Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European region
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.18/7955 |
Resumo: | In order to address the paucity of evidence on the association between childhood eating habits and urbanization, this cross-sectional study describes urban–rural differences in frequency of fruit, vegetable, and soft drink consumption in 123,100 children aged 6–9 years from 19 countries participating in the fourth round (2015-2017) of the WHO European Childhood Obesity Surveillance Initiative (COSI). Children's parents/caregivers completed food-frequency questionnaires. A multivariate multilevel logistic regression analysis was performed and revealed wide variability among countries and within macroregions for all indicators. The percentage of children attending rural schools ranged from 3% in Turkey to 70% in Turkmenistan. The prevalence of less healthy eating habits was high, with between 30–80% and 30–90% children not eating fruit or vegetables daily, respectively, and up to 45% consuming soft drinks on >3 days a week. For less than one third of the countries, children attending rural schools had higher odds (OR-range: 1.1–2.1) for not eating fruit or vegetables daily or consuming soft drinks >3 days a week compared to children attending urban schools. For the remainder of the countries no significant associations were observed. Both population-based interventions and policy strategies are necessary to improve access to healthy foods and increase healthy eating behaviors among children. |
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Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European regionChildrenFruitRuralSoft DrinksUrbanVegetablesChildhood Obesity Surveillance InitiativeCOSIWorld Health OrganizationEuropeEstilos de Vida e Impacto na SaúdeSaúde PúblicaPortugalIn order to address the paucity of evidence on the association between childhood eating habits and urbanization, this cross-sectional study describes urban–rural differences in frequency of fruit, vegetable, and soft drink consumption in 123,100 children aged 6–9 years from 19 countries participating in the fourth round (2015-2017) of the WHO European Childhood Obesity Surveillance Initiative (COSI). Children's parents/caregivers completed food-frequency questionnaires. A multivariate multilevel logistic regression analysis was performed and revealed wide variability among countries and within macroregions for all indicators. The percentage of children attending rural schools ranged from 3% in Turkey to 70% in Turkmenistan. The prevalence of less healthy eating habits was high, with between 30–80% and 30–90% children not eating fruit or vegetables daily, respectively, and up to 45% consuming soft drinks on >3 days a week. For less than one third of the countries, children attending rural schools had higher odds (OR-range: 1.1–2.1) for not eating fruit or vegetables daily or consuming soft drinks >3 days a week compared to children attending urban schools. For the remainder of the countries no significant associations were observed. Both population-based interventions and policy strategies are necessary to improve access to healthy foods and increase healthy eating behaviors among children.The authors gratefully acknowledge support from a grant from the Russian Government in the context of the WHO European Office for the Prevention and Control of NCDs. Data collection in the countries was made possible through funding from Albania: WHO through the Joint Programme on Children, Food Security and Nutrition “Reducing Malnutrition in Children,” funded by the Millennium Development Goals Achievement Fund, and the Institute of Public Health; Austria: Federal Ministry of Social Affairs, Health, Care and Consumer Protection, Republic of Austria; Bulgaria: Ministry of Health, National Center of Public Health and Analyses, WHO Regional Office for Europe; Croatia: Ministry of Health, Croatian Institute of Public Health and WHO Regional Office for Europe; Ministry of Health of the Czech Republic, grant nr. AZV MZČR 17-31670 A and MZČR–RVO EÚ 00023761; Denmark: Danish Ministry of Health; Estonia: Ministry of Social Affairs, Ministry of Education and Research (IUT 42-2), WHO Country Office, and National Institute for Health Development; Georgia: WHO; Ireland: Health Service Executive; Italy: Ministry of Health and Italian National Institute of Health; Kazakhstan: Ministry of Health of the Republic of Kazakhstan and WHO Country Office; Kyrgyzstan: World Health Organization; Latvia: Ministry of Health, Centre for Disease Prevention and Control; Lithuania: Science Foundation of Lithuanian University of Health Sciences and Lithuanian Science Council and WHO; Malta: Ministry of Health; Montenegro: WHO and Institute of Public Health of Montenegro; North Macedonia: COSI in North Macedonia is funded by the Government of North Macedonia through National Annual Program of Public Health and implemented by the Institute of Public Health and Centers of Public Health in the country. WHO country office provides support for training and data management; Norway: Ministry of Health and Norwegian Institute of Public Health; Poland: National Health Programme, Ministry of Health; Portugal: Ministry of Health Institutions, the National Institute of Health, Directorate General of Health, Regional Health Directorates and the kind technical support from the Center for Studies and Research on Social Dynamics and Health (CEIDSS); Romania: Ministry of Health; Serbia: This study was supported by the World Health Organization (Ref. File 2015-540940); Slovakia: Biennial Collaborative Agreement between WHO Regional Office for Europe and Ministry of Health SR; Spain: Spanish Agency for Food Safety and Nutrition (AESAN); Tajikistan: WHO Country Office in Tajikistan and Ministry of Health and Social Protection; Turkmenistan: WHO Country Office in Turkmenistan and Ministry of Health; Turkey: Turkish Ministry of Health and World Bank.Wiley/ World Obesity FederationRepositório Científico do Instituto Nacional de SaúdeHeinen, Mirjam M.Bel‐Serrat, SilviaKelleher, Cecily C.Buoncristiano, MartaSpinelli, AngelaNardone, PaolaMilanović, Sanja MusićRito, Ana IsabelBosi, A. Tülay BağciGutiérrrez‐González, EnriquePudule, IvetaAbdrakhmanova, ShynarAbdurrahmonova, ZulfiyaBrinduse, Lacramioara AureliaCucu, AlexandraDuleva, VesselkaFijałkowska, AnnaGualtieri, AndreaHejgaard, TatjanaHyska, JolandaKujundžić, EnisaPetrauskiene, AusraSacchini, ElenaShengelia, LelaTanrygulyyeva, MayaUsupova, ZhamilyaBergh, Ingunn HoldenWeghuber, DanielTaxová Braunerová, RadkaKunešová, MarieSant'Angelo, Victoria FarrugiaNurk, EhaOstojic, Sergej M.Spiroski, IgorTichá, ĽubicaRutter, HarryWilliams, JulianneBoymatova, KhadichamoRakovac, IvoWeber, Martin W.Breda, João2022-02-17T16:29:13Z2021-07-072021-07-07T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/7955engObes Rev. 2021 Nov;22(Suppl 6):e13207. doi: 10.1111/obr.13207. Epub 2021 Jul 71467-788110.1111/obr.13207info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:42:21Zoai:repositorio.insa.pt:10400.18/7955Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:42:43.181803Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European region |
title |
Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European region |
spellingShingle |
Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European region Heinen, Mirjam M. Children Fruit Rural Soft Drinks Urban Vegetables Childhood Obesity Surveillance Initiative COSI World Health Organization Europe Estilos de Vida e Impacto na Saúde Saúde Pública Portugal |
title_short |
Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European region |
title_full |
Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European region |
title_fullStr |
Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European region |
title_full_unstemmed |
Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European region |
title_sort |
Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European region |
author |
Heinen, Mirjam M. |
author_facet |
Heinen, Mirjam M. Bel‐Serrat, Silvia Kelleher, Cecily C. Buoncristiano, Marta Spinelli, Angela Nardone, Paola Milanović, Sanja Musić Rito, Ana Isabel Bosi, A. Tülay Bağci Gutiérrrez‐González, Enrique Pudule, Iveta Abdrakhmanova, Shynar Abdurrahmonova, Zulfiya Brinduse, Lacramioara Aurelia Cucu, Alexandra Duleva, Vesselka Fijałkowska, Anna Gualtieri, Andrea Hejgaard, Tatjana Hyska, Jolanda Kujundžić, Enisa Petrauskiene, Ausra Sacchini, Elena Shengelia, Lela Tanrygulyyeva, Maya Usupova, Zhamilya Bergh, Ingunn Holden Weghuber, Daniel Taxová Braunerová, Radka Kunešová, Marie Sant'Angelo, Victoria Farrugia Nurk, Eha Ostojic, Sergej M. Spiroski, Igor Tichá, Ľubica Rutter, Harry Williams, Julianne Boymatova, Khadichamo Rakovac, Ivo Weber, Martin W. Breda, João |
author_role |
author |
author2 |
Bel‐Serrat, Silvia Kelleher, Cecily C. Buoncristiano, Marta Spinelli, Angela Nardone, Paola Milanović, Sanja Musić Rito, Ana Isabel Bosi, A. Tülay Bağci Gutiérrrez‐González, Enrique Pudule, Iveta Abdrakhmanova, Shynar Abdurrahmonova, Zulfiya Brinduse, Lacramioara Aurelia Cucu, Alexandra Duleva, Vesselka Fijałkowska, Anna Gualtieri, Andrea Hejgaard, Tatjana Hyska, Jolanda Kujundžić, Enisa Petrauskiene, Ausra Sacchini, Elena Shengelia, Lela Tanrygulyyeva, Maya Usupova, Zhamilya Bergh, Ingunn Holden Weghuber, Daniel Taxová Braunerová, Radka Kunešová, Marie Sant'Angelo, Victoria Farrugia Nurk, Eha Ostojic, Sergej M. Spiroski, Igor Tichá, Ľubica Rutter, Harry Williams, Julianne Boymatova, Khadichamo Rakovac, Ivo Weber, Martin W. Breda, João |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Instituto Nacional de Saúde |
dc.contributor.author.fl_str_mv |
Heinen, Mirjam M. Bel‐Serrat, Silvia Kelleher, Cecily C. Buoncristiano, Marta Spinelli, Angela Nardone, Paola Milanović, Sanja Musić Rito, Ana Isabel Bosi, A. Tülay Bağci Gutiérrrez‐González, Enrique Pudule, Iveta Abdrakhmanova, Shynar Abdurrahmonova, Zulfiya Brinduse, Lacramioara Aurelia Cucu, Alexandra Duleva, Vesselka Fijałkowska, Anna Gualtieri, Andrea Hejgaard, Tatjana Hyska, Jolanda Kujundžić, Enisa Petrauskiene, Ausra Sacchini, Elena Shengelia, Lela Tanrygulyyeva, Maya Usupova, Zhamilya Bergh, Ingunn Holden Weghuber, Daniel Taxová Braunerová, Radka Kunešová, Marie Sant'Angelo, Victoria Farrugia Nurk, Eha Ostojic, Sergej M. Spiroski, Igor Tichá, Ľubica Rutter, Harry Williams, Julianne Boymatova, Khadichamo Rakovac, Ivo Weber, Martin W. Breda, João |
dc.subject.por.fl_str_mv |
Children Fruit Rural Soft Drinks Urban Vegetables Childhood Obesity Surveillance Initiative COSI World Health Organization Europe Estilos de Vida e Impacto na Saúde Saúde Pública Portugal |
topic |
Children Fruit Rural Soft Drinks Urban Vegetables Childhood Obesity Surveillance Initiative COSI World Health Organization Europe Estilos de Vida e Impacto na Saúde Saúde Pública Portugal |
description |
In order to address the paucity of evidence on the association between childhood eating habits and urbanization, this cross-sectional study describes urban–rural differences in frequency of fruit, vegetable, and soft drink consumption in 123,100 children aged 6–9 years from 19 countries participating in the fourth round (2015-2017) of the WHO European Childhood Obesity Surveillance Initiative (COSI). Children's parents/caregivers completed food-frequency questionnaires. A multivariate multilevel logistic regression analysis was performed and revealed wide variability among countries and within macroregions for all indicators. The percentage of children attending rural schools ranged from 3% in Turkey to 70% in Turkmenistan. The prevalence of less healthy eating habits was high, with between 30–80% and 30–90% children not eating fruit or vegetables daily, respectively, and up to 45% consuming soft drinks on >3 days a week. For less than one third of the countries, children attending rural schools had higher odds (OR-range: 1.1–2.1) for not eating fruit or vegetables daily or consuming soft drinks >3 days a week compared to children attending urban schools. For the remainder of the countries no significant associations were observed. Both population-based interventions and policy strategies are necessary to improve access to healthy foods and increase healthy eating behaviors among children. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-07 2021-07-07T00:00:00Z 2022-02-17T16:29:13Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.18/7955 |
url |
http://hdl.handle.net/10400.18/7955 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Obes Rev. 2021 Nov;22(Suppl 6):e13207. doi: 10.1111/obr.13207. Epub 2021 Jul 7 1467-7881 10.1111/obr.13207 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Wiley/ World Obesity Federation |
publisher.none.fl_str_mv |
Wiley/ World Obesity Federation |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799132173615235072 |