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Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6-9-year-old children from 19 countries from the WHO European region
MM. Heinen, S. Bel-Serrat, CC. Kelleher, M. Buoncristiano, A. Spinelli, P. Nardone, SM. Milanović, AI. Rito, ATB. Bosi, E. Gutiérrrez-González, I. Pudule, S. Abdrakhmanova, Z. Abdurrahmonova, LA. Brinduse, A. Cucu, V. Duleva, A. Fijałkowska, A....
Language English Country Great Britain
Document type Journal Article, Research Support, Non-U.S. Gov't
Grant support
001
World Health Organization - International
PubMed
34235832
DOI
10.1111/obr.13207
Knihovny.cz E-resources
- MeSH
- Diet MeSH
- Child MeSH
- Access to Healthy Foods * MeSH
- Internationality MeSH
- Humans MeSH
- Pediatric Obesity * epidemiology prevention & control MeSH
- Fruit MeSH
- Cross-Sectional Studies MeSH
- Surveys and Questionnaires MeSH
- Feeding Behavior MeSH
- World Health Organization MeSH
- Carbonated Beverages MeSH
- Vegetables MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
In order to address the paucity of evidence on the association between childhood eating habits and urbanization, this cross-sectional study describes urban-rural differences in frequency of fruit, vegetable, and soft drink consumption in 123,100 children aged 6-9 years from 19 countries participating in the fourth round (2015-2017) of the WHO European Childhood Obesity Surveillance Initiative (COSI). Children's parents/caregivers completed food-frequency questionnaires. A multivariate multilevel logistic regression analysis was performed and revealed wide variability among countries and within macroregions for all indicators. The percentage of children attending rural schools ranged from 3% in Turkey to 70% in Turkmenistan. The prevalence of less healthy eating habits was high, with between 30-80% and 30-90% children not eating fruit or vegetables daily, respectively, and up to 45% consuming soft drinks on >3 days a week. For less than one third of the countries, children attending rural schools had higher odds (OR-range: 1.1-2.1) for not eating fruit or vegetables daily or consuming soft drinks >3 days a week compared to children attending urban schools. For the remainder of the countries no significant associations were observed. Both population-based interventions and policy strategies are necessary to improve access to healthy foods and increase healthy eating behaviors among children.
Center for Health Ecology Institute of Public Health Podgorica Montenegro
College of Health and Agricultural Sciences University College Dublin Dublin Ireland
Croatian Institute of Public Health Zagreb Croatia
Department Food and Nutrition National Centre of Public Health and Analyses Sofia Bulgaria
Department of Cardiology Institute of Mother and Child Warsaw Poland
Department of Nutrition Research National Institute for Health Development Tallinn Estonia
Department of Pediatrics Paracelsus Medical University Salzburg Austria
Department of Preventive Medicine Lithuanian University of Health Sciences Kaunas Lithuania
Department of Research and Health Statistics Centre for Disease and Prevention Control Riga Latvia
Department of Social and Policy Sciences University of Bath Bath UK
Faculty of Medicine SS Cyril and Methodius University Skopje North Macedonia
Health Authority Ministry of Health San Marino San Marino
Health Promotion and Inequality Danish Health Authority Copenhagen Denmark
Institute of Public Health Skopje North Macedonia
Kazakhstan School of Public Health Kazakhstan's Medical University Almaty Kazakhstan
Medical Faculty Department of Public Health Hacettepe University Ankara Turkey
Nutrition and Food Safety Sector Institute of Public Health Tirana Albania
Obesity Management Centre Institute of Endocrinology Prague Czech Republic
Primary Child Health Unit Primary Health Care Floriana Malta
School of Medicine University of Zagreb Zagreb Croatia
Scientific Research Institute of Maternal and Child Health Ashgabat Turkmenistan
Spanish Agency for Food Safety and Nutrition Ministry of Consumer Affairs Madrid Spain
References provided by Crossref.org
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