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Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European region

dc.contributor.authorHeinen, Mirjam M.
dc.contributor.authorBel‐Serrat, Silvia
dc.contributor.authorKelleher, Cecily C.
dc.contributor.authorBuoncristiano, Marta
dc.contributor.authorSpinelli, Angela
dc.contributor.authorNardone, Paola
dc.contributor.authorMilanović, Sanja Musić
dc.contributor.authorRito, Ana Isabel
dc.contributor.authorBosi, A. Tülay Bağci
dc.contributor.authorGutiérrrez‐González, Enrique
dc.contributor.authorPudule, Iveta
dc.contributor.authorAbdrakhmanova, Shynar
dc.contributor.authorAbdurrahmonova, Zulfiya
dc.contributor.authorBrinduse, Lacramioara Aurelia
dc.contributor.authorCucu, Alexandra
dc.contributor.authorDuleva, Vesselka
dc.contributor.authorFijałkowska, Anna
dc.contributor.authorGualtieri, Andrea
dc.contributor.authorHejgaard, Tatjana
dc.contributor.authorHyska, Jolanda
dc.contributor.authorKujundžić, Enisa
dc.contributor.authorPetrauskiene, Ausra
dc.contributor.authorSacchini, Elena
dc.contributor.authorShengelia, Lela
dc.contributor.authorTanrygulyyeva, Maya
dc.contributor.authorUsupova, Zhamilya
dc.contributor.authorBergh, Ingunn Holden
dc.contributor.authorWeghuber, Daniel
dc.contributor.authorTaxová Braunerová, Radka
dc.contributor.authorKunešová, Marie
dc.contributor.authorSant'Angelo, Victoria Farrugia
dc.contributor.authorNurk, Eha
dc.contributor.authorOstojic, Sergej M.
dc.contributor.authorSpiroski, Igor
dc.contributor.authorTichá, Ľubica
dc.contributor.authorRutter, Harry
dc.contributor.authorWilliams, Julianne
dc.contributor.authorBoymatova, Khadichamo
dc.contributor.authorRakovac, Ivo
dc.contributor.authorWeber, Martin W.
dc.contributor.authorBreda, João
dc.date.accessioned2022-02-17T16:29:13Z
dc.date.available2022-02-17T16:29:13Z
dc.date.issued2021-07-07
dc.description.abstractIn order to address the paucity of evidence on the association between childhood eating habits and urbanization, this cross-sectional study describes urban–rural differences in frequency of fruit, vegetable, and soft drink consumption in 123,100 children aged 6–9 years from 19 countries participating in the fourth round (2015-2017) of the WHO European Childhood Obesity Surveillance Initiative (COSI). Children's parents/caregivers completed food-frequency questionnaires. A multivariate multilevel logistic regression analysis was performed and revealed wide variability among countries and within macroregions for all indicators. The percentage of children attending rural schools ranged from 3% in Turkey to 70% in Turkmenistan. The prevalence of less healthy eating habits was high, with between 30–80% and 30–90% children not eating fruit or vegetables daily, respectively, and up to 45% consuming soft drinks on >3 days a week. For less than one third of the countries, children attending rural schools had higher odds (OR-range: 1.1–2.1) for not eating fruit or vegetables daily or consuming soft drinks >3 days a week compared to children attending urban schools. For the remainder of the countries no significant associations were observed. Both population-based interventions and policy strategies are necessary to improve access to healthy foods and increase healthy eating behaviors among children.pt_PT
dc.description.sponsorshipThe authors gratefully acknowledge support from a grant from the Russian Government in the context of the WHO European Office for the Prevention and Control of NCDs. Data collection in the countries was made possible through funding from Albania: WHO through the Joint Programme on Children, Food Security and Nutrition “Reducing Malnutrition in Children,” funded by the Millennium Development Goals Achievement Fund, and the Institute of Public Health; Austria: Federal Ministry of Social Affairs, Health, Care and Consumer Protection, Republic of Austria; Bulgaria: Ministry of Health, National Center of Public Health and Analyses, WHO Regional Office for Europe; Croatia: Ministry of Health, Croatian Institute of Public Health and WHO Regional Office for Europe; Ministry of Health of the Czech Republic, grant nr. AZV MZČR 17-31670 A and MZČR–RVO EÚ 00023761; Denmark: Danish Ministry of Health; Estonia: Ministry of Social Affairs, Ministry of Education and Research (IUT 42-2), WHO Country Office, and National Institute for Health Development; Georgia: WHO; Ireland: Health Service Executive; Italy: Ministry of Health and Italian National Institute of Health; Kazakhstan: Ministry of Health of the Republic of Kazakhstan and WHO Country Office; Kyrgyzstan: World Health Organization; Latvia: Ministry of Health, Centre for Disease Prevention and Control; Lithuania: Science Foundation of Lithuanian University of Health Sciences and Lithuanian Science Council and WHO; Malta: Ministry of Health; Montenegro: WHO and Institute of Public Health of Montenegro; North Macedonia: COSI in North Macedonia is funded by the Government of North Macedonia through National Annual Program of Public Health and implemented by the Institute of Public Health and Centers of Public Health in the country. WHO country office provides support for training and data management; Norway: Ministry of Health and Norwegian Institute of Public Health; Poland: National Health Programme, Ministry of Health; Portugal: Ministry of Health Institutions, the National Institute of Health, Directorate General of Health, Regional Health Directorates and the kind technical support from the Center for Studies and Research on Social Dynamics and Health (CEIDSS); Romania: Ministry of Health; Serbia: This study was supported by the World Health Organization (Ref. File 2015-540940); Slovakia: Biennial Collaborative Agreement between WHO Regional Office for Europe and Ministry of Health SR; Spain: Spanish Agency for Food Safety and Nutrition (AESAN); Tajikistan: WHO Country Office in Tajikistan and Ministry of Health and Social Protection; Turkmenistan: WHO Country Office in Turkmenistan and Ministry of Health; Turkey: Turkish Ministry of Health and World Bank.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationObes Rev. 2021 Nov;22(Suppl 6):e13207. doi: 10.1111/obr.13207. Epub 2021 Jul 7pt_PT
dc.identifier.doi10.1111/obr.13207pt_PT
dc.identifier.issn1467-7881
dc.identifier.urihttp://hdl.handle.net/10400.18/7955
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWiley/ World Obesity Federationpt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/obr.13207pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectChildrenpt_PT
dc.subjectFruitpt_PT
dc.subjectRuralpt_PT
dc.subjectSoft Drinkspt_PT
dc.subjectUrbanpt_PT
dc.subjectVegetablespt_PT
dc.subjectChildhood Obesity Surveillance Initiativept_PT
dc.subjectCOSIpt_PT
dc.subjectWorld Health Organizationpt_PT
dc.subjectEuropept_PT
dc.subjectEstilos de Vida e Impacto na Saúdept_PT
dc.subjectSaúde Públicapt_PT
dc.subjectPortugalpt_PT
dc.titleUrban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European regionpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issueSuppl 6pt_PT
oaire.citation.startPagee13207pt_PT
oaire.citation.titleObesity Reviewspt_PT
oaire.citation.volume22pt_PT
rcaap.embargofctAcesso de acordo com página web do editor da revista.pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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