Eating Habits of Professional Firefighters: Comparison With National Guidelines and Impact Healthy Eating Promotion Program.

Firefighters' eating habits may be an additional risk factor for metabolic diseases. We assessed eating habits of firefighters, compared them with national guidelines, and evaluated the impact of a prevention program. Twenty-eight professional firefighters from a Swiss airport benefited from a healthy-eating program. Food intake, eating behavior, and anthropometric data were collected at baseline and 1-year follow-up using an electronic food record, questionnaires, and bio-impedance. Participants had unbalanced diets with low-quality food choices associated with low intakes of fibers and micronutrients compared with national guidelines. Intervention did not impact eating habits or anthropometrics data at the group level, but changes were measured in sub-groups. Main reported barriers for healthy eating were lack of motivation, prioritization, or time. Intensive and culturally tailored prevention interventions targeting nutritional behaviors are needed at the individual, group, and organizational levels

Energy, Nutrient and Food Intakes of Male Shift Workers Vary According to the Schedule Type but Not the Number of Nights Worked.

Shift work is associated with increased risk of chronic diseases due to circadian rhythm disruptions and behavioral changes such as in eating habits. Impact of type of shifts and number of night shifts on energy, nutrient and food intake is as yet unknown. Our goal was to analyze shift workers' dietary intake, eating behavior and eating structure, with respect to frequency of nights worked in a given week and seven schedule types. Eating habits and dietary intakes of 65 male shift workers were analyzed in three steps based on 365 24-h food records: (1) according to the number of nights, (2) in a pooled analysis according to schedule type, and (3) in search of an interaction of the schedule and the timing of intake. Mean nutrient and food group intake during the study period did not depend on the number of nights worked. Amount and distribution of energy intake as well as quality of food, in terms of nutrient and food groups, differed depending on the type of schedule, split night shifts and recovery day (day after night shift) being the most impacted. Shift workers' qualitative and quantitative dietary intakes varied between different schedules, indicating the need for tailored preventive interventions

Description of Ultra-Processed Food Intake in a Swiss Population-Based Sample of Adults Aged 18 to 75 Years.

Ultra-processed foods (UPFs) are associated with lower diet quality and several non-communicable diseases. Their consumption varies between countries/regions of the world. We aimed to describe the consumption of UPFs in adults aged 18-75 years living in Switzerland. We analysed data from the national food consumption survey conducted among 2085 participants aged 18 to 75 years. Foods and beverages resulting from two 24-h recalls were classified as UPFs or non-UPFs according to the NOVA classification, categorized into 18 food groups, and linked to the Swiss Food Composition Database. Overall, the median energy intake [P25-P75] from UPFs was 587 kcal/day [364-885] or 28.7% [19.9-38.9] of the total energy intake (TEI). The median intake of UPFs relative to TEI was higher among young participants (<30 years, p = 0.001) and those living in the German-speaking part of Switzerland (p = 0.002). The food groups providing the most ultra-processed calories were confectionary, cakes & biscuits (39.5% of total UPF kcal); meat, fish & eggs (14.9%); cereal products, legumes & potatoes (12.5%), and juices & soft drinks (8.0%). UPFs provided a large proportion of sugars (39.3% of total sugar intake), saturated fatty acids (32.8%), and total fats (31.8%) while providing less than 20% of dietary fibre. Consumption of UPFs accounted for nearly a third of the total calories consumed in Switzerland. Public health strategies to reduce UPF consumption should target sugary foods/beverages and processed meat

Community led active schools programme (CLASP) exploring the implementation of health interventions in primary schools: headteachers’ perspectives

Background: Schools are repeatedly utilised as a key setting for health interventions. However, the translation of effective research findings to the school setting can be problematic. In order to improve effective translation of future interventions, it is imperative key challenges and facilitators of implementing health interventions be understood from a school's perspective. Methods: Nineteen semi-structured interviews were conducted in primary schools (headteachers n = 16, deputy headteacher n = 1, healthy school co-ordinator n = 2). Interviews were transcribed verbatim and analysed using thematic analysis. Results: The main challenges for schools in implementing health interventions were; government-led academic priorities, initiative overload, low autonomy for schools, lack of staff support, lack of facilities and resources, litigation risk and parental engagement. Recommendations to increase the application of interventions into the school setting included; better planning and organisation, greater collaboration with schools and external partners and elements addressing sustainability. Child-centred and cross-curricular approaches, inclusive whole school approaches and assurances to be supportive of the school ethos were also favoured for consideration. Conclusions: This work explores schools' perspectives regarding the implementation of health interventions and utilises these thoughts to create guidelines for developing future school-based interventions. Recommendations include the need to account for variability between school environments, staff and pupils. Interventions with an element of adaptability were preferred over the delivery of blanket fixed interventions. Involving schools in the developmental stage would add useful insights to ensure the interventions can be tailored to best suit each individual schools' needs and improve implementation.11 page(s

Knowledge, attitudes, representations and declared practices of nurses and physicians about obesity in a university hospital ::training is essential

In the context of a worldwide obesity epidemic, healthcare providers play a key role in obesity management. Knowledge of current guidelines and attitudes to prevent stigmatization are especially important. This study aimed to assess knowledge, attitudes, beliefs, perception of opportunity for intervention, declared practices and need for training and material of nurses and physicians about obesity in a Swiss University Hospital. A total of 834 physicians and nurses filled an online survey. The questionnaire was based on literature, exploratory interviews and expert committee review. It was pre‐tested with 15 physicians and nurses. Participants declared a low level of negative attitudes towards individuals living with obesity. However, the results highlighted a lack of knowledge to diagnose obesity in adults and children, as well as confidence and training to care of patients with obesity. One‐third of providers did not know how to calculate body mass index. Half of providers felt it was part of their role to take care of patients with obesity, even if 55% of them had the feeling that they did not have adequate training. Nurses and physicians working in a university hospital showed a low level of negative attitudes but a lack of knowledge and skills on obesity management. Training should be improved in this population to insure adequate and coherent messages and equal access to evidence‐based treatment for patients living with obesity

Promotion de la santé pour et avec les enfants

Cette publication est également disponible en allemand et en italien (numéros de commande 02.0450.DE 11.2022 et 02.0450.IT 11.2022).Die Zielgruppe der Kinder ist in den kantonalen Aktionsprogrammen seit Beginn vorhanden. Es ist wichtig, in regelmässigen Abständen die wissenschaftlichen Grundlagen als Basis für wirksame Massnahmen und Interventionen zu aktualisieren. So ist sichergestellt, dass die Grundlage für Programme und Projekte auf dem neuesten Stand ist. Der vorliegende Bericht zeigt, weshalb ein Engagement für die Gesundheit von Kindern von grosser Bedeutung ist. Aufbauend auf wissenschaftlichen Erkenntnissen wird gezeigt, warum die Themen Bewegung, Ernährung und psychische Gesundheit wichtige Pfeiler für die Gesundheit der Kinder sind. Es werden Interventionen und bewährte Handlungsansätze und Empfehlungen vorgestellt. Autorinnen und Autoren Kapitel 1 Einleitung: Dr. phil. Fabienne Amstad Kapitel 2 Lebenswelten: Dr. phil. Gisela Unterweger, Prof. Dr. phil. Anja Sieber Kapitel 3 Grundlagen: Prof. Dr. med. Julia Dratva, Matthias Meyer, dipl. SozÖk, Prof. Dr. phil. Karin Nordström Kapitel 4 Chancengleichheit: lic. phil. Dominik Weber• Kapitel 5 Frühe Förderung: Prof. Dr. phil. hist. Martin Hafen Kapitel 6 Bewegung: Prof. Dr. med. Susi Kriemler, PD Dr. phil. Thomas Radtke Kapitel 7 Ernährung: Dr. Sophie Bucher Della Torre Kapitel 8 Psychische Gesundheit: Prof. Edouard Gentaz Kapitel 9 Zusammenspiel: MSc Ronia Schiftan, MSc Anne-Françoise Wittgenstein Mani Kapitel 10 Schlussfolgerungen: lic. phil. Florian Koch, Dr. phil. Fabienne Amsta

Promotion de la santé pour et avec les adolescent-e-s et les jeunes adultes

Cette publication est également disponible en allemand et en italien (numéros de commande 02.0451.DE 11.2022 et 02.0451.IT 11.2022).Die Zielgruppe der Jugendlichen und jungen Erwachsenen ist im Kontext der Corona-Pandemie in den Fokus gerückt. Wie wichtig es ist, die Gesundheit der Jugendlichen und jungen Erwachsenen zu fördern, wird durch diese Fokussierung betont. Vor diesem Hintergrund ist es wichtig, die wissenschaftlichen Grundlagen als Basis für wirksame Massnahmen und Interventionen zu aktualisieren. So ist sichergestellt, dass die Grundlage für Programme und Projekte auf dem neuesten Stand ist. Der vorliegende Bericht zeigt, weshalb sich ein Engagement für die Gesundheit von Jugendlichen und jungen Erwachsenen lohnt. Aufbauend auf wissenschaftlichen Erkenntnissen wird gezeigt, warum die Themen Bewegung, Ernährung und psychische Gesundheit wichtige Pfeiler für die Gesundheit im Jugend- und jungen Erwachsenenalter sind. Es werden Interventionen und bewährte Handlungsansätze und Empfehlungen vorgestellt. Autorinnen und Autoren: Kapitel 1 Einleitung und Kapitel 10 Schlussfolgerungen: Dr. phil. Fabienne Amstad Kapitel 2 Lebensphase: Prof. Dr. med. Joan-Carles Suris, Dr. Yara Barrense-Dias Kapitel 3 Grundlagen: Prof. Dr. med. Julia Dratva, Matthias Meyer, dipl. SozÖk, Prof. Dr. phil. Karin Nordström Kapitel 4 Chancengleichheit: lic. phil. Dominik Weber Kapitel 5 Medien: MSc Jael Bernath, Prof. Dr. Daniel Süss Kapitel 6 Bewegung: Prof. Dr. Suzanne Suggs Kapitel 7 Ernährung: Dr. Sophie Bucher Della Torre Kapitel 8 Psychische Gesundheit: Prof. Dr. Frank Wieber, Prof. Dr. Agnes von Wyl, Dr. Annina Zysset Kapitel 9 Zusammenspiel: MSc Ronia Schiftan, MSc Anne-Françoise Wittgenstein Man