School of Public Health and Health Systems,University of Waterloo,200 University Avenue W,Waterloo,Ontario,Canada,N2L 3G1.
Public Health Nutr. 2018 May;21(7):1255-1265. doi: 10.1017/S1368980018000289. Epub 2018 Mar 1.
Unhealthy dietary behaviours are prevalent among adolescents. This might relate, in part, to obesogenic environments, including recreation food facilities. The REFRESH Study (Recreation Environment and Food Research: Experiences from Hockey) aimed to explore, from the perspectives of adolescent ice hockey players and parents, broad social and physical environmental influences on adolescent food behaviours associated with hockey participation.
Players used photovoice to describe their food experiences in relation to ice hockey. The approach included photos, individual interviews and focus groups. Exemplar photographs were exhibited for stakeholders, including five parents who were interviewed. Interview and focus group transcripts were thematically analysed.
Recreational ice hockey environment, Ontario, Canada, 2015-16.
Ice hockey players (n 24) aged 11-15 years recruited from five leagues.
Dominant influences among players included: their perceived importance of nutrients (e.g. protein) or foods (e.g. chocolate milk) for performance and recovery; marketing and branding (e.g. the pro-hockey aura of Tim Horton's®, Canada's largest quick-service restaurant); social aspects of tournaments and team meals; and moral values around 'right' and 'wrong' food choices. Both players and parents perceived recreational facility food options as unhealthy and identified that travel and time constraints contributed to less healthy choices.
Results indicate recreation facilities are only one of a range of environments that influence eating behaviours of adolescent ice hockey players. Players' susceptibility to advertising/brand promotion and the value of healthy food choices for performance are findings that can inform policy and interventions to support healthy environments and behaviours.
青少年中普遍存在不健康的饮食行为。这在一定程度上可能与致肥胖环境有关，包括娱乐食品设施。REFRESH 研究（娱乐环境与食品研究：曲棍球的经验）旨在从青少年冰球运动员和家长的角度探讨与冰球参与相关的青少年饮食行为的广泛社会和物理环境影响。
运动员使用照片描述了他们与冰球相关的食物体验。该方法包括照片、个人访谈和焦点小组。有代表性的照片展示给利益相关者，包括接受采访的五名家长。对访谈和焦点小组的记录进行了主题分析。
加拿大安大略省娱乐性冰球环境，2015-16 年。
从五个联赛招募的 11-15 岁的冰球运动员（n=24）。
运动员的主要影响因素包括：他们对营养素（如蛋白质）或食物（如巧克力牛奶）对表现和恢复的重要性的认知；营销和品牌（例如，加拿大最大的快餐连锁店蒂姆霍顿的职业曲棍球氛围）；锦标赛和团队餐的社交方面；以及关于“正确”和“错误”食物选择的道德价值观。运动员和家长都认为娱乐设施的食物选择不健康，并认为旅行和时间限制导致了更不健康的选择。
结果表明，娱乐设施只是影响青少年冰球运动员饮食行为的一系列环境之一。运动员容易受到广告/品牌推广的影响，以及健康食品选择对表现的重要性，这些发现可以为支持健康环境和行为的政策和干预措施提供信息。
