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Using social norm nudges in supermarket shopping trolleys to increase fruit and vegetable purchases. 在超市购物车中使用社会规范推动来增加水果和蔬菜的购买量。
IF 3.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-03-01 DOI: 10.1111/nbu.12604
Greg M McGrath

Fruit and vegetable (F&V) consumption is associated with a reduced risk of developing obesity and chronic diseases: however, only one in twenty Australian adults consume F&Vs at the recommended two servings of fruit and five servings of vegetables per day. What and how much people eat is influenced by their social and physical environments. Supermarkets are a key setting influencing food purchases, and as such, they can shape consumption patterns of F&Vs. Implementing effective strategies to increase F&V intake is crucial. The objective of this research was to test if shopper purchasing behaviour can be modified to purchase more F&Vs using social norm nudge messages (prompts) placed in shopping trolleys. Placards giving the message that the majority of shoppers purchased F&Vs at each shop were placed in shopping trolleys. Applying an intervention research design, 30 out of ~100 trolleys were fitted with the placards and shopper purchases were measured by collecting receipts to measure the quantity (kg), total and F&V spending (Australian dollars) for intervention versus control trolleys. We also conducted a short intercept survey that was administered independently from the research study day. Shoppers who selected trolleys with the social norm nudge placards (n = 109) purchased 1.25 kg more F&Vs (Intervention: mean = 5.45 kg, SD = 4.23 kg, 95% CI 4.65 kg, 6.26 kg vs. Control: mean 4.19 kg, SD = 3.75 kg, 95% CI 3.48 kg, 4.90 kg, p = 0.020, Cohen's d = 0.32) and spent an extra $9.10 more on F&Vs compared to shoppers in the control group (n = 109; Intervention: mean = $36.20, SD = $26.30, 95% CI = $31.24, $41.26 vs. Control: mean $27.10, SD = $24.00, 95% CI = $22.50, $31.67, p = 0.008, Cohen's d = 0.36). The social norm nudge placard shows promise in modifying shoppers' purchases to buy more F&Vs. Larger studies are required to elucidate and confirm these findings over the longer term.

水果和蔬菜(F&V)的消费与减少患肥胖和慢性疾病的风险有关:然而,只有二十分之一的澳大利亚成年人按照每天推荐的两份水果和五份蔬菜的摄入量食用水果和蔬菜。人们吃什么和吃多少受到社会和物质环境的影响。超市是影响食品购买的关键场所,因此,超市可以塑造食品和餐饮的消费模式。实施有效的策略来增加食品和饮料的摄入量是至关重要的。这项研究的目的是测试购物者的购买行为是否可以通过放置在购物车中的社会规范提示信息来改变,从而购买更多的f&v。每个商店的手推车上都放置了标语牌,上面写着大多数顾客购买了食品和饮料。应用干预研究设计,约100辆手推车中有30辆安装了标牌,通过收集收据来测量干预与控制手推车的数量(公斤),总额和食品和饮料支出(澳元)。我们还进行了一项简短的拦截调查,该调查独立于研究学习日进行。选择带有社会规范轻推牌的手推车的购物者(n = 109)比对照组的购物者多购买1.25公斤的食品和饮料(干预:平均= 5.45公斤,SD = 4.23公斤,95% CI 4.65公斤,6.26公斤,对照组:平均4.19公斤,SD = 3.75公斤,95% CI 3.48公斤,4.90公斤,p = 0.020, Cohen's d = 0.32),并在食品和饮料上多花费9.10美元(n = 109;干预:意味着= 36.20美元,SD = $ 26.30, 95% CI = 31.24美元,41.26美元与控制:意思是27.10美元,SD = $ 24.00, 95% CI = 22.50美元,31.67美元,p = 0.008,科恩的d = 0.36)。社会规范推动广告牌显示出改变购物者购买更多f&v的希望。需要更大规模的研究来阐明和证实这些长期的发现。
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引用次数: 2
Knowledge and perceptions of nutrition assistance programmes among young adult students. 青年学生对营养援助计划的认识和看法。
IF 3.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-03-01 DOI: 10.1111/nbu.12602
Michelle G Perry, Avery R Ashley, Lanae B Hood, Rebecca L Hagedorn-Hatfield

The purpose of this qualitative study was to investigate the perceptions of nutrition assistance programmes among young adult students in the United States, and to identify how the current social and political climate, including the COVID-19 pandemic, has impacted these perceptions and the overall willingness of young adult students to participate in these programmes. Participants were recruited via email and social media to participate in 20-min virtual, semi-structured interviews. Twenty-three participants, between the ages of 18 and 25 years from three states in the United States were interviewed. Ten participants reported having experienced food insecurity (FI) in their lifetime, with 21 participants currently having enough food to eat, while two sometimes did not currently have enough to eat. Seven participants had utilised nutrition programmes in their lifetime. Interviews were video and audio recorded, transcribed, and coded using a six-step thematic analysis. Young adult students were largely unaware of nutrition assistance programmes and eligibility requirements but still perceived these programmes to be successful, with a higher proportion of the participants who had utilised a nutrition assistance programme in their lifetime expressing the view that they were generally successful compared to those who had never utilised one. Most were cognizant of the social stigma surrounding these programmes yet expressed a willingness to utilise them and reported an increased willingness to utilise nutrition assistance programmes as a result of the COVID-19 pandemic. COVID-19 made young adult students aware of FI and the important role nutrition assistance programmes play in our society. Young adult students expressed the belief that the Biden administration will have a positive impact on nutrition assistance programmes but had a general hesitation to discuss politics. The COVID-19 pandemic has increased young adult students' willingness to utilise nutrition assistance programmes, although, access to these programmes remains low due to a lack of knowledge and general unawareness of programme availability and accessibility. Education is needed to improve overall knowledge of, and facilitate access to, nutrition assistance programmes while combating perceptions around stigma.

本定性研究的目的是调查美国年轻成年学生对营养援助计划的看法,并确定当前的社会和政治气候(包括COVID-19大流行)如何影响这些看法以及年轻成年学生参与这些计划的总体意愿。研究人员通过电子邮件和社交媒体招募参与者,让他们参加20分钟的半结构化虚拟面试。来自美国三个州的23名年龄在18岁到25岁之间的参与者接受了采访。10名参与者报告在他们的一生中经历过粮食不安全(FI),其中21名参与者目前有足够的食物,而两人有时没有足够的食物。7名参与者在其一生中利用了营养方案。采访是视频和音频记录,转录和编码使用六步主题分析。年轻的成年学生大多不知道营养援助计划和资格要求,但仍然认为这些计划是成功的,与那些从未使用过营养援助计划的参与者相比,在他们的一生中使用过营养援助计划的参与者中,有更高比例的人表示他们总体上是成功的。大多数人认识到围绕这些计划的社会耻辱,但仍表示愿意利用这些计划,并报告说,由于COVID-19大流行,他们更愿意利用营养援助计划。2019冠状病毒病让年轻的成年学生意识到营养援助计划以及营养援助计划在我们社会中发挥的重要作用。青年学生们表示,相信拜登政府将对营养援助事业产生积极影响,但对政治问题普遍持犹豫态度。2019冠状病毒病大流行增加了青年成人学生利用营养援助计划的意愿,尽管由于缺乏知识和普遍不了解计划的可用性和可及性,这些计划的可及性仍然很低。需要进行教育,以提高对营养援助计划的总体了解,并促进获得营养援助计划,同时消除对耻辱的看法。
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引用次数: 0
Prevalence of nutritional inadequacy in children aged 12-36 months: EPACI Portugal 2012. 12-36个月儿童营养不足患病率:EPACI葡萄牙2012。
IF 3.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-03-01 DOI: 10.1111/nbu.12603
Margarida Nazareth, Elisabete Pinto, Milton Severo, Pedro Graça, Carla Lopes, Carla Rêgo

Adequate nutritional intake in the first years of life is crucial for future health. The purpose of this study is to assess the adequacy of nutritional intake in Portuguese toddlers. The EPACI Portugal 2012 is a cross-sectional study of a representative sample of toddlers (n = 2230), aged between 12 and 36 months. Data on diets were collected by trained interviewers. The current analysis included 853 children with full data from 3-day food diaries completed by parents/caregivers. Intakes of energy, macro- and micronutrients were estimated through Statistical Program to Assess Dietary Exposure (SPADE). Nutritional adequacy was evaluated using Dietary Reference Values established by the European Food Safety Authority. A large proportion of children exceeded the recommended energy intake. The median daily protein intake was 4.7 g/kg/day, five times more than that recommended. About 9% and 90% of the children consumed a lower proportion of energy than the lower limit of the Reference Intake range for carbohydrates and fat, respectively. Around a third consumed less fibre and magnesium and 100% less vitamin D than the recommended Adequate Intake (AI). Almost a third consumed less vitamin A than the recommended Average Requirement (AR) and 86% of the children showed excessive sodium consumption. Portuguese toddlers consumed a low proportion of energy from fat, had energy and protein intakes above the recommendations and excessive intakes of sodium, and inadequate intakes of vitamin A. Every child consumed less than the recommended AI for vitamin D.

生命最初几年的充足营养摄入对未来的健康至关重要。本研究的目的是评估葡萄牙幼儿的营养摄入是否充足。EPACI葡萄牙2012是一项代表性样本的横断面研究(n = 2230),年龄在12至36个月之间。饮食数据由训练有素的采访者收集。目前的分析包括853名儿童,其完整数据来自父母/照顾者完成的3天饮食日记。通过统计程序评估饮食暴露(SPADE)估计能量,宏量和微量营养素的摄入量。根据欧洲食品安全局制定的膳食参考值评估营养充足性。很大一部分儿童超过了建议的能量摄入量。平均每日蛋白质摄入量为4.7克/公斤/天,是推荐摄入量的5倍。大约9%和90%的儿童摄入的能量比例分别低于碳水化合物和脂肪的参考摄入范围的下限。大约三分之一的人摄入的纤维、镁和维生素D比推荐摄入量少100% (AI)。近三分之一的儿童摄入的维生素a低于推荐的平均需求量(AR), 86%的儿童摄入过量的钠。葡萄牙幼儿从脂肪中摄取的能量比例很低,能量和蛋白质摄入量高于建议水平,钠摄入量过高,维生素a摄入量不足。每个孩子的维生素D摄入量都低于推荐的摄入量。
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引用次数: 0
Nutrition knowledge and influence on diet in the carer-client relationship in residential care settings for people with intellectual disabilities. 营养知识及其对智力残疾人士住宿照顾中照顾者与客户关系的影响。
IF 3.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-03-01 DOI: 10.1111/nbu.12600
Aslıhan Özdemir, Rebecca Hall, Andrew Lovell, Basma Ellahi

People with intellectual disabilities generally have poorer health outcomes compared with those who do not, including outcomes related to nutrition-related non-communicable diseases. Carers support people with intellectual disabilities in many aspects including habitual shopping and preparation of food, but their own nutrition knowledge and the influence this may have on dietary intakes of clients is unknown. We explored the nutrition knowledge of carers of people with intellectual disabilities in residential care settings, their dietary habits and their influence on clients' food shopping and preparation and therefore the diet consumed by their clients. Ninety-seven carers belonging to a large independent care sector organisation specialising in the care of people with an intellectual disability completed a validated general nutrition knowledge and behaviour questionnaire. Seventeen carers from the residential care settings were interviewed to contextualise practice. Knowledge about key dietary recommendations scored highly. Carers who had more work experience were found to have higher scores in 'making everyday food choices' (p = 0.034). Daily consumption of fruit and vegetables (at least one portion per day) was observed (for fruit by 46% of the carers and for vegetables by 60% of the carers), whilst most carers reported avoiding consuming full-fat dairy products, sugary foods and fried foods. The concept of a healthy diet; typical dietary habits of clients; role in food acquisition; and training in nutrition emerged as themes from the interviews. Carers discussed various topics including the importance of a balanced diet, cooking fresh foods and control of food portion sizes for clients relative to the care philosophy of a client-centred approach, which encapsulates client autonomy. Gaps in knowledge around specific nutrients, making healthy choices and cooking skills remain. Carers have an influence on clients' dietary choices; they are able to provide healthy meals and share good dietary habits with clients. Further training in nutrition is recommended for impact on clients' health.

智力残疾者的健康状况通常比正常人差,包括与营养有关的非传染性疾病的健康状况。护理人员在许多方面为智障人士提供支持,包括习惯性购物和准备食物,但他们自己的营养知识以及这可能对客户饮食摄入量产生的影响尚不清楚。我们探讨了智力残疾人士在住宿护理机构的护理人员的营养知识,他们的饮食习惯,以及他们对客户的食物购买和准备的影响,从而影响他们的客户的饮食。97名护理人员属于一个大型的独立护理部门组织,专门照顾智障人士,他们完成了一份有效的一般营养知识和行为问卷。17名来自住宿护理机构的护理人员接受了采访,以了解实践的背景。对关键饮食建议的了解得分很高。工作经验丰富的护理人员在“日常食物选择”方面得分更高(p = 0.034)。观察到每天食用水果和蔬菜(每天至少一份)(46%的照顾者食用水果,60%的照顾者食用蔬菜),而大多数照顾者报告避免食用全脂乳制品、含糖食品和油炸食品。健康饮食的概念;客户的典型饮食习惯;在食物获取中的作用;营养方面的培训也成为了访谈的主题。护理人员讨论了各种主题,包括平衡饮食的重要性,烹饪新鲜食物和控制食物分量,以及以客户为中心的护理理念,这包含了客户的自主权。在特定营养素、健康选择和烹饪技能方面的知识差距仍然存在。护理人员对客户的饮食选择有影响;他们能够提供健康的膳食,并与客户分享良好的饮食习惯。建议进一步进行营养方面的培训,以对客户的健康产生影响。
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引用次数: 0
'Raising the Pulse': The environmental, nutritional and health benefits of pulse-enhanced foods. 提高脉搏":脉动强化食品对环境、营养和健康的益处。
IF 3.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-03-01 Epub Date: 2023-01-17 DOI: 10.1111/nbu.12601
Julie A Lovegrove, Donal M O'Sullivan, Paola Tosi, Elena Millan, Lindsay C Todman, Jacob Bishop, Afroditi Chatzifragkou, Miriam E Clegg, John Hammond, Kim G Jackson, Philip J Jones, Stella Lignou, Anna L Macready, Yvonne McMeel, Jane Parker, Julia Rodriguez-Garcia, Paul Sharp, Liz J Shaw, Laurence G Smith, Matt Tebbit

Diet is a key modulator of non-communicable diseases, and food production represents a major cause of environmental degradation and greenhouse gas emissions. Yet, 'nudging' people to make better food choices is challenging, as factors including affordability, convenience and taste often take priority over the achievement of health and environmental benefits. The overall 'Raising the Pulse' project aim is to bring about a step change in the nutritional value of the UK consumers' diet, and to do so in a way that leads to improved health and greater sustainability within the UK food system. To achieve our objectives, UK-specific faba bean production systems that optimise both end users' diets and environmental and economic sustainability of production will be implemented in collaboration with key stakeholders (including industry, the retail sector and government). Palatable faba bean flours will be produced and used to develop 'Raising the Pulse' food products with improved nutritional profile and environmental value. Consumer focus groups and workshops will establish attitudes, preferences, drivers of and barriers to increased consumption of such products. They will inform the co-creation of sensory testing and University-wide intervention studies to evaluate the effects of pulses and 'Raising the Pulse' foods on diet quality, self-reported satiety, nutritional knowledge, consumer acceptance and market potential. Nutrient bioavailability and satiety will be evaluated in a randomised-controlled postprandial human study. Finally, a system model will be developed that predicts changes to land use, environment, business viability, nutrition and human health after substitution of existing less nutritionally beneficial and environmentally sustainable ingredients with pulses. Government health and sustainability priorities will be addressed, helping to define policy-relevant solutions with significant beneficial supply chain economic impacts and transformed sustainable food systems to improve consumer diet quality, health and the environment.

饮食是非传染性疾病的关键调节因素,而食品生产则是环境退化和温室气体排放的主要原因。然而,"鼓励 "人们做出更好的食品选择是一项挑战,因为包括经济实惠、方便和口味在内的因素往往优先于实现健康和环境效益。提高脉搏 "项目的总体目标是逐步提高英国消费者饮食的营养价值,从而改善健康状况,提高英国食品系统的可持续性。为了实现我们的目标,将与主要利益相关者(包括行业、零售部门和政府)合作,实施英国特有的蚕豆生产系统,优化最终用户的饮食以及生产的环境和经济可持续性。将生产可口的蚕豆粉,并用于开发营养成分和环境价值更高的 "提高脉搏 "食品。消费者焦点小组和研讨会将确定消费者的态度、偏好、增加此类产品消费的驱动因素和障碍。他们将为共同创建感官测试和全校范围的干预研究提供信息,以评估豆类和 "提高脉动 "食品对饮食质量、自我报告的饱腹感、营养知识、消费者接受度和市场潜力的影响。营养素的生物利用率和饱腹感将在一项随机对照的餐后人体研究中进行评估。最后,将开发一个系统模型,预测用豆类替代现有的营养价值和环境可持续性较低的配料后,土地使用、环境、商业可行性、营养和人类健康的变化。研究将涉及政府在健康和可持续发展方面的优先事项,帮助确定与政策相关的解决方案,这些解决方案将对供应链经济产生重大有利影响,并改变可持续食品系统,从而改善消费者的饮食质量、健康和环境。
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引用次数: 0
The Food4Years Ageing Network: Improving foods and diets as a strategy for supporting quality of life, independence and healthspan in older adults. 老有所食网络:改善食品和膳食,作为提高老年人生活质量、独立性和健康寿命的一项战略。
IF 3.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-03-01 Epub Date: 2023-01-31 DOI: 10.1111/nbu.12599
Miriam E Clegg, Lisa Methven, Susan A Lanham-New, Mark A Green, Niharika A Duggal, Marion M Hetherington

By 2050, it is predicted that one in four people in the United Kingdom will be aged 65 years and over. Increases in lifespan are not always translated into years spent in good health. Incidence rates for chronic diseases are increasing, with treatments allowing people to live longer with their disease. There is good evidence to support changes to lifestyle to maintain or improve body composition, cognitive health, musculoskeletal health, immune function and vascular health in older adults. Much research has been done in this area, which has produced significant support for foods and nutrients that contribute to improved healthspan. Yet two major barriers remain: firstly, older adult consumers are not meeting current UK recommendations for macro- and micronutrients that could benefit health and quality of life and secondly, the UK-specific recommendations may not be sufficient to support the ageing population, particularly for nutrients with key physiological roles. More work is needed to improve intakes of specific foods, diets and nutrients by older adults, through a variety of mechanisms including (i) development of specific food products; (ii) improved clarity of information and (iii) appropriate marketing, and policy changes to enable incentives. The Food4Years Ageing Network aims to build a wide-reaching and multidisciplinary community that is committed to the development, integration and communication of healthy, affordable foods and specific diets for all older adults across the UK food landscape. The Network will identify evidence-based strategies for improving food intake and nutrition in older adults, paving the way to "living well while living longer."

据预测,到 2050 年,英国每四个人中就有一人年龄在 65 岁及以上。寿命的延长并不总是转化为身体健康。慢性疾病的发病率在不断上升,而治疗方法可以让人们在患病后活得更长。有充分的证据支持改变生活方式,以保持或改善老年人的身体成分、认知健康、肌肉骨骼健康、免疫功能和血管健康。在这一领域已经开展了大量研究,为有助于改善健康寿命的食物和营养素提供了重要支持。然而,目前仍存在两大障碍:首先,英国目前推荐的有利于健康和生活质量的宏量营养素和微量营养素的摄入量并不能满足老年人的需求;其次,英国推荐的营养素可能不足以满足老龄人口的需求,尤其是对具有关键生理作用的营养素的需求。需要开展更多工作,通过各种机制提高老年人对特定食品、饮食和营养素的摄入量,这些机制包括:(i) 开发特定食品;(ii) 提高信息的清晰度;(iii) 适当的营销和政策变化,以实现激励。老年食品网络旨在建立一个影响广泛的多学科社区,致力于在英国食品领域为所有老年人开发、整合和传播健康、负担得起的食品和特定饮食。该网络将确定以证据为基础的战略,改善老年人的食物摄入和营养状况,为 "活得更好,活得更长 "铺平道路。
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引用次数: 0
Why do health professionals need to know about the nutrition and health claims regulation? Summary of an Academy of Nutrition Sciences Position Paper. 为什么卫生专业人员需要了解营养和健康声明条例?营养科学学会立场文件摘要。
IF 3.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-03-01 DOI: 10.1111/nbu.12598
Sara Stanner, Margaret Ashwell, Christine M Williams
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引用次数: 1
Healthy Eating Week 2023 健康饮食周2023
IF 3.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-02-26 DOI: 10.1111/nbu.12610
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引用次数: 0
Examining dietary behaviours, diet quality, motives and supplementation use in physically active individuals following vegetarian-based eating patterns. 研究素食者的饮食行为、饮食质量、动机和补充剂使用情况。
IF 3.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2022-12-01 DOI: 10.1111/nbu.12592
Joel C Craddock, Elizabeth P Neale, Gregory E Peoples, Yasmine C Probst

The adoption of vegetarian-based dietary patterns among athletes has been gaining popularity. However, limited research examines the dietary behaviours within this group. Therefore, the aim of this study was to examine self-reported dietary behaviours in a cohort of physically active individuals following vegetarian-based dietary patterns, recruited via social media. A 52-item online survey was created with questions related to demographics, physical activity, eating patterns and supplementation use. An external link to the Australian Automated Self-Administered 24-h (ASA24-AU) recall was included to examine nutrient intakes. Dietary quality was assessed using the Alternate Healthy Eating Index-2010 (AHEI-2010) and the Dietary Phytochemical Index (DPI) tools. A total of 781 (84.8%) respondents completed the survey in 2018. Principal motives for adhering to a vegetarian-based dietary pattern included animal rights (86.5%), environmental concerns (75.4%), health reasons (69.6%) and improving physical performance (24.1%). Vitamin B12 was the most commonly reported supplement (58.1%) followed by protein powder (36.3%) and vitamin D (35.9%). A total of 133 respondents completed the ASA24-AU dietary recall with generally adequate nutrient intakes and a high-quality diet as assessed by the AHEI-2010 and DPI. A significant minority of physically active individuals following vegetarian-based diets do so with the aspiration of improving their exercise performance. Dietary quality was considered high in this group for recreational physical activity, although intakes of vitamin B12 and LC n-3 PUFA were low.

以素食为基础的饮食模式在运动员中越来越受欢迎。然而,有限的研究调查了这一群体的饮食行为。因此,本研究的目的是通过社交媒体招募一组遵循素食饮食模式的体力活动个体,研究他们自我报告的饮食行为。一项包含52个项目的在线调查涉及人口统计、体育活动、饮食模式和补充剂使用等问题。包括澳大利亚自动自我管理24小时(ASA24-AU)召回的外部链接,以检查营养摄入量。采用替代健康饮食指数-2010 (AHEI-2010)和膳食植物化学指数(DPI)工具评估膳食质量。2018年共有781名受访者(84.8%)完成了调查。坚持以素食为基础的饮食模式的主要动机包括动物权利(86.5%)、环境问题(75.4%)、健康原因(69.6%)和提高体能(24.1%)。维生素B12是最常见的补充剂(58.1%),其次是蛋白粉(36.3%)和维生素D(35.9%)。根据AHEI-2010和DPI的评估,共有133名受访者完成了ASA24-AU膳食召回,营养摄入量普遍充足,饮食质量高。有相当一部分坚持以素食为基础的体力活动的人这样做是为了提高他们的运动表现。尽管维生素B12和LC n-3 PUFA的摄入量很低,但这组人的娱乐性体育活动的饮食质量很高。
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引用次数: 1
Why nutrition education is essential for our future doctors. 为什么营养教育对我们未来的医生至关重要。
IF 3.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2022-12-01 DOI: 10.1111/nbu.12595
Glenys Jones, Alan Jackson
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引用次数: 0
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Nutrition Bulletin
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