The relationships between food attitudes and sociodemographic determinants among students of the Third Age University in northern Poland.

BACKGROUND: A thorough understanding of nutritional needs, food attitudes, and preferences are necessary for aging societies. So far the detailed studies on food attitudes and their determinants among elderly people were relatively scarce. OBJECTIVE: This research was aimed at the determination of relationships between food attitudes and some sociodemographic features among elderly people, students of the Third Age University in Poland. MATERIAL AND METHODS: The study was conducted among 607 students of the Third Age University based on the authors`questionnaire. The survey was anonymous. The attitudes towards health benefits of foods, novel foods, light and organic foods, food as a reward and pleasure, restriction of food intake, and the packaging and composition of food were investigated. RESULTS: The relationships between attitudes and gender, age, education level, professional activity, BMI index, and economic status were differentiated. The positive attitudes over 50% were noticed only for the health benefits of foods and the packaging and composition of the food. For the other attitudes, the neutral attitudes were dominant. The three significant relations between attitudes and sociodemographic determinants were notices only for gender, two such relations were found for professional activity, the economic status and BMI index, and relations between age or education level - only for a single attitude. CONCLUSIONS: The obtained results may be explained as a complex effect of specifics of this group and the overall tendency for conservative attitudes observed among elderly people. The food attitudes are significantly related to gender and other determinants become much less important for the surveyed group of the participants of the Third Age University.

Regional and socioeconomic variations in dietary patterns in a representative sample of young polish females: a cross-sectional study (GEBaHealth project).

BACKGROUND: Associations between dietary patterns (DPs) and socioeconomic correlates among adolescents from emerging economy countries are not fully understood. The study analysed variations in DPs adherence depending on country regions and family socioeconomic status (SES) among Polish females. METHODS: Data from a representative sample (n = 1107) of Polish females 13-21-year-old was used. Four DPs were previously identified by principal component analysis. Regions were ranked by Gross Domestic Product. A SES index as an overall measure of family SES was developed. Multiple logistic regression models adjusted for age and body mass index were created. RESULTS: Higher adherence to 'Fast-food and sweets' DP was found in the less affluent (North) region when compared to four other regions (Odds ratio (OR): 1.94 to 1.63). Higher adherence to 'Fruit and vegetables' DP was found in more affluent regions when compared to poorer regions: East and North-East (OR 1.71 to 1.81 and 1.69 to 2.23, respectively). Higher adherence to 'Traditional Polish' DP was found in 4 out of 5 regions (OR 2.02 to 2.53) when compared to the East. Higher family SES was associated with higher adherence to 'Fruit and vegetables' DP (OR 2.06) and lower adherence to 'Traditional Polish' DP (OR 0.27). CONCLUSIONS: The study revealed that region's affluence is strongly reflected in dietary behaviours of young females from a transitioning country. Recognising geographical distribution of dietary patterns within the country and shifting the resources to economically disadvantaged regions might be more effective than current national public health interventions.

Health- and Taste-Related Attitudes Associated with Dietary Patterns in a Representative Sample of Polish Girls and Young Women: A Cross-Sectional Study (GEBaHealth Project).

Attitudes can be predictors of certain health-related behaviours. The attitudes of young females towards health and taste have not been yet fully examined and their associations with dietary behaviours remain unclear. The aim of the study was to investigate if attitudes are associated with dietary patterns in a representative sample of Polish girls. The study population consisted of 1107 girls, aged 13-21 and living in Poland. Attitudes were assessed using the Health and Taste Attitudes Scale (HTAS) and categorised as negative, neutral or positive. Dietary data was obtained using a Food Frequency Questionnaire. Dietary patterns (DPs), derived previously with a Principal Component Analysis (PCA), were 'Traditional Polish', 'Fruit and vegetables', 'Fast food and sweets' and 'Dairy and fats'. The associations between attitudes and DPs were assessed using Spearman's correlation coefficients and logistic regression. The reference group were girls with neutral attitudes. Odds ratios (ORs) were adjusted for age, socioeconomic status (SES), and body mass index (BMI). The correlations between attitudes and DPs ranged from -0.28 for attitudes towards health and 'Fast food and sweets' and 'Traditional Polish' DPs to 0.33 for attitudes towards health and the 'Fruit and vegetables' DP (p < 0.05). In the logistic regression analysis, the strongest associations within health-related HTAS subscales were observed between negative attitudes towards natural products and the 'Fast food and sweets' DP (OR: 10.93; 95% CI: 3.32-36.01) and between positive attitudes towards health and the 'Fruit and vegetables' DP (OR: 5.10; 3.11-8.37). The strongest associations within taste-related HTAS subscales were observed between positive attitudes towards craving for sweet foods and the 'Traditional Polish' DP (OR: 1.93; 1.43-2.61) and between positive attitudes towards using food as a reward and the 'Dairy and fats' DP (OR: 2.08; 1.22-3.55) as well as the 'Fast food and sweets' DP (OR: 2.07; 1.14-3.74). Positive attitudes towards health were associated with a pro-healthy dietary pattern characterised by the consumption of fruit and vegetables, while negative attitudes towards natural products as well as a strong craving for sweets and using food as a reward were associated with less healthy dietary patterns. To improve the dietary habits of girls and young women, positive attitudes towards health should be strengthened and supported by emphasizing the sensory values of pro-healthy foods.

Perceived Health and Nutrition Concerns as Predictors of Dietary Patterns among Polish Females Aged 13-21 Years (GEBaHealth Project).

Health-related concerns can often be factors influencing health-related behaviours. It remains unclear whether a high level of concerns is associated with pro-healthy or unhealthy dietary behaviours and whether any associations between nutrition-related concerns and dietary behaviours exist in a population of girls and young women. The aim of the study was to investigate the associations between perceived health and nutrition concerns and dietary patterns in a representative sample of Polish young females. Data was collected in 2012 through a cross-sectional quantitative survey within the GEBaHealth (Girls Eating Behaviours and Health) project in a group of 1107 Polish girls aged 13-21 years old. Dietary patterns were identified by Principal Component Analysis (PCA) based on dietary data collected with Food Frequency Questionnaires (FFQs). Nutrition and health concerns were assessed separately by two indices: Health Concern Index (HCI) and Nutrition Concern Index (NCI); both based on the Health Concern Scale (HCS). The associations between perceived health and nutrition concerns and each dietary pattern were investigated using logistic regression analysis. Displaying a higher level of health concerns increased the chances of adherence to the upper tertile of 'Fruit & vegetables' pattern (adjusted odds ratio [adj. ORs]: 1.46, 95% Confidence Interval [95% CI]: 1.02-2.10). Displaying a lower level of health concerns increased the chances of the adherence to the upper tertiles of 'Traditional Polish', 'Dairy & fats', 'Fruit and vegetables' and 'Fast food & sweets' patterns (adj. ORs: 1.87, 95% CI: 1.31-2.67; 1.66, 95% CI: 1.18-2.34; 1.57, 95% CI: 1.11-2.22; 1.52, 95% CI: 1.08-2.13; respectively). No significant associations were found between levels of nutrition concerns and dietary patterns in the adjusted model. We found associations between self-perceived health concerns and dietary patterns in our study sample, suggesting health concerns can be an important predictor of dietary behaviours in girls and young women. To increase the effectiveness of healthy eating, an emphasis should be laid on health, reinforced with awareness of nutrition, when advising on food-related decisions.

Conceptual model of consumer's willingness to eat functional foods

Background: The functional foods constitute the important segment of the food market. Among factors that determine the intentions to eat functional foods, the psychological factors play very important roles. Motives, attitudes and personality are key factors. The relationships between socio-demographic characteristics, attitudes and willingness to purchase functional foods were not fully confirmed. Consumers' beliefs about health benefits from eaten foods seem to be a strong determinant of a choice of functional foods. Objective: The objective of this study was to determine relations between familiarity, attitudes, and beliefs in benefits and risks about functional foods and develop some conceptual models of willingness to eat. Material and methods: The sample of Polish consumers counted 1002 subjects at age 15+. The foods enriched with vitamins or minerals, and cholesterol-lowering margarine or drinks were considered. The questionnaire focused on familiarity with foods, attitudes, beliefs about benefits and risks of their consumption was constructed. The Pearson's correlations and linear regression equations were calculated. Results: The strongest relations appeared between attitudes, high health value and high benefits, (r = 0.722 and 0.712 for enriched foods, and 0.664 and 0.693 for cholesterol-lowering foods), and between high health value and high benefits (0.814 for enriched foods and 0.758 for cholesterol-lowering foods). The conceptual models based on linear regression of relations between attitudes and all other variables, considering or not the familiarity with the foods, were developed. Conclusions: The positive attitudes and declared consumption are more important for enriched foods. The beliefs on high health value and high benefits play the most important role in the purchase. The interrelations between different variables may be described by new linear regression models, with the beliefs in high benefits, positive attitudes and familiarity being most significant predictors. Health expectations and trust to functional foods are the key factors in their choice.

Comparing dietary patterns derived by two methods and their associations with obesity in Polish girls aged 13-21 years: the cross-sectional GEBaHealth study.

AIMS: To compare dietary patterns (DPs) derived by two methods and their assessment as a factor of obesity in girls aged 13-21 years. METHODS: Data from a cross-sectional study conducted among the representative sample of Polish females ( n = 1,107) aged 13-21 years were used. Subjects were randomly selected. Dietary information was collected using three short-validated food frequency questionnaires (FFQs) regarding fibre intake, fat intake and overall food intake variety. DPs were identified by two methods: a priori approach (a priori DPs) and cluster analysis (data-driven DPs). The association between obesity and DPs and three single dietary characteristics was examined using multiple logistic regression analysis. RESULTS: Four data-driven DPs were obtained: 'Low-fat-Low-fibre-Low-varied' (21.2%), 'Low-fibre' (29.1%), 'Low-fat' (25.0%) and 'High-fat-Varied' (24.7%). Three a priori DPs were pre-defined: 'Non-healthy' (16.6%), 'Neither-pro-healthy-nor-non-healthy' (79.1%) and 'Pro-healthy' (4.3%). Girls with 'Low-fibre' DP were less likely to have central obesity (adjusted odds ratio (OR) = 0.36; 95% confidence interval (CI): 0.17, 0.75) than girls with 'Low-fat-Low-fibre-Low-varied' DP (reference group, OR = 1.00). No significant associations were found between a priori DPs and overweight including obesity or central obesity. The majority of girls with 'Non-healthy' DP were also classified as 'Low-fibre' DP in the total sample, in girls with overweight including obesity and in girls with central obesity (81.7%, 80.6% and 87.3%, respectively), while most girls with 'Pro-healthy' DP were classified as 'Low-fat' DP (67.8%, 87.6% and 52.1%, respectively). CONCLUSION: We found that the a priori approach as well as cluster analysis can be used to derive opposite health-oriented DPs in Polish females. Both methods have provided disappointing outcomes in explaining the association between obesity and DPs. The cluster analysis, in comparison with the a priori approach, was more useful for finding any relationship between DPs and central obesity. Our study highlighted the importance of method used to derive DPs in exploring associations between diet and obesity.

Self-Reported Dietary Restrictions and Dietary Patterns in Polish Girls: A Short Research Report (GEBaHealth Study).

Dietary restraint is a commonly reported practice observed among young females. The practice remains controversial and can be interpreted as a beneficial self-regulating behavior or the opposite, an eating disorder that may have a detrimental effect on health. The aim of this short report was to investigate if dietary restrictions are associated with dietary patterns in a representative sample of Polish girls. Analyses were carried out on data from the Girls' Eating Behavior and Health (GEBaHealth) study. The sample included 1107 girls, ranging in age from 13 to 21 years old. Restrictions regarding food quantities and selected food groups were assessed using a standardized interview. Dietary patterns were identified with Principal Component Analysis (PCA), based on dietary data collected with Food Frequency Questionnaires (FFQs). Logistic regression analysis was used to study the associations between self-reported restrictions and each dietary pattern. In the total sample, 30.5% of girls reported following some food restrictions. The most common restrictions regarded consumption of sugar and/or sweets (23.7%), high-fat foods (22.4%), and fats (21.3%). Girls who declared following any restrictions, restrictions in food quantity and restrictions in the consumption of sugar and/or sweets, high-fat foods, fats, cereals and/or bread and/or potatoes were more likely to adhere to the "fruit and vegetables" (considered pro-healthy) dietary pattern (adjusted odds ratios (ORs): 1.55, 95% CI: 1.14-2.12; 1.61, 95% CI: 1.17-2.21; 1.81, 95% CI: 1.30-2.52; 1.46, 95% CI: 1.04-2.06; 1.96, 95% CI: 1.38-2.80 and 3.25, 95% CI: 1.97-5.37, respectively), and less likely to adhere to the "fast foods and sweets" (unhealthy) and "traditional Polish" (rather unhealthy) patterns, compared to girls who declared no restrictions. Declared restrictions in the consumption of foods high in sugar, fat, and starch were observed in girls in the "fruit and vegetables" pattern and were uncommon in girls with unhealthy dietary patterns. Although cautious interpretation is needed when considering restrictions in the overall quantity of food consumed, the results indicate that dietary restrictions of sugar, high-fat foods, fats, and starch may be considered predictors of both pro-healthy and unhealthy dietary patterns in the population of Polish girls.

Associations between physical activity patterns and dietary patterns in a representative sample of Polish girls aged 13-21 years: a cross-sectional study (GEBaHealth Project).

BACKGROUND: Similar to other countries, trends of decreasing levels of physical activity (PA) and an increasing prevalence of unhealthy dietary patterns are observed among girls in Poland. Better understanding of potentially inter-related behaviours within this population can help to design tailored interventions. The purpose of this study was to determine associations between PA patterns and dietary patterns in a representative sample of Polish girls. METHODS: Girls aged 13-21 years (n = 1107) were randomly selected for the study. PA was assessed using International Physical Activity Questionnaire - Long (IPAQ-L). Dietary data were collected with food frequency questionnaires. PA patterns and dietary patterns were drawn separately by Principal Component Analysis (PCA). Logistic regression was used to find the associations between PA patterns and dietary patterns. RESULTS: Four major PA patterns ('School/work activity', 'Active recreation', 'Yard activity' and 'Walking and domestic activity') and four dietary patterns ('Traditional Polish', 'Fruit & vegetables', 'Fast food & sweets' and 'Dairy & fats') were identified. Level of PA was the highest in the upper tertile of 'School/work activity' pattern (mean 1372.2 MET-minutes/week, 95 % Confidence Intervals [CI]: 1285.9-1458.5). Girls in upper tertiles of 'Yard activity', 'Active recreation' and 'School/work activity' patterns had significantly higher chances of being in the upper tertile of the 'Fruit and vegetables' dietary pattern (odds ratio [OR] 2.17, 95 % CI: 1.50-3.14, p < 0.0001; OR 2.02, 95 % CI: 1.41-2.91; p < 0.001 and OR 1.76, 95 % CI: 1.24-2.51, p < 0.01 respectively; all adjusted for confounders) in comparison to bottom tertiles. Weak, but significant inverse associations were found between upper tertiles of 'Active recreation' and 'Yard activity' patterns and unhealthy dietary patterns. CONCLUSIONS: We found associations between PA patterns and dietary patterns in the population of Polish girls. Girls with the highest adherence to the 'School/work activity' pattern had the highest levels of PA and presented pro-healthy dietary behaviours. School should be recognised as potentially efficient and important setting to maximise girls' PA potential. The after-school time is the area that should also be targeted to increase daily PA or to at least sustain the level of PA after completing education.

The effect of girls attitudes towards the health benefits of food on selected dietary characteristics. The GEBahealth Project.

BACKGROUND: Dietary habits are formed at an early age and to a large extent they affect such nutritional behaviour in adulthood. Mothers in particular, influence family nutrition. In this respect, their knowledge, attitudes and behaviour about nutrition are responsible for the schooling of future generations. Many aspects of the link between food and health with nutritional behaviour in girls remain, however, unknown. OBJECTIVES: To determine the effect of girls attitudes towards the health benefits of food on selected dietary characteristics. MATERIAL AND METHODS: Study included 186 girls aged 13-21 years. Using a food frequency method the three dietary characteristics were obtained; food intake variety, fibre intake and fat intake, all of them expressed by a graded scale. Three validated questionnaires were used; FIVeQ, BSQFVF and BSQF. The girls attitudes towards the health benefits of food were rated from one of the survey's six parts, comprising of 8 statements from the Health and Taste Attitude Scale (HTAS) accordingly graded. Statistical analyses used logistic regression. RESULTS: The mean index of food intake variety was 28.7 foods/week (ranging 0-60), whilst the mean dietary intakes of fibre and fat were 16.7 points (0-36 range) and 18.2 points (0-52 range), respectively. Girls from the upper tertile with favourable attitudes on food health benefits had an odds ratio (OR) for adequate fat intake (<22 points) of 3.1 (95% CI: 1.28, 7.52; p<0.05), as compared to those from the middle-neutral attitudes tertile, with an OR = 1.00. The ORs for the relatively high food intake variety and acceptable fibre intake were 1.05 in girls from the positive-upper tertiles, which were not significant. CONCLUSIONS: The positive attitudes of girls towards the health benefits of food are conducive for making more favourable food choices and lowered dietary fat intake, however this did not significantly affect fibre intake nor food intake variety.

[Determinants of food consumption enriched in vitamins and minerals--selected aspects]. / Uwarunkowania spozycia zywnosci wzbogacanej w witaminy i skladniki mineralne--wybrane aspekty.

The aim of the research was to estimate to what extent the selected socio-cognitive variable, and subjective variables concerning the health status and the way of nutrition determine consumers' behaviours on the market of food enriched in vitamins and minerals. The survey was conducted in September 2008 within the group of 1005 consumers. The data were collected via Centre of Public Opinions Research (TNO OOP) within the representative group of Polish inhabitants aged over 15 years. The questionnaire was developed by the authors of this study. It includes closed-end questions concerning familiarity with food enriched in vitamins and minerals, frequency of eating it, and selected opinions on this food The level of consumers" innovativeness was also assessed. All variables, except of subjective variable concerning health status, significantly correlated with the familiarity and the frequency of eating enriched food and with the declared intention to eat it next 3 months. The strongest correlations were indicated between beliefs on health value, benefits and variables describing consumers' behaviours. There were observed stronger correlations between socio-cognitive and subjective variables concerning the way of nutrition in the case of the declared intention to eat compared to the familiarity and frequency of eating food enriched in vitamins and minerals.

[Dietary trans-fatty acids and metabolic syndrome]. / Trans-kwasy tluszczowe w diecie--rola w rozwoju zespolu metabolicznego.

Trans-fatty acids (TFAs), products of partial hydrogenation of vegetable oils, have become more prevalent in our diet since the 1960s, when they replaced animal fats. TFAs also occur naturally in meat and dairy products from ruminants. There is growing evidence that dietary trans-fatty acids may increase the risk of metabolic syndrome. Several studies have demonstrated adverse effects of TFAs on plasma lipids and lipoproteins. In dietary trials, trans-fatty acids have been shown to raise the total cholesterol/HDL cholesterol ratio and Lp(a) levels in blood. Moreover, a high intake of TFAs has been associated with an increased risk of coronary heart disease. Prospective cohort studies have shown that dietary trans-fatty acids promote abdominal obesity and weight gain. In addition, it appears that TFA consumption may be associated with the development of insulin resistance and type 2 diabetes. The documented adverse health effects of TFAs emphasise the importance of efforts to reduce the content of partially hydrogenated vegetable oils in foods.

Promotion of healthy nutrition of seafarers.

Nutrition disorders arise from various interacting factors: cultural, environmental, genetic, physiological, and psychological. Excessive consumption of highly processed food, sugar, salt, alcohol, and saturated fats is a problem nowadays, and consumption of fish, vegetables, and fruit is insufficient. Overeating and an unbalanced diet are often accompanied by stress and a lack of physical activity. This is intensified by easy access to "comfort food", "fast food", and "junk food". The number of people suffering from overweight and obesity, so-called diseases of civilization, is increasing. Not only is being overweight a risk factor for the development many other metabolic diseases, but it also significantly worsens the quality of life. This also concerns people working at sea. Obesity is favoured by emotional eating disorders (EED), uncontrolled/compulsive eating - binge eating disorders (BED), and night eating disorders (NED). Most frequently, eating is a reaction to stress or boredom. It alleviates tension and improves the mood, also of seafarers.

[Protein intake in selected youth groups of different physical activity and requirements for athletes]. / Spozycie bialka w wybranych grupach mlodziezy o róznej aktywnosci fizycznej a zalecenia zywieniowe dla sportowców.

The aim of the study was to investigate protein intake in groups of different physical activity. The research was undertaken over a group of young people of different physical activity (age group 15-18 years) including ballet dancers, karate fighters, cross runners as well as adolescents of average physical activity (female and male). The investigation was performed in two series. The first--before intense exercise training and the second--after intense exercise training. In control group there was only one series. Urea was estimated by using urease which converts urea into ammonia, CO2 and glutamic dehydrogenase reaction via measurements of ammonia derived from urea. The amounts of urea were applied for counting quantity of consumed proteins. In the physically active groups the protein intake was too low in comparison to required.