Changes in food habits amongst Norwegian adolescents in 2016 and 2019 according to gender and socioeconomic status
Abstract
Background: Monitoring dietary habits is important in order to identify risk groups and as a basis for targeted public health initiatives.
Objective: To study trends in consumption of selected foods and beverages from 2016 to 2019 amongst Norwegian adolescents according to gender and parental education.
Design: Repeated cross-sectional study amongst 25,996 adolescents, aged 14–17 years old. Consumption of selected food and beverages was measured by an online food frequency questionnaire and general linear models were applied to estimate changes in dietary habits.
Results: Between 2016 and 2019, we observed a reduced frequency of consumption of vegetables (from 4.7 to 4.4 times/week), fruit and berries (from 4.4 to 4.2 times/week), whole-grain bread (from 5.1 to 4.2 times/week), and fish (from 2.3 to 1.6 times/week). During this time period, we also observed a reduced frequency of consumption of salty snacks (from 2.1 to 1.9 times/week), sweets (from 2.3 to 2.0 times/week), sugar-sweetened beverages (from 2.8 to 2.6 times/week), and artificially sweetened beverages (from 2.2 to 1.5 times/week). In girls, there was a decrease in the reported frequency of consumption of fruit and berries (−4%, vs. no change in boys). The decrease in consumption frequency of whole-grain bread was larger in girls than in boys (−19% vs. −14%). Further, a 17% decrease in consumption of sweets was observed amongst adolescents with no or only one parent having college/university education compared to a 13% decrease in adolescents whose both parents had college/university education.
Conclusion: Our results showed a decrease in frequency of consumption of selected healthy and unhealthy food and beverages amongst adolescents between 2016 and 2019. The gender gap in consumption of fruit and berries and whole-grain bread seemed to decrease during this time period, and the socio-economic gap in consumption of sweets seemed to disappear.
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References
- Afshin A, Sur PJ, Fay KA, Cornaby L, Ferrara G, Salama JS, et al. Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study. Lancet 2019; 393(10184): 1958–72. doi: 10.1016/S0140-6736(19)30041-8
- Micha R, Peñalvo JL, Cudhea F, Imamura F, Rehm CD, Mozaffarian D. Association Between dietary factors and mortality from heart disease, stroke, and type 2 diabetes in the United States. JAMA 2017; 317(9): 912–24. doi: 10.1001/jama.2017.0947
- Sotos-Prieto M, Bhupathiraju SN, Mattei J, Fung TT, Li Y, Pan A, et al. Association of changes in diet quality with total and cause-specific mortality. N Engl J Med 2017; 377: 143–53. doi: 10.1001/jamainternmed.2019.5942
- Meier T, Gräfe K, Senn F, Sur P, Stangl GI, Dawczynski C, et al. Cardiovascular mortality attributabel to dietary risk factors in 51 countries in the WHO European Region from 1990 to 2016: a systematic analysis of the Global Burden of Disease Study. Eur J Epidemiol 2019; 34; 37–55. doi: 10.1007/s10654-018-0473-x
- GDB 2017 Diet Collaborators. Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2019; 393(10184): 1958–72. doi: 10.1016/S0140-6736(19)30041-8
- Winpenny EM, van Sluijs EMF, White M, Klepp KI, Wold B, Lien N. Changes in diet through adolescence and early adulthood: longitudinal trajectories and association with key life transitions. Int J Behav Nutr Phys Act 2018; 15(1): 86. doi: 10.1186/s12966-018-0719-8
- Winpenny EM, Penney TL, Corder K, White M, Sluijs EF. Change in diet in the period from adolescence to early adulthood: a systematic scoping review of longitudinal studies. Int J Behav Nutr Phys Act 2017; 14(1): 60. doi: 10.1186/s12966-017-0518-7
- Neumark-Sztainer D, Wall MM, Chen C, Larson NI, Christoph MJ, Sherwood NE. Eating, activity, and weight-related problems from adolescence to adulthood. Am J Prev Med 2018; 55(2): 133–41. doi: 10.1016/j.amepre.2018.04.032
- Micha R, Coates J, Leclercq C, Charrondiere UR, Mozaffarian D. Global dietary surveillance: data gaps and challenges. Food Nutr Bull 2018; 39(2): 175–205. doi: 10.1177/0379572117752986
- Roos BD, Brennan L. Personalised interventions – a precision approach for the next generation of dietary intervention studies. Nutrients 2017; 9(8): 847. doi: 10.3390/nu9080847
- Diethelm K, Jankovic N, Moreno LA, Huybrechts I, De Henauw S, De Vriendt T, et al. Food intake of European adolescents in the light of different food-based dietary guidelines: results of the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Public Health Nutr 2011; 15(3): 386–98. doi: 10.1017/S1368980011001935
- Moreno LA, Gottrand F, Huybrechts I, Ruiz JR, González-Gross M, DeHenauw S. Nutrition and lifestyle in European adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Adv Nutr 2014; 5(5): 615–23. doi: 10.3945/an.113.005678
- World Health Organization. Diet, nutrition and the prevention of chronic diseases: report of a Joint WHO/FAO Expert Consultation. Geneva: World Health Organization; 2003.
- Hansen LB, Myhre JB, Johansen AMW, Paulsen MM, Andersen LF. UNGKOST 3, Nationwide dietary survey among pupils in 4th and 8th grade in Norway, 2015. Oslo: Norwegian Directorate of Health; 2016.
- Imamura F, Micha R, Khatibzadeh S, Fahimi S, Shi P, Powels J, et al. Dietary quality among men and women in 187 countries in 1990 and 2010: a systematic assessment. Lancet Glob Health 2015; 3(3): 132–42. doi: 10.1016/S2214-109X(14)70381-X
- Samdal O, Mathisen F, Torsheim T, Diseth A, Fismen AS, Larsen T, et al. Helse og trivsel blant barn og unge. Resultater fra den landsrepresentative spørreundersøkelsen «Helsevaner blant skoleelever. En WHO-undersøkelse i flere land». HEMIL-rapport 2016. Bergen: Universitetet i Bergen, 2016.
- Fismen AS, Smith ORF, Torsheim T, Samdal O. A school based study of time trends in food habits and their relation to socio-economic status among Norwegian adolescents, 2001–2009. Int J Behav Nutr Phys Act 2014; 11: 115. doi: 10.1186/s12966-014-0115-y
- Allen L, Williams J, Townsend B, Mikkelsen B, Roberts N, Foster C, et al. Socioeconomic status and non-communicable disease behavioural risk factors in low-income and lower-middle-income countries: a systematic review. Lancet Glob Health 2017; 5(3): 277–89. doi: 10.1016/S2214-109X(17)30058-X
- Fismen AS, Smith ORF, Torsheim T, Rasmussen M, Pagh TP, Augustine L, et al. Trends in food habits and their relation to socioeconomic status among Nordic adolescents 2001/2002 – 2009/2010. PLoS One 2016; 11(2): e0148541. doi: 10.1371/journal.pone.0148541
- Boylan S, Lallukka T, Lahelma E, Pikhart H, Malyutina S, Pajak A, et al. Socio-economic circumstances and food habits in Eastern, Central and Western European populations. Public Health Nutr 2011; 14(4): 678–87. doi: 10.1017/S1368980010002570
- Bolt-Evensen K, Vik FV, Stea TH, Klepp KI, Bere E. Consumption of sugar-sweetened beverages and artificially sweetened beverages from childhood to adulthood in relation to socioeconomic status – 15 years follow-up in Norway. Int J Behav Nutr Phys Act 2018; 15(1): 8. doi: 10.1186/s12966-018-0646-8
- Moreno-Maldonado C, Ramos P, Moreno C, Rivera F. How family socioeconomic status, peer behaviors, and school-based intervention on healthy habits influence adolescent eating behavior. Sch Psychol Int 2018; 39(1): 92–118. doi: 10.1177/0143034317749888
- Ministry of Health and Care Services. Norwegian action plan on nutrition (2017–2021) – «a healthy diet and good health for all». Oslo: Norwegian Ministries; 2017.
- Norwegian Social Research – NOVA. About Ungdata. Available from: www.ungdata.no/english [cited 30 October 2020].
- Statistics Norway. Educational attainment of the population. Available from: https://www.ssb.no/en/statbank/table/08921 [cited 30 October 2020].
- Savige G, MacFarlane A, Ball K, Worsley A, Crawford D. Snacking behaviours of adolescents and their association with skipping meals. Int J Behav Nutr Phys Act 2007; 4(1): 36. doi: 10.1186/1479-5868-4-36
- Moreno LA, Rodríguez G, Fleta J, Bueno-Lozano M, Lázaro A, Bueno G. Trends of dietary habits in adolescents. Crit Rev Food Sci Nutr 2010; 50(2): 106–12. doi: 10.1080/10408390903467480
- Rodrigues PRM, Luiz RR, Monteiro LS, Ferreira MG, Gonçalves-Silva RMV, Pereira RA. Adolescents’ unhealthy eating habits are associated with meal skipping. Nutrition 2017; 42: 114–20. doi: 10.1016/j.nut.2017.03.011
- Vereecken C, Pedersen TP, Ojala K, Krølner R, Dzielska A, Ahluwalia N, et al. Fruit and vegetable consumption trends among adolescents from 2002 to 2010 in 33 countries. Eur J Public Health 2015; 25(2): 16–19. doi: 10.1093/eurpub/ckv012
- Bere E, Veierød MB, Bjelland M, Klepp KI. Free school fruit – sustained effect 1 year later. Health Educ Res 2006; 21(2): 268–75. doi: 10.1093/her/cyh063
- Bere E, Veierød MB, Skare Ø, Klepp KI. Free school fruit – sustained effect three years later. Int J Behav Nutr Phys Act 2007; 4: 5. doi: 10.1186/1479-5868-4-5
- Ministry of Education and Research. Endringer i opplæringslova, privatskolelova og folkehøyskoleloven (leksehjelp m.m.). Oslo: Ministry of Education and Research; 2014.
- The Norwegian Directorate of Health. Norwegian guidelines on diet, nutrition and physical activity. Oslo: Norwegian Directorate of Health; 2014.
- The Norwegian Directorate of Fisheries. Nedgang i kvantum, men høyere priser på viktige fiskeslag. Available from: https://www.fiskeridir.no/Yrkesfiske/Nyheter/2020/0120/Nedgang-i-kvantum-men-hoeyere-priser-paa-viktige-fiskeslag [cited 30 October 2020].
- The Norwegian Directorate of Health. The development of the Norwegian Diet 2019. Report IS-2866.
- Hovdenak IM, Bere E, Stea TH. Time trends (1995–2008) in dietary habits among adolescents in relation to the Norwegian school fruit scheme: the HUNT study. Nutr J 2019; 18: 77. doi: 10.1186/s12937-019-0501-z
- Winkvist A, Hultén B, Kim J, Johansson J, Torén K, Brisman J, et al. Dietary intake, leisure time activities and obesity among adolescents in Western Sweden: a cross-sectional study. Nutr J 2016; 15: 41. doi: 10.1186/s12937-016-0160-2
- Royal Ministry of Finance. Complaint – Norwegian excise duties on chocolate and sugar products and non-alcoholic beverages. Oslo: Royal Ministry of Finance; 2018.
- Mytton OT, Clarke D, Rayner M. Taxing unhealthy food and drinks to improve health. BMJ 2012; 344: e2931. doi: 10.1136/bmj.e2931
- Wright A, Smith KE, Hellowell M. Policy lessons from health taxes: a systematic review of empirical studies. BMC Public Health 2017; 17(1): 583. doi: 10.1186/s12889-017-4497-z
- Niebylski ML, Redburn KA, Duhaney T, Campbell NR. Healthy food subsidies and unhealthy food taxation: a systematic review of the evidence. Nutrition 2015; 31(6): 787–95. doi: 10.1016/j.nut.2014.12.010
- De Oliveira Figueiredo RA, Viljakainen J, Viljakainen H, Roos E, Rounge TB, Weiderpass E. Identifying eating habits in Finnish children: a cross-sectional study. BMC Public Health 2019; 19: 312. doi: 10.1186/s12889-019-6603-x
- Pechey R, Monsivais P, Ng YL, Marteau TM. Why don’t poor men eat fruit? Socioeconomic differences in motivations for fruit consumption. Appetite 2015; 84: 271–9. doi: 10.1016/j.appet.2014.10.022
- Masella R, Malorni W. Gender-related differences in dietary habits. CMI 2017; 11(2): 59–62. doi: 10.7175/cmi.v11i2.1313
- Matthews LA, Rovio SP, Jaakkola JM, Niinikoski H, Lagström H, Jula A, et al. Longitudinal effect of 20-year infancy-onset dietary intervention on food consumption and nutrient intake: the randomized controlled STRIP study. Eur J Clin Nutr 2019; 73: 937–49. doi: 10.1038/s41430-018-0350-4
- Desbouys L, Méjean C, De Henauq S, Castetbon K. Socio-economic and cultural disparities in diet among adolescents and young adult: a systematic review. Public Health Nutr 2020; 23(5): 843–60. doi: 10.1017/S1368980019002362
- Liu J, Rehm CD, Onopa J, Mozaffarian D. Trends in diet quality among youth in the United States, 1999–2016. JAMA 2020; 323(12): 1161–74. doi: 10.1001/jama.2020.0878
- Statistics Norway. Education. Available from: https://www.ssb.no/en/utdanning [cited 30 October 2020].
- Abel MH, Totland TH. Self-reported dietary habits and body weight in adults in Norway – results from the National Public Health Survey 2020. Report 2021. Oslo: Folkehelseinstituttet; 2021.
- Briefel RR, Johnson CL. Secular trends in dietary intake in the United States. Annu Rev Nutr 2004; 24: 401–31. doi: 10.1146/annurev.nutr.23.011702.073349
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