BACKGROUND/OBJECTIVES: Daily practices related to eating are embedded in the social and cultural contexts of everyday life. How are such factors associated with diet quality relative to motivational factors? And, are associations universal or contextspecific? We analyze the relationship between diet quality and the following practices: social company while eating, the regularity and duration of eating and the activity of watching TV while eating. SUBJECTS/METHODS: A cross-sectional, questionnaire-based internet survey was conducted in April 2012 with stratified random samples of the populations (aged 15-80 years) in Denmark, Finland, Norway and Sweden (N = 7531, completion rate 9-13%). The questionnaire elicited detailed accounts of one day of eating focusing on social and practical aspects of eating events. The validated Dietary Quality Score was the dependent variable. This measure is based on eight food frequency questions focusing on fats, vegetables, fruits and fish in the diet. RESULTS: Eating activities were associated with diet quality even when motivation to eat healthily and sociodemographic factors were controlled for. The number of daily eating events and eating main meals was positively correlated with diet quality in all countries. Beyond that, activities that were significantly associated with diet quality varied with country. When measured separately, the association between each activity and diet quality was weaker than motivation to eat healthily, but in combinations that are found in parts of the populations, the association was substantial. CONCLUSIONS: Daily practices related to eating are correlated with diet quality. Practices that are important are in part universal but also country-specific. Efforts to promote healthy eating should address not only cognitive factors but also everyday contexts of eating that facilitate or hamper healthy practices.
INTRODUCTIONWhat makes individuals eat healthily? The answer to this question is central for interventions and policies aiming to promote healthy diets in populations. Social psychological approaches have shown that cognitive factors, such as reflexivity, and deliberate decisions and intentions to eat healthily promote diet quality, 1 and that the motivation to eat healthily has an effect on intentions and behaviors related to healthy eating. [2][3][4][5] However, other approaches suggest that it is rather the daily practices around which eating revolves, which are embedded in the social and cultural contexts of daily life, that are the important factors influencing food intake 6-9 and the healthiness of diets. 10 In social research, meals are seen as mediators of social interaction and cohesion 11 and are linked to societal organization of time. 12,13 From this outset, this paper analyzes how eating patterns and the conduct of meals are associated with diet quality. Focus is on the following eating practices: social company while eating, and the regularity and duration of eating and activities while eating, such as watching television. These pra...