Abstract
Purpose
Young adults are vulnerable to weight gain and dietary behaviours such as ‘eating on the run’ are likely contributors. The objective of this study was to examine eating and drinking behaviours during transport journeys in a sample of young adults using wearable cameras that take continuous images every 30 s.
Methods
Seventy-eight 18–30 year olds wore an Autographer wearable camera for three consecutive days. Image coding schedules were designed to assess physical activity (included transportation) and diet. For the general description of data, frequency analysis was calculated as image number (percentage) and mean (± SD) or median (IQR) when appropriate.
Results
A total of 281,041 images were coded and 32,529 (14%) of images involved transport. The median (IQR) camera wear time was 8 h per day (7–9 h). The camera images identified 52 participants (67%) either eating or drinking during transport (excluding water). A total of 143 eating and drinking occasions were identified, averaging 3 occasions per person over the three study days. Fifty five (38%) eating episodes were identified by the camera images of which 27 (49%) were discretionary and 88 (62%) drinking episodes were identified of which (45%) were discretionary.
Conclusion
This study confirms that transport is a potential setting for intervention. Young adults are consuming discretionary food and beverages during transport which may contribute to energy-dense diets and compromise diet quality. Substituting unhealthy with healthy food advertising and potentially prohibiting eating and drinking whilst on public transport is suggested.
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Data availability
The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.
Code availability
Software application is available from the corresponding author on reasonable request.
References
Allman-Farinelli MA (2015) Nutrition promotion to prevent obesity in young adults. Healthcare (Basel) 3(3):809–821. https://doi.org/10.3390/healthcare3030809
Adams J, Goffe L, Brown T, Lake AA, Summerbell C, White M, Wrieden W, Adamson AJ (2015) Frequency and socio-demographic correlates of eating meals out and take-away meals at home: cross-sectional analysis of the UK national diet and nutrition survey, waves 1–4 (2008–12). Int J Behav Nutr Phys Act 12(1):51. https://doi.org/10.1186/s12966-015-0210-8
Orfanos P, Naska A, Trichopoulos D, Slimani N, Ferrari P, van Bakel M, Deharveng G, Overvad K, Tjønneland A, Halkjær J, Santucci de Magistris M, Tumino R, Pala V, Sacerdote C, Masala G, Skeie G, Engeset D, Lund E, Jakszyn P, Barricarte A, Chirlaque M-D, Martinez-Garcia C, Amiano P, Quirós JR, Bingham S, Welch A, Spencer EA, Key TJ, Rohrmann S, Linseisen J, Ray J, Boeing H, Peeters PH, Bueno-de-Mesquita HB, Ocke M, Johansson I, Johansson G, Berglund G, Manjer J, Boutron-Ruault M-C, Touvier M, Clavel-Chapelon F, Trichopoulou A (2007) Eating out of home and its correlates in 10 European countries. The European Prospective Investigation into Cancer and Nutrition (EPIC) study. Public Health Nutr 10(12):1515–1525. https://doi.org/10.1017/s1368980007000171
Todd JE (2017) Changes in consumption of food away from home and intakes of energy and other nutrients among US working-age adults, 2005–2014. Public Health Nutr 20(18):3238–3246. https://doi.org/10.1017/S1368980017002403
Nishi SK, Jessri M, L’Abbe M (2018) Assessing the dietary habits of canadians by eating location and occasion: findings from the Canadian Community Health Survey, cycle 22. Nutrients 10(6):682. https://doi.org/10.3390/nu10060682
Mohr P, Wilson C, Dunn K, Brindal E, Wittert G (2007) Personal and lifestyle characteristics predictive of the consumption of fast foods in Australia. Public Health Nutr 10(12):1456–1463. https://doi.org/10.1017/S1368980007000109
Allman-Farinelli M, Partridge SR, Roy R (2016) Weight-related dietary behaviors in young adults. Curr Obes Rep 5(1):23–29. https://doi.org/10.1007/s13679-016-0189-8
Nour M, Sui Z, Grech A, Rangan A, McGeechan K, Allman-Farinelli M (2017) The fruit and vegetable intake of young Australian adults: a population perspective. Public Health Nutr 20(14):2499–2512. https://doi.org/10.1017/S1368980017001124
Fayet-Moore F, McConnell A, Cassettari T, Tuck K, Petocz P, Kim J (2019) Discretionary intake among Australian adults: prevalence of intake, top food groups, time of consumption and its association with sociodemographic, lifestyle and adiposity measures. Public Health Nutr 22(9):1576–1589. https://doi.org/10.1017/S1368980018003361
National Health and Medical Research Council (2013) Australian dietary guidlines. National Health and Medical Research Council.,. https://eatforhealth.govcms.gov.au/sites/default/files/content/n55_australian_dietary_guidelines.pdf. Accessed 30 Jan 2020
National Health and Medical Research Council (2017) Discretionary food and drink choices. National Health and Medical Research Council.,. https://www.eatforhealth.gov.au/food-essentials/discretionary-food-and-drink-choices. Accessed 12 Mar 2020
Avery A, Anderson C, McCullough F (2017) Associations between children's diet quality and watching television during meal or snack consumption: a systematic review. Matern Child Nutr. https://doi.org/10.1111/mcn.12428
Winpenny EM, van Sluijs EMF, White M, Klepp KI, Wold B, Lien N (2018) Changes in diet through adolescence and early adulthood: longitudinal trajectories and association with key life transitions. Int J Behav Nutr Phys Act 15(1):86. https://doi.org/10.1186/s12966-018-0719-8
Escoto KH, Laska MN, Larson N, Neumark-Sztainer D, Hannan PJ (2012) Work hours and perceived time barriers to healthful eating among young adults. Am J Health Behav 36(6):786–796. https://doi.org/10.5993/AJHB.36.6.6
Pelletier JE, Laska MN (2012) Balancing healthy meals and busy lives: associations between work, school, and family responsibilities and perceived time constraints among young adults. J Nutr Educ Behav 44(6):481–489. https://doi.org/10.1016/j.jneb.2012.04.001
Larson NI, Nelson MC, Neumark-Sztainer D, Story M, Hannan PJ (2009) Making time for meals: meal structure and associations with dietary intake in young adults. J Am Diet Assoc 109(1):72–79. https://doi.org/10.1016/j.jada.2008.10.017
Australian Bureau of Statistics (2008) Australian social trends. Australian Bureau of Statistics.,. https://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/4102.0Chapter10102008. Accessed 10 Jan 2020
Better Transport UK (2013) Why getting transport right matters to young people. https://bettertransport.org.uk/sites/default/files/research-files/Young_People_and_Buses_FINAL_forweb_0.pdf. Accessed 20 Mar 2020
Bassett DR Jr, Pucher J, Buehler R, Thompson DL, Crouter SE (2008) Walking, cycling, and obesity rates in Europe, North America, and Australia. J Phys Act Health 5(6):795–814. https://doi.org/10.1123/jpah.5.6.795
Kelly B, Flood VM, Bicego C, Yeatman H (2012) Derailing healthy choices: an audit of vending machines at train stations in NSW. Health Promot J Aust 23(1):73–75
Sainsbury E, Colagiuri S, Magnusson R (2017) An audit of food and beverage advertising on the Sydney metropolitan train network: regulation and policy implications. BMC Public Health 17(1):490. https://doi.org/10.1186/s12889-017-4433-2
Transport NSW (2020) Travel courtesy and etiquette. NSW Government. https://transportnsw.info/travel-info/using-public-transport/travel-courtesy-etiquette. Accessed 10 Feb 2020
SMRT Trains Ltd (2018) Food and drink in the network. https://www.smrttrains.com.sg/Journey-with-Us/Travel-Information/FAQs#9279129-can-i-eat-and-drink-in-trains-and-stations. Accessed 10 Feb 2020
Davies SC (2019) Time to Sole Childhood Obesity. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/837907/cmo-special-report-childhood-obesity-october-2019.pdf. Accessed 09 Mar 2020
The Guardian (2009) Modern manners: eating on public transport. https://www.theguardian.com/lifeandstyle/wordofmouth/2009/oct/19/modern-manners-eating-public-transport. Accessed 03 Mar 2020
Kelly P, Marshall SJ, Badland H, Kerr J, Oliver M, Doherty AR, Foster C (2013) An ethical framework for automated, wearable cameras in health behavior research. Am J Prev Med 44(3):314–319. https://doi.org/10.1016/j.amepre.2012.11.006
Kelly P, Doherty AR, Hamilton A, Matthews A, Batterham AM, Nelson M, Foster C, Cowburn G (2012) Evaluating the feasibility of measuring travel to school using a wearable camera. Am J Prev Med 43(5):546–550. https://doi.org/10.1016/j.amepre.2012.07.027
Kelly P, Doherty A, Mizdrak A, Marshall S, Kerr J, Legge A, Godbole S, Badland H, Oliver M, Foster C (2014) High group level validity but high random error of a self-report travel diary, as assessed by wearable cameras. J Transport Health 1(3):190–201. https://doi.org/10.1016/j.jth.2014.04.003
Kelly P, Doherty A, Berry E, Hodges S, Batterham AM, Foster C (2011) Can we use digital life-log images to investigate active and sedentary travel behaviour? Results from a pilot study. Int J Behav Nutr Phys Act 8(1):44. https://doi.org/10.1186/1479-5868-8-44
Gage R, Leung W, Stanley J, Reeder A, Mackay C, Chambers T, Smith M, Barr M, Signal L (2019) Studying third-parties and environments: New Zealand sun-safety research. Health Promot Int 34(3):440–446. https://doi.org/10.1093/heapro/dax094
Gemming L, Doherty A, Utter J, Shields E, Ni Mhurchu C (2015) The use of a wearable camera to capture and categorise the environmental and social context of self-identified eating episodes. Appetite 92:118–125. https://doi.org/10.1016/j.appet.2015.05.019
Signal LN, Stanley J, Smith M, Barr MB, Chambers TJ, Zhou J, Duane A, Gurrin C, Smeaton AF, McKerchar C, Pearson AL, Hoek J, Jenkin GLS, Ni Mhurchu C (2017) Children's everyday exposure to food marketing: an objective analysis using wearable cameras. Int J Behav Nutr Phys Act 14(1):137. https://doi.org/10.1186/s12966-017-0570-3
Doherty AR, Kelly P, Kerr J, Marshall S, Oliver M, Badland H, Hamilton A, Foster C (2013) Using wearable cameras to categorise type and context of accelerometer-identified episodes of physical activity. Int J Behav Nutr Phys Act 10:22. https://doi.org/10.1186/1479-5868-10-22
Kerr J, Marshall SJ, Godbole S, Chen J, Legge A, Doherty AR, Kelly P, Oliver M, Badland HM, Foster C (2013) Using the SenseCam to improve classifications of sedentary behavior in free-living settings. Am J Prev Med 44(3):290–296. https://doi.org/10.1016/j.amepre.2012.11.004
Wellard-Cole L, Jung J, Kay J, Rangan A, Chapman K, Watson WL, Hughes C, Ni Mhurchu C, Bauman A, Gemming L, Yacef K, Koprinska I, Allman-Farinelli M (2018) Examining the frequency and contribution of foods eaten away from home in the diets of 18- to 30-year-old australians using smartphone dietary assessment (MYMeals): protocol for a cross-sectional study. JMIR Res Protoc 7(1):e24. https://doi.org/10.2196/resprot.9038
Australian Bureau of Statistics Census of population and housing: Socio-Economic Indexes for Areas (SEIFA). Australian Bureau of Statistics. https://www.abs.gov.au/ausstats/abs@.nsf/mf/2033.0.55.001. Accessed 15 Jan 2020
Australian Bureau of Statistics Australian Statistical Geography Standard (ASGS): Volume 5—Remoteness structure, July 2011. Australia Bureau of Statistics. https://www.abs.gov.au/AUSSTATS/abs@.nsf/Latestproducts/2C28C8B6013FB2D0CA257B03000D6DA8?opendocument. Accessed 15 Jan 2020
Davies A, Wellard-Cole L, Rangan A, Allman-Farinelli M (2020) Validity of self-reported weight and height for BMI classification: A cross-sectional study among young adults. Nutrition 71:110622. https://doi.org/10.1016/j.nut.2019.110622
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)–a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42(2):377–381. https://doi.org/10.1016/j.jbi.2008.08.010
Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O'Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32(9 Suppl):S498–504. https://doi.org/10.1097/00005768-200009001-00009
National Health and Medical Research Council (2015) Recommended number of serves for adults. National Health and Medical Research Council. https://www.eatforhealth.gov.au/food-essentials/how-much-do-we-need-each-day/recommended-number-serves-adults. Accessed 28 Apr 2020
Australian Bureau of Statistics National Health Survey: First Results 2017–18. Australian Bureau of Statistics. https://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012017-18?OpenDocument. Accessed 30 Jan 2020
Australian Bureau of Statistics (2014) Discretionary foods. Australian Bureau of Statistics.,. https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%2520Subject/4364.0.55.007~2011-12~Main%2520Features~Discretionary%2520foods~700. Accessed 03 Apr 2020
NSW Health (2017) NSW Healthy School Canteen Strategy. https://www.health.nsw.gov.au/heal/Pages/healthy-school-canteens.aspx. Accessed 04 Apr 2020
Lal A, Peeters A, Brown V, Nguyen P, Tran HNQ, Nguyen T, Tonmukayakul U, Sacks G, Calache H, Martin J, Moodie M, Ananthapavan J (2020) The modelled population obesity-related health benefits of reducing consumption of discretionary foods in Australia. Nutrients 12(3):649. https://doi.org/10.3390/nu12030649
Freeman B, Kelly B, Vandevijvere S, Baur L (2016) Young adults: beloved by food and drink marketers and forgotten by public health? Health Promot Int 31(4):954–961. https://doi.org/10.1093/heapro/dav081
Russell SJ, Croker H, Viner RM (2019) The effect of screen advertising on children's dietary intake: a systematic review and meta-analysis. Obes Rev 20(4):554–568. https://doi.org/10.1111/obr.12812
Stephens J, Miller H, Militello L (2020) Food delivery apps and the negative health impacts for Americans. Front Nutr 7:14. https://doi.org/10.3389/fnut.2020.00014
Robinson E, Harris E, Thomas J, Aveyard P, Higgs S (2013) Reducing high calorie snack food in young adults: a role for social norms and health based messages. Int J Behav Nutr Phys Act 10(1):73. https://doi.org/10.1186/1479-5868-10-73
Irwin C, Monement S, Desbrow B (2015) The influence of drinking, texting, and eating on simulated driving performance. Traffic Inj Prev 16(2):116–123. https://doi.org/10.1080/15389588.2014.920953
Jezewska-Zychowicz M, Gebski J, Guzek D, Swiatkowska M, Stangierska D, Plichta M, Wasilewska M (2018) The Associations between Dietary Patterns and Sedentary Behaviors in Polish Adults (LifeStyle Study). Nutrients 10(8):1004. https://doi.org/10.3390/nu10081004
Vandevijvere S, Chow CC, Hall KD, Umali E, Swinburn BA (2015) Increased food energy supply as a major driver of the obesity epidemic: a global analysis. Bull World Health Organ 93(7):446–456. https://doi.org/10.2471/BLT.14.150565
Acknowledgements
The authors acknowledge Lyndal Wellard-Cole for assistance with data collection and Korina Richmond for study administration. Consent was obtained from those we acknowledge.
Funding
This research was funded by a Linkage Grant from the Australian Research Council and Cancer Council NSW LP150100831. AD and VC were funded by the Australian Government research training fund PhD scholarship. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. Other authors have no conflict of interest to declare.
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The study was conceptualised by AD, AB, MAF Methodology AD, VC, AB, LS, CH, LG, MAF. Analysis: Image coding and reliability testing AD, VC, Statistics AD, MAF. Writing—original draft preparation, AD, MAF. Writing—review and editing, AD, VC, AB, LS, CH, LG, MAF.
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Ethics approval was obtained by the Human Research Ethics Committee (project 2016/546).
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Participants gave consent on the initial online demographic and screening questionnaire.
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Davies, A., Chan, V., Bauman, A. et al. Using wearable cameras to monitor eating and drinking behaviours during transport journeys. Eur J Nutr 60, 1875–1885 (2021). https://doi.org/10.1007/s00394-020-02380-4
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DOI: https://doi.org/10.1007/s00394-020-02380-4