Abstract
Objective: Amid concerns about the quality of young people's diets, this paper describes the development of a measure of healthy eating behaviour for use with adolescents.
Design: Items for the measure were selected from a larger pool on the basis of responses from a pilot study. The 23-item checklist was validated using measures of dietary fat and fibre intake, fruit and vegetable consumption, dietary restraint, nutrition knowledge and a measure of family income.
Setting: Participants came from seven secondary schools in the north-west of England.
Subjects: A total of 1822 adolescents aged between 13 and 16 y took part in the study, representing 84% of those invited to participate.
Results: Correlations between measures indicate a good level of convergent validity, and the checklist is also shown to have high internal and test–retest reliability.
Conclusions: The focus on choices available to adolescents means that the checklist will provide a useful addition to food frequency-type approaches to the measurement of adolescent eating behaviour.
Sponsorship: This research was funded by the Medical Research Council and the Economic and Social Research Council's Health Variations Programme.
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Appendix: The Adolescent Food Habits Checklist
Appendix: The Adolescent Food Habits Checklist
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1
If I am having lunch away from home, I often choose a low-fat option. True/False/I never have lunch away from home
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2
I usually avoid eating fried foods. True/False
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3
I usually eat a dessert or pudding if there is one available. True/False
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4
I make sure I eat at least one serving of fruit a day. True/False
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5
I try to keep my overall fat intake down. True/False
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6
If I am buying crisps, I often choose a low-fat brand. True/False/I never buy crisps
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7
I avoid eating lots of sausages and burgers. True/False/I never eat sausages or burgers
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8
I often buy pastries or cakes. True/False
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9
I try to keep my overall sugar intake down. True/False
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10
I make sure I eat at least one serving of vegetables or salad a day. True/False
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11
If I am having a dessert at home, I try to have something low in fat. True/False/I don't eat desserts
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12
I rarely eat takeaway meals. True/False
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13
I try to ensure I eat plenty of fruit and vegetables. True/False
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14
I often eat sweet snacks between meals. True/False
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15
I usually eat at least one serving of vegetables (excluding potatoes) or salad with my evening meal. True/False
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16
When I am buying a soft drink, I usually choose a diet drink. True/False/I never buy soft drinks
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17
When I put butter or margarine on bread, I usually spread it thinly. True/False/I never have butter or margarine on bread
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18
If I have a packed lunch, I usually include some chocolate and/or biscuits. True/False/I never have a packed lunch
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19
When I have a snack between meals, I often choose fruit. True/False/I never eat snacks between meals
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20
If I am having a dessert or pudding in a restaurant, I usually choose the healthiest one. True/False/I never have desserts in restaurants
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21
I often have cream on desserts. True/False/I don't eat desserts
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22
I eat at least three servings of fruit most days. True/False
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23
I generally try to have a healthy diet. True/False
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Johnson, F., Wardle, J. & Griffith, J. The Adolescent Food Habits Checklist: reliability and validity of a measure of healthy eating behaviour in adolescents. Eur J Clin Nutr 56, 644–649 (2002). https://doi.org/10.1038/sj.ejcn.1601371
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DOI: https://doi.org/10.1038/sj.ejcn.1601371
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