Department of Endocrinology and Metabolic Diseases, University Hospital of Larissa, Medical School, University of Thessaly, Athens, Greece.
Hormones (Athens). 2013 Apr-Jun;12(2):246-53. doi: 10.14310/horm.2002.1408.
To establish factors that affect food choices among adolescents living in rural areas and to identify their food choices.
A random sample of adolescents living in a Greek rural area (n=382) aged 12-18 years were individually interviewed. Food consumption was assessed by a semi-quantitative food-frequency questionnaire and adherence to the Mediterranean diet was evaluated using the KIDMED questionnaire. Information was collected regarding self-perceived body size, dieting, dietary knowledge, parental control, meal and snack frequency, eating out of home, eating takeaways and precooked meals, eating from the school canteen.
Body image concerns, dieting, education about food, parental control, maternal education level and eating with family and peers are factors that were found to affect food choices in this group of Greek adolescents. The adherence to the Mediterranean diet was low (KIDMED index was 4.5±2.7). Regular family meals at home were frequent in this group and 99% of the adolescents ate lunch daily at home. Eating out with peers and eating from the school canteen was related with higher consumption of 'junk type of food'. Girls and younger adolescents and those whose mothers had a higher education level seem to make healthier choices.
Factors such as personal issues, family and peer pressure significantly affect food choices among adolescents living in a Greek rural area and highlight the importance of implementing multilevel strategies to promote healthy eating among adolescents.
确定影响农村青少年食物选择的因素，并确定他们的食物选择。
对希腊农村地区（n=382）12-18 岁的青少年进行随机抽样，对其进行个体访谈。通过半定量食物频率问卷评估食物消费，使用 KIDMED 问卷评估地中海饮食的依从性。收集有关自我感知体型、节食、饮食知识、父母控制、进餐和零食频率、外出就餐、外卖和预煮餐、在学校食堂就餐的信息。
体型担忧、节食、关于食物的教育、父母控制、母亲教育水平以及与家人和同伴一起吃饭是影响该组希腊青少年食物选择的因素。对地中海饮食的依从性较低（KIDMED 指数为 4.5±2.7）。这组青少年经常在家中享用规律的家庭餐，99%的青少年每天在家中吃午餐。与同伴外出就餐和在学校食堂就餐与更高的“垃圾食品”消费有关。女孩和年龄较小的青少年以及母亲受教育程度较高的青少年似乎做出了更健康的选择。
个人问题、家庭和同伴压力等因素显著影响希腊农村地区青少年的食物选择，强调实施多层次策略以促进青少年健康饮食的重要性。
