Change in diet, physical activity, and body weight among young-adults during the transition from high school to college

Heidi J Wengreen, Cara Moncur, Heidi J Wengreen, Cara Moncur

Abstract

Background: The freshmen year of college is likely a critical period for risk of weight gain among young-adults.

Methods: A longitudinal observational study was conducted to examine changes in weight, dietary intake, and other health-related behaviors among first-year college students (n = 186) attending a public University in the western United States. Weight was measured at the beginning and end of fall semester (August - December 2005). Participants completed surveys about dietary intake, physical activity and other health-related behaviors during the last six months of high school (January - June 2005) in August 2005 and during their first semester of college (August - December 2005) in December 2005.

Results: 159 students (n = 102 women, 57 men) completed both assessments. The average BMI at the baseline assessment was 23.0 (standard deviation (SD) 3.8). Although the average amount of weight gained during the 15-week study was modest (1.5 kg), 23% of participants gained > or = 5% of their baseline body weight. Average weight gain among those who gained > or = 5% of baseline body weight was 4.5 kg. Those who gained > or = 5% of body weight reported less physical activity during college than high school, were more likely to eat breakfast, and slept more than were those who did not gain > or = 5% of body weight.

Conclusion: Almost one quarter of students gained a significant amount of weight during their first semester of college. This research provides further support for the implementation of education or other strategies aimed at helping young-adults entering college to achieve or maintain a healthy body weight.

References

    1. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA. 2004;291:2847–50. doi: 10.1001/jama.291.23.2847.
    1. American College Health Association – National College Health Assessment spring 2007 reference group data report (abridged) J Am Coll Health. 2008;56:469–79. doi: 10.3200/JACH.56.5.469-480.
    1. Mokdad AH, Serdula MK, Dietz WH, Bowman BA, Marks JS, Koplan JP. The spread of the obesity epidemic in the United States, 1991–1998. JAMA. 1999;282:1519–22. doi: 10.1001/jama.282.16.1519.
    1. Butler SM, Black DR, Blue CL, Gretebeck RJ. Change in diet, physical activity, and body weight in female college freshman. Am J Health Behav. 2004;28:24–32.
    1. Graham MA, Jones AL. Freshman 15: valid theory or harmful myth? J Am Coll Health. 2002;50:171–3.
    1. Matvienko O, Lewis DS, Schafer E. A college nutrition science course as an intervention to prevent weight gain in female college freshmen. J Nutr Educ. 2001;33:95–101. doi: 10.1016/S1499-4046(06)60172-3.
    1. Levitsky DA, Halbmaier CA, Mrdjenovic G. The freshman weight gain: a model for the study of the epidemic of obesity. Int J Obes Relat Metab Disord. 2004;28:1435–42. doi: 10.1038/sj.ijo.0802776.
    1. Hovell MF, Mewborn CR, Randle Y, Fowler-Johnson S. Risk of excess weight gain in university women: a three-year community controlled analysis. Addict Behav. 1985;10:15–28. doi: 10.1016/0306-4603(85)90049-8.
    1. Jung ME, Bray SR, Martin KA, Ginis Behavior change and the freshman 15: tracking physical activity and dietary patterns in 1st-year university women. J Am Coll Health. 2008;56:523–30. doi: 10.3200/JACH.56.5.523-530.
    1. Kasparek DG, Corwin SJ, Valois RF, Sargent RG, Morris RL. Selected health behaviors that influence college freshman weight change. J Am Coll Health. 2008;56:437–44. doi: 10.3200/JACH.56.44.437-444.
    1. Lenz B. The transition from adolescence to young adulthood: a theoretical perspective. J Sch Nurs. 2001;17:300–6. doi: 10.1177/10598405010170060401.
    1. Cullen KW, Koehly LM, Anderson C, Baranowski T, Prokhorov A, Basen-Engquist K, Wetter D, Hergenroeder A. Gender differences in chronic disease risk behaviors through the transition out of high school. Am J Prev Med. 1999;17:1–7. doi: 10.1016/S0749-3797(99)00038-0.
    1. Crombie AP, Ilich JZ, Dutton GR, Panton LB, Abood DA. The freshman weight gain phenomenon revisited. Nutr Rev. 2009;67:83–94. doi: 10.1111/j.1753-4887.2008.00143.x.
    1. Demory-Luce D, Morales M, Nicklas T, Baranowski T, Zakeri I, Berenson G. Changes in food group consumption patterns from childhood to young adulthood: the Bogalusa Heart Study. J Am Diet Assoc. 2004;104:1684–91. doi: 10.1016/j.jada.2004.07.026.
    1. Book About BMI for children and teens (Editor ed^ds) City: Center for Disease Control; 2007. About BMI for children and teens.
    1. Zeman FN, DM . Applications in Medical Nutrition Therapy. 2. Columbus: Prentice Hall; 1996.
    1. AD Association . International Dietetics and Nutrition Terminology Reference Manual. First 2008.
    1. Willett WC, Reynolds RD, Cottrell-Hoehner S, Sampson L, Browne ML. Validation of a semi-quantitative food frequency questionnaire: comparison with a 1-year diet record. J Am Diet Assoc. 1987;87:43–7.
    1. MyPyramid. Book MyPyramid (Editor ed^ds) City. 2008.
    1. Hajhosseini L, Holmes T, Mohamadi P, Goudarzi V, McProud L, Hollenbeck CB. Changes in body weight, body composition and resting metabolic rate (RMR) in first-year university freshmen students. J Am Coll Nutr. 2006;25:123–7.
    1. Holm-Denoma JM, Joiner TE, Vohs KD, Heatherton TF. The "freshman fifteen" (the "freshman five" actually): predictors and possible explanations. Health Psychol. 2008;27:S3–9. doi: 10.1037/0278-6133.27.1.S3.
    1. Edmonds MJ, Ferreira KJ, Nikiforuk EA, Finnie AK, Leavey SH, Duncan AM, Randall JA, Simpson Body weight and percent body fat increase during the transition from high school to university in females. J Am Diet Assoc. 2008;108:1033–7. doi: 10.1016/j.jada.2008.03.002.
    1. McCracken M, Jiles R, Blanck HM. Health behaviors of the young adult U.S. population: behavioral risk factor surveillance system, 2003. Prev Chronic Dis. 2007;4:A25.
    1. Youth Risk Behavior Surveillance: National College Health Risk Behavior Survey–United States, 1995. MMWR CDC Surveill Summ. 1997;46:1–56.
    1. Racette SB, Deusinger SS, Strube MJ, Highstein GR, Deusinger RH. Changes in weight and health behaviors from freshman through senior year of college. J Nutr Educ Behav. 2008;40:39–42. doi: 10.1016/j.jneb.2007.01.001.
    1. Timlin MT, Pereira MA. Breakfast frequency and quality in the etiology of adult obesity and chronic diseases. Nutr Rev. 2007;65:268–81. doi: 10.1111/j.1753-4887.2007.tb00304.x.
    1. Rampersaud GC, Pereira MA, Girard BL, Adams J, Metzl JD. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J Am Diet Assoc. 2005;105:743–760. doi: 10.1016/j.jada.2005.02.007.
    1. Niemeier HM, Raynor HA, Lloyd-Richardson EE, Rogers ML, Wing RR. Fast food consumption and breakfast skipping: predictors of weight gain from adolescence to adulthood in a nationally representative sample. J Adolesc Health. 2006;39:842–9. doi: 10.1016/j.jadohealth.2006.07.001.
    1. Marshall NS, Glozier N, Grunstein RR. Is sleep duration related to obesity? A critical review of the epidemiological evidence. Sleep Med Rev. 2008;12:289–98. doi: 10.1016/j.smrv.2008.03.001.
    1. Willett WC. Nutritional Epidemiology. New York: Oxford University Press; 1990.
    1. Maruti SS, Feskanich D, Rockett HR, Colditz GA, Sampson LA, Willett WC. Validation of adolescent diet recalled by adults. Epidemiology. 2006;17:226–9. doi: 10.1097/01.ede.0000198181.86685.49.

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