-04-14 DOI: 10.1017/S1368980025000576
Ana Beatriz Coelho de Azevedo, Patricia Gálvez Espinoza, Fernanda Martins de Albuquerque, Cintia Chaves Curioni, Daniel Henrique Bandoni, Daniela Silva Canella
{"title":"Instruments for assessing organisational food environments of workplaces: a scoping review.","authors":"Ana Beatriz Coelho de Azevedo, Patricia Gálvez Espinoza, Fernanda Martins de Albuquerque, Cintia Chaves Curioni, Daniel Henrique Bandoni, Daniela Silva Canella","doi":"10.1017/S1368980025000576","DOIUrl":"10.1017/S1368980025000576","url":null,"abstract":"<p><strong>Objective: </strong>To map out evidence on instruments for evaluating organisational food environments of workplaces and the components and dimensions considered in the identified instruments.</p><p><strong>Design: </strong>A scoping review that includes studies published as of January 2005, the year of publication of the model developed by Glanz <i>et al.</i> (2005). The databases consulted were PubMed, Embase, Web of Science, PsycINFO, Scopus and Google Scholar until November 2024, without language restrictions. Studies were included if they evaluated the food environment of workplaces such as companies/factories, universities/post-secondary institutions/technical colleges and hospitals/health care units. The conceptual model of Castro and Canella (2022), considering its components and dimensions, was used to synthesise the data.</p><p><strong>Results: </strong>After a full reading, fifty-four articles were selected. Most were conducted in the United States and Brazil, although there were studies from sixteen countries. A total of thirty-six instruments were identified: nineteen were used in universities, eight in hospitals, and eleven in companies. No instrument included all components and dimensions of the conceptual model; however, three instruments included most of them. The most evaluated component was the internal level of eating spaces, and the most evaluated dimensions were the availability and quality of foods/beverages in eating spaces. Of the thirty-six instruments, twenty-nine reported some measure of validity or reproducibility. The limitation most reported by the studies was the non-generaliation of results because samples are limited.</p><p><strong>Conclusions: </strong>Evaluations of the organisational food environment of workplaces can be used for monitoring, planning interventions and formulating public policies for such places, thereby enhancing workers' health.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e91"},"PeriodicalIF":3.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the feasibility of using school food purchase data as a method to assess dietary intakes in secondary school aged pupils. 探索使用学校食品购买数据作为评估中学适龄学生膳食摄入量的方法的可行性。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-04-14 DOI: 10.1017/S1368980025000527
Jennifer Bradley, Suzanne Spence
{"title":"Exploring the feasibility of using school food purchase data as a method to assess dietary intakes in secondary school aged pupils.","authors":"Jennifer Bradley, Suzanne Spence","doi":"10.1017/S1368980025000527","DOIUrl":"10.1017/S1368980025000527","url":null,"abstract":"<p><strong>Objective: </strong>To explore the information available in school food purchase data and ascertain the potential to assess pupils' dietary intakes. The proportion of purchased food and drink items that were linked to (i) an Intake24 food group and (ii) a nutrient code from the UK National Diet and Nutrition Survey (NDNS) Databank was calculated.</p><p><strong>Design: </strong>Pupil-level food purchase data covering the whole school day were obtained. Each item purchased was linked to an Intake24 food group and an NDNS Nutrient Databank code. Depending on the level of detail provided, items may have been assigned both a food group and a nutrient code, a food group only or neither for items, which did not contain enough information about the type of food or drink purchased.</p><p><strong>Setting: </strong>Five secondary schools in northeast England.</p><p><strong>Participants: </strong>Secondary school pupils aged 11-16 years.</p><p><strong>Results: </strong>The data captured 119 125 purchases made by 3466 pupils. 92 % of item descriptions were assigned a food group, and this equated to 82 % of total purchases. 70 % were assigned an NDNS Databank nutrient code, which accounted for 60 % of total purchases. 8 % of items had insufficient information and did not have a food group or a nutrient code assigned.</p><p><strong>Conclusions: </strong>The methodological challenges of collecting dietary data from pupils in the secondary school setting are significant. Purchase data offers an alternative, objective approach to collecting information on school food choices across the school day and for a large sample of pupils. With further development, the potential to use purchase data to assess intakes could be achieved.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e82"},"PeriodicalIF":3.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Co-designing solutions to tackle food insecurity in higher education settings: a scoping review. 共同设计解决高等教育中粮食不安全问题的解决方案:范围审查。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-04-14 DOI: 10.1017/S1368980025000485
Taylah Scutts, Nadia Farnaz, Gantsetseg Ganbold, Alexandra J Bhatti, Shirley Phan, Miriam J Williams, Seema Mihrshahi
{"title":"Co-designing solutions to tackle food insecurity in higher education settings: a scoping review.","authors":"Taylah Scutts, Nadia Farnaz, Gantsetseg Ganbold, Alexandra J Bhatti, Shirley Phan, Miriam J Williams, Seema Mihrshahi","doi":"10.1017/S1368980025000485","DOIUrl":"10.1017/S1368980025000485","url":null,"abstract":"<p><strong>Objective: </strong>Food insecurity (FI) in the higher education setting is a pressing social justice and public health nutrition issue. Persistent FI rates among students suggest that the current programmes and institutional policies are inadequate. Engaging the community in co-design practices can enhance research and decision-making, leading to more targeted advocacy and solutions. This review describes and evaluates evidence of co-design approaches and identifies strategies for addressing FI in higher education settings.</p><p><strong>Design: </strong>A review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Literature was searched in three electronic databases (Scopus, Ovid MEDLINE and Web of Science) and two search engines (Google and Google Scholar).</p><p><strong>Setting: </strong>Only studies based in higher education settings were included.</p><p><strong>Participants: </strong>Higher education students.</p><p><strong>Results: </strong>The search identified 814 studies, of which twenty-eight met the inclusion criteria. Studies involving co-design and participatory research frameworks had higher participation, leading to increased student awareness of FI, student leadership and the development of campaigns and collaborative organisational structures. A content analysis approach identified seven categories for strategies targeting student FI: (1) policy and institutional support; (2) strategic partnerships (3) advocacy and awareness; (4) initiatives for student engagement; (5) student skills and knowledge development; (6) programme development and (7) campus food environment.</p><p><strong>Conclusions: </strong>Co-designed research methodologies are important for addressing student FI, enhancing advocacy and understanding stakeholder needs. Future studies should prioritise collaborative approaches when exploring solutions to FI and similar social justice issues affecting students.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e80"},"PeriodicalIF":3.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The measurement of dietary species richness reveals that a higher consumption of dietary fibre, fish, fruits and vegetables, is associated with greater food biodiversity in UK diets. 饮食物种丰富度的测量表明,在英国饮食中,较高的膳食纤维、鱼类、水果和蔬菜消费量与较高的食物生物多样性有关。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-04-11 DOI: 10.1017/S1368980025000473
Magaly Aceves-Martins, Anneli Löfstedt, Carlos Francisco Moreno-García, Elizabeth H Zandstra, Anne J Wanders, Baukje de Roos
{"title":"The measurement of dietary species richness reveals that a higher consumption of dietary fibre, fish, fruits and vegetables, is associated with greater food biodiversity in UK diets.","authors":"Magaly Aceves-Martins, Anneli Löfstedt, Carlos Francisco Moreno-García, Elizabeth H Zandstra, Anne J Wanders, Baukje de Roos","doi":"10.1017/S1368980025000473","DOIUrl":"10.1017/S1368980025000473","url":null,"abstract":"<p><strong>Objective: </strong>We determined whether dietary species richness (DSR) (i) can be robustly measured using 4-day food intake data, (ii) is dependent on socio-demographic characteristics and (iii) is associated with diet quality.</p><p><strong>Design: </strong>The National Diet and Nutrition Survey (NDNS) nutrient databank 2018-2019 was expanded to include FoodEx2 food classifications, ingredients, the number and identity of unique species, Nutrient Rich Food 8·3 (NRF 8·3) Index scores and greenhouse gas emissions. Four-day food intake data and socio-demographic variables were used to calculate diet quality and DSR on the food and diet level.</p><p><strong>Setting: </strong>The United Kingdom (UK).</p><p><strong>Participants: </strong>Participants from NDNS 9-11 (2016-2019).</p><p><strong>Results: </strong>Composite dishes had the highest DSR (median 8 (Q1 = 4, Q3 = 12)), followed by seasoning, sauces and condiments (median 7, (Q1 = 4, Q3 = 10)) and, grains and grain-based products (median 5, (Q1 = 2, Q3 = 7)). Median DSR over 4 days was 49 (Q1 = 43, Q3 = 56; range 14-92), with the first 2 days achieving 80 % of DSR measured over 4 days. DSR was significantly higher in those who were younger, those with a higher household income or those with a lower level of deprivation (all <i>P</i> < 0·001). Higher DSR was associated with a small but significant improvement in nutritional quality (<i>P</i> < 0·001). Also, adherence to dietary guidelines such as fibre, fruits and vegetables and fish was associated with significantly higher DSR (all <i>P</i> < 0·001).</p><p><strong>Conclusions: </strong>We successfully established DSR based on 4-day food intake data. We also identified opportunities to improve DSR by increasing the consumption of fruits, vegetables, fibre and fish.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e76"},"PeriodicalIF":3.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Content quality versus sharing practices on social media: a cross-sectional analysis of nutrition information on Twitter. 社交媒体上的内容质量与分享实践:对Twitter上营养信息的横断面分析。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-04-10 DOI: 10.1017/S1368980025000461
Cassandra H Ellis, Peter Ho, J Bernadette Moore, Charlotte El Evans
{"title":"Content quality versus sharing practices on social media: a cross-sectional analysis of nutrition information on Twitter.","authors":"Cassandra H Ellis, Peter Ho, J Bernadette Moore, Charlotte El Evans","doi":"10.1017/S1368980025000461","DOIUrl":"10.1017/S1368980025000461","url":null,"abstract":"<p><strong>Objective: </strong>To use the validated Online Quality Assessment Tool (OQAT) to assess the quality of online nutrition information.</p><p><strong>Setting: </strong>The social networking platform was formerly known as Twitter (now X).</p><p><strong>Design: </strong>Utilising the Twitter search application programming interface (API; v1·1), all tweets that included the word 'nutrition', along with associated metadata, were collected on seven randomly selected days in 2021. Tweets were screened, those without a URL were removed and the remainder were grouped on retweet status. Articles (shared via URL) were assessed using the OQAT, and quality levels were assigned (low, satisfactory, high). Mean differences between retweeted and non-retweeted data were assessed by the Mann-Whitney <i>U</i> test. The Cochran-Mantel-Haenszel test was used to compare information quality by source.</p><p><strong>Results: </strong>In total, 10 573 URL were collected from 18 230 tweets. After screening for relevance, 1005 articles were assessed (9568 were out of scope) sourced from professional blogs (<i>n</i> 354), news outlets (<i>n</i> 213), companies (<i>n</i> 166), personal blogs (<i>n</i> 120), NGO (<i>n</i> 60), magazines (<i>n</i> 55), universities (<i>n</i> 19) and government (<i>n</i> 18). Rasch measures indicated the quality levels: 0-3·48, poor, 3·49-6·3, satisfactory and 6·4-10, high quality. Personal and company-authored blogs were more likely to rank as poor quality. There was a significant difference in the quality of retweeted (<i>n</i> 267, sum of rank, 461·6) and non-retweeted articles (<i>n</i> 738, sum of rank, 518·0), U = 87 475, <i>P</i>= 0·006 but no significant effect of information source on quality.</p><p><strong>Conclusions: </strong>Lower-quality nutrition articles were more likely to be retweeted. Caution is required when using or sharing articles, particularly from companies and personal blogs, which tend to be lower-quality sources of nutritional information.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e77"},"PeriodicalIF":3.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Food and drink advertising along school children's transport routes in Victoria, Australia and policy implications. 澳大利亚维多利亚州学童交通路线上的食品和饮料广告及其政策影响。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-04-10 DOI: 10.1017/S1368980025000345
Sherly X Li, Claire Hardi, Rebecca Godwin, Rachael Jinnette, Belinda Morley, Helen Dixon, Jane Martin
{"title":"Food and drink advertising along school children's transport routes in Victoria, Australia and policy implications.","authors":"Sherly X Li, Claire Hardi, Rebecca Godwin, Rachael Jinnette, Belinda Morley, Helen Dixon, Jane Martin","doi":"10.1017/S1368980025000345","DOIUrl":"10.1017/S1368980025000345","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the extent and nature of food and non-alcoholic drink advertising displayed on public transport and infrastructure on school routes.</p><p><strong>Design: </strong>Audit of outdoor advertisements on government-controlled public transport and associated infrastructure (e.g. tram shelters, bus stops) on busy school routes in Victoria, Australia. Using a strict protocol, trained field workers collected data on the type and content of outdoor advertising during February 2023 (start of school year). Food/drink advertising was classified (unhealthy or healthy) according to the Council of Australian Governments Health Council National interim guide to reduce children's exposure to unhealthy food and drink promotion (2018).</p><p><strong>Setting: </strong>Government-controlled buses, trams and public transport infrastructure on routes from eleven of the busiest train stations in metropolitan Melbourne and regional Victoria, Australia to fifty public primary and secondary schools. Stations were chosen based on annual patronage, area-based socio-economic area (SEA) and regionality).</p><p><strong>Results: </strong>156 out of 888 advertisements were for food and non-alcoholic drinks. Of these, almost six in ten (58 %) were deemed unhealthy irrespective of SEA or regionality. Marketing appeals most featured were taste (31 %), convenience (28 %) and emotion (9 %). A significantly higher proportion of unhealthy advertisements were displayed within 500 m of schools <i>v</i>. outside this radius (91 % <i>v</i>. 57 %, <i>P</i> < 0·01).</p><p><strong>Conclusion: </strong>Given the detrimental impacts of exposure to unhealthy food/drink advertising on children's diets, the pervasive, powerful presence of such advertising across government public transport assets, particularly around schools, contradicts public health recommendations to protect children from exposure to and influence by this harmful marketing and warrants government action.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e97"},"PeriodicalIF":3.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coexisting forms of malnutrition among under-5 children in Bangladesh: results from 2012 to 13 and 2019 Multiple Indicator Cluster Surveys. 孟加拉国5岁以下儿童营养不良的共存形式:2012-13年和2019年多指标类集调查结果
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-04-07 DOI: 10.1017/S1368980025000448
Md Ridwan Islam, Md Fuad Al Fidah, Md Mushfiqur Rahman, Tahmeed Ahmed, Sharika Nuzhat
{"title":"Coexisting forms of malnutrition among under-5 children in Bangladesh: results from 2012 to 13 and 2019 Multiple Indicator Cluster Surveys.","authors":"Md Ridwan Islam, Md Fuad Al Fidah, Md Mushfiqur Rahman, Tahmeed Ahmed, Sharika Nuzhat","doi":"10.1017/S1368980025000448","DOIUrl":"10.1017/S1368980025000448","url":null,"abstract":"<p><strong>Objective: </strong>Underweight, wasting and stunting are crucial malnutrition indicators responsible for morbidities among children. Data regarding coexisting forms of malnutrition (CFM) are scarce. We aimed to investigate the prevalence and associated factors of CFM across two survey years among under-5 Bangladeshi children.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Data were acquired from two rounds of Multiple Indicator Cluster Survey (MICS), Bangladesh conducted in 2012-13 and 2019. <i>Subjects:</i> The analysis included 43 946 (2012-13: 20 885; 2019: 23 061) under-5 children.</p><p><strong>Results: </strong>Binomial proportion test, slope index of inequality and multinomial logistic regression models were used for analysis. The prevalence of CFM was 27·45 % and 18·56 % in 2012-13 and 2019, respectively. A significant decrease in the prevalence of CFM was seen across the surveys (<i>P</i>-value < 0·001). Children from urban residence ((2012-13:aOR = 0·70, 95 % CI: 0·64, 0·77); (2019:aOR = 0·71, 95 % CI: 0·65, 0·78), higher maternal education ((2012-13:aOR = 0·28, 95 % CI: 0·24, 0·32); (2019:aOR = 0·28, 95 % CI: 0·24, 0·32), larger size at birth ((2012-13:aOR = 0·62, 95 % CI: 0·52, 0·73); (2019:aOR: 0·60, 95 % CI: 0·50, 0·73) and richest wealth quintile ((2012-13:aOR = 0·25, 95 % CI: 0·22, 0·28); (2019:aOR: 0·30, 95 % CI: 0·27, 0·34)) had lower odds of suffering from CFM compared with their counterparts. Children from poorer quintiles were more influenced by CFM than richer quintiles (Coef.:-0·175, 95 % CI: -0·192, -0·157, <i>P</i>-value < 0·001). Higher percentage of CFM was observed among rich families in 2019 compared with 2012-13 (24·50 % and 20·15 %, respectively; <i>P</i>-value < 0·001).</p><p><strong>Conclusion: </strong>The findings of this study should help the researchers and policymakers to understand CFM more clearly and plan prospective studies to explore CFM outcomes. Targeted interventional approaches are needed among parents of rural communities to control the burden of CFM.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e84"},"PeriodicalIF":3.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Drivers and solutions to unhealthy food consumption by adolescents in urban slums in Kenya: A qualitative participatory study. 肯尼亚城市贫民窟青少年不健康食品消费的驱动因素和解决办法:一项定性参与性研究。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-04-03 DOI: 10.1017/S1368980025000400
Milkah N Wanjohi, Elizabeth Wambui Kimani-Murage, Michelle Holdsworth, Rebecca Pradeilles, Calistus Wilunda, Gershim Asiki, Kerstin Klipstein-Grobusch
{"title":"Drivers and solutions to unhealthy food consumption by adolescents in urban slums in Kenya: A qualitative participatory study.","authors":"Milkah N Wanjohi, Elizabeth Wambui Kimani-Murage, Michelle Holdsworth, Rebecca Pradeilles, Calistus Wilunda, Gershim Asiki, Kerstin Klipstein-Grobusch","doi":"10.1017/S1368980025000400","DOIUrl":"https://doi.org/10.1017/S1368980025000400","url":null,"abstract":"<p><strong>Objective: </strong>To explore the perceptions, drivers, and potential solutions to consumption of unhealthy, ultra-processed foods (UPF) and foods high in fat, salt and sugar (HFSS), and their contribution to the double burden of malnutrition in adolescents living in urban slums, Kenya.</p><p><strong>Design: </strong>Qualitative participatory research, through Photovoice, group discussions and community dialogues. Inductive, thematic analysis was undertaken.</p><p><strong>Setting: </strong>Three major slums, Nairobi.</p><p><strong>Participants: </strong>Adolescents 10-19 years (n=102: 51 boys, 51 girls) and adults (n=62).</p><p><strong>Results: </strong>UPF/HFSS consumption emerged as a predominant theme on the causes of undernutrition and overweight/obesity and foods commonly consumed by adolescents. Adolescents described UPF/HFSS as junk, oily, sugary or foods with chemicals, and associated UPF/HFSS consumption with undernutrition, obesity, non-communicable diseases. They perceived UPF/HFSS as modern, urban, classy, appealing to young people, and minimally processed foods as boring, primitive, for older people, and those in rural areas. Individual-level drivers of UPF/HFSS consumption were organoleptic attributes (taste/aroma), body size/shape, illicit drug use, convenience, adolescents' autonomy. Social environment drivers were peer-pressure and social status/aspirations. Physical environment drivers were UPF/HFSS availability and accessibility in the slums. Education on healthy eating and adverse effects of consuming UPF/HFSS, through existing structures (youth groups, school, community health strategy) was proposed as potential solution to UPF/HFSS consumption.</p><p><strong>Conclusion: </strong>UPF/HFSS were perceived as associated with poor nutrition and health, yet were preferred over unprocessed/minimally processed foods. Interventions to promote healthy diets beyond raising awareness are important, while address the underlying perceptions and drivers of UPF/HFSS consumption at individual-level, and social and physical food environments.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-37"},"PeriodicalIF":3.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Food insecurity and food bank use: who is most at risk of severe food insecurity and who uses food banks? - CORRIGENDUM. 粮食不安全与粮食银行的使用:谁面临严重粮食不安全的风险最大,谁使用粮食银行?应改正的错误。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-04-02 DOI: 10.1017/S136898002500028X
Elisabeth A Garratt, Beth Armstrong
{"title":"Food insecurity and food bank use: who is most at risk of severe food insecurity and who uses food banks? - CORRIGENDUM.","authors":"Elisabeth A Garratt, Beth Armstrong","doi":"10.1017/S136898002500028X","DOIUrl":"10.1017/S136898002500028X","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e56"},"PeriodicalIF":3.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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