Institute of Health and Society, Newcastle University, Baddiley-Clark Building, Newcastle upon Tyne, Tyne and Wear NE2 4AX, UK.
BMC Public Health. 2014 Nov 27;14:1231. doi: 10.1186/1471-2458-14-1231.
While recent lifestyle studies have explored the role that food, alcohol or physical activity have on health and wellbeing, few have explored the interplay between these behaviours and the impact this has on a healthy lifestyle. Given the long term health advantages associated with leading healthier lifestyles, this study seeks to: 1) explore the interplay between the food, alcohol and physical activity behaviours of young adults (aged 19-26 years) in the North East of England; 2) explore the trade-offs young adults make between their food, alcohol and physical activity behaviours; and 3) recognise the positive and negative associations between the three behaviours.
Qualitative self-reported lifestyle diaries and in-depth interviews were conducted with 50 young adults from the North East of England between February and June 2008. Qualitative thematic analysis was undertaken using Nvivo QSR software, and diary coding using Windiets software.
Young adults who attempt to achieve a 'healthy lifestyle' make trade-offs between the food and alcohol they consume, and the amounts of physical activity they undertake. There are negative reasons and positive consequences associated with these trade-offs. Young adults recognise the consequences of their behaviours and as a result are prepared to undertake healthy behaviours to compensate for unhealthy behaviours. They prefer certain strategies to promote healthier behaviours over others, in particular those that relate to personalised advice and support, more affordable ways to be healthier and easily-accessed advice from a range of media sources.
Young adults seek to compensate unhealthy behaviours (e.g. binge drinking) with healthy behaviours (e.g. physical activity). Creative solutions may be required to tackle these trade-offs and promote a balance across the food, alcohol and physical activity behaviours of this age group. Solutions that may be effective with this age group include environmental changes (e.g. green spaces and increasing the price of alcohol) designed to encourage and facilitate young people making healthier choices and improving their access to, and lowering the price of, healthy food products. Solutions must recognise these trade-offs and in particular, the strong reluctance of young adults to alter their higher-than-recommended levels of alcohol consumption.
尽管最近的生活方式研究探讨了食物、酒精或体育活动对健康和幸福的影响，但很少有研究探讨这些行为之间的相互作用以及对健康生活方式的影响。鉴于更健康的生活方式带来的长期健康优势，本研究旨在：1）探讨英格兰东北部的年轻成年人（19-26 岁）的食物、酒精和体育活动行为之间的相互作用；2）探讨年轻成年人在其食物、酒精和体育活动行为之间进行的权衡；3）认识到这三种行为之间的积极和消极关联。
2008 年 2 月至 6 月，在英格兰东北部对 50 名年轻成年人进行了定性自我报告的生活方式日记和深入访谈。使用 Nvivo QSR 软件进行定性主题分析，并使用 Windiets 软件对日记进行编码。
试图实现“健康生活方式”的年轻人在他们消费的食物和酒精以及进行的体育活动量之间进行权衡。这些权衡存在负面原因和积极后果。年轻成年人认识到他们行为的后果，因此愿意采取健康行为来弥补不健康行为。他们更喜欢某些策略来促进健康行为，而不是其他策略，特别是那些与个性化建议和支持、更实惠的健康方式以及从多种媒体来源获得的易于获取的建议有关的策略。
年轻成年人试图用健康行为（如体育活动）来弥补不健康行为（如酗酒）。可能需要创造性的解决方案来解决这些权衡问题，并促进这一年龄组在食物、酒精和体育活动行为之间的平衡。可能对这一年龄组有效的解决方案包括旨在鼓励和促进年轻人做出更健康选择并改善其获取和降低健康食品价格的环境变化（例如绿色空间和提高酒精价格）。解决方案必须认识到这些权衡，特别是年轻人强烈不愿意改变其高于建议水平的酒精摄入量。
