Blending Better Beverage Options: A Nutrition Education and Experiential Workshop for Youths

Objective. To reduce intake of sugar-sweetened beverages (SSBs) in youths as a means to reduce obesity risk. Methods. Youths 5–14 years old attending a summer program were given a two-hour workshop addressing the sugar content in SSBs, the health risks from drinking SSBs, and hands-on preparation as well as tastings of low-sugar beverage alternatives. Data on usual intake of SSBs was obtained at baseline, and pre- and postprogram surveys were conducted to gauge change in knowledge and/or attitudes regarding SSBs. Results. There were 128 participants (63% male) in the program. SSBs were commonly consumed with over 80% reporting regular consumption (mean daily intake 17.9 ounces). Significant increase in knowledge regarding the sugar content of commonly consumed SSBs was achieved; however change in attitudes was not significant. The large majority of youths reported enjoying the workshop and intention to reduce intake of SSBs following program participation. Conclusion. SSBs are commonly consumed by youths. Knowledge regarding the sugar content of SSBs is easier to impart to youths than influencing attitudes held about these beverages. Long-term interventions that reach out to parents and address the widespread availability of SSBs are needed to influence resistant attitudes and beverage choosing behaviors in youths

Influence of sociodemographic factors on eating motivations - modelling through artificial neural networks (ANN)

This study aimed at investigating the influence of some sociodemographic factors on the eating motivations. A longitudinal study was carried conducted with 11960 participants from 16 countries. Data analysis included t-test for independent samples or ANOVA, and neural network models were also created, to relate the input and output variables. Results showed that factors like age, marital status, country, living environment, level of education or professional area significantly influenced all of the studied types of eating motivations. Neural networks modelling indicated variability in the food choices, but identifying some trends, for example the strongest positive factor determining health motivations was age, while for emotional motivations was living environment, and for economic and availability motivations was gender. On the other hand, country revealed a high positive influence for the social and cultural as well as for environmental and political and also for marketing and commercial motivations.This is the peer-reviewed version of the following article: Guine, R. P. F.; Ferrao, A. C.; Ferreira, M.; Correia, P.; Mendes, M.; Bartkiene, E.; Szucs, V.; Tarcea, M.; Matek-Sarić, M.; Cernelić-Bizjak, M.; Isoldi, K.; EL-Kenawy, A.; Ferreira, V.; Klava, D.; Korzeniowska, M.; Vittadini, E.; Leal, M.; Frez-Munoz, L.; Papageorgiou, M.; Djekić, I. Influence of Sociodemographic Factors on Eating Motivations - Modelling through Artificial Neural Networks (ANN). International Journal of Food Sciences and Nutrition 2020, 71 (5), 614–627. [https://doi.org/10.1080/09637486.2019.1695758]

Evalution through artificial neural networks of the sociodemographic Influences on food choices

Introduction: The EATMOT Project is a multinational study that is being carried out in 16 countries about different eating motivations, given their recognized importance in the definition of people’s dietary patterns. Objective: This study investigated the influence of sociodemographic factors on some types of eating motivations, specifically: health related factors; economic and availability aspects; emotional determinants; social, cultural and religious influences; marketing and advertising campaigns and finally environmental concerns. Methods: This is a longitudinal observational study carried out on a non-probabilistic sample with 11960 participants. For the analysis of the data were used the T-test for independent samples or ANOVA with Post-Hoc Tukey HSD, depending on the case. The modelling through artificial neural networks included 7 input variables (sociodemographic characteristics) and 6 output variables (the eating motivations’ groups). Results: Variables like age, marital status, country, living environment, level of education or professional area significantly influenced all the types of eating motivations analysed. However, regarding gender, no significant differences were observed for two of the six types of motivations analysed: economic & availability and marketing & commercial. The results of the ANN modelling showed that the strongest positive factors determining the eating motivations were age for health, country for emotional motivations, gender for economic & availability, country for social & cultural, country for environmental & political, and finally country also for the marketing & commercial motivations. Conclusions: These results highlight the importance of the sociodemographic characteristics as determinants for eating patterns around the globe, and particularly the geographic location.info:eu-repo/semantics/publishedVersio

Childhood obesity and the school food environment: Foods consumed during classroom celebrations and perspectives regarding wellness policy implementation

Childhood obesity is poised to cause great personal and societal detriment in the United States, especially for Latino children residing in low-income communities. Excess calories are available for purchase on the school campus though vending machines, school stores, a la carte sales, snack carts and fundraising events. However, little is known about the types of foods and beverages offered and consumed during classroom celebrations. This study explored the types of foods and beverages offered and consumed during classroom celebrations held at an elementary school in a predominately Latino, low-income, urban community. In addition, perspectives held by parents, teachers and school administrators were sought regarding the role classroom celebrations serve, and a local school wellness policy aimed at regulating these events. Direct observations were documented during six separate classroom celebrations when foods and beverages were offered and consumed. A parent survey was conducted (n=125), and semi-structured interviews were held with schoolteachers (n=8) and school administrators (n=3). Students (n=24) consumed foods and beverages containing a mean 444 ± 221 kcalories, far exceeding suggested daily discretionary calories for age. The most commonly offered foods and beverages were low-nutrient, energy dense desserts and sugar-sweetened beverages. Parent surveys revealed that the majority of parents believe classroom celebrations: 1) serve an important purpose, 2) do not offer an opportunity for children to consume excessive calories, and 3) that a food ban during classroom celebrations is not warranted. However, more than two-thirds of parents would support a policy regulating the types of foods and beverages offered during these celebrations. The main themes that emerged during interviews with teachers and school administrators were that local school wellness policies have the power to improve the school food environment, and that improved communication between staff and parents, as well as consistency in carrying out policy regulations are needed for policy efficacy. They also believe that classroom celebrations serve several purposes in their community, and that regulation, rather than a ban is preferred. Future research in differing school environments investigating classroom celebration practices and local school wellness policy acceptance regarding regulation is needed

Measurement and Correlates of Food Selection Motivations in a United States Sample

Background: In this study, we explored the factors that motivate food choice, and evaluated the psychometric properties and demographic correlates of the Eating Motivation (EATMOT) questionnaire in adults in the United States (US). Methods: This cross-sectional survey involved 905 adults in 6 sites across the US. The EATMOT questionnaire measures participants' self-reported motivations for food selection, demographic, and anthropometric data. Analyses included exploratory and confirmatory factor analyses, correlations, Welch's t-tests, and logistic regressions. Results: We established a 3-factor model (health-related, emotional, and environmental/political motivations) as the best fit to the data (CFI = .983, RMSEA = .049, SRMR = .054). Gender differences were found within the 3 factors, as well as in the intercorrelations between factors. Higher levels of health-related motivations (B = .10, SE = .04, OR = 1.11 (95% CI: 1.03, 1.19), p = .006) were associated with increased reports of weight loss dieting, whereas higher levels of environmental/political motivations (B = -.09, SE = .04, OR = 0.91, p = .02) were associated with fewer reports of weight-loss dieting. Conclusion: An abbreviated version of the EATMOT scale is appropriate for use in a US sample and identifies 3 categories of factors that impact dietary choices. These factors may be important in building interventions to improve diets.info:eu-repo/semantics/publishedVersio

Cultural dimensions associated with food choice: A survey based multi-country study

The aim of this research was to analyze motivations behind food choices from a cross-cultural perspective. It presents results derived from a multi-country study associated with Hofstede's cultural dimensions. A total of 11,919 respondents from 16 countries took part in this research. Two groups of statements were included in the survey: ‘economic & availability motivations' and ‘social & cultural motivations'. Six Hofstede's cultural dimensions covered: Power Distance Index, Individualism–Collectivism Index, Masculinity–Femininity Index, Uncertainty Avoidance Index, Term Orientation Index and Indulgence Restraint Index. This study confirmed that different cultural aspects have influence on food choice. A cluster analysis revealed two clusters as follows: ‘attitudinal’ cluster comprising of 11 countries (57.7% % of the total sample) opposed to the ‘ambivalent’ cluster (47.3%) consisting of the remaining five countries. The results confirm a correlation between Hofstede's dimensions, specifically with individualistic, feminine and tolerant societies. Obtained results may be of interest for different food and gastronomy stakeholders shifting their food policies from a local to a cross-cultural perspective.info:eu-repo/semantics/publishedVersio

Study about some environmental factors that determine people’s food choices in 16 different countries

In the ambit of the multinational project EATMOT undertaken in 16 countries (Argentina, Brazil, Croatia, Egypt, Greece, Hungary, Italy, Latvia, Lithuania, Netherlands, Poland, Portugal, Romania, Serbia, Slovenia and United States of America) a study was undertaken to evaluate the motivations for food choices as influenced by variables linked to sustainability. In this way aspects related with minimization of transportation and storage of food products, minimization of package or use of eco-materials, respect for animal’s rights and policies of recovery of food surplus were studied. The food sector is a very important one and greatly contributes to the pressure over the ecosystems, either because a great amount of food is produced, many times in intensive regimens, to feed humans on earth or because those foods are nowadays traded all over the world, contributing for the increase of the ecological footprint, and most especially if the transportation requires refrigeration systems. Hence, nowadays consumers may be aware of these problems and condition some of their food choices to these aspects. The research was undertaken by means of a questionnaire survey on nearly 12 thousand participants, from the 16 countries cited above. Briefly, the results indicated that, in general the concerns with environment and sustainability are important for most of the participants. Specifically, 55.2% preferably choose foods form the season and 49.15 prefer to buy local foods. About half of the participants (50.4%) opt for foods that comply with sustainable processing and packaging and the minimal usage of packaging is important to 49.1%. While a great majority, 70.7% try to avoid food waste at home, when it to comes to frequenting restaurants that do not have a recovery policy of food surplus the percentage is much lower, only 18.6%. The animal´s rights are a conditioning factor for food choice for about half of the participants, 49.8%. Still, it was observed that many of the participants did not manifest their opinion, with a percentage varying between 17.2 and 46.7%. These findings are important to understand the level of commitment of the general population around the world with sustainability factors determining their food choices and on the other hand show that there is still an important part of the population that do not take care about sustainability aspects when buying or consuming food, which something that we do several times everyday and year after year.info:eu-repo/semantics/publishedVersio

Environmental Issues as Drivers for Food Choice: Study from a Multinational Framework

This work intended to explore some motivations that influence people’s eating habits towards sustainability. This was an observational, cross-sectional study, carried out by questionnaire survey on a non-probabilistic sample of 10,067 participants from 13 countries (Argentina, Brazil, Croatia, Greece, Hungary, Latvia, Lithuania, Poland, Portugal, Serbia, Slovenia, Romania and United States). Results indicated that people prefer fresh local foods from the season, being important because it allows transportation and storage to be reduced, which in many cases implies refrigeration systems and consequent energy expenditure. Although people avoid food waste at home, the awareness for the waste at restaurants still needs to be improved. Consumers seem to prefer foods that have been produced and packed in sustainable ways but still give importance to the package—understandable for food products. The results also indicated significant differences in the food choice motivations between groups for all sociodemographic variables tested (age, sex, marital status, education, professional area, living environment and country), but the association was high only for variable country. Additionally, a tree classification analysis allowed to identify the relative importance of the influential variables on the sustainable food choices, with country being the most important, followed by age and sex. Additionally, discriminant function analysis allowed establishing a model for the relation between country and six variables accounting for preservation of biodiversity, respect for life, save natural resources, save energy, reduce industrial pollution and minimal packaging. Although with some limitations, this study brings valuable insight into some aspects linked with sustainable food choices on a number of countries and how people shape their food choices according to some sustainability issues

Study about Food Choice Determinants According to Six Types of Conditioning Motivations in a Sample of 11,960 Participants

Many aspects linked to personal characteristics, society and culture constitute some of the motivators that drive food choice. The aim of this work was to determine in what extent the eating behaviors of individuals are shaped by six different types of determinants, namely: health, emotions, price and availability, society and culture, environment and politics, and marketing and commercials. This is a descriptive cross-sectional study, involving a non-probabilistic sample of 11,960 participants from 16 countries. The objective of this work was to validate the questionnaire, so as to make it suitable for application in different contexts and different countries. For that, six scales were considered for validation by confirmatory factor analysis with structural equation modelling. The obtained results showed that the six individual scales evaluated presented good or very good fitting indices, with saturation in goodness-of-fit index in all cases. The values of chi-square ratio were 6.921 (for health), 0.987 (environment), 0.610 (emotions) and 0.000 in the remaining cases (convenience, society, marketing). Furthermore, the fit was perfect, with saturation for all indices, in three of the six models (convenience, society and marketing). The results of this wok allowed the validation of the six scales, and the assessing of different types of factors that can influence food choices and eating behaviors, namely in the categories: health, emotions, price and availability, society and culture, environment and politics, and marketing and commercials

Lestvica motivov prehranjevanja (EATMOT) : Razvoj in validacija instrumenta s konfirmatorno faktorsko analizo (CFA) in modeliranjem strukturnih enačb (SEM)

The objective was to develop and validate an instrument that measures different determinants of people's food choices and simultaneously accounts for a variety of factors: health, emotions, price and availability, society and culture, environment and politics, and marketing and advertising. This is a cross-sectional study focusing on food choice determinants. It was carried out in 16 countries in 2017 and 2018. This study included 11,960 volunteer adult participants from different countries. The data was validated using Confirmatory Factor Analysis (CFA) and Structural Equation Modelling (SEM). Validation using CFA with SEM revealed that multi-factor modelling produced first- and second-order models that could be used to define the EATMOT scale, the first presenting better fitting indices, with the goodness-of-fit and comparative-fit indices very close to 1, as well as root-mean-square-error-of-approximation, root-mean-square-residual and standardised-root-mean-square-residual at practically zero. The validated EATMOT scale guarantees confidence in the information obtained through this instrument, and can be used in future studies to better understand food choice determinants in different geographical areas and help plan strategies to improve healthy eating patterns and diminish the burden of non-communicable diseases. </p