A Multicenter Study Evaluating the Stages of Change in Food Consumption with Warning Labels among Chilean University Students

Samuel Durán Agüero, Jacqueline Araneda, Danay Ahumada, Jaime Silva Rojas, Rodrigo Bühring Bonacich, Astrid Caichac, Marcelo Fernández Salamanca, Pía Villarroel, Eloína Fernandez, Viviana Pacheco, Paola Aravena Martinovic, Waleska Wilson, Ana María Neira, Claudia Encina, Jessica Moya Tillería, Samuel Durán Agüero, Jacqueline Araneda, Danay Ahumada, Jaime Silva Rojas, Rodrigo Bühring Bonacich, Astrid Caichac, Marcelo Fernández Salamanca, Pía Villarroel, Eloína Fernandez, Viviana Pacheco, Paola Aravena Martinovic, Waleska Wilson, Ana María Neira, Claudia Encina, Jessica Moya Tillería

Abstract

Objective: To analyze the stage of change in food consumption with warning labels among Chilean university students.

Materials and methods: Cross-sectional study which applied surveys in universities from all over the country. Study included 4807 participants of 18 to 40 years of both sexes who were asked about the level of knowledge of the new food law and food consumption with warning signals, including questions regarding their willingness to behavior change according to Prochaska's transtheoretical model. To compare continuous variables, Student's t-test was used in the statistical package SPSS 22.0, and p <0.05 was considered a significant difference.

Results: Of the total number of respondents, 99.3% of the students indicated that they know about the food law, classifying foods with signals in the precontemplation stage. Compared by sex, we observed that women give greater importance to behavior change in all of foods (p <0.001). Underweight students give less importance to change in unhealthy foods, while obesity students give more importance but do not show more confidence in behavior change (p <0.05).

Conclusion: The university students show a low importance and confidence to make behavior change, aspects associated with sex and nutritional status. It is necessary to strengthen nutritional food education and not just talk about structural measures.

Conflict of interest statement

The authors declare that they have no conflicts of interest.

Copyright © 2020 Samuel Durán Agüero et al.

Figures

Figure 1
Figure 1
Warning labels for foods “HIGH IN” critical nutrients (clockwise starting from upper left: sugar, saturated fats, calories, and sodium).
Figure 2
Figure 2
Stage of change based on confidence and importance of changing consumption of particular foods.

References

    1. Juul F., Martinez-Steele E., Parekh N., Monteiro C. A., Chang V. W. Ultra-processed food consumption and excess weight among US adults. British Journal of Nutrition. 2018;120(1):90–100. doi: 10.1017/S0007114518001046.
    1. Silva F. M., Giatti L., de Figueiredo R. C., et al. Consumption of ultra-processed food and obesity: cross sectional results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort (2008–2010) Public Health Nutrition. 2018;21(12):2271–2279. doi: 10.1017/S1368980018000861.
    1. Encuesta Nacional de Salud 2016-2017 Primeros resultados. 2018. .
    1. Lopez-Azpiazu I., Sanchez-Villegas A., Johansson L., Petkeviciene J., Prattala R., Martinez-Gonzalez M. A. Disparities in food habits in Europe: systematic review of educational and occupational differences in the intake of fat. Journal of Human Nutrition and Dietetics. 2003;16(5):349–364. doi: 10.1046/j.1365-277X.2003.00466.x.
    1. Arroyo M., Rocandio A. M., Ansotegui L., et al. Calidad de la dieta, sobrepeso y obesidad en estudiantes universitarios. Nutricion Hospitalaria. 2006;21:673–679.
    1. Barić I. C., Šatalić Z., Lukešić Ž. Nutritive value of meals, dietary habits and nutritive status in Croatian university students according to gender. International Journal of Food Sciences and Nutrition. 2003;54(6):473–484. doi: 10.1080/09637480310001622332.
    1. Aránguiz A. H., García G. V., Rojas D. S., Salas B. C., Martínez R. R., Mac Millan K. N. Estudio descriptivo, comparativo y correlacional del estado nutricional y condición cardiorrespiratoria en estudiantes universitarios de chile. Revista chilena de nutrición. 2010;37(1):70–78. doi: 10.4067/S0717-75182010000100007.
    1. Crovetto M., Valladares M., Espinoza V., et al. Effect of healthy and unhealthy habits on obesity: a multicentric study. Nutrition Journal . 2018;54:7–11. doi: 10.1016/j.nut.2018.02.003.
    1. Ratner R., Hernández P., Martel J., et al. Food quality and nutritional status in university students of eleven Chilean regions. Revista Medica de Chile. 2012;140:1571–1579.
    1. Troncoso C., Doepking C., Zúñiga C. Teaching healthy diet concepts during teacher training period. Revista Chilena de Nutrición. 2013;40:43–47.
    1. Rodríguez F., Palma X., Romo Á., et al. Hábitos alimentarios, actividad física y nivel socioeconómico en estudiantes universitarios de Chile. Nutricion Hospitalaria. 2013;28:447–455.
    1. Popkin B. M., Hawkes C. Sweetening of the global diet, particularly beverages: Patterns, trends, and policy responses. The Lancet Diabetes & Endocrinology. 2016;4(2):174–186. doi: 10.1016/S2213-8587(15)00419-2.
    1. Ultra-processed food and drink products in Latin America: trends, impact on obesity, policy implications. .
    1. Ley 20.606. Sobre Composición Nutricional de los Alimentos y su Publicidad. .
    1. Cabrera G. El modelo transteórico del comportamiento en salud. Revista Facultad Nacional de Salud Pública. 2000;18:129–138.
    1. Nigg C. ACSM's Behavioral Aspects of Physical Activity and Exercise. Philadelphia, PA, USA: Lippincott Williams & Wilkins; 2014.
    1. Cediel G., Reyes M., da Costa Louzada M. L., et al. Ultra-processed foods and added sugars in the Chilean diet (2010) Public Health Nutrition. 2018;21(1):125–133. doi: 10.1017/S1368980017001161.
    1. Fiolet T., Srour B., Sellem L., et al. Consumption of ultra-processed foods and cancer risk: results from NutriNet-Santé prospective cohort. BMJ. 2018:p. 360. doi: 10.1136/bmj.k322.k322
    1. Poti J. M., Braga B., Qin B. Ultra-processed food intake and obesity: what really matters for health—processing or nutrient content? Current Obesity Reports. 2017;6(4):420–431. doi: 10.1007/s13679-017-0285-4.
    1. Melo I. S., Costa C. A., Santos J. V., et al. Consumption of minimally processed food is inversely associated with excess weight in adolescents living in an underdeveloped city. PLoS ONE. 2017;12(11) doi: 10.1371/journal.pone.0188401.e0188401
    1. Moreira P. V., Hyseni L., Moubarac J., et al. Effects of reducing processed culinary ingredients and ultra-processed foods in the Brazilian diet: a cardiovascular modelling study. Public Health Nutrition. 2018;21(1):181–188. doi: 10.1017/S1368980017002063.
    1. Gibney M. J., Forde C. G., Mullally D., et al. Ultra-processed foods in human health: a critical appraisal. American Journal of Clinical Nutrition. 2018;106(3):717–724. doi: 10.3945/ajcn.117.160440.
    1. Amigo H., Bustos P., Pizarro M. Encuesta Nacional de Consumo Alimentario. Informe Final. Departamento de Nutrición Facultad de medicina Universidad de Chile; 2018.
    1. Crovetto M. M., Uauy R., Martins A. P., Moubarac J. C. Disponibilidad de productos alimentarios listos para el consumo en los hogares de Chile y su impacto sobre la calidad de la dieta (2006-2007) Revista Médica de Chile. 2014;142(7):850–858. doi: 10.4067/S0034-98872014000700005.
    1. Scapini Sánchez V., Vergara Silva C. El impacto de la nueva ley de etiquetados de alimentos en la venta de productos en Chile. Revista Perfiles Económicos. 2017;3:7–33. doi: 10.22370/rpe.2017.3.1218.
    1. Silva D S., Toral N. Perfil de la alimentación ofrecida en las cantinas escolares y sus reglamentaciones en Brasil. Revista chilena de nutrición. 2018;45(4):393–399. doi: 10.4067/S0717-75182018000500393.
    1. Ministerio de Educación Y Cultura MDESP. Report No. 28830. Republica oriental del Uruguay; 2013. Alimentación Saludable en los Centros de Enseñanza. .

Source: PubMed

3
Prenumerera