Manual The Educated Eating Manual

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To stay healthy, we should drink about 8 cups or 1. Water and milk are the best choices. Get into the habit of drinking water with all meals and carry it as a thirst quencher. Still water is kinder to teeth than sparkling varieties. Drinking a large glass of wine is like eating a slice of pizza, when it comes to calories.

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If you drink a lot, it's likely to have an impact on your weight over time, as well as your general health. You can find information on calories in alcohol here. Use the Ask About Alcohol Drinks Calculator to see what impact alcohol is having on your health, your wallet and your weight. When trying to lose weight people often focus on one thing, the pounds or the kilogrammes lost. But you can be more successful if you focus on eating healthier foods, and being more active will lead to keeping the weight off. You can check out some tips on how to lose weight safely here.

Do not include any personal details in the box below. The information you submit will be analysed to improve the site and will not be responded to individually. A notice about cookies This website uses cookies. I agree. BETA This is a prototype - your feedback will help us to improve it. Healthy eating guidelines 2. Healthy eating for kids 3. Cooking healthy meals 4. Why friends were not a common source of information about good nutrition is not clear. However, if peer pressure to eat unhealthy foods is a likely explanation, then it has been addressed by the peer-led interventions in three sound outcome evaluations generally effectively [ 41, 47, 49 ] and two outcome evaluations which did not meet the quality criteria effectiveness unclear [ 33, 50 ].

The fact that young people choose fast foods on grounds of taste has generally not been addressed by interventions, apart from one soundly evaluated effective intervention which included taste testings of fruit and vegetables [ 40 ]. Young people's concern over their appearance which could be interpreted as both a barrier and a facilitator has only been addressed in one of the sound outcome evaluations which revealed an effective intervention [ 41 ]. Will-power to eat healthy foods has only been examined in one outcome evaluation in the in-depth systematic review judged to be sound and effective Walter I—Bronx evaluation [ 45 ].

The need for information on nutrition was addressed by the majority of interventions in the in-depth systematic review. However, no studies were found which evaluated attempts to increase the nutritional content of school meals. Barriers and facilitators relating to young people's practical and material resources were generally not addressed by interventions, soundly evaluated or otherwise. No studies were found which examined the effectiveness of interventions to lower the price of healthy foods.

However, one soundly evaluated intervention was partially effective in increasing the availability of healthy snacks in community youth groups Walter I—Bronx evaluation [ 45 ]. At best, interventions have attempted to raise young people's awareness of environmental constraints on eating healthily, or encouraged them to lobby for increased availability of nutritious foods in the case of the latter without reporting whether any changes have been effected as a result. This review has systematically identified some of the barriers to, and facilitators of, healthy eating with young people, and illustrated to what extent they have been addressed by soundly evaluated effective interventions.

The evidence for effectiveness is mixed.

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Increases in knowledge of nutrition measured in all but one study were not consistent across studies, and changes in clinical risk factors measured in two studies varied, with one study detecting reductions in cholesterol and another detecting no change. Increases in reported healthy eating behaviour were observed, but mostly among young women revealing a distinct gender pattern in the findings. This was the case in four of the seven outcome evaluations in which analysis was stratified by gender. The authors of one of the studies suggest that emphasis of the intervention on healthy weight management was more likely to appeal to young women.

It was proposed that interventions directed at young men should stress the benefits of nutrition on strength, physical endurance and physical activity, particularly to appeal to those who exercise and play sports. Furthermore, age was a significant factor in determining effectiveness in one study [ 48 ]. Impact was greatest on young people in the to year age range particularly for young women in comparison with those aged 12—13 years, suggesting that dietary influences may vary with age. Tailoring the intervention to take account of age and gender is therefore crucial to ensure that interventions are as relevant and meaningful as possible.

Other systematic reviews of interventions to promote healthy eating which included some of the studies with young people fitting the age range of this review also show mixed results [ 52—55 ]. The findings of these reviews, while not being directly comparable in terms of conceptual framework, methods and age group, seem to offer some support for the findings of this review. The main message is that while there is some evidence to suggest effectiveness, the evidence base is limited. We have identified no comparable systematic reviews in this area. Unlike other reviews, however, this study adopted a wider perspective through inclusion of studies of young people's views as well as effectiveness studies.

Juxtaposing barriers and facilitators alongside effectiveness studies allowed us to examine the extent to which the needs of young people had been adequately addressed by evaluated interventions. To some extent they had. Most of the barriers and facilitators that related to the school and relationships with family and friends appear to have been taken into account by soundly evaluated interventions, although, as mentioned, their effectiveness varied. Despite a wide search, we found few evaluations of strategies to improve nutritional labelling on foods particularly in schools or to increase the availability of affordable healthy foods particularly in settings where young people socialize.

A number of initiatives are currently in place which may fill these gaps, but their effectiveness does not appear to have been reported yet. It is therefore crucial for any such schemes to be thoroughly evaluated and disseminated, at which point an updated systematic review would be timely. This review is also constrained by the fact that its conclusions can only be supported by a relatively small proportion of the extant literature.

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Only seven of the 22 outcome evaluations identified were considered to be methodologically sound. Finally, it is important to acknowledge that the majority of the outcome evaluations were conducted in the United States, and by virtue of the inclusion criteria, all the young people's views studies were UK based.

The literature therefore might not be generalizable to other countries, where sociocultural values and socioeconomic circumstances may be quite different. Further evidence synthesis is needed on barriers to, and facilitators of, healthy eating and nutrition worldwide, particularly in developing countries.

The aim of this study was to survey what is known about the barriers to, and facilitators of, healthy eating among young people with a view to drawing out the implications for policy and practice. The review has mapped and quality screened the extant research in this area, and brought together the findings from evaluations of interventions aiming to promote healthy eating and studies which have elicited young people's views.

There has been much research activity in this area, yet it is disappointing that so few evaluation studies were methodologically strong enough to enable us to draw conclusions about effectiveness. There is some evidence to suggest that multicomponent school-based interventions can be effective, although effects tended to vary according to age and gender. Tailoring intervention messages accordingly is a promising approach which should therefore be evaluated.

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A key theme was the value young people place on choice and autonomy in relation to food. Increasing the provision and range of healthy, affordable snacks and meals in schools and social spaces will enable them to exercise their choice of healthier, tasty options. We have identified that several barriers to, and facilitators of, healthy eating in young people have received little attention in evaluation research. Further work is needed to develop and evaluate interventions which modify or remove these barriers, and build on these facilitators.

Further qualitative studies are also needed so that we can continue to listen to the views of young people. This is crucial if we are to develop and test meaningful, appropriate and effective health promotion strategies. We would like to thank Chris Bonell and Dina Kiwan for undertaking data extraction.

The views expressed in the report are those of the authors and not necessarily those of the Department of Health. Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Create an Account. Sign In. Advanced Search.

Article Navigation. Close mobile search navigation Article Navigation. Volume Article Contents. Young people and healthy eating: a systematic review of research on barriers and facilitators J Shepherd. E-mail: Jonny. Shepherd soton. Oxford Academic. Google Scholar. A Harden.

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R Rees. G Brunton. J Garcia. S Oliver. A Oakley. Cite Citation. Permissions Icon Permissions. Abstract A systematic review was conducted to examine the barriers to, and facilitators of, healthy eating among young people 11—16 years. Open in new tab Download slide. Table I. Open in new tab. Table II. Table III. Search ADS. Department of Health. Accessed: 13 June A Report of the Findings. Google Preview. Young people and physical activity: a systematic review of research on barriers and facilitators. Peer-delivered health promotion for young people: a systematic review of different study designs.

Applying systematic review methods to studies of people's views: an example from public health research. Qualitative research in health care II: a structured review and evaluation of studies.

An emerging framework for integrating different types of evidence in systematic reviews for public policy. Dietary change for cardiovascular disease prevention among Black-American families. Modifying the snack food consumption patterns of inner city high school students: the Great Sensations Study. The environmental component: changing school food service to promote cardiovascular health. An obesity prevention pilot programme in African American mothers and daughters.

Dance for health: improving fitness in African American and Hispanic adolescents. Community-wide youth exercise promotion: long-term outcomes of the Minnesota Heart Health Program and the Class of Study. A family approach to cardiovascular risk reduction: results from the San Diego Family Health Project. Outcomes of a high school program to increase fruit and vegetable consumption: Gimme 5—a fresh nutrition concept for students.

The impact of parent participation on the effectiveness of a heart health curriculum. Influences of a supermarket intervention on the food choices of parents and their children. Effects of two years' education intervention on dietary habits, serum cholesterol and blood pressure among 13 to 15 year old adolescents: the North Kareilia Youth Project. Hyperlipidemia in Childhood and the Development of Atherosclerosis. Ann N Y Acad Sci. Helping schools to become health-promoting environments—an evaluation of the Wessex Healthy Schools Award.

Nutrition education in junior high schools: incorporating behavior change strategies into home economics courses. A controlled evaluation of a fitness and nutrition intervention program on cardiovascular health in to year-old children. Adolescent food choice: an application of the theory of planned behaviour.

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Dieting behavior among 11—year-old girls in Merseyside and the Northwest of England. Towards an understanding of young people's conceptualisation of food and eating. Effect of including parents in a school-based exercise and nutrition program for children. Published by Oxford University Press.

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