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21 pages, 635 KiB

Open AccessArticle

Assessment of the Prevalence of Alcoholic Beverage Consumption and Knowledge of the Impact of Alcohol on Health in a Group of Polish Young Adults Aged 18–35: A Cross-Sectional Study

by Martyna Wysokińska and Aleksandra Kołota

Int. J. Environ. Res. Public Health 2022, 19(23), 15425; https://doi.org/10.3390/ijerph192315425 - 22 Nov 2022

Cited by 3 | Viewed by 3563

Abstract

Alcoholic beverages are widely consumed worldwide, especially by young adults. Their excessive consumption is associated with numerous health, social and financial damages. The level of knowledge of young adults about the health effects of consuming alcoholic beverages is low, and research in this [...] Read more.

Alcoholic beverages are widely consumed worldwide, especially by young adults. Their excessive consumption is associated with numerous health, social and financial damages. The level of knowledge of young adults about the health effects of consuming alcoholic beverages is low, and research in this area is conducted on small, unrepresentative groups. This cross-sectional study aimed to assess the prevalence of alcoholic beverage consumption and the level of knowledge about the impact of ethyl alcohol on health in a group of people aged 18–35. The survey results indicate that the majority of respondents regularly consume alcoholic beverages (94.6%), and they are at a low risk of excessive consumption (p < 0.0001). The most frequently chosen alcoholic beverage in the studied group was beer, and the least chosen one was vodka. The main motive for reaching for alcoholic beverages was the desire to improve mood. Respondents did not indicate significant changes in alcohol consumption during the COVID-19 pandemic, but participants in the high-risk group more often indicated an increase in alcohol consumption (p = 0.0025). The analysis of the level of knowledge showed that the participants in the study had an average or low level of knowledge about the effects of ethanol on health, with no significant relationships between the study groups. The obtained results indicate a strong need for the continuous education of young people on the effects of the excessive consumption of alcoholic beverages on the body, with particular emphasis on the consequences of using alcohol as a mood-enhancing agent. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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17 pages, 1563 KiB

Open AccessFeature PaperArticle

Associations of Dietary-Lifestyle Patterns with Obesity and Metabolic Health: Two-Year Changes in MeDiSH^® Study Cohort

by Marta Lonnie, Lidia Wadolowska, Jakub Morze and Elzbieta Bandurska-Stankiewicz

Int. J. Environ. Res. Public Health 2022, 19(20), 13647; https://doi.org/10.3390/ijerph192013647 - 21 Oct 2022

Cited by 3 | Viewed by 1871

Abstract

This study aimed to evaluate changes in diet, adiposity, and metabolic outcomes after two years. In all, 358 Polish men aged 19–40 years old participated in the study. Data regarding dietary and lifestyle characteristics as well as family, socio-economic, and demographic status were [...] Read more.

This study aimed to evaluate changes in diet, adiposity, and metabolic outcomes after two years. In all, 358 Polish men aged 19–40 years old participated in the study. Data regarding dietary and lifestyle characteristics as well as family, socio-economic, and demographic status were collected using the food frequency questionnaire KomPAN^®. Dietary lifestyle patterns were previously derived from data for 358 men by principal component analysis (PCA). Changes over time were examined in 95 men who returned after two years by calculating relative differences (RD, %) in mean values and markers distribution. Diet quality was described with two predefined scores: pro-Healthy-Diet-Index (pHDI) and non-Healthy-Diet-Index (nHDI). After two years, changes were observed in diet quality and metabolic health markers. No significant changes were observed in family, socio-economic, and demographic status, as well as other lifestyle factors. In the “sandwiches and convenience foods” pattern, an nHDI decrease (RD = −25.3%) was associated with a fasting blood glucose decrease (RD = −6.1%). In the “protein food, fried-food and recreational physical activity” and the “healthy diet, activity at work, former smoking” patterns, pHDI decreases (RD = −13.6% and −14.6%, respectively,) were associated with an adiposity increase. In the “fast foods and stimulants” pattern, no changes in pHDI and nHDI were observed, while adiposity markers and systolic blood pressure worsened. Conclusion: in the two-year perspective, dietary improvement was associated with improved glycemic control, despite no changes in body weight, while worsening of the diet quality or maintenance of unhealthy dietary behaviours were associated with the deterioration of metabolic health. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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21 pages, 1416 KiB

Open AccessArticle

Determinants of Dietary Vitamin D Intake in Population-Based Cohort Sample of Polish Female Adolescents

by Katarzyna Lachowicz and Małgorzata Stachoń

Int. J. Environ. Res. Public Health 2022, 19(19), 12184; https://doi.org/10.3390/ijerph191912184 - 26 Sep 2022

Cited by 4 | Viewed by 1830

Abstract

Vitamin D has a pleiotropic effect and its deficiency is a risk factor for many diseases. The purpose of this study was to analyze the dietary intake of vitamin D and the factors determining this intake by female post-primary school students in Poland. [...] Read more.

Vitamin D has a pleiotropic effect and its deficiency is a risk factor for many diseases. The purpose of this study was to analyze the dietary intake of vitamin D and the factors determining this intake by female post-primary school students in Poland. The study was conducted on a nationwide sample of 4469 female Polish adolescents (aged 14–20) recruited from all regions across Poland. The vitamin D intake was assessed using VIDEO-FFQ (Vitamin D Estimation Only—Food Frequency Questionnaire). The median dietary vitamin D intake was 2.33 μg per day and it was lower than the 15 μg recommended in Poland for more than 98% of the group. The highest vitamin D intake per day was noted for fish (0.52 μg), whereas the lowest was noted for fats (0.04 μg). Factors that influenced the dietary vitamin D intake were the amount and species of fish consumed, region of residence, use of vitamin D supplements, and vegetarian or vegan diets. In contrast, vitamin D intake did not depend on body mass index and age. Based on the results of the survey, it can be concluded that the alarmingly low intake of vitamin D by Polish female adolescents is a result of the limited supply of vitamin D primarily from fish and fish products. This may be due to insufficient nutritional knowledge, indicating an urgent need to educate the surveyed population in this area. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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18 pages, 1732 KiB

Open AccessArticle

Comparison of Glycemic Response to Carbohydrate Meals without or with a Plant-Based Formula of Kidney Bean Extract, White Mulberry Leaf Extract, and Green Coffee Extract in Individuals with Abdominal Obesity

by Ewa Lange, Paulina Katarzyna Kęszycka, Ewelina Pałkowska-Goździk and Katarzyna Billing-Marczak

Int. J. Environ. Res. Public Health 2022, 19(19), 12117; https://doi.org/10.3390/ijerph191912117 - 25 Sep 2022

Cited by 5 | Viewed by 2851

Abstract

Due to the rising prevalence of obesity and type 2 diabetes, a strategy that can positively influence diet quality in a simple way is being explored, since a low glycemic index (GI) diet is advised in the dietoprophylaxis and diet therapy of diabetes. [...] Read more.

Due to the rising prevalence of obesity and type 2 diabetes, a strategy that can positively influence diet quality in a simple way is being explored, since a low glycemic index (GI) diet is advised in the dietoprophylaxis and diet therapy of diabetes. Methods: Twenty-three women with abdominal obesity participated in the study. The postprandial glycemic response and glycemic index were determined after three carbohydrate meals (noodle soup, white rice, strawberry sorbet) without or with the addition of a plant-base supplement (extracts of kidney bean, white mulberry leaf, and green coffee) with a potentially hypoglycemic effect. For two products (instant noodle soup and white rice), the addition of the plant supplement resulted in a reduction in glicemic iAUC values (respectively, by: 17.1%, p = 0.005 and 5.3%; p = 0.03; 40.6%, p = 0.004 and 5.3%, p = 0.019). However, this effect was not observed for strawberry sorbet. The blood glucose concentrations 30 min after the consumption of instant noodle soup and white rice with the plant-based formula addition significantly affected the GI value of tested meals (p = 0.0086, r = 0.53; p = 0.0096, r = 0.53), which may indicate the effect of this plant supplement on enterohormone and/or insulin secretion. Conclusion: A formula containing kidney bean, white mulberry leaves, and green coffee extracts may therefore be a notable factor in lowering postprandial glycemia and the GI of carbohydrate foods. However, further research is needed to determine for which food groups and meals its use may be most effective. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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19 pages, 414 KiB

Open AccessArticle

Effectiveness of Dietary Intervention with Iron and Vitamin C Administered Separately in Improving Iron Status in Young Women

by Dominika Skolmowska and Dominika Głąbska

Int. J. Environ. Res. Public Health 2022, 19(19), 11877; https://doi.org/10.3390/ijerph191911877 - 20 Sep 2022

Cited by 10 | Viewed by 6050

Abstract

In order to maintain an adequate iron status in young women, effective dietary interventions should provide sufficient amounts of iron in everyday meals and improve the bioavailability of non-heme iron by providing vitamin C. While some intervention studies administering products rich in vitamin [...] Read more.

In order to maintain an adequate iron status in young women, effective dietary interventions should provide sufficient amounts of iron in everyday meals and improve the bioavailability of non-heme iron by providing vitamin C. While some intervention studies administering products rich in vitamin C in conjunction with iron sources showed improved iron status, it is unknown whether a separate administration of products rich in iron and vitamin C may be a successful strategy as well. The aim of this study was to assess the effectiveness of dietary intervention with iron and vitamin C administered separately in improving iron status in young women to prevent iron deficiency anemia. The study was conducted in a group of 29 women aged 18–30, and an 8-week dietary intervention was performed. Study participants with an adequate iron status received 50 g of iron-fortified oat flakes (as a source of non-heme iron) with breakfast and 200 mL of orange juice (as a source of vitamin C) in the second part of the day. Iron status was analyzed based on red blood cells, hemoglobin, hematocrit, serum ferritin, and serum iron, and it was assessed at baseline, after 4 weeks, and after 8 weeks of the intervention. The intakes of iron, vitamin C, and folate were controlled throughout the study period, and menstrual blood loss was estimated. After 8 weeks of intervention, statistically significant differences compared with baseline were observed only for hematocrit, as its level after 8 weeks of intervention was higher than the baseline (p = 0.0491). Comparing subsamples within the dietary intervention considered effective and ineffective for red blood cell levels, it was indicated that lower baseline vitamin C intake may result in a more effective dietary intervention (p = 0.0231). Comparing subsamples within the dietary intervention considered effective and ineffective for hemoglobin, hematocrit, iron, and serum ferritin levels, it was indicated that higher baseline levels of hemoglobin (p = 0.0143), hematocrit (p = 0.0497), iron (p = 0.0101), and serum ferritin (p = 0.0343) respectively may result in a more effective dietary intervention. It was concluded that dietary intervention with iron and vitamin C administered separately may be effective in improving iron status in young women to prevent iron deficiency anemia. It may be concluded that in the studied group, a better baseline iron status and lower baseline vitamin C intake may result in a more effective dietary intervention with iron and vitamin C administered separately to improve iron status in young women. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

16 pages, 384 KiB

Open AccessArticle

Analysis of Association between Adolescents’ Food Habits and Body Mass Change in a Population-Based Sample: Diet and Activity of Youth during COVID-19 (DAY-19) Study

by Aleksandra Kołota and Dominika Głąbska

Int. J. Environ. Res. Public Health 2022, 19(18), 11772; https://doi.org/10.3390/ijerph191811772 - 18 Sep 2022

Cited by 3 | Viewed by 2115

Abstract

The COVID-19 pandemic may have contributed to food habit changes, including some negative ones that may increase the risk of overweight and obesity. The aim of the study was to analyze the association between adolescents’ food habits, body mass change, as well as [...] Read more.

The COVID-19 pandemic may have contributed to food habit changes, including some negative ones that may increase the risk of overweight and obesity. The aim of the study was to analyze the association between adolescents’ food habits, body mass change, as well as physical activity level in a population-based sample within the Diet and Activity of Youth during COVID-19 (DAY-19) Study. The DAY-19 Study was conducted in a cohort of 1333 students (aged 10–16 years) recruited in schools after stratified random quota sampling of primary schools (sampling counties within voivodeships and schools within counties) in June 2020. The food habits were assessed for the period of the COVID-19 pandemic and the period before the COVID-19 pandemic while using Adolescent Food Habits Checklist (AFHC). The body mass changes were assessed based on body weight and height for the period of the COVID-19 pandemic and the period before the COVID-19 pandemic while using Polish growth reference values. The physical activity changes were assessed based on the subjective assessment of adolescents. It was stated that for female adolescents declaring body mass gain during the COVID-19 pandemic the highest AFHC purchase scores (healthy purchase habits) (p < 0.0001) were accompanied by the lowest AFHC consumption score (unhealthy consumption habits) (p < 0.0001), as well as for female adolescents declaring physical activity decrease during the COVID-19 pandemic the highest AFHC purchase scores (healthy purchase habits) were observed (p = 0.0333). It was stated that for male adolescents declaring physical activity increased during the COVID-19 pandemic, the highest AFHC consumption scores (healthy consumption habits) were observed (p = 0.0003). In the case of a majority of participants, the general food habits were unchanged, which was observed mainly for food habits associated with food preparation. More food habits changes associated with the COVID-19 pandemic resulting in body mass changes were observed in females than in male adolescents. Body mass gain during the COVID-19 pandemic in adolescents may have resulted from unhealthy consumption habits, accompanied by decreased physical activity, in spite of the fact that this sub-group presented healthy purchase habits, which was observed especially for female adolescents. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

13 pages, 610 KiB

Open AccessArticle

Influence of Selected Food Product Groups Consumption Frequency on Acne-Related Quality of Life in a National Sample of Polish Female Adolescents

by Julia Rudzińska and Dominika Głąbska

Int. J. Environ. Res. Public Health 2022, 19(18), 11670; https://doi.org/10.3390/ijerph191811670 - 16 Sep 2022

Cited by 1 | Viewed by 2221

Abstract

Acne vulgaris affects over 80% of adolescents, mainly female ones, and may reduce their general quality of life, so its prevention and treatment are becoming necessary, while among the options for acne management, the potential influence of diet is indicated. The aim of [...] Read more.

Acne vulgaris affects over 80% of adolescents, mainly female ones, and may reduce their general quality of life, so its prevention and treatment are becoming necessary, while among the options for acne management, the potential influence of diet is indicated. The aim of the study was to assess the influence of selected food product groups consumption frequency on acne-related quality of life in a national sample of Polish female adolescents. The studied population of 1370 Polish female adolescents was gathered using random quota sampling of secondary schools representative of the whole country. The acne-related quality of life was assessed using the Acne Quality of Life (AQoL) Scale with the calculated Social Quality of Life (SOCQOL) Score, as well as the Acne Disability Questionnaire (ADQ) with the calculated Cardiff Acne Disability Index (CADI). The acne-related food product groups’ consumption frequency was assessed using the Acne-specific Food Frequency Questionnaire (Acne-FFQ). There were no differences in food product consumption between subgroups stratified by the acne-related quality of life (p > 0.05), and there was no correlation between food product consumption and the results of the SOCQOL Score (p > 0.05). For the CADI, positive correlations were indicated for fast foods (p = 0.0450; R = 0.0688), salty snacks (p = 0.0342; R = 0.0727), and chocolate confectionary (p = 0.0147; R = 0.0837), while a negative correlation was indicated for dairy beverages other than milk (p = 0.0414; R = −0.0701). In the studied group of Polish female adolescents, fast foods, salty snacks, and chocolate confectionary were indicated as potential acne-promoting factors, while dairy beverages other than milk were indicated as a potential acne-protective factor. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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11 pages, 352 KiB

Open AccessArticle

Body Composition and Anthropometric Indicators in Children and Adolescents 6–15 Years Old

by Milena Kobylińska, Katarzyna Antosik, Agnieszka Decyk, Katarzyna Kurowska and Diana Skiba

Int. J. Environ. Res. Public Health 2022, 19(18), 11591; https://doi.org/10.3390/ijerph191811591 - 14 Sep 2022

Cited by 5 | Viewed by 2910

Abstract

The problem of overweight and obesity among children and adolescents has now become a major public health challenge worldwide. The aim of this study was to assess the effect of age and gender on body composition components and anthropometric indices of children and [...] Read more.

The problem of overweight and obesity among children and adolescents has now become a major public health challenge worldwide. The aim of this study was to assess the effect of age and gender on body composition components and anthropometric indices of children and adolescents aged 6–15 years; in addition, the study aimed to assess body composition indices in relation to BMI (Body Mass Index) levels. The study was conducted at the end of 2019 and in the first quarter of 2020 among 181 pupils attending primary schools. Waist circumference, hip circumference, body weight, and body height were measured. The collected data were used to calculate and then to analyse BMI, WHR (Waist-Hip Ratio), and WHtR (Waist to Height Ratio) indices. Body composition was determined with the use of the Bioelectrical Impedance Analysis (BIA). The analyses’ statistics were performed using IBM SPSS Statistics 24 and Excel. The statistical methods used included Chi² tests of independence, one-factor analysis of variance, and two-factor analysis of variance taking into account the level of α = 0.05. Based on the results, there were no statistically significant differences in the gender and age distributions of the BMI groups. However, the analysis of interaction effects confirmed that there were statistically significant differences according to pubertal age and gender in body fat, muscle mass, hydration, and WHR. Body composition in boys and girls before the age of 12 is similar while, after the age of 12, there are differences between boys and girls in terms of body composition so there is a need to deepen the assessment of body mass, especially in adolescents at the age of puberty, by body composition analysis using the BIA method. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

16 pages, 1117 KiB

Open AccessArticle

Application of New Sources of Bioactive Substances (Perilla frutescens L. and Tagetes erecta L.) in the Chosen Cookies Production

by Małgorzata Moczkowska-Wyrwisz, Dominika Jastrzębska and Jarosław Wyrwisz

Int. J. Environ. Res. Public Health 2022, 19(18), 11504; https://doi.org/10.3390/ijerph191811504 - 13 Sep 2022

Cited by 1 | Viewed by 1913

Abstract

Today, one of the most important challenges of ensuring the society’s health is the prevention of civilization diseases. Most of them are associated with an imbalance between antioxidants and free radicals in the human body. Due to the need to increase the intake [...] Read more.

Today, one of the most important challenges of ensuring the society’s health is the prevention of civilization diseases. Most of them are associated with an imbalance between antioxidants and free radicals in the human body. Due to the need to increase the intake of antioxidants, opportunities are being studied to increase their consumption. Therefore, the aim of this study was to evaluate the influence of plant extracts of marigold (Tagetes erecta spp.) (MEx) and perilla (Perilla frutescens L.) (PEx) on selected qualitative properties of muffins. We studied the effects of the extracts in amounts of 1% (1), 3% (3), and 5% (5) on selected muffin characteristics, i.e., crust and crumb color, cooking yield, specific volume, and water activity, and changes in textural properties as well as sensory acceptance analysis. The level of crust lightness (L*) of muffins was lower than that of the control sample only for the samples with the PEx. For the crumb, the muffins with MEx and PEx were darker than the control sample. Fortification of muffins resulted in a concentration-dependent increase in antioxidant capacity. The PEx_3 and PEx_5 samples were rated highest in the sensory acceptance evaluation. The other quality attributes were similar to the control sample, indicating the validity of introducing extracts in the muffin recipe. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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19 pages, 1329 KiB

Open AccessArticle

The Shopping Behavior of International Students in Poland during COVID-19 Pandemic

by Julita Szlachciuk, Olena Kulykovets, Maciej Dębski, Adriana Krawczyk and Hanna Górska-Warsewicz

Int. J. Environ. Res. Public Health 2022, 19(18), 11311; https://doi.org/10.3390/ijerph191811311 - 8 Sep 2022

Cited by 4 | Viewed by 3121

Abstract

The purpose of this research is to analyze the shopping behavior of international students (Asian vs. European) studying in Poland. Participants were recruited from universities located in Warsaw between June and September 2020. A total of 806 questionnaires were collected, 87 of which [...] Read more.

The purpose of this research is to analyze the shopping behavior of international students (Asian vs. European) studying in Poland. Participants were recruited from universities located in Warsaw between June and September 2020. A total of 806 questionnaires were collected, 87 of which were eliminated due to non-response. The research sample consisted of 719 people. We conducted an exploratory factor analysis and cluster analysis for the entire study population and separately for European and Asian students. In exploratory factor analysis, two factors were extracted for the entire population, while three factors each were extracted for the European and Asian student groups. In cluster analysis, we obtained four clusters each for the entire study population and the group of European and Asian students. Our study found that among Asian students, compared to European students, there was a greater change in shopping behavior during the COVID-19 pandemic, expressed by a greater preference for online shopping, greater purchases of fruits and vegetables, purchases of local products, and shorter shopping time. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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16 pages, 548 KiB

Open AccessArticle

Factors Affecting Green Purchase Intention: A Perspective of Ethical Decision Making

by Ziyuan Tian, Xixiang Sun, Jianguo Wang, Weihuan Su and Gen Li

Int. J. Environ. Res. Public Health 2022, 19(18), 11151; https://doi.org/10.3390/ijerph191811151 - 6 Sep 2022

Cited by 12 | Viewed by 4689

Abstract

Environmental protection issues are closely related to moral factors, but little research has explored the factors affecting green purchase intention from the aspect of morality. Based on a perspective of ethical decision making, this study investigates the impacts of perceived quality and perceived [...] Read more.

Environmental protection issues are closely related to moral factors, but little research has explored the factors affecting green purchase intention from the aspect of morality. Based on a perspective of ethical decision making, this study investigates the impacts of perceived quality and perceived price on moral intensity and moral judgment, through the moderation of products’ green degree, as well as the impacts of moral intensity and moral judgment on green purchase intention. Research data was collected through a questionnaire survey of 368 consumers in China, and analyzed using a hierarchical linear model. The empirical results reveal that moral intensity and moral judgment significantly promoted green purchase intention. Perceived quality and perceived price both positively affected moral intensity and moral judgment. Products’ green degree positively moderated the relationship between perceived price and moral judgment as well as the relationship between perceived quality and moral judgment. This study provides a new insight into promoting green purchase intention, and the findings may also assist marketers in developing future tactics to increase consumers’ green purchase intention. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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12 pages, 371 KiB

Open AccessArticle

Analysis of the Nutritional Value of the Diets Presented in Women’s and Sports Magazines before and during the COVID-19 Pandemic

by Dominika Głąbska, Maria Janowska, Ewa Bartosz and Dominika Guzek

Int. J. Environ. Res. Public Health 2022, 19(16), 9859; https://doi.org/10.3390/ijerph19169859 - 10 Aug 2022

Cited by 1 | Viewed by 1910

Abstract

For consumers, among the most important sources of information related to nutrition are popular journals and magazines, including women’s and sports, but the diets presented there may lead to unhealthy weight-control behaviors. The aim of the study was to assess the nutritional value [...] Read more.

For consumers, among the most important sources of information related to nutrition are popular journals and magazines, including women’s and sports, but the diets presented there may lead to unhealthy weight-control behaviors. The aim of the study was to assess the nutritional value of regular and low-calorie diets presented in Polish women’s and sports magazines before and during COVID-19 pandemic. The study was based on two popular Polish magazines—one women’s magazine and one sports magazine, which regularly present various types of diets. The nutritional value of all the diets published from January 2014 to May 2022 was analyzed. The total number of included single-day menus was n = 119, while for analysis they were stratified based on: type of magazine (published in the women’s magazine n = 41 and in the sports magazine n = 78), year of publication (before the COVID-19 pandemic n = 78 and during n = 41), and type of diet (regular n = 61 and low-calorie n = 58). The analysis included the energy value and nutritional value. For the type of magazine, the diets published in the sports magazine were characterized by a higher intake of fat (p < 0.0001 for intake in grams and in % of energy) and calcium (p = 0.0330), whereas the diets published in the women’s magazine were characterized by a higher intake of carbohydrates (p = 0.0226 for intake in grams, and p = 0.0002 for intake in % of energy) and fiber (p = 0.0163). For the year of publication, the diets published during the COVID-19 pandemic were characterized by a higher intake of protein (p = 0.0166 for intake in grams), sodium (p = 0.0465), calcium (p < 0.0001), vitamin D (p = 0.0197), vitamin B6 (p = 0.0207), and vitamin B12 (p = 0.0277), whereas the diets published before the COVID-19 pandemic were characterized by a higher intake of carbohydrates (p = 0.0243 for intake in % of energy). For the type of diet, the regular diets were characterized by a higher energy value (p = 0.0020), as well as by a higher intake of fat (p = 0.0162 for intake in grams), carbohydrates (p = 0.0390 for intake in grams), mono- and oligosaccharides (p = 0.0084 for intake in % of energy), fiber (p < 0.0001), magnesium (p = 0.0323), iron (p = 0.0307), and vitamin B6 (p = 0.0204). The nutritional value of the diets presented in the Polish women’s and sports magazines was not justified by the type of magazine or type of diet, associated with the target group, which may cause the following of improperly balanced diets. However, the changes in the typical nutritional value of diets presented in the Polish women’s and sports magazines during the COVID-19 pandemic were justified by some specific needs for the prevention and treatment of COVID-19. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

17 pages, 525 KiB

Open AccessArticle

The Impact of Environmental Commitment on Green Purchase Behavior in China

by Xixiang Sun, Ziyuan Tian, Jianguo Wang and Weihuan Su

Int. J. Environ. Res. Public Health 2022, 19(14), 8644; https://doi.org/10.3390/ijerph19148644 - 15 Jul 2022

Cited by 11 | Viewed by 3672

Abstract

There is no consensus on whether environmental commitment can promote green purchase behavior. Especially in the Chinese context, the validity and internal mechanism of the impact of environmental commitment on green purchase behavior have not been deeply studied. Based on Norm Activation Theory [...] Read more.

There is no consensus on whether environmental commitment can promote green purchase behavior. Especially in the Chinese context, the validity and internal mechanism of the impact of environmental commitment on green purchase behavior have not been deeply studied. Based on Norm Activation Theory and Theory of Planned Behavior, this study explores the influence mechanism of environmental commitment on consumers’ green purchase behavior. Research data were derived from China, and analyzed using randomized control trials. Results reveal that environmental commitment significantly promotes green purchase behavior. Anticipated pride and anticipated guilt mediate the relationship between environmental commitment and green purchase behavior. Social norms moderate the positive effect of environmental commitment on anticipated pride and anticipated guilt. Compared with low social norms, environmental commitment has a greater effect on anticipated pride and anticipated guilt in the case of high social norms. This study provides new insight into environmental commitment and how to promote green purchase behavior, and the findings could help governments and marketers to formulate future policies and strategies to promote consumers’ green purchase behavior. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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9 pages, 634 KiB

Open AccessArticle

Mindfulness Stress Management for Female Cancer Survivors Facing the Uncertainty of Disease Progression: A Randomized Controlled Study

by Jih-Teng Lee, Yi-Hua Lee and Yuan-Ping Chang

Int. J. Environ. Res. Public Health 2022, 19(8), 4497; https://doi.org/10.3390/ijerph19084497 - 8 Apr 2022

Cited by 7 | Viewed by 2777

Abstract

This study aimed to determine the effect of a mindfulness stress management intervention on fear of recurrence and quality of life among female cancer survivors. A longitudinal, randomized design with two groups (60 participants) was used for pretest/posttest comparisons. Twelve weeks of mindfulness [...] Read more.

This study aimed to determine the effect of a mindfulness stress management intervention on fear of recurrence and quality of life among female cancer survivors. A longitudinal, randomized design with two groups (60 participants) was used for pretest/posttest comparisons. Twelve weeks of mindfulness stress intervention effectively attenuated fear of recurrence symptoms (T1 p = 0.002, T2 p = 0.047), and quality of life (T1 p = 0.000, T2 p = 0.001) significantly increased. The results were significantly different between the intervention and control groups. Over time, group differences became more significant (T1 p = 0.002), demonstrating the effectiveness of the mindfulness stress management intervention. When female cancer survivors face uncertain disease progression, fear of recurrence affects their quality of life. When these women receive supportive intervention sooner, their improvement is more significant. Healthcare providers should encourage female cancer survivors to engage in mindfulness stress management actions to achieve a better benefit. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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11 pages, 332 KiB

Open AccessArticle

Parents’ Reports of Children’s Physical and Sedentary Behavior Engagement among Parents in Weight Management

by Catherine Van Fossen, Haley Kiser, Callie Lambert Brown, Joseph Skelton and Keeley Jean Pratt

Int. J. Environ. Res. Public Health 2022, 19(7), 3773; https://doi.org/10.3390/ijerph19073773 - 22 Mar 2022

Cited by 1 | Viewed by 1923

Abstract

Background: The purpose of this study was to explore the associations between demographics, family exercise participation, family discouragement of exercise, and the children’s physical and sedentary behaviors to identify specific areas of physical activity intervention for children with parents engaged in medical weight [...] Read more.

Background: The purpose of this study was to explore the associations between demographics, family exercise participation, family discouragement of exercise, and the children’s physical and sedentary behaviors to identify specific areas of physical activity intervention for children with parents engaged in medical weight management (MWM). Methods: Parents (n = 294) of children aged 2–18 years old were recruited from two university MWM programs to complete a one-time survey. Bivariate analyses tested associations. Results: Parents reported that sedentary activity was higher for children who identified as racial minorities (t(141) = −2.05, p < 0.05). Mobile phone and tablet use was higher for adolescents compared to school age and young children (H(2) = 10.96, p < 01) Exercise game use was higher for racial minority children compared to white children (U = 9440.5, z = 2.47, p ≤ 0.03). Male children (t(284) = 1.83, p < 0.07), children perceived to have a healthy weight status (t(120) = 4.68, p < 0.00), and younger children (t(289) = 1.79, p < 0.08) all engaged in more strenuous physical activity. Family exercise participation (t(162) = −2.93, p < 0.01) and family discouragement of exercise (U = 7813.50, z = −2.06, p ≤ 0.04) were significantly higher for children in racial minority families. Conclusions: Future work should determine methods to engage children and their parents participating in MWM in physical activities together to ensure that the changes the parents are making with MWM are sustainable. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

18 pages, 1022 KiB

Open AccessArticle

Effects of Perceived Benefit on Vitamin D Supplementation Intention: A Theory of Planned Behaviour Perspective

by Ying-Hsuan Chen, Shun-Lung Chao and Yen-Wei Chu

Int. J. Environ. Res. Public Health 2022, 19(4), 1952; https://doi.org/10.3390/ijerph19041952 - 10 Feb 2022

Cited by 6 | Viewed by 3152

Abstract

There are many factors that affect vitamin D supplementation, including those from the theory of planned behaviour (TPB); however, how the perceived benefit acts in the model remains unknown. In the current study, we tested the efficacy of the TPB and the impacts [...] Read more.

There are many factors that affect vitamin D supplementation, including those from the theory of planned behaviour (TPB); however, how the perceived benefit acts in the model remains unknown. In the current study, we tested the efficacy of the TPB and the impacts of the perceived benefit (PBE) in the model. The subjects were 287 customers who purchased vitD from pharmacies in major cities in Taiwan. A structured questionnaire was used to collect the data. t-tests, analysis of variance (ANOVA), regression analyses, and path analysis via SPSS and AMOS were used to analyse the data. The original TPB model explained 47.5% of the variance of intention with the three variables of attitude (β = 0.261), perceived behavioural control (β = 0.183), and subjective norms (β = 0.169). The model that incorporated PBE increased the explained variance to 59.7%, and PBE became the strongest predictor (β = 0.310) and a significant mediator linking attitude, subjective norms, perceived control (ANC) with supplementation intention. PBE and attitude were the two most important variables in predicting vitD supplementation intention. We suggest that updated information regarding dietary sources of vitD and its benefits should be included in health- or nutrition-related courses in education programs for the overall health of the nation. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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21 pages, 1005 KiB

Open AccessArticle

Lifestyle Variations during and after the COVID-19 Pandemic: A Cross-Sectional Study of Diet, Physical Activities, and Weight Gain among the Jordanian Adult Population

by Hanan Hammouri, Fidaa Almomani, Ruwa Abdel Muhsen, Aysha Abughazzi, Rawand Daghmash, Alaa Abudayah, Inas Hasan and Eva Alzein

Int. J. Environ. Res. Public Health 2022, 19(3), 1346; https://doi.org/10.3390/ijerph19031346 - 25 Jan 2022

Cited by 17 | Viewed by 3914

Abstract

The way that COVID-19 has been handled since its inception in 2019 has had a significant impact on lifestyle-related behaviors, such as physical activities, diet, and sleep patterns. This study measures lifestyle-related behavior during the COVID-19 pandemic lockdown using a 22-item questionnaire. The [...] Read more.

The way that COVID-19 has been handled since its inception in 2019 has had a significant impact on lifestyle-related behaviors, such as physical activities, diet, and sleep patterns. This study measures lifestyle-related behavior during the COVID-19 pandemic lockdown using a 22-item questionnaire. The responses were collected from March 2021 to September 2021. A total of four hundred and sixty-seven Jordanian participants were engaged in assessing the changes caused by the pandemic and their effect on BMI. The validity and reliability of the questionnaire were tested for 71 participants. Cronbach’s alpha values for the questionnaire exceeded 0.7, demonstrating good reliability and internal consistency. The effect of each question regarding physical activity and dietary habits over the BMI difference was studied using ANOVA. The study shows that more than half of the participants reported snacking more between meals and increased their sitting and screen time, while 74% felt more stressed and anxious. BMI difference among the individuals throughout the lockdown was significantly associated with these variables. In contrast, 62% of the participants showed more awareness about their health by increasing the intake of immunity-boosting foods, and 56% of the participants showed an increase in the consumption of nutrition supplements. Females and married individuals tended to be healthier. Therefore, their BMI showed stability compared to others based on their gender and marital status. Exercise, sleep, and avoiding ‘junk’ food, which contributes to weight gain and COVID-19 vulnerability, are strongly recommended. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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8 pages, 309 KiB

Open AccessArticle

Nativity Status and Poly Tobacco Use among Young Adults in the United States

by Peace C. Okpala, Carrie Rosario, Melissa J. Dupont-Reyes, Michelle Y. Martin Romero, Md Towfiqul Alam, Hailey Paivanas and Sandra E. Echeverria

Int. J. Environ. Res. Public Health 2022, 19(3), 1230; https://doi.org/10.3390/ijerph19031230 - 22 Jan 2022

Cited by 2 | Viewed by 1951

Abstract

Introduction: Young adults are the second largest segment of the immigrant population in the United States (US). Given recent trends in later age of initiation of tobacco use, we examined variation in use of tobacco products by nativity status for this population [...] Read more.

Introduction: Young adults are the second largest segment of the immigrant population in the United States (US). Given recent trends in later age of initiation of tobacco use, we examined variation in use of tobacco products by nativity status for this population group. Methods: Our study included young adults 18–30 years of age sampled in the National Health Interview Survey (2015–2019), a nationally representative sample of the US population. We calculated prevalence of use of any and two or more tobacco products (cigarettes, cigars, pipes, e-cigarettes, and smokeless tobacco) for foreign-born (n = 3096) and US-born (n = 6811) young adults. Logistic regression models were adjusted for age, sex, race-ethnicity, education, and poverty, while accounting for the complex survey design. Results: Foreign-born young adults were significantly less likely to use any tobacco product (Cigarette = 7.3% vs. 10.7%; Cigar = 1.8% vs. 4.8%; E-cigarette = 2.3% vs. 4.5%, respectively; p < 0.01) or poly tobacco use (1.9% vs. 4.2%; p < 0.01) than US-born young adults. Adjusted regression models showed lower odds of poly tobacco use among the foreign-born than their US-born counterparts (Odds Ratio = 0.41, (95% Confidence Interval: 0.26–0.63)). Conclusions: The findings highlight the importance of targeted interventions by nativity status and further tobacco prevention efforts needed for the US-born. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

12 pages, 1847 KiB

Open AccessArticle

What Is on the Menu?—A Quantitative Analysis on Label Format among (Potential) Restaurant Guests and Restaurant Owners

by Nadja S. J. Hanssen, Joost O. Linschooten, J. Hein M. van Lieverloo and Annet J. C. Roodenburg

Int. J. Environ. Res. Public Health 2021, 18(23), 12500; https://doi.org/10.3390/ijerph182312500 - 27 Nov 2021

Cited by 3 | Viewed by 2625

Abstract

About 20% of energy intake in the Netherlands is consumed out-of-home. Eating out-of-home is associated with higher energy intake and poorer nutrition. Menu labeling can be considered a promising instrument to improve dietary choices in the out-of-home sector. Effectiveness depends on the presentation [...] Read more.

About 20% of energy intake in the Netherlands is consumed out-of-home. Eating out-of-home is associated with higher energy intake and poorer nutrition. Menu labeling can be considered a promising instrument to improve dietary choices in the out-of-home sector. Effectiveness depends on the presentation format of the label and its attractiveness and usability to restaurant guests and restaurant owners. This exploratory study investigated which menu labeling format would be mostly appreciated by (a) (potential) restaurant guests (n386) and (b) the uninvestigated group of restaurant owners (n41) if menu labeling would be implemented in Dutch full-service restaurants. A cross-sectional survey design was used to investigate three distinct menu labeling formats: a simple health logo; (star) ranking and calorie information. Questionnaires were used as study tool. Ranking has been shown to be the most appreciated menu labeling format by both (potential) restaurant guests and owners. Statistical analysis showed that label preference of potential restaurant guests was significantly associated with age, possibly associated with level of education, and not associated with health consciousness. In summary, we found that ranking is the most appreciated menu label format according to both (potential) restaurant guests and restaurant owners, suggesting it to be a promising way to improve healthy eating out-of-home. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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10 pages, 296 KiB

Open AccessArticle

Impact of Supplemental Nutrition Assistance Program Benefit Reduction or Loss on Food-at-Home Acquisitions and Community Food Program Use

by Namrata Sanjeevi

Int. J. Environ. Res. Public Health 2021, 18(22), 12004; https://doi.org/10.3390/ijerph182212004 - 16 Nov 2021

Cited by 2 | Viewed by 1809

Abstract

Since Supplemental Nutrition Assistance Program (SNAP) benefits are vital for food-at-home (FAH) acquisitions among participating families, changes in participation or benefit amounts may impact FAH purchase and use of community-based food programs (CFP). The association of the loss of or a reduction in [...] Read more.

Since Supplemental Nutrition Assistance Program (SNAP) benefits are vital for food-at-home (FAH) acquisitions among participating families, changes in participation or benefit amounts may impact FAH purchase and use of community-based food programs (CFP). The association of the loss of or a reduction in SNAP benefits with FAH acquisitions and CFP use was assessed using 2012–2013 National Household Food Acquisition and Purchase Survey data. Households with incomes equal to or below 130% of the Federal Poverty Level were categorized as (1) current SNAP households, (2) households with benefit loss in the preceding year, or (3) households with benefit loss for more than a year. Current SNAP households were classified as receiving (1) lesser-than-usual benefits or (2) usual benefits. Regression analyses examined associations of the loss of or a reduction in benefits with the Healthy Eating Index-2015 (HEI-2015) scores of FAH purchases and CFP use. Benefit loss in the preceding year was related to a lower total HEI-2015 score for FAH acquisitions, whereas benefit reduction was associated with lower green/bean and added sugar scores and increased CFP use. This study suggests that the loss of or a reduction in SNAP benefits may adversely impact the quality of FAH purchases. The findings also suggest that efforts enhancing the nutrition environment of community food sources could support healthy food acquisition by families experiencing benefit reduction. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

15 pages, 1917 KiB

Open AccessArticle

Physical Activity, Screen Time, Sedentary and Sleeping Habits of Polish Preschoolers during the COVID-19 Pandemic and WHO’s Recommendations: An Observational Cohort Study

by Anna Brzęk, Markus Strauss, Fabian Sanchis-Gomar and Roman Leischik

Int. J. Environ. Res. Public Health 2021, 18(21), 11173; https://doi.org/10.3390/ijerph182111173 - 24 Oct 2021

Cited by 30 | Viewed by 5081

Abstract

Background: Restrictions related to the COVID-19 pandemic may lead to a significant decrease in physical activity, an increase in sedentary behavior, and thus also such things as screen time or a change in health behavior patterns. The survey aimed to compare levels of [...] Read more.

Background: Restrictions related to the COVID-19 pandemic may lead to a significant decrease in physical activity, an increase in sedentary behavior, and thus also such things as screen time or a change in health behavior patterns. The survey aimed to compare levels of physical activity, screen time, hours spent sitting and sleeping time among Polish children aged 3–5 years of age before and during the COVID-19 pandemic. Methods: We identified 3000 respondents under five years of age, at Polish kindergartens. The questionnaire consists of 62 questions according to the recommendations of health behavior in school-aged children. The questionnaire was completed by the parents of these children. Results: Only 30.77% of children complied with WHO criteria before the pandemic. During the pandemic, the percentage of children meeting the recommendations for physical activity decreased even more. Children spent much more time in a sitting position before the restrictions. The children slept as recommended 10–13 h a day, and the pandemic caused an increase in sleep duration of 10–18%. Most children had a limited time allowed for the use of electronic devices already before the pandemic, but during the pandemic the results negatively decreased by 71.54%. Conclusions: The results clearly indicate decreased physical activity and increased screen time. It is also crucial to develop recommendations for prevention management strategies of sedentary lifestyles in the youngest group. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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13 pages, 684 KiB

Open AccessArticle

The Impact of the COVID-19 Pandemic on Poles’ Nutritional and Health Behaviour and Quality of Life—A Pilot Study

by Ewa Raczkowska, Dominika Mazurkiewicz, Jagoda Ambrozik-Haba and Michaela Godyla-Jabłoński

Int. J. Environ. Res. Public Health 2021, 18(20), 10656; https://doi.org/10.3390/ijerph182010656 - 12 Oct 2021

Cited by 1 | Viewed by 2226

Abstract

The coronavirus (COVID-19) pandemic, which has lasted for over a year, has affected everyone’s lives. It is interesting to examine how populations cope with the new situation and to learn about the impact of the epidemic on quality of life. The aim of [...] Read more.

The coronavirus (COVID-19) pandemic, which has lasted for over a year, has affected everyone’s lives. It is interesting to examine how populations cope with the new situation and to learn about the impact of the epidemic on quality of life. The aim of this study was to assess the impact of the COVID-19 pandemic on changes in selected elements of lifestyle compared to the pre-pandemic period among adult Polish residents. The impact of the COVID-19 pandemic on selected features of quality of life was examined. It was found that, for some distinguishing factors (i.e., quality of life, health status and sleep quality), there were no statistically significant differences. Other distinguishing factors (i.e., ability to perform daily living activities, ability to work and personal relationships) were statistically different. Another part of the study was to assess changes in the frequency of consumption of specific food groups. The vast majority of respondents declared no changes in the frequency of consumption of selected food products. The majority of respondents declared that the COVID-19 pandemic did not cause a change in the frequency of drug use (i.e., cigarettes, alcohol and coffee). Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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19 pages, 422 KiB

Open AccessFeature PaperArticle

Assessing Knowledge and Use Practices of Plastic Food Packaging among Young Adults in South Africa: Concerns about Chemicals and Health

by Magdi Du Preez, Daleen Van der Merwe, Louise Wyma and Susanna Maria Ellis

Int. J. Environ. Res. Public Health 2021, 18(20), 10576; https://doi.org/10.3390/ijerph182010576 - 9 Oct 2021

Cited by 5 | Viewed by 3721

Abstract

Chemicals associated with health problems can migrate from packaging into food matrices. Therefore, consumers need to be aware of health concerns associated with incorrectly used plastic food packaging. However, little is known about consumers’ knowledge and their plastics usage practices. This study assessed [...] Read more.

Chemicals associated with health problems can migrate from packaging into food matrices. Therefore, consumers need to be aware of health concerns associated with incorrectly used plastic food packaging. However, little is known about consumers’ knowledge and their plastics usage practices. This study assessed this knowledge and practices among young South African adult consumers. Our online survey of 293 participants focused on their objective (actual) and subjective (self-perceived) knowledge about plastic food packaging care and safety, their utilization practices, and their sources of information about safe use of plastics. Participants’ utilization practices showed broad misuse. Their subjective knowledge about the correct use of plastic packaging was in most respects contradicted by their limited objective knowledge. We found that plastic identification codes on packaging largely failed in their informative purpose; instead, participants mainly consulted informal information sources about plastics. The knowledge gaps, unsafe plastic use practices, and information source deficiencies identified here can help to guide future improvements. We call for consumer education, across all demographics, about plastic utilization practices and associated health concerns about plastic chemicals. We also highlight the need for the government, food and plastics industries to join forces in ensuring that consumers are informed about safe plastic packaging usage. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

20 pages, 377 KiB

Open AccessArticle

Health Literacy and Health Behavior: Associated Factors in Surabaya High School Students, Indonesia

by Junaidi Budi Prihanto, Faridha Nurhayati, Endang Sri Wahjuni, Ryota Matsuyama, Miwako Tsunematsu and Masayuki Kakehashi

Int. J. Environ. Res. Public Health 2021, 18(15), 8111; https://doi.org/10.3390/ijerph18158111 - 30 Jul 2021

Cited by 11 | Viewed by 4157

Abstract

(1) Background: The health behavior (HB) of adolescents develops in the school or family setting and plays an important role in their future health status. Health literacy (HL) has been identified as an important factor in modifying health behavior in addition to socioeconomic [...] Read more.

(1) Background: The health behavior (HB) of adolescents develops in the school or family setting and plays an important role in their future health status. Health literacy (HL) has been identified as an important factor in modifying health behavior in addition to socioeconomic factors. health-promoting school (HPS) programs also have a significant role in providing students with the means of learning the importance of knowledge, behavior, and skills for a healthy lifestyle. (2) Method: This study aims to identify the association between HB, HL measured in comprehensive health literacy (CHL) and functional health literacy (FHL), HPS programs, and socioeconomic factors among high school students in Surabaya, Indonesia. A cross-sectional study was conducted, and 1066 students were evaluated as respondents. (3) Result: The results of multivariate analyses showed that following factors were associated with better health behavior: female, better academic performance, higher grade, higher father’s education, lower allowance, and better CHL and FHL. The strongest association for HB was gender. CHL was especially associated with handwashing, physical activity, and drug abuse. FHL was associated with smoking and drug abuse. The implementation of HPS programs did not reach an optimum level and only influenced physical activity. (4) Conclusions: The findings confirm that CHL and FHL have a significant association with several HBs. HB intervention in the HPS program is recommended to incorporate the CHL and FHL for a better health impact. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

14 pages, 1329 KiB

Open AccessArticle

High Carbohydrate Diet Is Associated with Severe Clinical Indicators, but Not with Nutrition Knowledge Score in Patients with Multiple Myeloma

by Ema Borsi, Costela Lacrimioara Serban, Cristina Potre, Ovidiu Potre, Salomeia Putnoky, Miruna Samfireag, Raluca Tudor, Ioana Ionita and Hortensia Ionita

Int. J. Environ. Res. Public Health 2021, 18(10), 5444; https://doi.org/10.3390/ijerph18105444 - 19 May 2021

Cited by 2 | Viewed by 3318

Abstract

Although the survival rate of patients diagnosed with multiple myeloma has doubled over the last few decades, due to the introduction of new therapeutic lines and improvement of care, other potential contributors to the therapeutic response/relapse of disease, such as nutrient intake, along [...] Read more.

Although the survival rate of patients diagnosed with multiple myeloma has doubled over the last few decades, due to the introduction of new therapeutic lines and improvement of care, other potential contributors to the therapeutic response/relapse of disease, such as nutrient intake, along with nutrition knowledge, have not been assessed during the course of the disease. The purpose of this research was to assess nutrition knowledge and diet quality in a group of patients with a diagnosis of multiple myeloma. Anthropometric, clinical and biological assessments and skeletal survey evaluations, along with the assessment of nutritional intake and general nutrition knowledge, were performed on 61 patients with a current diagnosis of multiple myeloma. A low carbohydrate diet score was computed, classified in tertiles, and used as a factor in the analysis. Patients in tertiles indicative of high carbohydrate or low carbohydrate intake showed significant alteration of clinical parameters, such as hemoglobin, uric acid, albumin, total proteins, beta-2 microglobulin, percentage of plasmacytes in the bone marrow and D-dimers, compared to patients in the medium carbohydrate intake tertile. Nutrition knowledge was not associated with clinical indicators of disease status, nor with patterns of nutrient intake. Better knowledge of food types and nutritional value of foods, along with personalized nutritional advice, could encourage patients with MM to make healthier decisions that might extend survival. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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13 pages, 390 KiB

Open AccessArticle

Sedentary Time, Physical Activity Levels and Physical Fitness in Adults with Intellectual Disabilities

by Po-Jen Hsu, Hung-Shih Chou, Yi-Hsiang Pan, Yan-Ying Ju, Chia-Liang Tsai and Chien-Yu Pan

Int. J. Environ. Res. Public Health 2021, 18(9), 5033; https://doi.org/10.3390/ijerph18095033 - 10 May 2021

Cited by 14 | Viewed by 4042

Abstract

Purpose: This cross-sectional study assessed the associations of gender, age, level of intellectual disabilities (IDs) and of daily sedentary and physical activity (PA) time with physical fitness in adults with ID. Materials and methods: Sixty adults (mean age = 39.19 ± [...] Read more.

Purpose: This cross-sectional study assessed the associations of gender, age, level of intellectual disabilities (IDs) and of daily sedentary and physical activity (PA) time with physical fitness in adults with ID. Materials and methods: Sixty adults (mean age = 39.19 ± 11.70 years) with ID participated in this cross-sectional study. PA was monitored for 7 days using an ActiGraph GT3X monitor. Physical fitness was measured with a 6-min walking test, isometric push-up test, modified curl-up test, handgrip strength test, and back-saver sit-and-reach test. Results: (a) An age of ≥39 years and female gender were associated with lower performance in multiple aspects of physical fitness. (b) More moderate-to-vigorous PA (MVPA) was associated with greater muscular strength and endurance (modified curl-ups: β = 0.36, p < 0.01; handgrip strength: right, β = 0.52, p < 0.01; left, β = 0.52, p < 0.01). (c) More light-intensity PA (LPA) was associated with greater upper-body muscular endurance (β = 0.42, p < 0.01) and greater flexibility (right leg: β = 0.36, p < 0.01; left leg: β = 0.38, p < 0.01). Conclusion: LPA may be as beneficial as MVPA to the physical fitness of adults with ID. Future studies should focus on developing effective PA interventions for adults with ID, especially for women and individuals aged ≥39 years, by incorporating both LPA and MVPA. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

10 pages, 306 KiB

Open AccessArticle

Examination of the Effectiveness of the Healthy Empowered Active Lifestyles (HEAL) Program on Advanced Glycation End Products

by Mathew J. Gregoski, Janis Newton, Kathleen Blaylock, Sheila A. O. Smith and David P. Turner

Int. J. Environ. Res. Public Health 2021, 18(9), 4863; https://doi.org/10.3390/ijerph18094863 - 2 May 2021

Viewed by 2763

Abstract

This pilot study investigated the effectiveness of the healthy empowered active lifestyles (HEAL) program to reduce circulatory levels of advanced glycation end products (AGEs) and assess its relationship to BMI, % body fat, fasting glucose, and A1C. The HEAL program was delivered at [...] Read more.

This pilot study investigated the effectiveness of the healthy empowered active lifestyles (HEAL) program to reduce circulatory levels of advanced glycation end products (AGEs) and assess its relationship to BMI, % body fat, fasting glucose, and A1C. The HEAL program was delivered at a local wellness center using a team-based approach and focused on physical activity and dietary education. A sample of twenty primarily European American (19 white, 1 black) participants (i.e., 10 males, 10 females) aged 26 to 71 (m = 48.75 ± 10.26) completed 12 weeks of the HEAL intervention. Pre to post changes in AGEs, BMI, % body fat, fasting glucose, and A1C were examined as primary outcomes. The findings showed participants had the following average reductions: AGEs 36.04 ± 18.48 ug/mL, BMI 2.0 ± 1.2 kg/m², % body fat 3.18 ± 1.57%, fasting glucose 5.9 ± 17.21 mg/dL, and A1C 0.68 ± 1.11%. All twenty participants successfully completed the entire twelve weeks of the HEAL intervention. The results of this study show that the HEAL intervention provides beneficial reductions of AGEs, BMI, % body fat, fasting glucose, and A1C. In addition, the high adherence shows promise, and demonstrates the potential for HEAL as a behavioral intervention to improve pre-diabetic and other inflammatory related comorbidities. Further replication of results via additional randomized controlled trials is needed. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

11 pages, 1786 KiB

Open AccessArticle

Prevalence of Undernutrition and Effect of Body Weight Loss on Survival among Pediatric Cancer Patients in Northeastern Hungary

by Orsolya Kadenczki, Attila Csaba Nagy and Csongor Kiss

Int. J. Environ. Res. Public Health 2021, 18(4), 1478; https://doi.org/10.3390/ijerph18041478 - 4 Feb 2021

Cited by 5 | Viewed by 2700

Abstract

Undernutrition is a prevalent condition in pediatric malignancy patients leading to unfavorable outcomes. The aim of this retrospective study was to determine the nutritional status and rate of undernutrition in 174 Hungarian pediatric patients with malignancies and the impact on 5-year survival based [...] Read more.

Undernutrition is a prevalent condition in pediatric malignancy patients leading to unfavorable outcomes. The aim of this retrospective study was to determine the nutritional status and rate of undernutrition in 174 Hungarian pediatric patients with malignancies and the impact on 5-year survival based on anthropometric measurements. At the time of diagnosis, 5.0%, 4.6%, and 4.0% of patients were undernourished as determined by body weight (BW), weight-for-height (WFH), and body mass index (BMI) Z-score, respectively. The rate of undernutrition was 30.5% using ideal body weight percent (IBW%). Undernutrition at the time of diagnosis worsened the five-year overall survival only in solid tumor patients as defined by BMI Z-score and IBW%. Furthermore, 26.5% of patients became undernourished based on IBW% during the treatment period. Deterioration of nutritional status during treatment unfavorably influenced overall survival in both hematological and solid tumor subsets. Abnormal BW, WFH, and BMI Z-score were associated with poor prognosis in the hematologic group. The mortality risk was higher among hematologic patients with weight loss exceeding 20%. In conclusion, IBW% seems to be the most sensitive parameter to estimate undernutrition. Furthermore, BMI Z-score in both groups and severe weight loss in the hematological group may influence clinical outcome and play a role in prognosis assessment. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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11 pages, 327 KiB

Open AccessArticle

Does Oral Hypofunction Promote Social Withdrawal in the Older Adults? A Longitudinal Survey of Elderly Subjects in Rural Japan

by Yoko Hasegawa, Ayumi Sakuramoto-Sadakane, Koutatsu Nagai, Joji Tamaoka, Masayuki Oshitani, Takahiro Ono, Takashi Sawada, Ken Shinmura and Hiromitsu Kishimoto

Int. J. Environ. Res. Public Health 2020, 17(23), 8904; https://doi.org/10.3390/ijerph17238904 - 30 Nov 2020

Cited by 22 | Viewed by 3169

Abstract

It is often assumed that oral hypofunction is associated with social withdrawal in older adults because decreased motor function is related to decreased oral function. However, few studies have examined the relationship between social withdrawal in older adults and oral function. This longitudinal [...] Read more.

It is often assumed that oral hypofunction is associated with social withdrawal in older adults because decreased motor function is related to decreased oral function. However, few studies have examined the relationship between social withdrawal in older adults and oral function. This longitudinal study aimed to clarify the relationship between changes in the level of social withdrawal and oral function in independent older adults. Participants were 427 older adults aged 65 years or older who took part in a self-administered questionnaire from 2016 to 2017 (baseline), and again two years later (follow-up). At baseline, 17 items related to oral function and confounding factors related to withdrawal, physical condition, physical function, and cognitive function were evaluated. A Cox proportional hazard model was used to examine the oral functions that negatively impact social withdrawal. The following factors were significantly associated with the worsening of social withdrawal: the number of remaining teeth, gingival condition, occlusal force, masticatory efficiency, and items related to swallowing and dry mouth. Older adults with cognitive issues who walk slowly and have a weak knee extension muscle were also significantly more likely to have oral frailty. Those who were found to have oral frailty at baseline were 1.8 times more likely to develop withdrawal compared to those with robust oral function. The results indicated that the worsening of withdrawal was associated with oral hypofunction at baseline. Since oral hypofunction was associated with the worsening of social withdrawal in older adults, it is important to maintain older adults’ oral function. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

Review

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19 pages, 1143 KiB

Open AccessReview

The Role of Psychobiotics to Ensure Mental Health during the COVID-19 Pandemic—A Current State of Knowledge

by Dorota Zielińska, Marcelina Karbowiak and Aneta Brzezicka

Int. J. Environ. Res. Public Health 2022, 19(17), 11022; https://doi.org/10.3390/ijerph191711022 - 3 Sep 2022

Cited by 9 | Viewed by 4918

Abstract

Psychobiotics are defined as probiotics, mainly of the genus Lactobacillus and Bifidobacterium, that confer mental health benefits to the host when consumed in a particular quantity through the interaction with commensal gut microbiota. The gut microbiota, which means a diverse and dynamic [...] Read more.

Psychobiotics are defined as probiotics, mainly of the genus Lactobacillus and Bifidobacterium, that confer mental health benefits to the host when consumed in a particular quantity through the interaction with commensal gut microbiota. The gut microbiota, which means a diverse and dynamic population of microorganisms harboring the gastrointestinal tract, communicates with the brain and vice versa through the brain–gut axis. The mechanisms of action of psychobiotics may be divided into four groups: synthesis of neurotransmitters and neurochemicals, regulation of the HPA axis, influence on the immune system, and synthesis of metabolites. Recent years showed that the COVID-19 pandemic affected not only physical, but also mental health. Social isolation, fear of infection, the lack of adequate vaccine, disinformation, increased number of deaths, financial loss, quarantine, and lockdown are all factors can cause psychiatric problems. The aim of this review was to discuss the potential role of psychobiotic in light of the current problems, based on in vitro and in vivo studies, meta-analyses, clinical trials evidence, and registered studies assessing probiotics’ therapeutic administration in the prevention or treatment of symptoms or side effects of COVID-19. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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36 pages, 1522 KiB

Open AccessReview

Consumer or Patient Determinants of Hospital Brand Equity—A Systematic Literature Review

by Hanna Górska-Warsewicz

Int. J. Environ. Res. Public Health 2022, 19(15), 9026; https://doi.org/10.3390/ijerph19159026 - 25 Jul 2022

Cited by 4 | Viewed by 3570

Abstract

The purpose of this study was to analyze consumer or patient determinants of hospital brand equity (HBE) based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Statement. A search of six databases: Scopus, Web of Sciences, PubMed, Google Scholar, Ebsco, [...] Read more.

The purpose of this study was to analyze consumer or patient determinants of hospital brand equity (HBE) based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Statement. A search of six databases: Scopus, Web of Sciences, PubMed, Google Scholar, Ebsco, and Elsevier was conducted. A search for studies published up to January 2022 was performed between 15 February and 5 March 2022. Article type, peer-reviewed papers, and studies based on empirical research were used as inclusion criteria. Non-English language papers, dissertations, short reports, works in progress, conference publications, and book chapters were excluded. As a result, a final set of 32 studies were selected for the analysis. Three research questions were formulated on the main determinants of HBE, brand-related factors, and specific medical-related factors. The studies included in the systematic literature review were analyzed in three areas: study description, key findings, and practical recommendations. Among the traditional HBE factors, brand loyalty has been analyzed most often, and the following have also been studied: perceived quality, brand associations, brand awareness, and brand image. Patient satisfaction, service quality, perception of the treatment process, and the work of medical staff were found to be specific medical-related factors. Other factors related to the management process, brand, and patients were also identified. It was noted that the number and variety of medical and other determinants of HBE have increased in recent years. The results of this systematic literature review are relevant to the analysis of consumer/patient behavior in choosing a hospital or other health care facility as they provide a deeper understanding of the increasingly differentiated needs of patients and the way in which the quality of health care services is evaluated. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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36 pages, 958 KiB

Open AccessReview

Health and Non-Health Determinants of Consumer Behavior toward Private Label Products—A Systematic Literature Review

by Maksymilian Czeczotko, Hanna Górska-Warsewicz and Robert Zaremba

Int. J. Environ. Res. Public Health 2022, 19(3), 1768; https://doi.org/10.3390/ijerph19031768 - 4 Feb 2022

Cited by 10 | Viewed by 6433

Abstract

This study aimed to analyze the international literature on consumer behavior toward private label (PL) products, guided by the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) method. We searched for peer-reviewed studies published until January 2021 in the Scopus and Web [...] Read more.

This study aimed to analyze the international literature on consumer behavior toward private label (PL) products, guided by the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) method. We searched for peer-reviewed studies published until January 2021 in the Scopus and Web of Science databases using two main search terms, namely, “consumer behavior” and “private label,” which have several synonymous terms, such as “store brand,” “private brand,” and “own label.” A total of 44 eligible studies were selected for the analysis. We formulated research questions regarding the most studied categories of PL products, the non-health factors determining consumer behavior toward PL products, and the frequency of including health aspects in the choice of PL products. The following were analyzed in the studies included in the systematic literature review (SLR): general data and study design (authorship, year of publication, location, characteristics of the sample, and research category), research specifications (factors/variables, hypotheses, and measured parameters), and general findings (findings and practical recommendations). We found that most of the studies had analyzed dairy products as PL products, and the main non-health selection factors used were lower price and price–quality ratios. Health aspects were considered in only four of the analyzed studies, which focused on the evolution of PL products from low-cost products to sustainable brands with significant added value in terms of quality and health aspects. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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23 pages, 751 KiB

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Living through the COVID-19 Pandemic: Impact and Lessons on Dietary Behavior and Physical Well-Being

by Shameena Gill, Alia Maisara Adenan, Adli Ali and Noor Akmal Shareela Ismail

Int. J. Environ. Res. Public Health 2022, 19(2), 642; https://doi.org/10.3390/ijerph19020642 - 6 Jan 2022

Cited by 16 | Viewed by 4882

Abstract

The aim of this review is to highlight the spectrum on which human behavior has been affected by blanket restriction measures and on a wider scale, the COVID-19 pandemic. Some of the human behaviors that have been impacted by the COVID-19 lockdown are [...] Read more.

The aim of this review is to highlight the spectrum on which human behavior has been affected by blanket restriction measures and on a wider scale, the COVID-19 pandemic. Some of the human behaviors that have been impacted by the COVID-19 lockdown are dietary behavior and nutrition, food options and food delivery usage, physical activity and sedentary behaviors. This is important in planning effective public health strategies with minimal detriment to all subsets of society as well as improving the distribution of government aid to populations that are more severely affected. Our main purpose is to present the literature from a rapidly growing pool of scientific research to hopefully enable a better and more comprehensive understanding of the effects of this pandemic and the lessons learnt from the accompanying restrictions, as well as policy recommendations that can be made in national pandemic responses in the future. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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24 pages, 480 KiB

Open AccessReview

Dietary Supplements—For Whom? The Current State of Knowledge about the Health Effects of Selected Supplement Use

by Regina Ewa Wierzejska

Int. J. Environ. Res. Public Health 2021, 18(17), 8897; https://doi.org/10.3390/ijerph18178897 - 24 Aug 2021

Cited by 43 | Viewed by 13224

Abstract

Dietary supplements are products containing nutrients sold in various medicinal forms, and their widespread use may stem from the conviction that a preparation that looks like a drug must have therapeutic properties. The aim of this scoping review is to present what is [...] Read more.

Dietary supplements are products containing nutrients sold in various medicinal forms, and their widespread use may stem from the conviction that a preparation that looks like a drug must have therapeutic properties. The aim of this scoping review is to present what is known about the effects of using selected dietary supplements in the context of chronic diseases, as well as the risks associated with their use. The literature shows that the taking of vitamin and mineral supplements by healthy people neither lowers their risk of cardiovascular diseases nor prevents the development of malignancies. Many scientific societies recognize that omega-3 fatty acids lower blood triglycerides, but whether taking them prevents heart disease is less clear-cut. Taking weight loss supplements is not an effective method of fighting obesity. Often, some supplements are increasingly sold illegally, which is then also associated with the higher risk that they may be adulterated with banned substances, thus making them even more dangerous and potentially life-threatening. Supplements are necessary in cases of nutrient deficiency; however, even though prescription is not required, their use should be recommended and monitored by a physician. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

16 pages, 2144 KiB

Open AccessReview

Premature Aging in Chronic Kidney Disease: The Outcome of Persistent Inflammation beyond the Bounds

by Andrea Figuer, Guillermo Bodega, Patricia Tato, Gemma Valera, Nadia Serroukh, Noemi Ceprian, Patricia de Sequera, Enrique Morales, Julia Carracedo, Rafael Ramírez and Matilde Alique

Int. J. Environ. Res. Public Health 2021, 18(15), 8044; https://doi.org/10.3390/ijerph18158044 - 29 Jul 2021

Cited by 21 | Viewed by 5601

Abstract

Over the last hundred years, life expectancy in developed countries has increased because of healthier living habits and the treatment of chronic pathologies causing premature aging. Aging is an inexorable, time-dependent, multifactorial process characterized by a series of progressive and irreversible physiological changes [...] Read more.

Over the last hundred years, life expectancy in developed countries has increased because of healthier living habits and the treatment of chronic pathologies causing premature aging. Aging is an inexorable, time-dependent, multifactorial process characterized by a series of progressive and irreversible physiological changes associated with loss of functional, psychological, and social capabilities. Numerous factors, such as oxidative stress, inflammation, and cellular senescence, and an irreversible geriatric syndrome known as frailty, contribute to human body deterioration in aging. The speed of aging may differ between individuals depending on the presence or absence of multiple factors (genetic and/or environment) and the subsequent misbalance of homeostasis, together with the increase of frailty, which also plays a key role in developing chronic diseases. In addition, pathological circumstances have been reported to precipitate or accelerate the aging process. This review investigated the mechanisms involved in the developing pathologies, particularly chronic kidney disease, associated with aging. Full article

(This article belongs to the Special Issue Research on Lifestyle, Nutrition, Consumer Behavior and Family Health)

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