Abstract
The study aimed to estimate the prevalence and correlates of fruit and vegetable (FV) intake among adolescents in the “2015 Laos Global School-Based Student Health Survey (GSHS)”. The study sample consisted of 3,683 school adolescents with a median age of 16 years from Laos that responded to the 2015 cross-sectional GSHS. The prevalence of inadequate fruit consumption (<2/day) was 74.0%, inadequate vegetable consumption (<3/day) 78.5%, and inadequate FV consumption (<5/day) 83.7%. In adjusted logistic regression analysis, physical inactivity (adjusted odds ratio = AOR: 1.43, 95% confidence interval=CI, 1.061.93) was positively, and being overweight or obese (AOR: 0.65; 95% CI, 0.450.95), soft drink consumption (AOR: 0.55; 95% CI, 0.440.69), fast food consumption (AOR: 0.59; 95% CI, 0.470.74), and peer support (AOR: 0.69; 95% CI, 0.540.88) were negatively associated with inadequate FV consumption. A high proportion of inadequate FV consumption was found and strategies to increase FV consumption in this population may take into account sociodemographic, lifestyle, peer and parental factors.
Acknowledgements
The World Health Organization is thanked for availing the data of the “Laos Global School Health Survey 2015” (https://www.who.int/ncds/surveillance/gshs/laosdataset/en/).
-
Conflicts of Interests: There are no conflicts of interests to disclose.
References
1. World Health Organization (WHO) Increasing fruit and vegetable consumption to reduce the risk of noncommunicable diseases 2019. URL: https://www.who.int/elena/titles/fruit_vegetables_ncds/en/ (accessed 20 June 2019).Search in Google Scholar
2. World Health Organization (WHO) Diet, nutrition and the prevention of chronic diseases. Geneva, Switzerland: WHO, 2003.Search in Google Scholar
3. Darfour-Oduro, SA, Buchner, DM, Andrade, JE, Grigsby-Toussaint, DS. A comparative study of fruit and vegetable consumption and physical activity among adolescents in 49 low-and-middle-income countries. Sci. Rep. 2018;8:1623. https://doi.org/10.1038/s41598-018-19956-0.Search in Google Scholar PubMed PubMed Central
4. Vereecken, C, Pedersen, TP, Ojala, K, Krølner, R, Dzielska, A, Ahluwalia, N, et al. Fruit and vegetable consumption trends among adolescents from 2002 to 2010 in 33 countries. Eur J Public Health. 2015;25:16–9. https://doi.org/10.1093/eurpub/ckv012.Search in Google Scholar PubMed
5. Peltzer, K, Pengpid, S. Fruits and vegetables consumption and associated factors among in-school adolescents in seven African countries. Int J Pub Health 2010;55:669–78. https://doi.org/10.1007/s00038-010-0194-8.Search in Google Scholar PubMed
6. Al Ani, MF, Al Subhi, LK, Bose, S. Consumption of fruits and vegetables among adolescents: a multi-national comparison of eleven countries in the Eastern Mediterranean Region. Br J Nutr 2016;115:1092–9. https://doi.org/10.1017/S0007114515005371.Search in Google Scholar PubMed
7. Peltzer, K Pengpid, S. Fruits and vegetables consumption and associated factors among in-school adolescents in five southeast Asian countries. Int J Environ Res Public Health 2012;9:3575–587. https://doi.org/10.3390/ijerph9103575.Search in Google Scholar PubMed PubMed Central
8. Pengpid, S, Vonglokham, M, Kounnavong, S, Sychareun, V, Peltzer, K. The prevalence and social determinants of fruit and vegetable consumption and its associations with non-communicable diseases risk factors among adults in Laos. Asia Pac J Public Health 2019. https://doi.org/10.1177/1010539519830824.Search in Google Scholar PubMed
9. Peltzer, K, Pengpid, S. Correlates of healthy fruit and vegetable diet in students in low, middle and high income countries. Int J Public Health 2015;60:79–90. DOI https://doi.org/10.1007/s00038-014-0631-1.Search in Google Scholar PubMed
10. Food and Agriculture Organization (FAO). Laos - Food and Nutrition Security Profiles, 2014. URL: https://www.fao.org/3/a-at708e.pdf (accessed 10 August 2019).Search in Google Scholar
11. Rasmussen, M, Krolner, R, Klepp, KI, Lytle, L, Brug, J, Bere, E, et al. Determinants of fruit and vegetable consumption among children and adolescents: A review of the literature. Part I: Quantitative studies. Int. J. Behav. Nutr. Phys. Act. 2006;3:22. https://doi.org/10.1186/1479-5868-8-112.Search in Google Scholar PubMed PubMed Central
12. Ziaei, R, Shahi, H, Dastgiri, S, Mohammadi, R, Viitasara, E. Fruit and vegetable intake and its correlates among high-school adolescents in Iran: a cross-sectional study. J Public Health. 2019. https://doi.org/10.1007/s10389-019-01084-2.Search in Google Scholar
13. Singh, JK, Acharya, D, Gautam, S, Adhikari, M, Park, JH, Yoo, SJ, et al. Socio-demographic and diet-related factors associated with insufficient fruit and vegetable consumption among adolescent girls in rural communities of Southern Nepal. Int J Environ Res Public Health. 2019;16pii:E2145. https://doi.org/10.3390/ijerph16122145.Search in Google Scholar PubMed PubMed Central
14. Silva, FM, Smith-Menezes, A, Duarte Mde, F. Consumption of fruits and vegetables associated with other risk behaviors among adolescents in northeast Brazil. Rev Paul Pediatr 2016;34:309–15. https://doi.org/10.1016/j.rppede.2015.09.004.Search in Google Scholar
15. Pearson, N, Atkin, AJ, Biddle, SJ, Gorely, T, Edwardson, C. Patterns of adolescent physical activity and dietary behaviours. Int J Behav Nutr Phys Act 2009;22:45. https://doi.org/10.1186/1479-5868-6-45.Search in Google Scholar PubMed PubMed Central
16. French, SA, Story, M, Neumark-Sztainer, D, Fulkerson, JA, Hannan, P. Fast food restaurant use among adolescents: associations with nutrient intake , food choices and behavioral and psychosocial variables. Int J Obes Relat Metab Disord. 2001;25:1823–33. https://doi.org/10.1038/sj.ijo.0801820.Search in Google Scholar PubMed
17. Collison, KS, Zaidi, MZ, Subhani, SN, Al-Rubeaan, K, Shoukri, M, Al-Mohanna, FA. Sugar-sweetened carbonated beverage consumption correlateswith BMI, waist circumference, and poor dietary choices in schoolchildren. BMC Public Health. 2010;10:234. https://doi.org/10.1186/1471-2458-10-234.Search in Google Scholar PubMed PubMed Central
18. Haidar, A, Ranjit, N, Saxton, D, Hoelscher, DM. Perceived parental and peer social support is associated with healthier diets in adolescents. J Nutr Educ Behav 2019;51:23–1. https://doi.org/10.1016/j.jneb.2018.10.003.Search in Google Scholar PubMed
19. Pearson, N, Biddle, SJ, Gorely, T. Family correlates of fruit and vegetable consumption in children and adolescents: a systematic review. Public Health Nutr 2009;12:267–83. https://doi.org/10.1017/s1368980008002589.Search in Google Scholar PubMed
20. Lien, N, Jacobs, DRJr, Klepp, KI. Exploring predictors of eating behaviour among adolescents by gender and socio-economic status. Public Health Nutr 2002;5:671–81. https://doi.org/10.1079/phn2002334.Search in Google Scholar PubMed
21. Global School-Based Student Health Survey. Laos Fact Sheet. URL: https://www.who.int/ncds/surveillance/gshs/2015-Laos-GSHS-Fact-Sheet.pdf (accessed 20 June 2019).Search in Google Scholar
22. World Health Organization (WHO) (2019). Global school-based student health survey (GSHS). URL: https://www.who.int/ncds/surveillance/gshs/en/ (accessed 22 June 2019).Search in Google Scholar
23. WHO. Diet, nutrition and the prevention of chronic diseases: Report of a Joint WHO/FAO Expert Consultation, Geneva, Switzerland: WHO, 2003.Search in Google Scholar
24. World Health Organization (WHO). Physical activity, 2018. URL: https://www.who.int/news-room/fact-sheets/detail/physical-activity (accessed 20 June 2019).Search in Google Scholar
25. Cole, TJ, Bellizzi, MC, Flegal, KM, Dietz, WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000;320:1240–3. https://doi.org/10.1136/bmj.320.7244.1240.Search in Google Scholar PubMed PubMed Central
26. Guthold, R, Cowan, MJ, Autenrieth, CS, Kann, L, Riley, LM. Physical activity and sedentary behavior among schoolchildren: a 34-country comparison. J Pediatr 2010;157:43–9. https://doi.org/10.1016/j.jpeds.2010.01.019.Search in Google Scholar PubMed
27. Shi, Z, Lien, N, Kumar, BN, Holmboe-Ottesen, G. Socio-demographic differences in foodhabits and preferences of school adolescents in Jiangsu Province, China. Euro J Clin Nutr 2005;59:1439–48. https://doi.org/10.1038/sj.ejcn.1602259.Search in Google Scholar PubMed
28. Vereecken, CA, Inchley, J, Subramanian, SV, Hublet, A, Maes, L. The relative influence of individual and contextual socio-economic status on consumption of fruit and soft drinks among adolescents in Europe. Eur J Public Health. 2005;15:224–32. https://doi.org/10.1093/eurpub/cki005.Search in Google Scholar PubMed
29. NUMBEO. Cost of living in Laos, 2019. URL: https://www.numbeo.com/cost-of-living/country_result.jsp?country=Laos (accessed 11 August 2019).Search in Google Scholar
30. Neumark-Sztainer, D, Story, M, Resnick, MD, Blum, RW. Correlates of inadequate fruit and vegetable consumption among adolescents. Prev Med 1996;25:497–05. https://doi.org/10.1006/pmed.1996.0082.Search in Google Scholar PubMed
© 2020 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Reviews
- Effective strategies to improve health worker performance in delivering adolescent-friendly sexual and reproductive health services
- Sleep disturbance and depression in adolescence: an integrative review of literature
- Multiple behavioural risk factors of non-communicable diseases among adolescents in four Caribbean countries: prevalence and correlates
- The post 16 gap: how do young people conceptualise PE? An exploration of the barriers to participation in physical education, physical activity and sport in senior school pupils
- The effect of cognitive behavior therapy on body image and self-esteem in female adolescents: a systematic review and meta-analysis
- Polycystic ovary syndrome and reproductive health of women: a curious association
- Correlation between obesity, gestational diabetes mellitus, and pregnancy outcomes: an overview
- Mindfulness and eudaimonic well-being: the mediating roles of rumination and emotion dysregulation
- Acute neurological conditions during pregnancy and their management: a review
- Depression and anxiety in women with polycystic ovarian syndrome: a literature survey
- Significance of sugar intake in young adults: a review
- Original Articles
- Prevalence and factors associated with smoking among Tunisian secondary school-adolescents
- Physical fitness and its association with overweight among early adolescents in Puducherry, Southern India
- Knowledge and awareness of individual sickle cell genotype among adolescents in a unity school in Southeast, Nigeria: a cross-sectional study
- Popular water pipe smoking, medical sciences students' awareness, perceptions, and motivations
- Investigation E-health literacy and correlates factors among Alborz medical sciences students: a cross sectional study
- Risk of eating disorders in university students: an international study in Hungary, Poland and Ukraine
- Prevalence and associated factors of oral and hand hygiene behaviour among adolescents in six Southeast Asian countries
- Assessment of academic performance of licensed athletes
- Gender-based differences in risk-taking behaviors among high school students in Southeast Iran
- Experience of sexual and gender minority youth when accessing health care in Turkey
- Use of modern contraceptives among advanced-level secondary school girls in the Rukwa Region, Tanzania, 2018
- The effect of poetry reading on self-concept of primary adolescents
- The association of acne and menstrual symptoms among young women (18–25 years) in Egypt: a population-based cross-sectional study
- Sexual risk behaviors and influencing factors among Muslim adolescents on southern border of Thailand
- Not just studies, but fitness can also get you the intelligence and the grades!!
- Effectiveness of a school-based intervention in Guatemala to increase knowledge of sexual and reproductive health
- Stressful life events and depressive symptoms among adolescents in Malaysia: the mediating role of maladaptive cognitive schema
- Sexual risk behaviour and its correlates among adolescents in Indonesia, Laos, Thailand and Timor-Leste: results from national school surveys in 2015
- Utilization rate and factors influencing the use of HIV counseling and testing services among young females: a community-based study from Nigeria
- Pattern and quitting of tobacco smoking among Egyptian university students
- Association between parents and peer attachment with health locus of control: a cross-sectional study among Iranian adolescents
- Body dissatisfaction and its association with domains of physical activity and of sedentary behavior in a sample of 15,632 adolescents
- Effect of Bhramari pranayama practice on simple reaction time in healthy adolescents – a randomized control trial
- Short Communications
- Survey of school nurses’ experiences of providing counselling on sexual orientation to high school students in Japan
- Prevalence and correlates of fruit and vegetable consumption among adolescents in Laos
Articles in the same Issue
- Frontmatter
- Reviews
- Effective strategies to improve health worker performance in delivering adolescent-friendly sexual and reproductive health services
- Sleep disturbance and depression in adolescence: an integrative review of literature
- Multiple behavioural risk factors of non-communicable diseases among adolescents in four Caribbean countries: prevalence and correlates
- The post 16 gap: how do young people conceptualise PE? An exploration of the barriers to participation in physical education, physical activity and sport in senior school pupils
- The effect of cognitive behavior therapy on body image and self-esteem in female adolescents: a systematic review and meta-analysis
- Polycystic ovary syndrome and reproductive health of women: a curious association
- Correlation between obesity, gestational diabetes mellitus, and pregnancy outcomes: an overview
- Mindfulness and eudaimonic well-being: the mediating roles of rumination and emotion dysregulation
- Acute neurological conditions during pregnancy and their management: a review
- Depression and anxiety in women with polycystic ovarian syndrome: a literature survey
- Significance of sugar intake in young adults: a review
- Original Articles
- Prevalence and factors associated with smoking among Tunisian secondary school-adolescents
- Physical fitness and its association with overweight among early adolescents in Puducherry, Southern India
- Knowledge and awareness of individual sickle cell genotype among adolescents in a unity school in Southeast, Nigeria: a cross-sectional study
- Popular water pipe smoking, medical sciences students' awareness, perceptions, and motivations
- Investigation E-health literacy and correlates factors among Alborz medical sciences students: a cross sectional study
- Risk of eating disorders in university students: an international study in Hungary, Poland and Ukraine
- Prevalence and associated factors of oral and hand hygiene behaviour among adolescents in six Southeast Asian countries
- Assessment of academic performance of licensed athletes
- Gender-based differences in risk-taking behaviors among high school students in Southeast Iran
- Experience of sexual and gender minority youth when accessing health care in Turkey
- Use of modern contraceptives among advanced-level secondary school girls in the Rukwa Region, Tanzania, 2018
- The effect of poetry reading on self-concept of primary adolescents
- The association of acne and menstrual symptoms among young women (18–25 years) in Egypt: a population-based cross-sectional study
- Sexual risk behaviors and influencing factors among Muslim adolescents on southern border of Thailand
- Not just studies, but fitness can also get you the intelligence and the grades!!
- Effectiveness of a school-based intervention in Guatemala to increase knowledge of sexual and reproductive health
- Stressful life events and depressive symptoms among adolescents in Malaysia: the mediating role of maladaptive cognitive schema
- Sexual risk behaviour and its correlates among adolescents in Indonesia, Laos, Thailand and Timor-Leste: results from national school surveys in 2015
- Utilization rate and factors influencing the use of HIV counseling and testing services among young females: a community-based study from Nigeria
- Pattern and quitting of tobacco smoking among Egyptian university students
- Association between parents and peer attachment with health locus of control: a cross-sectional study among Iranian adolescents
- Body dissatisfaction and its association with domains of physical activity and of sedentary behavior in a sample of 15,632 adolescents
- Effect of Bhramari pranayama practice on simple reaction time in healthy adolescents – a randomized control trial
- Short Communications
- Survey of school nurses’ experiences of providing counselling on sexual orientation to high school students in Japan
- Prevalence and correlates of fruit and vegetable consumption among adolescents in Laos