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16.08.2023 | Original Contribution

Sixteen-year trends in fruit consumption and related socioeconomic inequalities among adolescents in Western European countries

verfasst von: Charlotte Nicolas, Manon Rouche, Maxim Dierckens, Colette Kelly, Anne-Siri Fismen, Paola Nardone, Katia Castetbon, Angeline Chatelan

Erschienen in: European Journal of Nutrition | Ausgabe 8/2023

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Abstract

Purpose

To investigate time trends in daily fruit consumption among Western European adolescents and in related socioeconomic inequalities.

Methods

We used nationally representative data from 18 countries participating in five rounds (2002 to 2018) of the cross-sectional “Health Behaviour in School-aged Children” (HBSC) survey (n = 458,973). The questionnaire, standardised across countries and rounds, was self-administered at school by 11-, 13- and 15-year-old adolescents. Daily fruit consumption was assessed using a short food frequency questionnaire (sFFQ). Socioeconomic inequalities were measured using the Family Affluence Scale (FAS). Multilevel logistic regressions were applied to study linear time trends in daily fruit consumption, overall, by country and by FAS.

Results

Between 2002 and 2018, daily fruit consumption increased in 10 countries (OR range, 1.04 to 1.13, p < 0.05) and decreased in 3 (OR range 0.96 to 0.98, p < 0.05). In all survey years combined, prevalence of daily fruit consumption was significantly higher among high FAS groups (42.6%) compared to medium (36.1%) and low FAS groups (31.7%; all countries: p < 0.001). Between 2002 and 2018, socioeconomic inequalities in fruit consumption increased in Austria, Germany, Italy, Netherlands, Scotland, Sweden, and Switzerland. Only in Norway FAS inequalities decreased while the prevalence increased.

Conclusion

The prevalence of daily fruit consumption generally increased among adolescents between 2002 and 2018 in Western European countries, yet socioeconomic inequalities increased in some countries. Public health interventions should continue to promote fruit consumption with special attention to lower socioeconomic groups.

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Titel: Sixteen-year trends in fruit consumption and related socioeconomic inequalities among adolescents in Western European countries
verfasst von: Charlotte Nicolas
Manon Rouche
Maxim Dierckens
Colette Kelly
Anne-Siri Fismen
Paola Nardone
Katia Castetbon
Angeline Chatelan
Publikationsdatum: 16.08.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Nutrition / Ausgabe 8/2023
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-023-03199-5

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Sixteen-year trends in fruit consumption and related socioeconomic inequalities among adolescents in Western European countries