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Vol. 49, No. 4, 2005
Issue release date: July–August 2005
Ann Nutr Metab 2005;49:255–266

Personal, Social and Environmental Factors regarding Fruit and Vegetable Intake among Schoolchildren in Nine European Countries

Sandvik C. · de Bourdeaudhuij I. · Due P. · Brug J. · Wind M. · Bere E. · Pérez-Rodrigo C. · Wolf A. · Elmadfa I. · Thórsdóttir I. · Vaz de Almeida M.D. · Yngve A. · Klepp K.-I.
aDepartment of Nutrition, Faculty of Medicine, University of Oslo, Oslo and bResearch Centre for Health Promotion, Department of Education and Health Promotion, Faculty of Psychology, University of Bergen, Bergen, Norway; cDepartment of Movement and Sport Sciences, Ghent University, Ghent, Belgium; dDepartment of Social Medicine, Institute of Public Health, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark; eDepartment of Public Health, Erasmus University Medical Centre, Rotterdam, The Netherlands; fCommunity Nutrition Unit of Bilbao, Bilbao, Spain; gInstitute for Nutritional Sciences, University of Vienna, Vienna, Austria; hUnit for Nutrition Research, Landspitali University Hospital and iDepartment of Food Science, University of Iceland, Reykjavik, Iceland; jFaculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal; kUnit for Preventive Nutrition, Department of Biosciences, Karolinska Institute, Stockholm, Sweden

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Background/Aims: Children in Europe are consuming less fruit and vegetables than recommended. Knowledge about the potential determinants of fruit and vegetable intake is vital to understand discrepancies in intake and to guide interventions. The aim of the present study was to assess personal, social and environmental factors regarding fruit and vegetable intake among 11- to 12-year-old children in Europe. Methods: A cross-sectional survey was undertaken, with nationally or regionally representative samples of in total 13,305 children (mean age 11.4 years) from nine European countries. Pupils in the classroom completed a self-administered questionnaire measuring fruit and vegetable intake and personal, social and environmental factors during one school lesson. Age-adjusted covariance analyses were carried out by gender, for the full sample and for each country separately. Proportions responding positively to the constructs are presented. Results: Overall, European children held a positive attitude towards fruit and vegetable intake. For some constructs, large between-country differences were found. Children had a more positive attitude towards fruit than towards vegetables, and girls were on average more positive than boys. The children perceived their social environment as supportive towards fruit and vegetable intake. They reported good to very good availability of fruit and vegetables at home. However, availability at school and during leisure time activities seemed to be low, both for fruit and for vegetables. Conclusion: A large majority of the children reported positively to the personal and social factors regarding fruit and vegetable intake. As regards availability of fruit and vegetables at school and leisure time, and accessibility of fruit and vegetables at home, there is room for improvement.

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Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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  1. Yngve A, Wolf A, Poortvliet E, Elmadfa I, Brug J, Ehrenblad B, Franchini B, Haraldsdóttir J, Krølner R, Maes L, Pérez-Rodrigo C, Sjöström M, Thórsdóttir I, Klepp K-I: Fruit and vegetable intake in a sample of 11-year-old children in 9 European countries: the Pro Children cross-sectional survey. Ann Nutr Metab 2005;49:236–245.

    External Resources

  2. Kelder SH, Perry CL, Klepp K-I, Lytle L: Longitudinal tracking of adolescent smoking, physical activity and food choice behaviors. Am J Public Health 1994;84:1121–1126.
  3. Lien N, Lytle LA, Klepp K-I: Stability in consumption of fruit, vegetables, and sugary foods in a cohort from age 14 to 21. Prev Med 2001;33:217–226.
  4. Mikkilä V, Räsänen L, Raitakari OT, Pietinen P, Viikari J: Longitudinal changes in diet from childhood into adulthood with respect to risk of cardiovascular diseases: the Cardiovascular Risk in Young Finns Study. Eur J Clin Nutr 2004;58:1038–1045.
  5. Bartholomew LK, Parcel, GS, Kok G, Gottlieb N: Intervention Mapping: A Process for Designing Theory- and Evidence-Based Health Education Programs. Mountain View, Mayfield, 2001.
  6. Klepp K-I, Pérez-Rodrigo C, De Bourdeaudhuij I, Due P, Elmadfa I, Haraldsdóttir J, König J, Sjöström M, Thórsdóttir I, de Almeida MDV, Yngve A, Brug J: Promoting fruit and vegetable consumption among European schoolchildren: rationale, conceptualization and design of the Pro Children Project. Ann Nutr Metab 2005;49:212–220.
  7. Domel SB, Thompson WO, Davis HC, Baranowski T, Leonard SB, Baranowski J: Psychosocial predictors of fruit and vegetable consumption among elementary school children. Health Educ Res 1996;11:299–308.
  8. Resnicow K, Davis-Hearn M, Smith M, Baranowski T, Lin LS, Baranowski J, Doyle C, Wang DT: Social-cognitive predictors of fruit and vegetable intake in children. Health Psychol 1997;16:272–276.
  9. Reynolds KD, Hinton AW, Shewchuk RM, Hickey CA: Social cognitive model of fruit and vegetable consumption in elementary school children. J Nutr Educ 1999;31:23–30.

    External Resources

  10. Neumark-Sztainer D, Wall M, Perry C, Story M: Correlates of fruit and vegetable intake among adolescents. Findings from Project EAT. Prev Med 2003;37:198–208.
  11. Baranowski T, Cullen KW, Baranowski J: Psychosocial correlates of dietary intake: advancing dietary intervention. Ann Rev Nutr 1999;19:17–40.
  12. De Bourdeaudhuij I, Klepp K-I, Due P, Pérez-Rodrigo C, de Almeida MDV, Wind M, Krølner R, Sandvik C, Brug J: Reliability and validity of a questionnaire to measure personal, social and environmental correlates of fruit and vegetable intake in 10- to 11-year-old children in five European countries. Public Health Nutr 2005;8:189–200.
  13. Baranowski T, Lin LS, Wetter DW, Resnicow K, Hearn MD: Theory as mediating variables: why aren’t community interventions working as desired? Ann Epidemiol 1997;S7:S89–S95.

    External Resources

  14. Gibson EL, Wardle J, Watts CJ: Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite 1998;31:205–228.
  15. Bere E: Increasing Schoolchildren’s Intake of Fruit and Vegetables. Fruits and Vegetables Make the Marks; thesis, Oslo, 2003.
  16. Elmadfa I, Weichselbaum E, Koenig J, Remaut De Winter A-M, Trolle E, Haapala I, et al: European nutrition and health report 2004. Executive Summary. Ann Nutr Metab 2004;48(suppl 2):1–16.

    External Resources

  17. Agudo A, Slimani N, Ocke MC, Naska A, Miller AB, Kroke A, et al: Consumption of vegetables, fruit and other plant foods in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts from 10 European countries. Public Health Nutr 2002;5:1179–1196.
  18. Bönnhoff N, Eissing G, Baumann T, Kuss S: Steigerung des Obst- und Gemüseverzehrs bei Grundschulkindern. Ernährungs-Umschau 2002;49:340–343.
  19. Cullen KW, Baranowski T, Owens E, Marsh T, Rittenberry L, de Moor C: Availability, accessibility and preferences for fruit, 100% fruit juice and vegetables influence children’s dietary behavior. Health Educ Behav 2003;30:645–626.

    External Resources

  20. Martens MK, van Assema P, Brug J: Why do adolescents eat what they eat? Personal and social environmental predictors of fruit, snack and breakfast consumption among Dutch 12- to 14-year-old students. Public Health Nutr 2005; in press.
  21. Young EM, Fors SW, Hayes DM: Associations between perceived parent behaviors and middle school student fruit and vegetable consumption. J Nutr Educ Behav 2004;36:2–12.

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