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Nutrition-related habits of Greek adolescents

European Journal of Clinical Nutrition volume 58, pages 580–586 (2004)Cite this article

Abstract

Objective: To investigate nutrition-related habits of Greek school-aged adolescents.

Design: Epidemiological survey.

Setting and subjects: The study was part of the Health Behavior in School Aged Children (HBSC) survey. A representative sample of school-aged adolescents aged 11.5, 13.5, and 15.5 y was obtained. The final sample consisted of 4211 students (51.6% girls and 48.4% boys). They were asked to complete a translated form of the international HBSC questionnaire, including several thematic entities. The Unhealthy Food Choices Score (UFCS) was devised in order to evaluate the overall quality of reported eating habits of respondents; the higher the score, the lower the diet quality.

Results: Among all students surveyed, 14.7% were reported to be on a diet to lose weight (girls: 19.5%; boys: 9.7%; P<0.001), and 22.9% were dissatisfied with their body weight but not on a diet. Girls were found to have lower UFCS values compared to boys (24.7±4.6 vs 24.1±4.5, P<0.001). Girls dissatisfied with their weight, but not on a diet, showed the highest UFCS values compared to both those on a diet and those not on a diet. TV viewing was positively associated with the consumption of sodas, crisps, cakes and pastries, and sweets and chocolates.

Conclusions: Dieting is becoming a major problem, especially among older girls. The findings of this study suggest that eating habits of Greek school-aged adolescents are in the process of changing from more traditional to more Westernized ones.

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References

  • Amorim Cruz JA (2000): Dietary habits and nutritional status in adolescents over Europe—Southern Europe. Eur. J. Clin. Nutr. 54(Suppl 1), S29–S35.

    Article  Google Scholar 

  • Andersen LF, Nes M, Sandstad B, Bjorneboe GE & Drevon CA (1995): Dietary intake among Norwegian adolescents. Eur. J. Clin. Nutr. 49, 555–564.

    CAS  Google Scholar 

  • Basiotis PP, Carlson A, Gerrior SA, Juan WY & Lino M (2002): The Healthy Eating Index 1999-2000. US Department of Agriculture, Center for Nutrition Policy and Promotion. Washington, D.C.

    Google Scholar 

  • Booth ML, Okely AD, Chey T & Bauman A (2001): The reliability and validity of the physical activity questions in the WHO health behaviour in schoolchildren (HBSC) survey: a population study. Br. J. Sports Med. 35, 263–267.

    Article  CAS  Google Scholar 

  • Cade J, Thompson R, Burley V & Warm D (2002): Development, validation and utilisation of food-frequency questionnaires—a review. Public Health Nutr. 5, 567–587.

    Article  Google Scholar 

  • Cole TJ, Bellizi MC, Flegal KM & Dietz WH (2000). Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320, 1240–1243.

    Article  CAS  Google Scholar 

  • Currie C, Hurrelman K, Settertobulte W, Smith R & Todd J (2000): Health and Health Behaviour among Young People. Health behavior in School aged children: A WHO Cross National Study (HBSC). Copenhagen: Health Promotion and Investment for Health, WHO Regional Office for Europe.

    Google Scholar 

  • Dietz WH (1998): Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 101, 518–525.

    CAS  Google Scholar 

  • Edmunds H & Hill AJ (1999): Dieting and the family context of eating in young adolescent children. Int. J. Eat. Disord. 25, 435–440.

    Article  CAS  Google Scholar 

  • Emmons L (1996): The relationship of dieting to weight in adolescents. Adolescence 31, 167–178.

    CAS  PubMed  Google Scholar 

  • Fraser GE, Welch A, Luben R, Bingham SA & Day NE (2000): The effect of age, sex, and education on food consumption of a middle-aged English cohort-EPIC in East Anglia. Prev. Med. 30, 26–34.

    Article  CAS  Google Scholar 

  • Gregory J, Lowe S, Bates C, Prentice A, Jackson LV, Smithers G, Wenlock R & Farron M (2000): National Diet and Nutrition Survey: Young People Aged 4 to 18 Years. Volume 1: Report of the diet and nutrition survey. London: The Stationery Office.

    Google Scholar 

  • Haines PS, Siega-Riz AM & Popkin BM (1999): The Diet Quality Index revised: a measurement instrument for population. J. Am. Diet. Assoc. 99, 697–704.

    Article  CAS  Google Scholar 

  • Hasapidou MN & Fotiadou E (2001): Dietary intakes and food habits of adolescents in Northern Greece. Int. J. Food Sci. Nutr. 52, 109–116.

    Article  Google Scholar 

  • Herbold NH & Frates SE (2000): Update of nutrition guidelines for the teen: trends and concerns. Curr. Opin. Pediatr. 12, 303–309.

    Article  CAS  Google Scholar 

  • Hill AJ & Franklin JA (1998): Mothers, daughters and dieting: investigating the transmission of weight control. Br. J. Clin. Psychol. 37, 3–13.

    Article  Google Scholar 

  • Hill AJ, Oliver S & Rogers PJ (1992): Eating in the adult world: the rise of dieting in childhood and adolescence. Br. J. Clin. Psychol. 31, 95–105.

    Article  Google Scholar 

  • Hill AJ (1993): Causes and consequences of dieting and anorexia. Proc. Nutr. Soc. 52, 211–218.

    Article  CAS  Google Scholar 

  • Huon GF & Walton CJ (2000): Initiation of dieting among adolescent females. Int. J. Eat. Disord. 28, 226–230.

    Article  CAS  Google Scholar 

  • Inchley J, Todd J, Brycet C & Currie C (2001): Dietary trends among Scottish school children in the 1990s. J. Hum. Nutr. Diet. 14, 207–216.

    Article  CAS  Google Scholar 

  • Karayiannis D, Yannakoulia M, Terzidou M, Sidossis LS & Kokkevi A (2003): Prevalence of overweight and obesity in Greek school-aged children and adolescents. Eur. J. Clin. Nutr. 57, 1189–1192.

    Article  CAS  Google Scholar 

  • Lien N, Jacobs Jr DR & Klepp KI (2002): Exploring predictors of eating behaviour among adolescents by gender and socio-economic status. Public Health Nutr. 5, 671–681.

    Article  Google Scholar 

  • Lytle LA, Himes JH, Feldman H, Zive M, Dwyer J, Hoelscher D, Webber L & Yang M (2002): Nutrient intake over time in a multi-ethnic sample of youth. Public Health Nutr. 5, 319–328.

    PubMed  Google Scholar 

  • Lytle LA, Seifert S, Greenstein J & McGovern P (2000): How do children's eating patterns and food choices change over time? Results from a cohort study. Am. J. Health Promot. 14, 222–228.

    Article  CAS  Google Scholar 

  • Paulus D, Saint-Remy A & Jeanjean M (2001): Dietary habits during adolescents – results of the Belgian Adolux Study. Eur. J. Clin. Nutr. 53, 130–136.

    Article  Google Scholar 

  • Pirouznia M (2001): The association between nutrition knowledge and eating behavior in male and female adolescents in the US. Int. J. Food Sci. Nutr. 52, 127–132.

    Article  CAS  Google Scholar 

  • Popkin BM (1994): The nutrition transition in low-income countries: an emerging crisis. Nutr. Rev. 52, 285–298.

    Article  CAS  Google Scholar 

  • Rolland-Cachera M-F, Bellisle F & Deheeger M (2000): Nutritional status and food intake in adolescents living in Western Europe. Eur. J. Clin. Nutr. 54(Suppl 1), S41–S46.

    Article  CAS  Google Scholar 

  • Roma-Giannikou E, Adamidis D, Gianniou M, Nikolara R & Matsaniotis N (1997): Nutritional survey in Greek children: nutrient intake. Eur. J. Clin. Nutr. 51, 273–285.

    Article  CAS  Google Scholar 

  • Samuelson G (2000): Dietary habits and nutritional status in adolescents over Europe: an overview of current studies in the Nordic countries. Eur. J. Clin. Nutr. 54(Suppl 1), S21–S28.

    Article  Google Scholar 

  • Shepherd R & Dennison CM (1996): Influences on adolescent food choices. Proc. Nutr. Soc. 55, 345–357.

    Article  CAS  Google Scholar 

  • Stookey JD, Wang Y, Ge K, Lin H & Popkin BM (2000): Measuring diet quality in China: the INFH-UNC-CH Diet Quality Index. Eur. J. Clin. Nutr. 54, 811–821.

    Article  CAS  Google Scholar 

  • Story M, Neumark-Sztainer D & French S (2002): Individual and environmental influences on adolescent eating behavior. J. Am. Diet. Assoc. 103(Suppl 3), S40–S51.

    Article  Google Scholar 

  • Story M, Neumark-Sztainer D, Sherwood N, Stang J & Murray D (1998): Dieting status and its relationship to eating and physical activity behaviors in a representative study of US adolescents. J. Am. Diet. Assoc. 98, 1127–1135.

    Article  CAS  Google Scholar 

  • Suitor CW & Cleason PM (2002): Using Dietary Reference Intake-based methods to estimate the prevalence of inadequate nutrient intake among school-aged children. J. Am. Diet. Assoc. 102, 530–536.

    Article  Google Scholar 

  • Supreme Scientific Health Council (SSHC), Ministry of Health and Welfare (1999): Dietary Guidelines for Adults in Greece. Arch. Hell. Med. 16, 516–524.

  • Taylor CB, Sharpe T, Shisslak C, Bryson S, Estes LS, Gray N, McKnight KM, Crago M, Kraemer HC & Killen JD (1998): Factors associated with weight concerns in adolescent girls. Int. J. Eat. Disord. 24, 31–42.

    Article  CAS  Google Scholar 

  • Thomas J (1991): Food choices and preferences of schoolchildren. Proc. Nutr. Soc. 50, 49–57.

    Article  CAS  Google Scholar 

  • U.S. Department of Agriculture (USDA) (2000): Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 2000. Washington, DC: USDA.

  • Vereecken C & Maes L (2000): Eating habits, dental care and dieting. In Health and Health Behaviour among Young People, ed. C Currie, K Hurrelmann, W Settertobulte, R Smith, J Todd, pp 83–95. Copenhagen: World Health Organization Regional Office for Europe.

    Google Scholar 

  • Weaver CM, Peacock M & Johnston CC Jr (1999). Adolescent nutrition in the prevention of postmenopausal osteoporosis. J. Clin. Endocrinol. Metab. 84, 1839–1843.

    Article  CAS  Google Scholar 

  • Yannakoulia M, Matalas A-L & Grivetti LE (2003). From frugality to disordered eating behavior. The case of Greece. In Eating Disorders in the Mediterranean World. Cognitive and Sociocultural Correlates, ed GM Ruggiero. Huntington, NY: NOVA Publisher.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Laboratory of Clinical Nutrition and Dietetics, Harokopio University, Athens, Greece

    M Yannakoulia, D Karayiannis & L S Sidossis

  2. University Mental Health Research Institute, Athens, Greece

    M Terzidou & A Kokkevi

Authors
  1. M Yannakoulia
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  2. D Karayiannis
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  3. M Terzidou
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  4. A Kokkevi
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  5. L S Sidossis
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Contributions

Guarantor: LS Sidossis.

Contributors: MY and DK carried out data handling and analysis. MY drafted the paper. AK was the principal investigator and MT was the scientific coordinator of the Greek HBSC study; both of them assisted in the interpretation of data. LSS contributed to the interpretation of data and to the writing of the paper.

Corresponding author

Correspondence to L S Sidossis.

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Yannakoulia, M., Karayiannis, D., Terzidou, M. et al. Nutrition-related habits of Greek adolescents. Eur J Clin Nutr 58, 580–586 (2004). https://doi.org/10.1038/sj.ejcn.1601849

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