A change score (post- compared with pre-reading of the leaflet) was calculated for both dimensions of attitude and for intention to eat healthily. In this way, the vocabulary used in the pleasure-oriented message referred mostly to sensations and emotions (e.g., creativity, having fun, deliciously, smooth), whereas wording selected for the health-oriented message referred to more rational considerations (e.g., control of appetite, dietary fibers, light, calories). Turn off the TV and avoid arguments or emotional stress that can result in digestive problems or overeating. This has been demonstrated in previous studies identifying taste as a major determinant of food choices (20, 2224). Background Healthy eating by primary school-aged children is important for good health and development. Participants were asked the following 5 items on a 7-point Likert scale ranging from strongly disagree to strongly agree: The message was: (i) clear; (ii) easy to understand; (iii) interesting; (iv) important; and (v) of a high quality. Each item was analyzed separately. Perceived message effectiveness may predict health behavior change as well as actual effectiveness of a health communication (40, 41). Evaluating community health interventions is vital in order to: refine and improve program implementation. The health leaflet contained a message also promoting healthy eating and was intended to be similar to the traditional informational approach. It is not known whether healthy eating interventions are equally effective among all sections of the population, nor whether they narrow or widen the health gap between rich and poor. Background Interventions to promote healthy eating make a potentially powerful contribution to the primary prevention of non communicable diseases. Designate a specific spot in your home where your family can sit, relax and visit while eating. Promoting healthy eating among adolescents has become an important public health and research priority because the incidence of obesity and overweight among adolescents continues to increase and tends to persist into adulthood (5, 6). A weight loss of 0.5 to 2 pounds (0.2 to 0.9 kilograms) a week is the typical recommendation. Nevertheless, our study has also important strengths, namely the notion of eating pleasure adopted in this study was not limited to the sensory aspects of foods but was multidimensional in nature. The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. As expected, results from the manipulation checks showed that orientation of both messages was correctly identified and that these messages were properly designed. Recent studies have indicated the potential of an approach oriented towards eating pleasure to promote the consumption of healthy foods. Because individuals with a high BMI more frequently associate negatively the notions of healthiness and tastiness than individuals with normal BMI (65), the association between eating pleasure and healthy foods characterizing the discourse in the pleasure leaflet might have first appeared flawed or pointless to overweight participants, which could explain why their level of stimulation towards this message was not significantly higher. It suggests that while most of us want to eat more healthily, encouraging people to eat healthy food by promoting it as nutritious hasn't had much of an effect on our eating habits. Krebs-Smith SM, Guenther PM, Subar AF, Kirkpatrick SI, Dodd KW. The first meeting of the World Health Assembly (WHA), the agency's governing body, took place on 24 July of that year. The Canadian Institutes of Health Research had no role in the study design; in collection, analysis, and interpretation of data; in the writing of this article; and in the decision to submit it for publication. [updated June 12, 2016; cited March 14, 2018]. These high scores, as well as the relatively high general appreciation of leaflets (median score of 7 out of 10 for the pleasure-oriented leaflet and median score of 8 out of 10 for the health-oriented leaflet), indicate that clarity of the pleasure-oriented message is not an issue that will prevent these leaflets from being used in initiatives aimed at promoting healthy eating. Intriguingly, the research suggests that emphasizing the taste of healthy food could help: diners surveyed in the study put vegetables on their plates 29% more . However, increased production of processed foods, rapid urbanization and changing lifestyles have led to a shift in dietary patterns. This observation suggests that both messages have successfully transmitted their respective vision. Taken together, these results suggest that efforts to promote healthy eating that target affective attitude such as a pleasure-oriented approach could be more powerful at fostering dietary behavior changes than efforts appealing solely to utilitarian considerations such as the health-oriented approach. physical activity for this systematic reviews. The first International Conference on Health Promotion was held in Ottawa in 1986, and was primarily a response to growing expectations for a new public health movement around the world. Each section also referred to 1 dimension of eating pleasure or health, as described in Table 1. Petit et al. Health, according to the World Health Organization, is "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity". In fact, our sample was on the average more obese [31% compared with 23% in the general population (69)] and more educated [81% had a college or university degree compared with 48% in the general population (68)] than the population of Qubec. Flow chart of the participants through the study. evaluate the effectiveness of promoting healthy eatinghow bad is my eye prescription calculator. Participants were asked about their overall appreciation of the leaflet on a 10-point Likert scale ranging from not at all appreciated to extremely appreciated.. Make recommendations on the data that should be collected to enable effective evaluation at the time new interventions are launched; 2022-2023 Research . Caroline Vaillancourt, Alexandra Bdard, Ariane Blanger-Gravel, Vronique Provencher, Catherine Bgin, Sophie Desroches, Simone Lemieux, Promoting Healthy Eating in Adults: An Evaluation of Pleasure-Oriented versus Health-Oriented Messages, Current Developments in Nutrition, Volume 3, Issue 5, May 2019, nzz012, https://doi.org/10.1093/cdn/nzz012. When identifying evaluation measures for health promotion and disease prevention programs, it is important to consider the program's focus, the needs of the audience or funders, and the time frame and training available for meeting program goals. Conclusions: School-based interventions (including multicomponent interventions) can be an effective and promising means for promoting healthy eating, improving dietary behaviour, attitude and . Available from: Motives for dish choices during home meal preparation: results from a large sample of the NutriNet-Sante study, Encouraging the consumption of fruit and vegetables by older Australians: an experiential study, International Food Information Council Foundation. Comparison of the differences in iron and anemia-related markers by ultramarathon distance. One of the healthiest diets you can eat is a Mediterranean-style eating plan rich in vegetables, legumes, fruits, whole grains, nuts and seeds, fish, poultry, and low-fat dairy products (milk, yogurt, small amounts of . Contrasting visceral and Epicurean eating pleasure and their association with portion size preferences and wellbeing, Pleasure and the control of food intake: an embodied cognition approach to consumer self-regulation, Adapting communication messages to reward and punishment sensitivity of targeted audiences in fighting obesity, Let's Get Engaged! Some authors have indeed suggested that judgments of healthiness and tastiness of foods vary across individuals, are susceptible to contextual influences, and are not fixed over time (52, 54). At least 82% of care However, the design needed to be relatively neutral to enable the reader to direct his/her attention mainly on the message rather than on a design being overly appealing. Studies of motivation and attention, Measuring emotion: the self-assessment manikin and the semantic differential, Understanding the most influential user experiences in successful and unsuccessful technology adoptions, Efficacy of the theory of planned behaviour: a meta-analytic review, Randomized controlled trial of a messaging intervention to increase fruit and vegetable intake in adolescents: affective versus instrumental messages, The theory of planned behavior and healthy eating, Evaluation of a planned behavior theory-based intervention programme to promote healthy eating, Using an expanded theory of planned behavior to predict adolescents' intention to engage in healthy eating, The unhealthy = tasty intuition and its effects on taste inferences, enjoyments, and choice of food products, Unhealthy food is not tastier for everybody: the healthy = tasty French intuition, Stereotypical thinking about foods and perceived capacity to promote weight gain, Food pleasure orientation diminishes the healthy = less tasty intuition, The problematic messages of nutritional discourse: a case-based critical media analysis, The elaboration likelihood model of persuasion: developing health promotions for sustained behavioral change, Emerging theories in health promotion practice and research, Perceived effectiveness of cessation advertisements: the importance of audience reactions and practical implications for media campaign planning, The relationship between the perceived and actual effectiveness of persuasive messages: a meta-analysis with implications for formative campaign research, Emotion processing in three systems: the medium and the message, Picture-based persuasion processes and the moderating role of involvement, Changing self-reported physical activity using different types of affectively and cognitively framed health messages, in a student population, Physical activity and adolescents: an exploratory randomized controlled trial investigating the influence of affective and instrumental text messages, Desire or reason: predicting health behaviors from affective and cognitive attitudes, How to combat the unhealthy = tasty intuition: the influencing role of health consciousness, The pleasures of eating: a qualitative analysis, L'enfant, les aliments plaisir et l'quilibre alimentaire: paradoxe ou complmentarit. Our definition of eating pleasure also includes the context in which the action of eating unfolds, namely the social factors (e.g., sharing a meal, cooking) and the physical environment (e.g., atmosphere, settings) (66, 67). Five participants (4 randomized to the pleasure condition and 1 randomized to the health condition; 5% of the total sample) withdrew before the visit to our research institute during which subjects were asked to evaluate the leaflets. Effectiveness of Interventions to Promote Healthy Eating Habits in Children and Adolescents at Risk of Poverty: Systematic Review and Meta-Analysis June 2020 Nutrients 12(6):1891 The " Eat Better" campaign ( 15) was the first governmental initiative promoting healthy eating at the national level, created and implemented by the National Programme for the Promotion of Healthy Eating, of the Portuguese Directorate-General of Health. Springer, Cham, Improving the effectiveness of nutritional information policies: assessment of unconscious pleasure mechanisms involved in food-choice decisions, Health and pleasure in consumers' dietary food choices: individual differences in the brain's value system, Broad themes of difference between french and americans in attitudes to food and other life domains: personal versus communal values, quantity versus quality, and comforts versus joys, Is eating pleasure compatible with healthy eating? The impact of the intervention on consumer attitudes, consumer behaviour and diets; 2. Miniard PW, Sunil B, Lord KR, Dickson PR, Unnava HR. Purpose: The purpose of this study was to evaluate the effectiveness of a healthy lifestyle intervention on health knowledge, behavior, and anthropometric measurements. The aim of this study was to compare perceptions and the potential effect of pleasure-oriented and health-oriented messages promoting healthy eating among French-Canadians. 4.5 Evaluate the effectiveness of different ways of supporting and promoting hydration . Landscape architect working with protocols that different ways eating the healthy is very substantial evidence that any other. The results also showed that the pleasure-oriented message was successful in increasing the perception that healthy eating can be enjoyable among participants exposed to the pleasure-oriented leaflet. Participants were counseled to eat a normal diet except for limiting dietary fat to 30% of calories and to exercise moderately. Median scores of variables assessing individual's perceptions and potential effect of pleasure- and health-oriented messages1. Indeed, no difference was observed in median scores for general appreciation between leaflets. evaluate the effectiveness of promoting healthy eating You Might Also Like. Author disclosures: CV, AB, AB-G, VP, CB, SD, and SL, no conflicts of interest. While it's healthier to get in the habit of drinking a lot of plain water to improve your . Ways to Promote Adequate Nutrition and Hydration: Mealtimes should be promoted in a way in which people look forward to them and enjoy them. As a Public Health Nutritionist, my primary goal is to promote optimal health and well-being within communities by developing and implementing evidence-based nutrition programs and policies. Scores ranged from 1 to 7. P values for differences in change between both versions were obtained with the Mann-Whitney-Wilcoxon U test. Get the Fullness Message. And it often beats fast weight loss for the long term. Table 4 presents the median scores before and after reading the leaflet for attitude and intention within each condition, as well as the differences in changes between leaflets. Characteristics of participants (n = 100) evaluating the healthy eating promotion leaflet containing either a pleasure- or a health-oriented message in a French-Canadian population1. Therefore, 100 subjects evaluated the leaflets (50 assigned to the pleasure leaflet and 50 to the health leaflet). [cited January 24, 2019]. After the reading, they were immediately invited to complete online questionnaires onsite to assess their postreading perceptions, attitude, and intention as well as their reactions to the messages. The difference in message orientation (pleasure compared with health) was well perceived by participants (P 0.01).The pleasure-oriented message was successful in inducing the perception that eating healthy can be pleasurable (pre- compared with post-reading; P = 0.01).Perceived message effectiveness and induced emotions in response to reading were similar between leaflets. 77 views, 1 likes, 1 loves, 0 comments, 0 shares, Facebook Watch Videos from Trng Tiu hc Tin Phng: Sinh hot di c tun 23 . For example children with hearing impairments may need to use hearing aids which is a piece of technology that allows the child to . In 1920 it was introduced as an effective treatment for epilepsy in children in whom medication was ineffective. Recent studies have also suggested that eating pleasure was associated with healthy eating behaviors such as the preference for smaller food portions and moderation (25). A healthy diet helps to protect against malnutrition in all its forms, as well as a range of noncommunicable diseases (NCDs) and other conditions. Effective techniques in healthy eating and physical activity interventions: a meta-regression. 3.3 Demonstrate how to promote an appropriate balanced diet with an individual 3.4 Evaluate the effectiveness of different ways of promoting healthy eating 4. Such an increase was not observed after reading the health leaflet. Institute of Nutrition and Functional Foods, Laval University, QC, Canada, School of Nutrition, Laval University, QC, Canada. Additional research by Petit et al. These findings suggest that the leaflets would be appropriate to promote healthy eating through 2 distinct approaches (health and pleasure paradigms) and propose that different effects on attitude could be observed from these 2 approaches. Differences in median scores for manipulation check variables between pleasure- and the health-oriented messages1. Intention to eat healthily was assessed as the mean of the following 3 items on a 7-point Likert scale ranging from strongly disagree to strongly agree: 1) I have the intention to eat healthily in the next month; 2) I will try to eat healthily in the next month; and 3) I'm motivated to eat healthily in the next month (4951). The guidelines urge Americans to make every bite count with these four recommendations: Dimensions of pleasure and health used in the leaflets for each food group1. Box 4 Evaluation: using commitment contracts to encourage extended weight loss Box 5 Health-promoting children's television programme and subsequent food product branding in Iceland Box 6 Modelling the cost effectiveness of interventions to promote physical activity in Australia Diet quality plays a vital role in promoting health and reducing prevalence of obesity and major chronic diseases (1, 2). Although our expectations were not met, it is worth mentioning that the median scores of the perceived effectiveness of the message in both conditions were high, meaning that pleasure- and health-oriented approaches both received high appraisal and, therefore, are both likely to foster changes in eating behaviors (58, 59). Dariush Mozaffarian and colleagues review strategies governments can use to improve nutrition and health For most of . This report reviewed interventions promoting healthy diets in children aged 1 to 5 years, with the aim of identifying the most effective methods to bring about dietary changes, in line with the dietary goals set out by the Department of Health (see Other Publications of Related Interest nos.1-2). encouraging fussy eaters to try new foods. Headquartered in Geneva, Switzerland, it has six regional offices and 150 field offices worldwide.. Michie S, et al. [updated January 26, 2016; cited November 20, 2017]. This measure aims to evaluate if the pleasure version of the leaflet induced the desired effect on the readers, namely perceiving that healthy eating can be enjoyable. As an example, instead of putting the same images in both leaflets, pictures representing as faithfully as possible each dimension of eating pleasure could be used in the pleasure leaflet, whereas pictures focusing on health attributes of foods usually associated with the promotion of healthy eating could be selected for the health leaflet. sitting and eating with the children. Methods: A total of 396 fifth- and sixth-grade children, from 2 . Recognising the importance of diet quality, many campaigns promoting healthy eating and physical activity have been launched in an attempt to reverse the obesity trend, but few have been assessed. The items were: According to me, eating healthily can bring me pleasure and According to me, eating healthily can help me achieve and maintain a good health. Differences in changes (post- compared with pre-reading of the leaflet) between both versions for these 2 items were also assessed. You will also find tips to help you improve your eating, physical activity habits, and overall health. 1. Some intervention studies assessing dietary behaviors such as fruit and vegetable intake have shown that affective messages were more effective than cognitive messages at favoring behavioral changes (48, 6264). Poor diet quality is among the most pressing health challenges in the USA and worldwide, and is associated with major causes of morbidity and mortality including CVD, hypertension, type 2 diabetes and some types of cancer (1).The US National Prevention Strategy, released in June 2011, considers healthy eating a priority area and calls for increased access to healthy and affordable foods in . Copyright American Society for Nutrition 2019. Indeed, messages might be more persuasive if framed according to the type of health behavior being targeted (34). Here are some simple ways you and your family can optimize their hydration habits. Therefore, new perspectives are needed to build effective healthy eating promotion strategies. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (, Maternal Mediterranean Diet Adherence and Its Associations with Maternal Prenatal Stressors and Child Growth, The Intestinal Microbiota and Short-Chain Fatty Acids in Association with Advanced Metrics of Glycemia and Adiposity Among Young Adults with Type 1 Diabetes and Overweight or Obesity, COP27 Climate Change Conference: Urgent Action Needed for Africa and the World: : Wealthy nations must step up support for Africa and vulnerable countries in addressing past, present and future impacts of climate change, Participating in a Nutrition-Sensitive Agriculture Intervention Is Not Associated with Less Maternal Time for Care in a Rural Ghanaian District, A Global Analysis of National Dietary Guidelines on Plant-Based Diets and Substitutions for Animal-Based Foods, http://www.who.int/dietphysicalactivity/diet/fr/, https://www.canada.ca/en/health-canada/services/food-nutrition/food-labelling/nutrition-labelling.html, https://www150.statcan.gc.ca/n1/pub/82-625-x/2017001/article/54860-fra.htm, http://www.eufic.org/en/healthy-living/article/fruit-and-vegetable-consumption-in-europe-do-europeans-get-enough, http://inpes.santepubliquefrance.fr/Barometres/barometre-sante-nutrition-2008/index.asp, http://www.foodinsight.org/2017-food-and-health-survey, https://www.cfdr.ca/Sharing/Tracking-Nutrition-Trends.aspx, http://creativecommons.org/licenses/by-nc/4.0/, Receive exclusive offers and updates from Oxford Academic, Facilitators and Barriers to Healthy Eating Among American Indian and Alaska Native Adults with Type 2 Diabetes: Stakeholder Perspectives, Greater Scores for Dietary Fat and Grain Quality Components Underlie Higher Total Healthy Eating Index2015 Scores, While Whole Fruits, Seafood, and Plant Proteins Are Most Favorably Associated with Cardiometabolic Health in US Adults, Nutrition during Pregnancy: Findings from the National Institute of Child Health and Human Development (NICHD) Fetal Growth StudiesSingleton Cohort, The Healthy Nurse: Identifying Barriers to Healthy Eating at Work. This is a promising result because this increase was observed although participants randomized into the pleasure condition showed strong eating enjoyment prior to the reading of the leaflet (median score before the reading was 6 out of 7). A score from 1 to 9 was obtained for this variable. Davis KC, Nonnemaker J, Duke J, Farrelly MC. Rozin P, Fischler C, Imada S, Sarubin A, Wrzesniewski A. Gravel K, Deslauriers A, Watiez M, Dumont M, Dufour Bouchard AA, Provencher V. Ducrot P, Mejean C, Alles B, Fassier P, Hercberg S, Peneau S. Dixon H, Mullins R, Wakefield M, Hill D. Petit O, Basso F, Merunka D, Spence C, Cheok AD, Oullier O. Jacquier C, Bonthoux F, Baciu M, Ruffieux B. Petit O, Merunka D, Anton JL, Nazarian B, Spence C, Cheok AD, Raccah D, Oullier O. Landry M, Lemieux S, Lapointe A, Blanger-Gravel A, Bgin C, Provencher V, Desroches S. Cornelis E, Cauberghe V, De Pelsmacker P. van't Riet J, Werrij MQ, Nieuwkamp R, de Vries H, Ruiter RAC. Both versions of the leaflet contained 500 words, and included a title and a short introduction summarizing what it means to eat well. In each version, the message was divided into 4 sections, each referring to 1 of the 4 food groups. The message content was reviewed by a panel of experts in the fields of communication, health promotion, and nutrition to assess the messages credibility and to ensure that each dimension of eating pleasure and health was easy to identify and that the foods and meals proposed were representative of each food group. Effectiveness of Policy Interventions to Promote Healthy Eating and Recommendations for Future . (26, 27) has shown that strategies focusing on sensory aspects of healthy food increased the choice of these foods, especially in those with a high BMI, and may be more effective for people with unhealthy dietary habits. Increasing scientific evidence suggests that the use of positive strategies that recognize the importance of eating pleasure would be a promising approach to foster healthy dietary behaviors (4, 1417). Available from: Consommation de fruits et de lgumes, 2016, Ultra-processed foods in Canada: consumption, impact on diet quality and policy implications, Recent population adherence to and knowledge of United States federal nutrition guides, 19922013: a systematic review, Americans do not meet federal dietary recommendations. We have previously reported the efficacy of a parent-oriented mobile health (mHealth) app-based intervention (MINISTOP 1.0) which showed improvements in healthy lifestyle behaviors. Community-based interventions aiming to improve cooking skills are a popular strategy to promote healthy eating. (2009). The difference in message orientation (pleasure compared with health) was well perceived by participants (P0.01). Schools can play an important role in the education and promotion of healthy eating among children. Two hundred and four subjects were first assessed for eligibility, of whom 105 participants were randomly assigned to either the pleasure or the health condition. Both versions were similar in all respects, except for the message orientation (pleasure or health) in order to ensure that any observed effect would be caused solely by the type of message (3537).
