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Hormones

, Volume 12, Issue 2, pp 246–253 | Cite as

Eating habits and factors affecting food choice of adolescents living in rural areas

  • Alexandra Bargiota
  • Maria Delizona
  • Andreas Tsitouras
  • Georgios N. Koukoulis
Research paper

Abstract

OBJECTIVE: To establish factors that affect food choices among adolescents living in rural areas and to identify their food choices. DESIGN: A random sample of adolescents living in a Greek rural area (n = 382) aged 12–18 years were individually interviewed. Food consumption was assessed by a semi-quantitative food-frequency questionnaire and adherence to the Mediterranean diet was evaluated using the KIDMED questionnaire. Information was collected regarding self-perceived body size, dieting, dietary knowledge, parental control, meal and snack frequency, eating out of home, eating takeaways and precooked meals, eating from the school canteen. RESULTS: Body image concerns, dieting, education about food, parental control, maternal education level and eating with family and peers are factors that were found to affect food choices in this group of Greek adolescents. The adherence to the Mediterranean diet was low (KIDMED index was 4.5±2.7). Regular family meals at home were frequent in this group and 99% of the adolescents ate lunch daily at home. Eating out with peers and eating from the school canteen was related with higher consumption of ‘junk type of food’. Girls and younger adolescents and those whose mothers had a higher education level seem to make healthier choices. CONCLUSIONS: Factors such as personal issues, family and peer pressure significantly affect food choices among adolescents living in a Greek rural area and highlight the importance of implementing multilevel strategies to promote healthy eating among adolescents.

Key words

Adolescents Eating habits Family Food labels Peers School canteen 

References

  1. 1.
    Roditis ML, Parlapani ES, Tzotzas T, Hassapidou M, Krassas GE, 2009 Epidemiology and predisposing factors of obesity in Greece: from the Second World War until today. J Pediatr Endocrinol Metab 22: 389–405.CrossRefGoogle Scholar
  2. 2.
    Jackson-Leach R, Lobstein T, 2006 Estimated burden of paediatric obesity and co-morbidities in Europe. Part 1. The increase in the prevalence of child obesity in Europe is itself increasing. Int J Pediatr Ob 1: 26–32.CrossRefGoogle Scholar
  3. 3.
    Baskin ML, Ard J, Franklin F, Allison DB, 2005 Prevalence of obesity in the United States. Obesity Reviews 6: 5–7.CrossRefGoogle Scholar
  4. 4.
    Must A, Jacques PF, Dallal GE, et al, 1992 Longterm morbidity and mortality of overweight adolescents. N Engl J Med 327: 1350–1355.CrossRefGoogle Scholar
  5. 5.
    Contento IR, Williams SS, Michela JL, Franklin AB, 2006 Understanding the food choice process of adolescents in the contex of family and friends. J Adolesc Health 38: 575–582.CrossRefGoogle Scholar
  6. 6.
    Serra-Majem L, Ribas L, Ngo J, et al, 2004 Food, youth and the Mediterranean Diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr 7: 931–935.PubMedGoogle Scholar
  7. 7.
    Greco L, Musmarra F, Franzese C, Auricchio S, 1998 Early childhood feeding practices in southern Italy: is the Mediterranean diet becoming obsolete? Study of 450 children aged 6–32 months in Campania, Italy. Cultural Paediatric Association. Acta Paediatr 87: 250–256.CrossRefGoogle Scholar
  8. 8.
    Kontogianni MD, Vidra N, Farmaki AE, et al, 2008 Adherence Rates to the Mediterranean Diet Are Low in a Representative Sample of Greek Children and Adolescents. J Nutr 138: 1951–1956.CrossRefGoogle Scholar
  9. 9.
    Kourbala G, Panagiotakos DB, Mihas K, et al, 2009 Dietary patterns in relation to socio-economics and lifestyle characteristic among Greek adolescents: a multivariate analysis. Public Health Nutr 12: 1366–1372.CrossRefGoogle Scholar
  10. 10.
    Yannakoulia M, Karayannis D, Terzidou M, Kokkevi A, Sidossis LS, 2004 Nutrition-related habits of Greek adolescents. Eur J Clin Nutr 58: 580–586.CrossRefGoogle Scholar
  11. 11.
    Gnardellis C, Trichopoulou A, Katsouyanni K, Polychronopoulos E, Rimm EB, Trichopoulos D, 1995 Reproducibility and validity of an extensive semiquantitative food frequency questionnaire among Greek school teachers. Epidemiology 6: 74–77.CrossRefGoogle Scholar
  12. 12.
    Tsamita I, Kontogianni P, Karteroliotis K, 2007 Assessment of dietary habits in Greek adolescents. Inquiries in Sport & Physical Education 5: 105–115.Google Scholar
  13. 13.
    Bilali A, Galanis P, Velonakis E, Katostaras T, 2010 Factors associated with abnormal eating attitudes among Greek adolescents. J Nutr Educ Behav 42: 292–298.CrossRefGoogle Scholar
  14. 14.
    Van Strien T, van Niekerk R, Ouwens MA, 2009 Perceived parental food controlling practices are related to obesogenic or leptogenic child life style behaviours. Appetite 53: 151–154.CrossRefGoogle Scholar
  15. 15.
    Anschutz DJ, Van Strien T, Engels RC, 2008 Exposure to slim images in mass media: television commercials as restriction in restrained eaters. Health Psychol 27: 401–408.CrossRefGoogle Scholar
  16. 16.
    Derenne JL, Beresin EV, 2006 Body image, media and eating disorders. Acad Psychiatry 30: 257–261.CrossRefGoogle Scholar
  17. 17.
    Ree M, Riediger N, Moghadasian MH, 2008 Factors affecting food selection in Canadian population. Eur J Clin Nutr 62: 1255–1262.CrossRefGoogle Scholar
  18. 18.
    Striegel-Moore RH, Thompson D, Affenito SG et al, 2006 Correlates of beverage intake in adolescent girls: The national heart, lung, and blood institute growth and health study. J Pediatr 148: 183–187.CrossRefGoogle Scholar
  19. 19.
    Papakonstantinou E, Hargrove JL, Huang CL, Crawley CC, Canolty NL, 2002 Assessment of perceptions of nutrition knowledge and disease using a group interactive system: the Perception Analyzer. J Am Diet Assoc 102: 1663–1668.CrossRefGoogle Scholar
  20. 20.
    Lazarou C, Kalavana T, 2009 Urbanization influences dietary habits of Cypriot children:the CYKIDS study. Int J Public Health 54: 69–77.CrossRefGoogle Scholar
  21. 21.
    Kafatos A, Diacatou A, Voukiklakis G, et al, 1997 Heart disease risk-factor status and dietary changes in the Cretan population over the past 30 years. The seven countries study. Am J Clin Nutr 65: 1882–1886.CrossRefGoogle Scholar
  22. 22.
    Huang TT, Kaur H, McCarter KS, Nazir N, Choi WS, Ahluwalia JS, 2004 Reading nutrition labels and fat consumption in adolescents. J Adolesc Health 35: 399–401.CrossRefGoogle Scholar
  23. 23.
    McCullum C, Achterberg CL, 1997 Food shopping and label use behaviour among high school-aged adolescents. Adolescence 32: 181–197.PubMedGoogle Scholar
  24. 24.
    Feunekes GIJ, de Graff C, Meyboom S, van Staveren WA, 1998 Food choice and fat intake of adolescents and adults: associations of intakes within social networks. Prev Med 26: 645–656.CrossRefGoogle Scholar
  25. 25.
    Neumark-Sztainer D, Story M, Ackard, et al, 2000 Family meals among adolescents: findings from pilot study. J Nutr Educ Behav 32: 335–340.CrossRefGoogle Scholar
  26. 26.
    Neumark-Sztainer D, Larson NI, Fulkerson JA, Eisenberg ME, Story M, 2010 Family meals and adolescents: what have we learned from Project EAT (Eating Among Teens?). Public Health Nutr 13: 1113–1121.CrossRefGoogle Scholar
  27. 27.
    Fulkerson JA, Kubic MY, Story M, Lytle L, Arcan C 2009 Are there nutrirional and other benefits associated with family meals among at risk youth? J Adolesc Health 45: 389–395.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Burgess-Champoux TL, Larson N, Neumark-Sztainer D, Hannan PJ, Story M, 2009 Are family meal patterns associated with overall diet quality during the transition from early to middle adolescence? J Nutr Educ Behav 41: 79–86.CrossRefGoogle Scholar
  29. 29.
    Rogers I, Emmett P, ALSPAC Study Team, 2003 The effect of maternal smoking status, educational level and age on food and nutrient intakes in preschool children: results from the Avon Longitudinal Study of Parents and Children. Eur J Clin Nutr 57: 854–864.CrossRefGoogle Scholar
  30. 30.
    Sausenthaler S, Kompauer I, Mielck A, et al, 2007 Impact of parental education and income inequality on children’s food intake. Public Health Nutr 10: 24–33.CrossRefGoogle Scholar
  31. 31.
    Riediger ND, Shooshtari S, Moghadasian MH, 2007 The influence of sociodemographic factors on patterns of fruit and vegetable consumption in Canadian adolescents. J Am Diet Assoc 107: 1511–1518.CrossRefGoogle Scholar
  32. 32.
    Fitzgerald A, Heary C, Kelly C, Nixon E, Shevlin M, 2012 Self-efficacy for healthy eating and peer support for unhealthy eating are associated with adolescents’ food intake patterns. Appetite 63: 48–45.CrossRefGoogle Scholar
  33. 33.
    Kerr MA, Rennie KL, McCaffrey TA, Wallace JM, Hannon-Fletcher MP, Livingstone MB, 2009 Snacking patterns among adolescents: a comparison of type, frequency and portion size between Britain in 1997 and Northern Ireland in 2005. Br J Nutr 101: 122–131.CrossRefGoogle Scholar
  34. 34.
    Pirouznia M, 2001 The association between nutrition knowledge and eating behavior in male and female adolescents in the US. Int J Food Sci Nutr 52: 127–132.CrossRefGoogle Scholar
  35. 35.
    Lew K, Barlow PJ, 2005 Dietary practices of adolescents in Singapore and Malaysia Singapore Med J 46: 282–288.PubMedGoogle Scholar

Copyright information

© Hellenic Endocrine Society 2013

Authors and Affiliations

  • Alexandra Bargiota
    • 1
  • Maria Delizona
    • 1
  • Andreas Tsitouras
    • 2
  • Georgios N. Koukoulis
    • 1
  1. 1.Department of Endocrinology and Metabolic Diseases, University Hospital of Larissa, Medical SchoolUniversity of ThessalyLarissaGreece
  2. 2.Department of Dietetics and Nutritional ScienceHarokopio UniversityAthensGreece

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