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      Dietary Behaviours Among Han, Tujia and Miao Primary School Students: A Cross-Sectional Survey in Chongqing, China

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          Abstract

          Background and Purpose

          Exploring the differences of children’s dietary behaviours from different nationalities could provide a reference for targeted nutritional interventions. This study aims to assess the dietary behaviours among Han, Tujia and Miao primary school students and the differences among the ethnic groups.

          Materials and Methods

          This cross-sectional survey included 556 primary school students (249 Han, 76 Tujia and 231 Miao students) aged 6–13 years from the representative minority areas of Chongqing, China. Data were collected with a self-administered or one-on-one interview-based questionnaire encompassing questions on sociodemographics, eating habits and dietary intake. Eating habits and dietary intake were categorized into health-protective and health-risk dietary behaviours. χ 2 tests were conducted to examine the differences in eating habits and dietary intake among the three ethnic groups. Forward stepwise logistic regression models were performed to check the factors affecting dietary intake.

          Results

          Fewer than half of the students had health-protective dietary behaviours in terms of rice, fruit, fish, eggs and milk intake. Compared with Han students, Tujia students were more likely to meet the recommended intake of vegetables (OR = 2.13, 95% CI [1.22–3.69]), less likely to meet the recommended intake of meat (OR = 0.58, 95% CI [0.35–0.94]) and fish (OR = 0.55, 95% CI [0.32–0.94]); Miao students were more likely to meet the recommended intake of vegetables (OR = 1.73, 95% CI [1.20–2.51]), fruits (OR = 1.62, 95% CI [1.16–2.28]) and water (OR = 1.59, 95% CI [1.12–2.26]) than those of Han students.

          Conclusion

          The low proportion of health-protective dietary behaviours among primary school students from Han, Tujia and Miao ethnicities was found in this study. There were differences in dietary behaviours among the three ethnic groups. This study could provide a reference for implementing national dietary guidelines in consideration of socioeconomic status, ways of preparing and consuming foods, traditional foods and customs of different ethnic groups.

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          Most cited references27

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          Young people and healthy eating: a systematic review of research on barriers and facilitators.

          A systematic review was conducted to examine the barriers to, and facilitators of, healthy eating among young people (11-16 years). The review focused on the wider determinants of health, examining community- and society-level interventions. Seven outcome evaluations and eight studies of young people's views were included. The effectiveness of the interventions was mixed, with improvements in knowledge and increases in healthy eating but differences according to gender. Barriers to healthy eating included poor school meal provision and ease of access to, relative cheapness of and personal taste preferences for fast food. Facilitators included support from family, wider availability of healthy foods, desire to look after one's appearance and will-power. Friends and teachers were generally not a common source of information. Some of the barriers and facilitators identified by young people had been addressed by soundly evaluated effective interventions, but significant gaps were identified where no evaluated interventions appear to have been published (e.g. better labelling of food products), or where there were no methodologically sound evaluations. Rigorous evaluation is required particularly to assess the effectiveness of increasing the availability of affordable healthy food in the public and private spaces occupied by young people.
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            Is there an association between dietary intake and academic achievement: a systematic review.

            The majority of literature examining the effect of dietary behaviour on academic achievement has focused on breakfast consumption only. Here, we aim to systematically review the literature investigating the broader effects of dietary intake and behaviours on school-aged children's academic achievement.
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              Dietary Pattern and Its Association with the Prevalence of Obesity and Related Cardiometabolic Risk Factors among Chinese Children

              Background The association of dietary pattern with chronic diseases has been investigated widely in western countries. However, information is quite limited among children in China. Our study is aimed to identify the dietary patterns of Chinese children and examine their association with obesity and related cardiometabolic risk factors. Methods A total of 5267 children were selected using multistage random sampling from 30 primary schools of 5 provincial capital cities in China. Dietary intake was derived from 24 hour dietary recall for three consecutive days. Anthropometric measurements, glucose and lipid profiles were obtained. Factor analysis combined with cluster analysis was used for identifying major dietary patterns. The associations of dietary patterns with obesity and related cardiometabolic risk factors were examined by logistic regression analysis. Results Three mutually exclusive dietary patterns were identified, which were labeled as the healthy dietary pattern, the transitive dietary pattern, and the Western dietary pattern. Compared with children of the healthy dietary pattern, the multiple-adjusted odds ratios (95% confidence interval (CI)) of obesity were 1.11 (0.89–1.38) for children with the transitive dietary pattern and 1.80 (1.15–2.81) for children with the Western dietary pattern, which was 1.31 (95%CI 1.09–1.56) and 1.71 (95%CI: 1.13–2.56), respectively, for abdominal obesity. The Western dietary pattern was associated with significantly higher concentrations of low-density lipoprotein cholesterol (P<.001), triglycerides (P<.001), systolic blood pressure (P = 0.0435) and fasting glucose (P = 0.0082) and a lower concentration of high-density lipoprotein cholesterol (P = 0.0023), as compared with the healthy dietary pattern. Conclusions The Western dietary pattern characterized by red meat, eggs, refined grain and products, was positively associated with odds of obesity, the levels of plasma glucose, low-density lipoprotein cholesterol and triglycerides, and was inversely associated with the level of high-density lipoprotein cholesterol.
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                Author and article information

                Journal
                Risk Manag Healthc Policy
                Risk Manag Healthc Policy
                rmhp
                rmhp
                Risk Management and Healthcare Policy
                Dove
                1179-1594
                24 August 2020
                2020
                : 13
                : 1309-1318
                Affiliations
                [1 ]School of Public Health and Management, Chongqing Medical University , Chongqing, People’s Republic of China
                [2 ]Research Center for Medicine and Social Development, Chongqing Medical University , Chongqing, People’s Republic of China
                [3 ]The Innovation Center for Social Risk Governance in Health, Chongqing Medical University , Chongqing, People’s Republic of China
                [4 ]Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University , Melbourne, VIC, Australia
                [5 ]Melbourne Sexual Health Centre, Alfred Health , Melbourne, VIC, Australia
                [6 ]China-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi’an Jiaotong University Health, Science Center , Xi’an, Shanxi, People’s Republic of China
                [7 ]The Second Clinical College, Chongqing Medical University , Chongqing, People’s Republic of China
                [8 ]Department of Physiology and Pharmacology, Loma Linda University School of Medicine , Loma Linda, CA, USA
                [9 ]Environmental and Occupational Health, School of Public Health, University of Nevada , Las Vegas, NV, USA
                [10 ]Chongqing Key Laboratory of Child Nutrition and Health, Children’s Hospital of Chongqing Medical University , Chongqing, People’s Republic of China
                Author notes
                Correspondence: Yong Zhao Email zhaoyong@cqmu.edu.cn
                [*]

                These authors contributed equally to this work

                Author information
                http://orcid.org/0000-0003-1873-4734
                http://orcid.org/0000-0002-4624-2414
                http://orcid.org/0000-0001-9290-109X
                Article
                249101
                10.2147/RMHP.S249101
                7457872
                4b257d8e-8e65-4b8c-8a24-003b71217b9e
                © 2020 Cai et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 11 February 2020
                : 31 July 2020
                Page count
                Figures: 1, Tables: 6, References: 38, Pages: 10
                Funding
                Funded by: Chongqing science and technology communication and popularization project;
                This study was supported by Chongqing science and technology communication and popularization project (cstc2016kp-sfhdB0002). The authors would like to thank all team members for their support and contributions to this study sincerely. And the authors would like to express their gratitude to all primary school students who agreed to participate in this survey.
                Categories
                Original Research

                Social policy & Welfare
                dietary behaviours,dietary guidelines,minority nationalities,primary school students

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