Abstract
This review outlines the state of knowledge and research gaps in the area of determinants of healthy eating among children and youth. The article is structured around individual and collective determinants that affect healthy eating in children and youth. We defined healthy eating as “eating practices and behaviours that are consistent with improving, maintaining and/or enhancing health.” Relevant databases were searched for papers published between January 1992 and March 2003 that focussed on children or youth and reported at least one factor relevant to healthy eating. Among collective factors, familial factors and the nature of foods available in the physical environment, including at home, schools and in fast-food establishments, stand out as significant influences on healthy eating in children and youth. The media, particularly television, also have an enormous potential influence and can overshadow familial influences. Individual factors identified include knowledge, attitudes and food preferences; only the latter have been identified as a strong determinant of healthy eating in both children and adolescents. The results of the review identified a significant body of literature in the area of determinants of healthy eating in children and youth; however, very little of this research has taken place in Canada. Only a few determinants, such as economic factors and food security, the content of media nutritional messages, and the issue of flavours, neophobia and food preferences, have undergone some examination by Canadian researchers. Research priorities for Canada in the area of determinants of healthy eating and surveillance of eating behaviours are identified.
Résumé
Le présent article traite de l’état actuel des connaissances ainsi que des lacunes observées au niveau de la recherche portant sur les déterminants de la saine alimentation chez les enfants et les jeunes, c.-à-d. les déterminants d’ordre individuel et collectif qui influencent la saine alimentation. La définition suivante de la saine alimentation a été retenue: «des habitudes ou comportements alimentaires qui favorisent l’amélioration ou le maintien de la santé». Nous avons consulté les banques de données pertinentes à la recherche d’articles traitant d’au moins un facteur relatif à la saine alimentation chez les enfants ou les jeunes, publiés entre janvier 1 992 et mars 2003. Certains facteurs collectifs, entre autres des facteurs d’ordre familial, de même que les aliments disponibles dans l’environnement physique (domicile, école et établissements de restauration rapide) exercent une influence significative sur la saine alimentation chez les enfants et les jeunes. Les médias, particulièrement la télévision, exercent parfois une influence énorme qui peut même éclipser celle de la famille. Parmi les facteurs individuels, mentionnons les connaissances, les attitudes et les préférences alimentaires, seules ces dernières ayant été identifiées en tant que déterminant important de la saine alimentation, à la fois chez les enfants et les adolescents. Bien que cet examen nous ait permis d’identifier une quantité importante d’études scientifiques relatives aux déterminants de la saine alimentation chez les enfants et les jeunes, très peu d’études ont été menées au Canada. En effet, seuls certains déterminants ont été examinés de quelque façon que ce soit par des chercheurs canadiens, à savoir les facteurs économiques qui influencent la sécurité alimentaire, le contenu des messages médiatiques en matière de nutrition et les problèmes entourant les flaveurs, la néophobie et les préférences alimentaires. Notre examen nous a également permis de dégager les principales priorités de recherche en matière de déterminants de la saine alimentation et de surveillance des comportements alimentaires au Canada.
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Références
Lino M, Basiotis PP, Gerrior SA, Carlson A. The quality of young children’s diets. Fam Econ Nutr Rev 2002;14;52–60.
Suitor CW, Gleason PM. Using dietary reference intake-based methods to estimate the prevalence of inadequate nutrient intake among school aged children. J Am Diet Assoc 2002;102:530–36.
Wilkinson Enns C, Mickle SJ, Goldman JD. Trends in food and nutrient intakes by children in the United States. Fam Econ Nutr Rev 2002;14:56–68.
Neumark-Sztainer D, Story M, Resnick MD, Blum RW. Correlates of inadequate fruit and vegetable consumption among adolescents. Prev Med 1996;25:497–505.
Munoz CA, Krebs-Smith SM, Ballard-Barbash R, Cleveland LE. Food intakes of US children and adolescents compared with recommendations. Pediatrics 1997;100:323–29.
Munoz CA, Krebs-Smith SM, Ballard-Barbash R, Cleveland LE. Errors in food intake article. Pediatrics 1998;101:952–53.
Levine EL, Guthrie JF. Nutrient intakes and eating patterns of teenagers. Fam Econ Nutr Rev 1997;10:20–35.
King AJC, Boyce WF, King MA. La santé des jeunes: tendances au Canada. Ottawa, ON: Santé Canada, 1999.
Evers S, Taylor J, Manske S, Midgett C. Eating and smoking behaviours of school children in Southwestern Ontario and Charlotte town, PEI. Rev can santé publique 2001;92:433–36.
Taylor J, Bradley D, Peacock R. Food Habits Survey of Students in Grades 4 to 9 in the Western School Board. Final Report submitted to the PEI Health Research Program. March, 2003.
Johnson RK, Nicklas TA. Position of the American Dietetic Association: dietary guidance for healthy children aged 2 to 11 years. J Am Diet Assoc 1999;99:93–101.
Centers for Disease Control and Prevention. Guidelines for school health programs to promote lifelong healthy eating. J Sch Health 1997;67:9–26.
Bronner YL. Nutritional status outcomes for children: Ethnic, cultural, and environmental contexts. J Am Diet Assoc 1996;96:891–903.
Tremblay MS, Willms JD. Secular trends in the body mass index of Canadian children. CMAJ 2000;63:1429–33. Erratum 2001;164(7):970.
Troiano RP, Flegal KM. Overweight children and adolescents: Description, epidemiology, and demographics. Pediatrics 1998;101:497–504.
Chinn S, Rona RJ. Prevalence and trends in overweight and obesity in three cross sectional studies of British children, 1974–94. BMJ 2001;322:24–26.
Morrison JA, James FW, Sprecher DL, Khoury PR, Daniels SR. Sex and race differences in cardiovascular disease risk factor changes in school children, 1975–1990: The Princeton School Study. Am J Pub Health 1999;89(11):1708–14.
Nicklas TA, Webber L, Srinivasan SR, Berenson GS. Secular trends in dietary intakes and cardiovascular risk factors of 10 year old children: The Bogalusa Heart Study (1973–1988). Am J Clin Nutr 1993;57:930–37.
Ernst ND, Obarzanek E. Child health and nutrition: Obesity and high blood cholesterol. Prev Med 1994;23(4):427–36.
Santé Canada. Modèle d’intégration de la santé de la population et de la promotion de la santé. Février 1996. Tiré du site https://doi.org/www.hc-sc.gc.ca/hppb/phdd/php/php2.htm#Healthy, le 27 juin 2003.
Nicklas T, Bao W, Webber L, Berenson G. Breakfast consumption affects adequacy of total daily intake in children. J Am Diet Assoc 1993a;93:886–91.
Drewnowski A. Taste preferences and food intake. Annu Rev Nutr 1997a;17:237–53.
Birch LL. Children’s preferences for high fat foods. Nutr Rev 1992;50:249–55.
Skinner JD, Carruth BR, Bounds W, Ziegler PJ, Reidy K. Do food related experiences in the first 2 years of life predict dietary variety in school aged children? J Nutr Educ Behav 2002;34:310–15.
Krebs-Smith SM, Heimendinger J, Patterson BH, Subar AF, Kessler R, Pivouka E. Psychosocial factors associated with fruit and vegetable consumption. Am J Health Promot 1995;10:98–104.
Drenowski A, Henderson SA, Levine A, Hann C. Taste and food preferences as predictors of dietary practices in young women. Public Health Nutr 1999;2:513–19.
Resnicow K, Davis-Hearn M, Smith M, Baranowski T, Lin LS, Baronowski J, et al. Social-cognitive predictors of fruit and vegetable intake in children. Health Psychol 1997;16:272–76.
Ross S. ‘Do I really have to eat that?’: A qualitative study of schoolchildren’s food choices and preferences. Health Educ Journal 1995;54:312–21.
Watt RG, Sheiham A. Towards an understanding of young people’s conceptualisation of food and eating. Health Educ J 1997;56:340–49.
Baranowski T, Domel S, Gould R, Baranowski J, Leonard S, et al. Increasing fruit and vegetable consumption among 4th and 5th grade students: Results from focus groups using reciprocal determinism. J Nutr Educ 1993;25:114–20.
Kirby S, Baranowski T, Reynolds K, Taylor G, Binkley D. Children’s fruit and vegetable intake: Socioeconomic, adult child, regional and urban-rural influences. J Nutr Educ 1995;27:261–71.
Shepherd J, Harden A, Rees R, Brunton G, Garcia J, Oliver S, Oakley A. Young people and healthy eating: A systematic review of research on barriers and facilitators. London, England: Evidence for Policy and Practice (EPPI-Centre), 2001.
French SA, Story M, Hannan P, Breitlow KK, Jeffery RW, Baxter JS, Snyder MP. Cognitive and demographic correlates of low-fat vending snack choices among adolescents and adults. J Am Diet Assoc 1999;99:471–75.
Pirouznia M. The correlation between nutrition knowledge and eating behavior in an American school: The role of ethnicity. Nutr Health 2000;14:89–107.
Pirouznia M. The association between nutrition knowledge and eating behavior in male and female adolescents in the US. Int J Food Sci Nutr 2001;52:127–32.
Edwards JS, Hartwell HH. Fruit and vegetables–attitudes and knowledge of primary school children. J Hum Nutr Diet 2002;15:365–74.
Croll JK, Neumark-Sztainer D, Story M. Healthy eating: What does it mean to adolescents? J Nutr Educ 2001;33:193–98.
Harrell JS, McMurray RG, Bangdiwala SI, Frauman AC, Gansky SA, Bradley CB. Effects of a school-based intervention to reduce cardiovascular disease risk factors in elementary-school children: The Cardiovascular Health in Children (CHIC) study. J Pediatr 1996;128:797–805.
Hart KH, Bishop JA, Truby H. An investigation into school children’s knowledge and awareness of food and nutrition. J Hum Nutr Diet 2002;15:129–40.
Hern MJ, Gates D. Linking learning with health behaviours of high school adolescents. PediatrNurs 1998;24:127–32.
Keirle K, Thomas M. The influence of school health education programmes on the knowledge and behaviour of school children towards nutrition and health. Res Sci Technol Educ 2000;18:173–90.
Vandongen RV, Jenner DA, Thompson C, Taggart AC, Spickett EE, Burke V, et al. A controlled evaluation of a fitness and nutrition intervention program on cardiovascular health in 10- to 12-year-old children. Prev Med 1995;24:9–22.
Wardle J, Parmenter K, Waller J. Nutrition knowledge and food intake. Appetite 2000;34:269–75.
Berg MC, Goeteborg U, Jonsson I, Conner MT, Lissner L. Relation between breakfast food choices and knowledge of dietary fat and fiber among Swedish schoolchildren. J Adolesc Health 2002;31:199–207.
Baranowski T, Cullen KW, Baranowski J. Psychosocial correlates of dietary intake: Advancing dietary intervention. Annu Rev Nutr 1999;19:17–40.
Noble C, Corney M, Eves A, Kipps M, Lumbers M. School meals: Primary schoolchildren’s perceptions of the healthiness of foods served at school and their preferences for these foods. Health Educ J 2001;60:102–19.
Perry CL, Stone E, Parcel GS, Ellison RC, Nader PR, Webber LS, Luepker RV. School-based cardiovascular health promotion: The Child and Adolescent Trial for Cardiovascular Health (CATCH). J Sch Health 1990;60:406–13.
Reynolds KD, Franklin FA, Binkley D, Raczynski JM, Harrington KF, Kirk KA, Person S. Increasing the fruit and vegetable consumption of fourth-graders: Results from the High 5 Project. Prev Med 2000;20:309–19.
O’Dea JA. Why do kids eat healthful food? Perceived benefits of and barriers to healthful eating and physical activity among children and adolescents. J Am Diet Assoc 2003;103:497–501.
Reynolds KD, Hinton AW, Shewchuk RM, Hickey CA. Social cognitive model of fruit and vegetable consumption in elementary children. J Nutr Educ 1999a;31:23–30.
Berg C, Jonsson I, Conner M. Understanding choice of milk and bread for breakfast among Swedish children aged 11–15 years: An application of the Theory of Planned Behaviour. Appetite 2000;34:5–19.
Baranowski T, Cullen KW, Nicklas T, Thompson D, Baranowski J. School-based obesity prevention: A blueprint for taming the epidemic. Am J Health Behav 2002;26:486–93.
Lytle LA, Varnell S, Murray DM, Story M, Perry C, Nirnbaum AS, Kubik MY. Predicting adolescents’ intake of fruits and vegetables. J Nutr Educ Behav 2003;35:170–78.
Chapman G, MacLean H. “Junk food” and “healthy food”: Meanings of food in adolescent women’s culture. J Nutr Educ 1993;25:108–13.
Novotny R, Han JS, Biernacke I. Motivators and barriers to consuming calcium-rich foods among Asian adolescents in Hawaii. J Nutr Educ 1999;31:99–104.
Croll JK, Neumark-Sztainer D, Story M. Healthy eating: What does it mean to adolescents? J Nutr Educ 2001;33:193–98.
Drewnowski A. Fat and sugar: An economic analysis. J Nutr 2003;133:838S–840S.
French SA. Pricing effects on food choices. J Nutr 2003;133;841S–843S.
Guthrie JF, Lin B-H, Frazao E. Role of food prepared away from home in the American diet, 1977–78 versus 1994–96: Changes and consequences. J Nutr Educ Behav 2002;34:140–50.
Pelto GH, Backstrand JR. Interrelationships between power related and belief-related factors determine nutrition in populations. J Nutr 2003;133:297S–300S.
Cullen KW, Lara KM, de Moor C. Children’s dietary fat intake and fat practices vary by meal and day. J Am Diet Assoc 2002b;102:1773–78.
Guillaume M, Lapidus L, Lambert A. Obesity and nutrition in children. The Belgian Luxemburg Child Study IV. Eur J Clin Nutr 1998;52:323–28.
Crawford, PB, Obarzanek E, Schreiber GB, Barrier P, Goldman S, Frederick MM, Sabry ZI. The effects of race, household income and parental education on nutrient intakes of 9 and 10 year old girls. Ann Epidemiol 1995;5:360–68.
Neumark-Sztainer D, Hannan PJ, Story M, Croll J, Perry C. Family meal patterns: Associations with sociodemographic characteristics and improved dietary intake among adolescents. J Am Diet Assoc 2003;103:317–22.
Mennell S. The globalization of eating. Appetite. 2000;35:191–92.
Krondl M, Lau D. Acculturation of food habit. In: Masi R, Mensah LL, MacLeod K (Eds), Health and Cultures, Vol. I. Oakville, ON: Mosaic Press Publishers, 1993;185–94.
Kuhnlein HV, Soueida R, Receveur O. Baffin Inuit food use by age, gender and season. J Can Diet Assoc 1995;56:175–83.
Evers S. Dietary intake and nutritional status of Canadian Indians: A review. Arctic Med Res 1991;50(Suppl 5):731–34.
Trifonopoulos M, Kuhnlein H, Receveur O. Analysis of 24-hour recalls of 164 fourth- to sixth-grade Mohawk children in Kahnawake. J Am Diet Assoc 1998;98:814–16.
Morrison NE, Receveur O, Kuhnlein HV, Appavoo DM, Soueida R, Pierrot P. Contemporary Sahtu Dene/Metis use of traditional and market food. Ecol Food Nutr 1995;34:197–210.
Davison KK, Birch LL. Childhood overweight: A contextual model and recommendations for future research. Obes Rev 2001;2:159–71.
Oliveria SA, Ellison RC, Moore LL, Gillman MW, Garrahie EJ, Singer MR. Parent-child relationships in nutrient intake: The Framingham Children’s Study. Am J Clin Nutr 1992;56:593–98.
Nicklas TA, Baranowski T, Cullen KW, Berenson G. Eating patterns, dietary quality and obesity. J Am Coll Nutr 2001a;20:599–608.
Resnicow K, Davis-Hearn M, Smith M, Baranowski T, Lin LS, Baronowski J, Doyle C, Wang DT. Social-cognitive predictors of fruit and vegetable intake in children. Health Psychol 1997;16:272–76.
Hearn MD, Baranowski T, Baranowski J, Doyle C, Smith M, Lin L, Resnicow K. Environmental influences on dietary behaviour among children: Availability and accessibility of fruits and vegetables enable consumption. J Health Educ 1998;29:26–32.
Backman DR, Haddad EH, Lee JW, Johnston PK, Hodgkin GE. Psychosocial predictors of healthful dietary behavior in adolescents. J Nutr Educ Behav 2002;34:184–93.
Promoting Healthy Eating and Active Living in Children Project. Barriers and enablers to healthy eating and active living in children: Key findings in six Nova Scotia communities. Canadian Diabetes Association. December, 2002.
Tibbs T, Haire-Joshu D, Schechtman KB, Brownson RC, Nanney MS, Houston C, Auslander W. The relationship between parental modeling, eating patterns, and dietary intake among African-American parents. J Am Diet Assoc 2001;101:535–41.
Skinner JD, Carruth BR, Moran III J, Houck K, Schmidhammer J, Reed A, Coletta F. Toddlers’ food preferences: Concordance with family members’ preferences. J Nutr Educ 1998;30:17–22.
Neumark-Sztainer D. The social environments of adolescents: associations between socioenvi-ronmental factors and health behaviors during adolescence. Adolesc Med 1999a;10:41–55.
Gillman MW, Rifas-Shiman SL, Frazier AL, Rockett HRH, Camargo CA, Field AE, et al. Family dinner and diet quality among older children and adolescents. Arch Fam Med 2000;9:235–40.
Videon TM, Manning CK. Influence on adolescent eating patterns; The importance of family meals. J Adolesc Health 2003;32:365–73.
Fisher JO, Birch LL. Restricting access to foods and children’s eating. Appetite 1999a;32:405–19.
Birch LL. Psychological influences on the childhood diet. J Nutr 1998;128:407S–410S.
Fisher JO, Birch LL. Restricting access to a palatable food affects children’s behavioral response, food selection, and intake. Am J Clin Nutr 1999b;69:1264–72.
Birch LL. Development of food acceptance patterns in the first years of life. Proc Nutr Soc 1998;57:617–24.
Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics 1998;101:539–49.
Fisher JO, Mitchell DC, Smiciklas-Wright H, Birch LL. Parental influences on young girls’ fruit and vegetable, micronutrient and fat intakes. J Am Diet Assoc 2002;102:58–64.
Nicklas TA, Baranowski T, Baranowski J, Cullen K, Rittenberry L, Olivera N. Family and child-care provider influences on preschool children’s fruit, juice and vegetable consumption. Nutr Rev 2001b;59:224–35.
Contento IR, Basch C, Shea S, Guting B, Zybert P, Michela JL, Rips J. Relationship of mothers’ food choice criteria to food intake of preschool children: identification of family subgroups. Health Educ Q 1993;20:243–59.
Zive MM, Berry CC, Sallis JF, Frank GC, Nader PR. Tracking dietary intake in white and Mexican-American children from age 4 to 12 years. J Am Diet Assoc 2002a;102:683–89.
Gibson EL, Wardle J, Watts CJ. Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite 1998;31:205–28.
Gable S, Lutz S. Nutrition socialization experiences of children in the Head Start program. J Am Diet Assoc 2001;101:572–77.
Birch LL. Effects of peer models’ food choices and eating behaviors on preschoolers’ food preferences. Child Dev 1980;51:489–96.
Hendy HM, Raudenbush B. Effectiveness of teacher modelling to encourage food acceptance in preschool children. Appetite 2000;34:61–76.
Marquis M, Dagenais F, Filion YP. The habit of eating while watching television, the frequency of consumption of specific foods and food preferences, as reported by Quebec children. Can J Diet Pract Res 2002;63:S104.
Francis LA, Lee Y, Birch LL. Parental weight status and girls’ television viewing, snacking, and body mass indexes. Obes Res 2003;11:143–51.
Byrd-Bredbenner C, Grasso D. What is television trying to make children swallow?: Content analysis of the nutrition information in prime time advertisements. J Nutr Educ 2000;32:187–95.
Wadsworth LA, MacQuarrie A. Nutrition messages on Saturday morning children’s television: 1989–1998. Can J Diet Prac Res 2002;63(Supp):105.
Østbye T, Pomerleau J, White M, Coolich M, McWhinney J. Food and nutrition in Canadian “prime time” television commercials. Can J Public Health 1993;84:370–74.
Borzekowski DL, Robinson TN. The 30-second effect: An experiment revealing the impact of television commercials on food preferences of preschoolers. J Am Diet Assoc 2001;101:42–46.
Hanley AJG, Harris SB, Gittelsohn J, Wolever TMS, Saksvig B, Zinman B. Overweight among children and adolescents in a Native Canadian community: Prevalence and associated factors. Am J Clin Nutr 2000;71:693–700.
Berkey CS, Rockett HRH, Field AE, Gillman MW, Frazier AL, Camargo Jr CA, Colditz GA. Activity, dietary intake, and weight changes in a longitudinal study of preadolescent and adolescent boys and girls. Pediatrics 2000;105:56.
Field AE, Camargo Jr CA, Barr Taylor C, Berkey CS, Roberts SB, Colditz GA. Peer, parent, and media influences on the development of weight concerns and frequent dieting among preadolescent and adolescent girls and boys. Pediatrics 2001;107:54–60.
Young LR, Nestle M. Expanding portion sizes in the US marketplace: Implications for nutrition counseling. J Am Diet Assoc 2003;103:231–34.
Rolls BJ, Engell D, Birch LL. Serving portion size influences 5-year-old but not 3-year-old children’s food intake. J Am Diet Assoc 2000;100:232–34.
Hill JO, Peters JC. Environmental contributions to the obesity epidemic. Science 1998;280:1371–74.
Neumark-Sztainer D, Martin SL, Story M. School-based programs for obesity prevention: What do adolescents recommend? Am J Health Promot 2000a;14:232–35.
Briggs M, Safaii S, Beall DL. Position of the American Dietetic Association, Society for Nutrition Education and American School Food Service Association-Nutrition Services: An essential component of comprehensive school health programs. J Am Diet Assoc 2003;103:505–14.
Rankine D. Foods Available in New Brunswick Schools. Survey Report 1989–1990. Health Promotion and Disease Prevention Unit, Public Health/Medical Services Division, Department of Health and Community Services. November, 1990.
Nova Scotia Department of Health, Nova Scotia Nutrition Council. Foods Offered in Schools. Report of a survey of school food provision practices in Nova Scotia. Halifax, 1993.
Manitoba Council on Child Nutrition. 2001. Food and nutrition in Manitoba schools. Survey Report 2001. Retrieved July 5, 2002 at: https://doi.org/www.mast.mb.ca/communications/poverty/MCCN.pdf
Taylor JP, Mather SE, McBride TL. Food and nutrition policies and programs in Prince Edward Island schools. Presented at the Second Conference of the International Society for Behavioral Nutrition and Physical Activity (ISBNPA). Quebec City, July, 2003c.
Coalition for School Nutrition. 2001. Survey of food and nutrition policies and services in Newfoundland and Labrador. Retrieved July 5, 2002 from: https://doi.org/www.nlta.nf.c/a/html_files/coalition/survey.html
Health Canada. Scan of Canadian Nutrition Programs for School-Aged Children. Ottawa, ON: Health Canada. Childhood and Youth Division, 1998.
Luepker R, Perry C, McKinlay SM, Nader PR, Parcel GS, Stone EJ, et al. Outcomes of a field trial to improve children’s dietary patterns and physical activity: The Child and Adolescent Trial for Cardiovascular Health (CATCH). JAMA 1996;275:768–76.
Tarasuk V, Beaton G. Household food insecurity and hunger among families using food banks. Can J Public Health 1999a;90:109–13.
Tarasuk VS, Beaton GH. Women’s dietary intake in the context of household food insecurity. J Nutr 1999b;129:672–79.
McIntyre L, Glanville NT, Raine KD, Dayle JB, Anderson B. Do low-income lone mothers compromise their nutrition to feed their children? CMAJ 2003;168:686–91.
Hamelin AM, Habicht JP, Beaudry M. Food insecurity: Consequences for the household and broader social implications. J Nutr 1999;129:525S–528S.
Badun C, Evers S, Hooper M. Food security and nutritional concerns of parents in an economically disadvantaged community. J Can Diet Assoc 1995;56:75–80.
Pliner P. Development of measures of food neophobia in children. Appetite 1994;23:147–63.
Pliner P, Stallberg-White C. “Pass the ketchup, please.”: Familiar flavours increase children’s willingness to try novel foods. Appetite 2000;34:95–103.
De Bourdeaudhuij I, Van Oost P. Family members’ influence on decision making about food: Differences in perception and relationship with healthy eating. Am J Health Promot 1998;13:73–81.
Alderson TSJ, Ogden J. What do mothers feed their children and why? Health Educ Res 1999;14:717–27.
Cullen KW, Lara KM, de Moor C. Children’s dietary fat intake and fat practices vary by meal and day. J Am Diet Assoc 2002b;102:1773–78.
Fried EJ, Nestle M. The growing political movement against soft drinks in schools. JAMA 2002;288:2181.
Kuribayashi A, Roberts MC, Johnson RJ. Actual nutritional information of products advertised to children and adults on Saturday. Child Health Care 2001;30:309–22.
Lytle LA, Eldredge AL, Kotz K, Piper J, Williams S, Kalina B. Children’s interpretation of nutrition messages. J Nutr Educ 1997;29:128–36.
McQuaid S, Allen T, Smith N. A review of the labor market status of home economists in PEI. A report prepared for the PEI Home Economics Association and the University of Prince Edward Island. November, 2001.
Reynolds KD, Franklin FA, Binkley D, Raczynski JM, Harrington KF, Kirk KA, Person S. Increasing the fruit and vegetable consumption of fourth-graders: Results from the High 5 Project. Prev Med 2000;20:309–19.
Domel SB, Baranowski T, Davis H, Thompson WO, Leonard SB, Riley P, et al. Development and evaluation of a school intervention to increase fruit and vegetable consumption among 4th and 5th grade students. J Nutr Educ 1993;25:345–49.
Lytle LA, Fulkerson JA. Assessing the dietary environment: Examples from school based interventions. Public Health Nutr 2002;5:893–99.
McAmmond D. Promotion et mesures de soutien d’une saine alimentation: Premier survol des lacunes au niveau des connaissances et des besoins en matière de recherche: Rapport final préparé pour le Bureau de la politique et de la promotion de la nutrition, Santé Canada. Mars 2001.
Statistique Canada. Enquête sur la santé dans les collectivités canadiennes, Cycle 2.1. Tiré de https://doi.org/www.statcan.ca/francais/concepts/health/cycle2_1/cchsinfo_f.htm, le 30 mars 2003.
Contento IR, Randell JS, Basch CE. Review and analysis of evaluation measures used in nutrition education intervention research. J Nutr Educ Behav 2002;34:2–25.
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Acknowledgements: Thank you to Rose Peacock, MHSc, RD, for her assistance with compiling reference lists for the paper, and to Michelle Hooper for her patience, wise advice and support.
Remerciements: L’auteure principale tient à souligner la contribution de Rose Peacock, MHSc, RD au niveau de la compilation des références utilisées pour la rédaction du présent article ainsi que Michelle Hooper pour sa patience, ses conseils judicieux et son appui.
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Taylor, J.P., Evers, S. & McKenna, M. Determinants of Healthy Eating in Children and Youth. Can J Public Health 96 (Suppl 3), S22–S29 (2005). https://doi.org/10.1007/BF03405197
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DOI: https://doi.org/10.1007/BF03405197