THE PREVALENCE OF UNHEALTHY SNACKING BEHAVIOUR AND ITS ASSOCIATION WITH INDIVIDUAL AND ENVIRONMENTAL FACTORS AMONG COLLEGE STUDENTS IN KUCHING, SARAWAK
DOI:
https://doi.org/10.37268/mjphm/vol.21/no.2/art.1001Keywords:
Unhealthy snacking behaviour, Individual factors, Environmental factors, College students, Kuching, SarawakAbstract
Unhealthy snacking behaviour among young people is a growing public health concern because of its negative consequences on health. This study was to determine the prevalence of unhealthy snacking behaviour and its determinants among college students in Kuching. In this cross-sectional study, 12 colleges in Kuching were stratified into private and government colleges. Three private and three government colleges were selected through a stratified random sampling method. A total of 422 respondents (male 49.5%, female 50.5%) were recruited in this study. A self-administered questionnaire was used to gather data regarding unhealthy snacking behaviour and its determinants (gender, food preferences, type of school and courses, taste-and-sensory perception, nutritional knowledge, perceived self-efficacy, and cost/price sensitivity, perceived parental control, easy accessibility, and media advertisements influence) among respondents. The survey was conducted online via e-mail/Whatsapp. Multiple binary logistic regression analysis was used to analyse the data. A quarter of the respondents (24.6%) practised unhealthy snacking behaviour. More than half of the respondents (58.3%) consumed unhealthy snacks one to three times per week. A minority of the respondents (17.1%) claimed that they did not consume any unhealthy snacks for the past month. The final model explained 15.7% of the total variance. Taste-and-sensory perception (Adjusted OR = 2.20, 95%CI [1.55, 3.13], p < 0.001) and nutritional knowledge (Adjusted OR = 1.48, 95%CI [1.12, 1.97), p < 0.05) were positively associated with unhealthy snacking behaviour among respondents. The present study suggested the stakeholders concentrate on nutritional knowledge and taste-and-sensory perception among college students in future intervention development
References
Pries AM, Filteau S, Ferguson EL. Snack food and beverage consumption and young child nutrition in low- and middle-income countries: A systematic review. Matern Child Nutr. 2019;15(S4):e12729.
Wansink B, Payne CR, Shimizu M. ‘Is this a meal or snack?’ Situational cues that drive perceptions. Appetite. 2010 Feb;54(1):214–6.
Institute for Public Health. National Health and Morbidity Survey (NHMS) 2017: Adolescent Nutrition Survey [Internet]. Malaysia; 2017. Report No.: NMRR-16-698-30042. Available from: http://iku.moh.gov.my/index.php/research-eng/list-of-research-eng/iku-eng/nhms-eng/nhms-2017
Hess JM, Jonnalagadda SS, Slavin JL. What Is a Snack, Why Do We Snack, and How Can We Choose Better Snacks? A Review of the Definitions of Snacking, Motivations to Snack, Contributions to Dietary Intake, and Recommendations for Improvement. Adv Nutr. 2016 May 1;7(3):466–75.
Potter M, Vlassopoulos A, Lehmann U. Snacking Recommendations Worldwide: A Scoping Review. Adv Nutr. 2018 Mar;9(2):86–98.
Murakami K. Nutritional quality of meals and snacks assessed by the Food Standards Agency nutrient profiling system in relation to overall diet quality, body mass index, and waist circumference in British adults. Nutr J. 2017 Sep 13;16(1):57.
Bellisle F. Meals and snacking, diet quality and energy balance. Physiol Behav. 2014 Jul 1;134:38–43.
O’Connor L, Brage S, Griffin SJ, Wareham NJ, Forouhi NG. The cross-sectional association between snacking behaviour and measures of adiposity: the Fenland Study, UK. Br J Nutr. 2015 Oct;114(8):1286–93.
Washington State Department of Health. Healthy Nutrition Guidelines for Vending and Micro-Markets [Internet]. Washington State Department of Health. 2017. Available from: https://www.doh.wa.gov/Portals/1/Documents/Pubs/140-168-HealthyNutritionGuidelinesVending.pdf
Hess J, Slavin J. Snacking for a cause: nutritional insufficiencies and excesses of U.S. children, a critical review of food consumption patterns and macronutrient and micronutrient intake of U.S. children. Nutrients. 2014 Oct 30;6(11):4750–9.
Larson NI, Wall MM, Story MT, Neumark-Sztainer DR. Home/family, peer, school, and neighborhood correlates of obesity in adolescents. Obes Silver Spring Md. 2013 Sep;21(9):1858–69.
World Health Organisation. WHO EMRO | Unhealthy diet | Causes | NCDs [Internet]. 2020 [cited 2020 Aug 27]. Available from: http://www.emro.who.int/noncommunicable-diseases/causes/unhealthy-diets.html
Asghari G, Yuzbashian E, Mirmiran P, Bahadoran Z, Azizi F. Prediction of metabolic syndrome by a high intake of energy-dense nutrient-poor snacks in Iranian children and adolescents. Pediatr Res. 2016 May;79(5):697–704.
Ezzati M, Riboli E. Behavioral and Dietary Risk Factors for Noncommunicable Diseases. N Engl J Med. 2013 Sep 5;369(10):954–64.
Nickols-Richardson SM, Piehowski KE, Metzgar CJ, Miller DL, Preston AG. Changes in body weight, blood pressure and selected metabolic biomarkers with an energy-restricted diet including twice daily sweet snacks and once daily sugar-free beverage. Nutr Res Pract. 2014 Dec;8(6):695–704.
Mithra P, Unnikrishnan B, Thapar R, Kumar N, Hegde S, Mangaldas Kamat A, et al. Snacking Behaviour and Its Determinants among College-Going Students in Coastal South India [Internet]. Vol. 2018, Journal of Nutrition and Metabolism. Hindawi; 2018 [cited 2020 May 24]. p. e6785741. Available from: https://www.hindawi.com/journals/jnme/2018/6785741/
Lewis Gilbert A, McCord AL, Ouyang F, Etter DJ, Williams RL, Hall JA, et al. Characteristics Associated with Confidential Consultation for Adolescents in Primary Care. J Pediatr. 2018 Aug 1;199:79-84.e1.
McDonagh JE, Ambresin A-E, Boisen KA, Fonseca H, Kruse PJ, Meynard A, et al. The age of adolescence…and young adulthood. Lancet Child Adolesc Health. 2018 Apr 1;2(4):e6.
Deforche B, Van Dyck D, Deliens T, De Bourdeaudhuij I. Changes in weight, physical activity, sedentary behaviour and dietary intake during the transition to higher education: a prospective study. Int J Behav Nutr Phys Act. 2015 Feb 15;12(1):16.
World Health Organisation. Coming of age: Adolescent health [Internet]. 2020 [cited 2020 May 5]. Available from: https://www.who.int/health-topics/adolescents/coming-of-age-adolescent-health
Vanhecke TE, Miller WM, Franklin BA, Weber JE, McCullough PA. Awareness, knowledge, and perception of heart disease among adolescents. Eur J Cardiovasc Prev Rehabil. 2006 Oct 1;13(5):718–23.
Yazdi Feyzabadi V, Keshavarz Mohammadi N, Omidvar N, Karimi-Shahanjarini A, Nedjat S, Rashidian A. Factors Associated With Unhealthy Snacks Consumption Among Adolescents in Iran’s Schools. Int J Health Policy Manag. 2017 Sep 1;6(9):519–28.
Story M, Neumark-sztainer D, French S. Individual and Environmental Influences on Adolescent Eating Behaviors. J Am Diet Assoc. 2002 Mar 1;102(3, Supplement):S40–51.
Larson N, Miller JM, Eisenberg ME, Watts AW, Story M, Neumark-Sztainer D. Multicontextual correlates of energy-dense, nutrient-poor snack food consumption by adolescents. Appetite. 2017 May 1;112:23–34.
Ursachi G, Horodnic IA, Zait A. How Reliable are Measurement Scales? External Factors with Indirect Influence on Reliability Estimators. Procedia Econ Finance. 2015;20:679–86.
Tabachnick BG, Fidell LS. Using multivariate statistics Boston. MA Allyn Bacon. 2007;5:2007.
Box GEP, Tidwell PW. Transformation of the Independent Variables. Technometrics. 1962 Nov 1;4(4):531–50.
Sarkar SK, Midi H. Multicollinearity Problems and Remedies in Binary Logistic Regression. Res Bull Inst Math Res. 2010;3(2):27‐34.
Field A. Discovering Statistics Using IBM SPSS Statistics. SAGE; 2013. 953 p.
Norušis MJ. SPSS 14.0 Guide to Data Analysis. Prentice Hall; 2006. 676 p.
Wang Q, Oostindjer M, Amdam GV, Egelandsdal B. Snacks With Nutrition Labels: Tastiness Perception, Healthiness Perception, and Willingness to Pay by Norwegian Adolescents. J Nutr Educ Behav. 2016 Feb 1;48(2):104-111.e1.
Drewnowski A. Energy Density, Palatability, and Satiety: Implications for Weight Control. Nutr Rev. 1998;56(12):347–53.
Connors M, Bisogni CA, Sobal J, Devine CM. Managing values in personal food systems. Appetite. 2001 Jun;36(3):189–200.
Drewnowski A, Rock CL. The influence of genetic taste markers on food acceptance. Am J Clin Nutr. 1995 Sep 1;62(3):506–11.
Glanz K, Basil M, Maibach E, Goldberg J, Snyder D. Why Americans eat what they do: taste, nutrition, cost, convenience, and weight control concerns as influences on food consumption. J Am Diet Assoc. 1998 Oct;98(10):1118–26.
Kearney M, Kearney J, Dunne A, Gibney M. Sociodemographic determinants of perceived influences on food choice in a nationally representative sample of Irish adults. Public Health Nutr. 2000 Jun;3(2):219–26.
Mok LW. The Effect of Variety and Dietary Restraint on Food Intake in Lean Young Women: A Preliminary Study. J Gen Psychol. 2009 Dec 21;137(1):63–83.
Kourouniotis S, Keast RSJ, Riddell LJ, Lacy K, Thorpe MG, Cicerale S. The importance of taste on dietary choice, behaviour and intake in a group of young adults. Appetite. 2016 01;103:1–7.
Ballco P, Caputo V, de-Magistris T. Consumer valuation of European nutritional and health claims: Do taste and attention matter? Food Qual Prefer. 2020 Jan;79:103793.
Teo YB, Sedek R. Association between snacking patterns, energy and nutrient intakes, and body mass index among school adolescents in Kuala Lumpur. In 2012.
Hoque KE, Kamaluddin MA, Razak AZA, Wahid AAA. Building healthy eating habits in childhood: a study of the attitudes, knowledge and dietary habits of schoolchildren in Malaysia. PeerJ. 2016 Nov 24;4:e2651.
Onurlubaş E, Yilmaz N. Fast food consumption habits of university students. J Food Agric Environ. 2013 Jan 1;11:12–4.
Azman SAM, Ibrahim MA, Azahari N. Knowledge, attitude and practice on fast food consumption among normal and overweight/obese International Islamic University Malaysia Kuantan students. Int J Allied Health Sci. 2020 Dec 23;4(3):1189–202.
Sherman J, Muehlhoff E. Developing a nutrition and health education program for primary schools in Zambia. J Nutr Educ Behav. 2007 Dec;39(6):335–42.
Cleobury L, Tapper K. Reasons for eating ‘unhealthy’ snacks in overweight and obese males and females. J Hum Nutr Diet. 2014 Aug;27(4):333–41.