Socio-economic and lifestyle parameters associated with diet quality of children and adolescents using classification and regression tree analysis: the DIATROFI study
To explore factors affecting children's and adolescents' diet quality, in the framework of a food aid and promotion of healthy nutrition programme implemented in areas of low socio-economic status of Greece, during the current financial crisis. From a total of 162 schools participating in...
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| Veröffentlicht in: | Public health nutrition 2016-02, Vol.19 (2), p.339-347 |
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| creator | Yannakoulia, Mary Lykou, Anastasia Kastorini, Christina Maria Saranti Papasaranti, Eirini Petralias, Athanassios Veloudaki, Afroditi Linos, Athena |
| description | To explore factors affecting children's and adolescents' diet quality, in the framework of a food aid and promotion of healthy nutrition programme implemented in areas of low socio-economic status of Greece, during the current financial crisis.
From a total of 162 schools participating in the programme during 2012-2013, we gathered 15 897 questionnaires recording sociodemographic characteristics, lifestyle parameters and dietary habits of children and their families. As a measure of socio-economic status, the Family Affluence Scale (FAS) was used; whereas for the assessment of diet quality, the KIDMED score was computed. Associations between KIDMED and FAS, physical activity and socio-economic parameters were examined using regression and classification-regression tree analysis (CART).
The higher the FAS score, the greater the percentage of children and adolescents who reported to consume, on a daily basis, fruits and vegetables, dairy products and breakfast (P |
| doi_str_mv | 10.1017/S136898001500110X |
| format | Article |
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From a total of 162 schools participating in the programme during 2012-2013, we gathered 15 897 questionnaires recording sociodemographic characteristics, lifestyle parameters and dietary habits of children and their families. As a measure of socio-economic status, the Family Affluence Scale (FAS) was used; whereas for the assessment of diet quality, the KIDMED score was computed. Associations between KIDMED and FAS, physical activity and socio-economic parameters were examined using regression and classification-regression tree analysis (CART).
The higher the FAS score, the greater the percentage of children and adolescents who reported to consume, on a daily basis, fruits and vegetables, dairy products and breakfast (P<0·001). Results from CART showed that children and adolescents in the medium or high FAS groups had higher KIDMED score, compared with those in the low FAS group. For those in the low FAS group, KIDMED score is expected to increase by 12·4 % when they spend more than 0·25 h/week in sports activities. The respective threshold for the medium and high FAS groups is 1·75 h/week, while education of the mother and father affected KIDMED score significantly as well.
Diet quality is strongly influenced by socio-economic parameters in children and adolescents living in economically disadvantaged areas of Greece, so that lower family affluence is associated with worse diet quality.</description><identifier>ISSN: 1368-9800</identifier><identifier>EISSN: 1475-2727</identifier><identifier>DOI: 10.1017/S136898001500110X</identifier><identifier>PMID: 25892409</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adolescents ; Affluence ; Child ; Children ; Children & youth ; Dairy products ; Diet ; Diet - standards ; Economic crisis ; Economics ; Education ; Educational Status ; Epidemiology ; Exercise ; Families & family life ; Feeding Behavior ; Female ; Food ; Greece ; Health Behavior ; Health promotion ; Humans ; Income distribution ; Life Style ; Lifestyles ; Male ; Nutrition research ; Nutritional epidemiology ; Parents & parenting ; Poverty ; Questionnaires ; Regression Analysis ; Research Papers ; Schools ; Social Class ; Socioeconomic factors ; Socioeconomics ; Sports ; Students ; Surveys and Questionnaires</subject><ispartof>Public health nutrition, 2016-02, Vol.19 (2), p.339-347</ispartof><rights>Copyright © The Authors 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-caf3bd593b4b8a763c0ca323e848e4fb7b492d34de33cc1ae4a43599fddd1d813</citedby><cites>FETCH-LOGICAL-c464t-caf3bd593b4b8a763c0ca323e848e4fb7b492d34de33cc1ae4a43599fddd1d813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25892409$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yannakoulia, Mary</creatorcontrib><creatorcontrib>Lykou, Anastasia</creatorcontrib><creatorcontrib>Kastorini, Christina Maria</creatorcontrib><creatorcontrib>Saranti Papasaranti, Eirini</creatorcontrib><creatorcontrib>Petralias, Athanassios</creatorcontrib><creatorcontrib>Veloudaki, Afroditi</creatorcontrib><creatorcontrib>Linos, Athena</creatorcontrib><creatorcontrib>DIATROFI Program Research Team</creatorcontrib><creatorcontrib>on behalf of the DIATROFI Program Research Team</creatorcontrib><title>Socio-economic and lifestyle parameters associated with diet quality of children and adolescents using classification and regression tree analysis: the DIATROFI study</title><title>Public health nutrition</title><addtitle>Public Health Nutr</addtitle><description>To explore factors affecting children's and adolescents' diet quality, in the framework of a food aid and promotion of healthy nutrition programme implemented in areas of low socio-economic status of Greece, during the current financial crisis.
From a total of 162 schools participating in the programme during 2012-2013, we gathered 15 897 questionnaires recording sociodemographic characteristics, lifestyle parameters and dietary habits of children and their families. As a measure of socio-economic status, the Family Affluence Scale (FAS) was used; whereas for the assessment of diet quality, the KIDMED score was computed. Associations between KIDMED and FAS, physical activity and socio-economic parameters were examined using regression and classification-regression tree analysis (CART).
The higher the FAS score, the greater the percentage of children and adolescents who reported to consume, on a daily basis, fruits and vegetables, dairy products and breakfast (P<0·001). Results from CART showed that children and adolescents in the medium or high FAS groups had higher KIDMED score, compared with those in the low FAS group. For those in the low FAS group, KIDMED score is expected to increase by 12·4 % when they spend more than 0·25 h/week in sports activities. The respective threshold for the medium and high FAS groups is 1·75 h/week, while education of the mother and father affected KIDMED score significantly as well.
Diet quality is strongly influenced by socio-economic parameters in children and adolescents living in economically disadvantaged areas of Greece, so that lower family affluence is associated with worse diet quality.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Affluence</subject><subject>Child</subject><subject>Children</subject><subject>Children & youth</subject><subject>Dairy products</subject><subject>Diet</subject><subject>Diet - standards</subject><subject>Economic crisis</subject><subject>Economics</subject><subject>Education</subject><subject>Educational Status</subject><subject>Epidemiology</subject><subject>Exercise</subject><subject>Families & family life</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Food</subject><subject>Greece</subject><subject>Health Behavior</subject><subject>Health promotion</subject><subject>Humans</subject><subject>Income distribution</subject><subject>Life 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Afroditi</au><au>Linos, Athena</au><aucorp>DIATROFI Program Research Team</aucorp><aucorp>on behalf of the DIATROFI Program Research Team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Socio-economic and lifestyle parameters associated with diet quality of children and adolescents using classification and regression tree analysis: the DIATROFI study</atitle><jtitle>Public health nutrition</jtitle><addtitle>Public Health Nutr</addtitle><date>2016-02</date><risdate>2016</risdate><volume>19</volume><issue>2</issue><spage>339</spage><epage>347</epage><pages>339-347</pages><issn>1368-9800</issn><eissn>1475-2727</eissn><abstract>To explore factors affecting children's and adolescents' diet quality, in the framework of a food aid and promotion of healthy nutrition programme implemented in areas of low socio-economic status of Greece, during the current financial crisis.
From a total of 162 schools participating in the programme during 2012-2013, we gathered 15 897 questionnaires recording sociodemographic characteristics, lifestyle parameters and dietary habits of children and their families. As a measure of socio-economic status, the Family Affluence Scale (FAS) was used; whereas for the assessment of diet quality, the KIDMED score was computed. Associations between KIDMED and FAS, physical activity and socio-economic parameters were examined using regression and classification-regression tree analysis (CART).
The higher the FAS score, the greater the percentage of children and adolescents who reported to consume, on a daily basis, fruits and vegetables, dairy products and breakfast (P<0·001). Results from CART showed that children and adolescents in the medium or high FAS groups had higher KIDMED score, compared with those in the low FAS group. For those in the low FAS group, KIDMED score is expected to increase by 12·4 % when they spend more than 0·25 h/week in sports activities. The respective threshold for the medium and high FAS groups is 1·75 h/week, while education of the mother and father affected KIDMED score significantly as well.
Diet quality is strongly influenced by socio-economic parameters in children and adolescents living in economically disadvantaged areas of Greece, so that lower family affluence is associated with worse diet quality.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>25892409</pmid><doi>10.1017/S136898001500110X</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescents Affluence Child Children Children & youth Dairy products Diet Diet - standards Economic crisis Economics Education Educational Status Epidemiology Exercise Families & family life Feeding Behavior Female Food Greece Health Behavior Health promotion Humans Income distribution Life Style Lifestyles Male Nutrition research Nutritional epidemiology Parents & parenting Poverty Questionnaires Regression Analysis Research Papers Schools Social Class Socioeconomic factors Socioeconomics Sports Students Surveys and Questionnaires |
| title | Socio-economic and lifestyle parameters associated with diet quality of children and adolescents using classification and regression tree analysis: the DIATROFI study |
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