Barriers to healthier eating in a disadvantaged community

O’Neill, Martin; Rebane, Deanne; Lester, Carolyn

doi:10.1177/001789690406300303

Cited by 26 publications

(24 citation statements)

References 6 publications

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“…The results of other studies have shown that obesity is increasing (NPHSW, 2007) and the public is being 'bombarded with advice from various sources offering quick fix cures or the latest fad diets' (British Dietetic Association, 2008). Food choice is also influenced by the meanings that food holds such as conception of self and acceptance within a community (O'Neill, 2004). The aims of the first phase of this project were to conduct exploratory interviews, to formulate ideas, and begin to gain an understanding of some of the issues and language that individuals feel are important in terms of their diet (Oppenheim, 2003).…”

Section: Discussionmentioning

confidence: 99%

A selection of abstracts presented at the British Dietetic Association Annual Conference, Manchester, UK: 15–17 September 2009

2009

J Human Nutrition Diet

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Background: Research indicates that 80% of women are dissatisfied with body image (Thompson, 1990). Moreover, several studies suggest that female dancers, as a sub-group compared with the general population, have stronger notions to perfecting the ideal body image (Brown, 1999; Anshel, 2004). This study aimed to investigate body image estimation (BIE) and body image dissatisfaction (BID) of female dance students and to determine whether they are more at risk of pathological disorders such as bulimia nervosa (BN). Methods: All female students, currently studying Dance at Liverpool John Moores University, were invited to take part in the study via e-mail. Those who agreed to participate had their weight and height measured and body mass index (BMI) calculated. Each subject was photographed with a digital camera and the image was loaded into the software 'Anamorphic micro' (Symplex software, Liverpool, UK). This software was used to determine BIE and BID by asking subjects to alter their image to 'how they think they look' and 'how they would like to look' and comparing the two images. Subjects were also asked to complete the 'Bulimic Inventory Test' questionnaire (BITE, Edinburgh) to assess behavioral risk factors for BN. Comparisons were made using Pearson's correlation test and one-way ANOVA, with P < 0.05 considered statistically significant. Results: Twenty-three women agreed to take part in the study. Mean (SD) age was 20.7 (3.1) years (range 18-32 years) and mean BMI was 22.3 (2.1 ) kg m )2 (range 18-26 kg m )2 ). Mean score (SD) for BIE was 109.6% (12.3%) (range 88.5-138.0%), with scores >100 indicating over-estimation of size. Mean (SD) BID score was 88.3% (12.3%) (range 46.0-101.5%), with scores <100 indicating a desire to be thinner. The mean (SD) score for the BITE questionnaire was 11.4 (8.0) (range 1-38), with scores >10 and >25 indicating symptoms of disordered eating and of BN, respectively. There was no statistically significant relationship observed between either scores from the BITE questionnaire (risk of BN) or BMI, in relation to BIE and BID. Discussion: Despite a low mean BMI, indicating a healthy weight for height, 78% of this group of women would like to be thinner than they actually are. Nineteen students (84%) over-estimated their size and 12 students (52%) received positive scores for disordered eating, with two scoring for BN. Students of all BMI classifications overestimated their size and desired to be thinner. The only students who accurately estimated BIE and had no BID were a minority of students with normal BMI (18.5-20.0). Overweight students tended to over-estimate their size and score higher for BID more than other students, and could have greater risks for ED, but this relationship was not significant (P > 0.05) Conclusions: Dance students have high levels of BID and could be at increased risk of developing eating disorders. ReferencesAnshel, M. (2004) Sources of disordered eating patterns between ballet dancers and non-dancers.

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Section: Discussionmentioning

confidence: 99%

A selection of abstracts presented at the British Dietetic Association Annual Conference, Manchester, UK: 15–17 September 2009

2009

J Human Nutrition Diet

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“…The eatwell week resource needs to increase emphasis on the role of carbohydrates in a healthy diet. Inconsistent advice from health professionals is cited by the public as a barrier to healthy eating and the present work has highlighted the need for ongoing nutrition training and education of health professionals (5,10,11) . Lack of time has been frequently cited as a barrier to healthy eating (5,10,11) .…”

Section: Discussionmentioning

confidence: 96%

“…Inconsistent advice from health professionals is cited by the public as a barrier to healthy eating and the present work has highlighted the need for ongoing nutrition training and education of health professionals (5,10,11) . Lack of time has been frequently cited as a barrier to healthy eating (5,10,11) . The breakfasts and lunches included in the eatwell week were intended to be simple, easily prepared meals with minimal difficulty and time required for preparation.…”

Section: Discussionmentioning

confidence: 96%

What, not just salad and veg? Consumer testing of the eatwell week

Leslie

Eunson

Murray

et al. 2013

Public Health Nutr.

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Objective: To test the appeal of the eatwell week, a nutritionally balanced 7 d menu which satisfies nutritional guidelines of the Food Standards Agency in Scotland; determine the clarity and understanding of the main messages; and gather views on the usability and acceptability of the eatwell week resource format. Design: Focus group discussions with consumers and health professionals. Setting: Four locations across the UK. Results: The eatwell week was considered realistic by consumers as it contained foods they recognised and already ate. A preconceived idea had been that there would be more fruit and vegetables and fewer 'treats'. Consumers found the recipes simple and lack of cooking skills was not an apparent barrier. However, the message of 'balance' was poorly understood. Consumers often lacked the knowledge to make informed substitutions in the week. Both the general public and some health professionals felt the menu contained too much carbohydrate. Health professionals felt it was unclear who the eatwell week was intended for and what purpose it served. Conclusions: Use of familiar foods and the provision of simple, easy-to-follow recipes have the potential to overcome some barriers to healthy eating encountered by the general public and encourage improvements in dietary intakes. The eatwell week shows promise as a resource to facilitate implementation of the principles of the eatwell plate and supports government priorities and policies for health.

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“…Pakistan shares a major burden of parasitic, infectious and communicable diseases. These diseases can be overcome with prevention and health promotion measures rather than large investments on treatment and medicines (O'Neill et al, 2004;Prasla and Prasla, 2011). These measures, however, require positive health seeking behaviors, which Pakistani society lacks (Shaikh and Hatcher, 2004).…”

Section: Poor Behavior and Lack Of Understanding In Community Towardsmentioning

confidence: 99%

Identifying barriers to implementation of health promoting schools in Pakistan: The use of qualitative content analysis and fuzzy analytic hierarchy process

Haider

2018

Int. j. adv. appl. sci.

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Acknowledging government's failure to implement health promotion approach in Pakistani schools, and recognizing the need for research in this area, this study was initiated with the purpose of providing exploratory insights into the barriers that are hindering implementation of health promoting schools. Both qualitative and quantitative techniques were used. Qualitative study involved interviews and content analysis. Quantitative analysis used multi-criteria decision-making (MCDM) method, called as Fuzzy AHP. Ten important barriers were identified in qualitative analysis. The quantitative analysis identified five most important barriers; little infrastructure, poor behavior of community, lack of govt. support, lack of health promotion skills, and lack of legislation and policy. Although the results of this research are promising for targeting some specific barriers to HPS, how these barriers can be overcome is less clear. Future researchers can approach the experts for identifying possible solutions to these problems. This research informs that any effort towards implementation of health promoting schools in Pakistan will require contemplating barriers identified in this research. This research contributes to school health promotion literature by identifying possible variables which can impede the implementation of HPS approach. Moreover, the application of Fuzzy AHP technique provides sophistication in determining the relative importance of barriers to health promoting schools.

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Barriers to healthier eating in a disadvantaged community

Cited by 26 publications

References 6 publications

A selection of abstracts presented at the British Dietetic Association Annual Conference, Manchester, UK: 15–17 September 2009

A selection of abstracts presented at the British Dietetic Association Annual Conference, Manchester, UK: 15–17 September 2009

What, not just salad and veg? Consumer testing of the eatwell week

Identifying barriers to implementation of health promoting schools in Pakistan: The use of qualitative content analysis and fuzzy analytic hierarchy process

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