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High-risk environments for eating foods surplus to requirements: a multilevel analysis of adolescents' non-core food intake in the National Diet and Nutrition Survey (NDNS).

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  • Additional Information
    • Author-Supplied Keywords:
      Adolescents
      Eating context
      Ecological momentary assessment
      Multilevel models
      Non-core food
    • NAICS/Industry Codes:
      525120 Health and Welfare Funds
    • Abstract:
      Objective: Interventions to reduce adolescents' non-core food intake (i.e. foods high in fat and sugar) could target specific people or specific environments, but the relative importance of environmental contexts v. individual characteristics is unknown.Design: Cross-sectional.Setting: Data from 4d food diaries in the UK National Diet and Nutrition Survey (NDNS) 2008-2012 were analysed. NDNS food items were classified as 'non-core' based on fat and sugar cut-off points per 100g of food. Linear multilevel models investigated associations between 'where' (home, school, etc.) and 'with whom' (parents, friends, etc.) eating contexts and non-core food energy (kcal) per eating occasion (EO), adjusting for variables at the EO (e.g. time of day) and adolescent level (e.g. gender).ParticipantsAdolescents (n 884) aged 11-18 years.Results: Only 11 % of variation in non-core energy intake was attributed to differences between adolescents. In adjusted models, non-core food intake was 151 % higher (ratio; 95 % CI) in EO at 'Eateries' (2·51; 2·14, 2·95) and 88 % higher at 'School' (1·88; 1·65, 2·13) compared with 'Home'. EO with 'Friends' (1·16; CI 1·03, 1·31) and 'Family & friends' (1·21; 1·07, 1·37) contained 16-21 % more non-core food compared with eating 'Alone'. At the individual level, total energy intake and BMI, but not social class, gender or age, were weakly associated with more non-core energy intake.Conclusions: Regardless of individual characteristics, adolescents' non-core food consumption was higher outside the home, especially at eateries. Targeting specific eating contexts, not individuals, may contribute to more effective public health interventions. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Public Health Nutrition is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Centre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK
      2School of Social and Community Medicine, University of Bristol, Bristol, UK
    • Full Text Word Count:
      13280
    • ISSN:
      1368-9800
    • Accession Number:
      10.1017/S1368980018002860
    • Accession Number:
      133782041
  • Citations
    • ABNT:
      TOUMPAKARI, Z. et al. High-risk environments for eating foods surplus to requirements: a multilevel analysis of adolescents’ non-core food intake in the National Diet and Nutrition Survey (NDNS). Public Health Nutrition, [s. l.], v. 22, n. 1, p. 74–84, 2019. DOI 10.1017/S1368980018002860. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=133782041. Acesso em: 28 set. 2020.
    • AMA:
      Toumpakari Z, Tilling K, Haase AM, Johnson L. High-risk environments for eating foods surplus to requirements: a multilevel analysis of adolescents’ non-core food intake in the National Diet and Nutrition Survey (NDNS). Public Health Nutrition. 2019;22(1):74-84. doi:10.1017/S1368980018002860
    • APA:
      Toumpakari, Z., Tilling, K., Haase, A. M., & Johnson, L. (2019). High-risk environments for eating foods surplus to requirements: a multilevel analysis of adolescents’ non-core food intake in the National Diet and Nutrition Survey (NDNS). Public Health Nutrition, 22(1), 74–84. https://doi.org/10.1017/S1368980018002860
    • Chicago/Turabian: Author-Date:
      Toumpakari, Zoi, Kate Tilling, Anne M Haase, and Laura Johnson. 2019. “High-Risk Environments for Eating Foods Surplus to Requirements: A Multilevel Analysis of Adolescents’ Non-Core Food Intake in the National Diet and Nutrition Survey (NDNS).” Public Health Nutrition 22 (1): 74–84. doi:10.1017/S1368980018002860.
    • Harvard:
      Toumpakari, Z. et al. (2019) ‘High-risk environments for eating foods surplus to requirements: a multilevel analysis of adolescents’ non-core food intake in the National Diet and Nutrition Survey (NDNS)’, Public Health Nutrition, 22(1), pp. 74–84. doi: 10.1017/S1368980018002860.
    • Harvard: Australian:
      Toumpakari, Z, Tilling, K, Haase, AM & Johnson, L 2019, ‘High-risk environments for eating foods surplus to requirements: a multilevel analysis of adolescents’ non-core food intake in the National Diet and Nutrition Survey (NDNS)’, Public Health Nutrition, vol. 22, no. 1, pp. 74–84, viewed 28 September 2020, .
    • MLA:
      Toumpakari, Zoi, et al. “High-Risk Environments for Eating Foods Surplus to Requirements: A Multilevel Analysis of Adolescents’ Non-Core Food Intake in the National Diet and Nutrition Survey (NDNS).” Public Health Nutrition, vol. 22, no. 1, Jan. 2019, pp. 74–84. EBSCOhost, doi:10.1017/S1368980018002860.
    • Chicago/Turabian: Humanities:
      Toumpakari, Zoi, Kate Tilling, Anne M Haase, and Laura Johnson. “High-Risk Environments for Eating Foods Surplus to Requirements: A Multilevel Analysis of Adolescents’ Non-Core Food Intake in the National Diet and Nutrition Survey (NDNS).” Public Health Nutrition 22, no. 1 (January 2019): 74–84. doi:10.1017/S1368980018002860.
    • Vancouver/ICMJE:
      Toumpakari Z, Tilling K, Haase AM, Johnson L. High-risk environments for eating foods surplus to requirements: a multilevel analysis of adolescents’ non-core food intake in the National Diet and Nutrition Survey (NDNS). Public Health Nutrition [Internet]. 2019 Jan [cited 2020 Sep 28];22(1):74–84. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=133782041