According to WHO, eating at least five portions of fruit and vegetables a
day at an early age is protective against cancers, cardiovascular diseases and
diabetes. The purpose of this study was to determine among secondary school
pupils in the city of Bobo-Dioulasso, the level of observation of this
recommendation and the associated factors. Methods: This was a
cross-sectional study conducted from March to April 2016, among secondary
school pupils in 1st Form, 4th Form and 7th Form of public and private secondary schools. The diet survey methods were the
recalling of the last 24 hours associated with intake frequency questionnaire.
An intake of less than one fruit (or a slice of a big fruit) per day and for
vegetables, less than one portion of raw or cooked vegetables per day was
considered insufficient. Results: A total of 1993 pupils were surveyed.
The mean age was 17.5 ± 3.6 years and the sex ratio 0.7; 75.4% and 90.0% of
pupils had insufficient daily intake of fruit and vegetables respectively. The
determinants of this consumption deficiency were: Sex (male, OR = 1.7 (1.3 - 2.2)), secondary
school (public, OR = 1.6 (1.3 - 2.0)), class (4th Form, OR = 2.5 (1.5 - 4.2)/7th Form, OR = 3.7 (2.7 - 5.1)), the mother (thin build, OR = 3.2 (2.0 - 5.3)/overweight/obesity,
OR = 2.8 (1.6 - 4.7)) and physical inactivity (OR = 1.5 (1.2 - 2.0)). Conclusion:
The promotion of a healthy diet among secondary school pupils should take into
account the type of school, sex, educational level, physical activity and
mothers’ influence.
References
[1]
Lichtenstein, A.H., Appel, L.J., Brands, M., Carnethon, M., Daniels, S., Franch, H.A., et al. (2006) Diet and Lifestyle Recommendations Revision 2006: A Scientific Statement From the American Heart Association Nutrition Committee. Circulation, 114, 82-96. https://doi.org/10.1161/CIRCULATIONAHA.106.176158
[2]
WHO. Promoting Fruit and Vegetable Consumption around the World. http://www.who.int/dietphysicalactivity/fruit/en/
[3]
WHO. Facts and Figures on Childhood Obesity. http://www.who.int/end-childhood-obesity/facts/en/
[4]
Kouéta, F., Dao, L., Dao, F., Djekompté, S., Sawadogo, J., Diarra, Y., et al. (2011) Factors Associated with Overweight and Obesity in Children in Ouagadougou (Burkina Faso). Sante, 21, 227-231.
[5]
Darnton-Hill, I., Nishida, C. and James, W.P.T. (2004) A Life Course Approach to Diet, Nutrition and the Prevention of Chronic Diseases. Public Health Nutrition, 7, 101-21. https://doi.org/10.1079/PHN2003584
[6]
Poor Nutritional Status of Schoolchildren in Urban and Peri-Urban Areas of Ouagadougou (Burkina Faso). PubMed - NCBI. https://www.ncbi.nlm.nih.gov/pubmed/?term=Poor+nutritional+status+of+schoolchil dren+in+urban+and+peri-urban+areas+of+Ouagadougou
[7]
Cole, T.J., Bellizzi, M.C., Flegal, K.M. and Dietz, W.H. (2000) Establishing a Standard Definition for Child Overweight and Obesity Worldwide: International Survey. BMJ, 320, 1-6.
[8]
Monasta, L., Lobstein, T., Cole, T.J., Vignerová, J. and Cattaneo, A. (2011) Defining Overweight and Obesity in Pre-School Children: IOTF Reference or WHO Standard? Obesity Reviews, 12, 295-300. https://doi.org/10.1111/j.1467-789X.2010.00748.x
[9]
Doku, D., Koivusilta, L., Raisamo, S. and Rimpela, A. (2013) Socio-Economic Differences in Adolescents’ Breakfast Eating, Fruit and Vegetable Consumption and Physical Activity in Ghana. Public Health Nutrition, 16, 864-872. https://doi.org/10.1017/S136898001100276X
[10]
Eme, P.E. and Onuoha, O.N. (2014) Prevalence of Overweight and Obesity among Adolescents in Secondary Schools in Abia State, Nigeria. Annual Research & Review in Biology, 5, 433-438. https://doi.org/10.9734/ARRB/2015/9919
[11]
Larson, N.I., Neumark-Sztainer, D., Hannan, P.J. and Story, M. (2007) Family Meals during Adolescence Are Associated with Higher Diet Quality and Healthful Meal Patterns during Young Adulthood. Journal of the American Dietetic Association, 107, 1502-1510. https://doi.org/10.1016/j.jada.2007.06.012
[12]
Nicklas, T.A., Baranowski, T., Baranowski, J.C., Cullen, K., Rittenberry, L. and Olvera, N. (2001) Family and Child-Care Provider Influences on Preschool Children’s Fruit, Juice, and Vegetable Consumption. Nutrition Reviews, 59, 224-235. https://doi.org/10.1111/j.1753-4887.2001.tb07014.x
[13]
Pearson, N., Biddle, S.J.H. and Gorely, T. (2009) Family Correlates of Fruit and Vegetable Consumption in Children and Adolescents: A Systematic Review. Public Health Nutrition, 12, 267-283. https://doi.org/10.1017/S1368980008002589
[14]
Di Noia, J. and Byrd-Bredbenner, C. (2014) Determinants of Fruit and Vegetable Intake in Low-Income Children and Adolescents. Nutrition Reviews, 72, 575-590. https://doi.org/10.1111/nure.12126
[15]
Krolner, R., Rasmussen, M., Brug, J., Klepp, K.-I., Wind, M. and Due, P. (2011) Determinants of Fruit and Vegetable Consumption among Children and Adolescents: A Review of the Literature. Part II: Qualitative Studies. International Journal of Behavioral Nutrition and Physical Activity, 8, 112. https://doi.org/10.1186/1479-5868-8-112
[16]
Peltzer, K. and Pengpid, S. (2010) Fruits and Vegetables Consumption and Associated Factors among In-School Adolescents in Seven African Countries. International Journal of Public Health, 55, 669-678. https://doi.org/10.1007/s00038-010-0194-8
[17]
Drewnowski, A., Mennella, J.A., Johnson, S.L. and Bellisle, F. (2012) Sweetness and Food Preference. Journal of Nutrition, 142, 1142S-1148S. https://doi.org/10.3945/jn.111.149575
[18]
Delisle, H. (2010) Findings on Dietary Patterns in Different Groups of African Origin Undergoing Nutrition Transition. Applied Physiology, Nutrition, and Metabolism, 35, 24-28.
[19]
Tiedje, K., Wieland, M.L., Meiers, S.J., Mohamed, A.A., Formea, C.M., Ridgeway, J.L., et al. (2014) A Focus Group Study of Healthy Eating Knowledge, Practices, and Barriers among Adult and Adolescent Immigrants and Refugees in the United States. International Journal of Behavioral Nutrition and Physical Activity, 11, 63. https://doi.org/10.1186/1479-5868-11-63
[20]
Banna, J.C., Gilliland, B., Keefe, M. and Zheng, D. (2016) Cross-Cultural Comparison of Perspectives on Healthy Eating among Chinese and American Undergraduate Students. BMC Public Health, 16, 1015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5037860/
[21]
Zarnowiecki, D.M., Parletta, N. and Dollman, J. (2016) Socio-Economic Position as a Moderator of 9-13-Year-Old Children’s Non-Core Food Intake. Public Health Nutrition, 19, 55-70. https://doi.org/10.1017/S1368980015001081
[22]
Zarnowiecki, D.M., Dollman, J. and Parletta, N. (2014) Associations between Predictors of Children’s Dietary Intake and Socioeconomic Position: A Systematic Review of the Literature. Obesity Reviews, 15, 375-391. https://doi.org/10.1111/obr.12139