Skip to main content
Top
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Social support and dairy products intake among adolescents: a study from Iran

Authors: Behjat Shokrvash, Leili Salehi, Maral Hariri Akbari, Mehrangiz Ebrahimi Mamagani, Saharnaz Nedjat, Mohammad Asghari, Freshteh Majlessi, Ali Montazeri

Published in: BMC Public Health | Issue 1/2015

Login to get access

Abstract

Background

Adequate daily milk and dairy products intake seems to an important for adolescents’ health. This study aimed to identify the high-risk group adolescents who did not meet the recommended daily serving milk and dairy products and indeed to find out associated factors relating to their nutrition behaviors.

Methods

This cross sectional study was carried out on 7th grade students, in Tabriz, East Azerbaijan province, Iran. An anonymous self–administrated questionnaire including items on perceived social support, physical activity, and sedentary behaviors was administered. In addition a valid food frequency questionnaire (FFQ) measuring daily milk products serving intake as a main outcome measure was completed for each respondent. Logistic regression analysis was applied to examine the association between milk and dairy products consumption and independents variables.

Results

In all 402 students (51.5 % female) participated in the study. The mean age of students was 12.9 (SD = 0.49) years. The average daily intake of milk and dairy products was 1.64 (SD = 0.78) servings per day. Overall 14.2 % of adolescents (18.8 % of girls, and 9.2 % of boys, p = 0.006) reported consumption of the recommended daily milk and dairy products serving per day. The results indicated that gender boys (OR for boys = 2.41, 95 % CI = 1.25–4.67), mother age (OR for age group 40–55 years = 2.52, 95 % CI = 1.18–5.38), poor perceived emotional family support, (OR = 1.10, 95 % CI = 1.05–3.61), and poor perceived practical family support (OR = 2.04, 95 % CI = 1.18–4.17) were the most significant contributing factors to low level milk and dairy products intake in adolescents.

Conclusion

The findings indicated that adolescents did not take the recommended daily amount of milk and dairy products and this appeared to be strongly related to low perceived family support. To achieve the recommended daily milk and dairy products serving consumption, family involvements in any programs that specifically address emotional and practical support for promoting daily milk and dairy products intake among adolescents are suggested.
Literature
1.
go back to reference Birnie K, Ben-Shlomo Y, Gunnell D, Ebrahim S, Bayer A, Gallacher J, et al. Childhood milk consumption is associated with better physical performance in old age. Age Ageing. 2012;41:776–84.CrossRefPubMedPubMedCentral Birnie K, Ben-Shlomo Y, Gunnell D, Ebrahim S, Bayer A, Gallacher J, et al. Childhood milk consumption is associated with better physical performance in old age. Age Ageing. 2012;41:776–84.CrossRefPubMedPubMedCentral
2.
go back to reference Huth PJ, DiRienzo DB, Miller GD. Major scientific advances with dairy foods in nutrition and health. J Dairy Sci. 2006;89:1207–21.CrossRefPubMed Huth PJ, DiRienzo DB, Miller GD. Major scientific advances with dairy foods in nutrition and health. J Dairy Sci. 2006;89:1207–21.CrossRefPubMed
3.
go back to reference Gaucheron F. Milk and dairy products: A unique micronutrient combination. J Am College Nutr. 2011;30 Suppl 1:400s–9.CrossRef Gaucheron F. Milk and dairy products: A unique micronutrient combination. J Am College Nutr. 2011;30 Suppl 1:400s–9.CrossRef
4.
go back to reference Moore LL, Bradlee ML, Gao D, Singer MR. Low dairy intake in early childhood predicts excess body fat gain. Obesity. 2006;14:1010–8.CrossRefPubMed Moore LL, Bradlee ML, Gao D, Singer MR. Low dairy intake in early childhood predicts excess body fat gain. Obesity. 2006;14:1010–8.CrossRefPubMed
5.
go back to reference Abreu S, Santos R, Moreira C, Santos PC, Vale S, Soares-Miranda L, et al. Relationship of milk intake and physical activity to abdominal obesity among adolescents. Pediatr Obes. 2014;9:71–80.CrossRefPubMed Abreu S, Santos R, Moreira C, Santos PC, Vale S, Soares-Miranda L, et al. Relationship of milk intake and physical activity to abdominal obesity among adolescents. Pediatr Obes. 2014;9:71–80.CrossRefPubMed
6.
go back to reference Moore LL, Singer MR, Bradlee ML, Djoussé L, Proctor MH, Cupples LA, et al. Intake of fruits, vegetables, and dairy Products in early childhood and subsequent blood pressure change. Epidemiol. 2005;16:4–11.CrossRef Moore LL, Singer MR, Bradlee ML, Djoussé L, Proctor MH, Cupples LA, et al. Intake of fruits, vegetables, and dairy Products in early childhood and subsequent blood pressure change. Epidemiol. 2005;16:4–11.CrossRef
7.
go back to reference McIntosh GH. Colon cancer prevention. In: H Roginski, JW.Fuquay, P Fox, Eds. Encyclopedia of Dairy Science. San Diego: Academic Press, 2002:1301-6. McIntosh GH. Colon cancer prevention. In: H Roginski, JW.Fuquay, P Fox, Eds. Encyclopedia of Dairy Science. San Diego: Academic Press, 2002:1301-6.
8.
go back to reference Stang JS, Larson N. Nutrition in adolescence. In: Mahan LK, Escott-Stump S, Raymond JL, editors. Krause’s Food and the Nutrition Care Process. 13th ed. USA: Elsivier & Sunders; 2012. p. 423. Stang JS, Larson N. Nutrition in adolescence. In: Mahan LK, Escott-Stump S, Raymond JL, editors. Krause’s Food and the Nutrition Care Process. 13th ed. USA: Elsivier & Sunders; 2012. p. 423.
9.
go back to reference Cais-Sokolińska D, Borski K. Intake of calcium contained in milk and dairy products in diets of children and teenagers in Poland view of other European countries. Acta Sci Pol Technol Aliment. 2010;9:351–62. Cais-Sokolińska D, Borski K. Intake of calcium contained in milk and dairy products in diets of children and teenagers in Poland view of other European countries. Acta Sci Pol Technol Aliment. 2010;9:351–62.
10.
go back to reference Currie C, Zanotti C, Morgan A, Currie D, de Looze M, Roberts C, et al. Social determinants of health and well-being among young pepole. Health behavior in school- aged children (HBSC) study: international report from the 2009/2010 survey. Health policy for children and adolescents. 2012, No.6, WHO. Regional office for Europe. Currie C, Zanotti C, Morgan A, Currie D, de Looze M, Roberts C, et al. Social determinants of health and well-being among young pepole. Health behavior in school- aged children (HBSC) study: international report from the 2009/2010 survey. Health policy for children and adolescents. 2012, No.6, WHO. Regional office for Europe.
11.
go back to reference Baird DL, Syrette J, Hendrie GA, Riley MD, Bowen J, Noakes M, et al. Dairy food intake of Australian children and adolescents 2–16 years of age: 2007 Australian National Children’s Nutrition and Physical Activity Survey. Public Health Nutr. 2012;15:2060–73. Baird DL, Syrette J, Hendrie GA, Riley MD, Bowen J, Noakes M, et al. Dairy food intake of Australian children and adolescents 2–16 years of age: 2007 Australian National Children’s Nutrition and Physical Activity Survey. Public Health Nutr. 2012;15:2060–73.
12.
go back to reference Larson NI, Story M, Wall M, Neumark-Sztainer D. Calcium and dairy intakes of adolescents are associated with their home environment, taste preferences, personal health beliefs, and meal patterns. J Am Diet Assoc. 2006;106:1816–24.CrossRefPubMed Larson NI, Story M, Wall M, Neumark-Sztainer D. Calcium and dairy intakes of adolescents are associated with their home environment, taste preferences, personal health beliefs, and meal patterns. J Am Diet Assoc. 2006;106:1816–24.CrossRefPubMed
13.
go back to reference Fitzgerald A, Heary C, Nixon E, Kelly C. Factors influencing the food choices of Irish children and adolescents: a qualitative investigation. Health Promotion Int. 2010;25:289–98.CrossRef Fitzgerald A, Heary C, Nixon E, Kelly C. Factors influencing the food choices of Irish children and adolescents: a qualitative investigation. Health Promotion Int. 2010;25:289–98.CrossRef
14.
go back to reference Gopinath B, Flood VM, Burlutsky G, Louie JC, Baur LA, Mitchell P, et al. Pattern and predictors of dairy consumption during adolescence. Asia Pac J Clin Nutr. 2014;23:612–8. Gopinath B, Flood VM, Burlutsky G, Louie JC, Baur LA, Mitchell P, et al. Pattern and predictors of dairy consumption during adolescence. Asia Pac J Clin Nutr. 2014;23:612–8.
15.
go back to reference Dror DK, Allen LH. Dairy product intake in children and adolescents in developed countries: trends, nutritional contribution, and a review of association with health outcomes. Nutr Rev. 2013;72(2):68–81.CrossRefPubMed Dror DK, Allen LH. Dairy product intake in children and adolescents in developed countries: trends, nutritional contribution, and a review of association with health outcomes. Nutr Rev. 2013;72(2):68–81.CrossRefPubMed
16.
go back to reference Huang TT, McCrory MA. Dairy intake, obesity, and metabolic health in children and adolescents: knowledge and gaps. Nutr Rev. 2005;63:71–80.CrossRefPubMed Huang TT, McCrory MA. Dairy intake, obesity, and metabolic health in children and adolescents: knowledge and gaps. Nutr Rev. 2005;63:71–80.CrossRefPubMed
17.
go back to reference Nicklas TA, Demory-Luce D, Yang SJ, Baranowski T, Zakeri I, Berenson G, et al. Children’s food consumption patterns have changed over two decades (1973–1994): the Bogalusa heart study. J Am Diet Assoc. 2004;104:1127–40. Nicklas TA, Demory-Luce D, Yang SJ, Baranowski T, Zakeri I, Berenson G, et al. Children’s food consumption patterns have changed over two decades (1973–1994): the Bogalusa heart study. J Am Diet Assoc. 2004;104:1127–40.
18.
go back to reference Patrick H, Nicklas TA. A Review of Family and Social Determinants of Children’s Eating Patterns and Diet Quality. J Am Colleg Nutr. 2004;24:83–92.CrossRef Patrick H, Nicklas TA. A Review of Family and Social Determinants of Children’s Eating Patterns and Diet Quality. J Am Colleg Nutr. 2004;24:83–92.CrossRef
19.
go back to reference Larson NI, Neumark-Sztainer D, Harnack L, Wall M, Story M, Eisenberg ME, et al. Calcium and dairy intake: longitudinal trends during the transition to young adulthood and correlates of calcium intake. J Nutr Educ Behav. 2009;41:254–60. Larson NI, Neumark-Sztainer D, Harnack L, Wall M, Story M, Eisenberg ME, et al. Calcium and dairy intake: longitudinal trends during the transition to young adulthood and correlates of calcium intake. J Nutr Educ Behav. 2009;41:254–60.
20.
go back to reference McClain AD, Chappuis C, Nguyen-Rodriguez ST, Yaroch AL, Spruijt-Metz D. Psychosocial correlates of eating behavior in children and adolescents: a review. Int J Behav Nutr Physic Act. 2009;6:54.CrossRef McClain AD, Chappuis C, Nguyen-Rodriguez ST, Yaroch AL, Spruijt-Metz D. Psychosocial correlates of eating behavior in children and adolescents: a review. Int J Behav Nutr Physic Act. 2009;6:54.CrossRef
21.
go back to reference Olson BH, Chung KR, Reckase M, Schoemer S. Parental influences on dairy intake in children, and their role in child calcium-fortified food use. J Nutr Educ Behav. 2009;41:53–7.CrossRefPubMed Olson BH, Chung KR, Reckase M, Schoemer S. Parental influences on dairy intake in children, and their role in child calcium-fortified food use. J Nutr Educ Behav. 2009;41:53–7.CrossRefPubMed
22.
go back to reference Kelishadi R, Ardalan G, Gheiratmand R, Gouya MM, Razaghi ME, Delavari A, et al. Association of physical activity and dietary behaviors in relation to the body mass index in a national sample of Iranian children and adolescents: CASPIAN Study. Bull World Health Organ. 2007;85:19–26.CrossRefPubMedPubMedCentral Kelishadi R, Ardalan G, Gheiratmand R, Gouya MM, Razaghi ME, Delavari A, et al. Association of physical activity and dietary behaviors in relation to the body mass index in a national sample of Iranian children and adolescents: CASPIAN Study. Bull World Health Organ. 2007;85:19–26.CrossRefPubMedPubMedCentral
23.
go back to reference Mirmiran P, Azadbakht L, Azizi F. Dietary behavior of Tehranian adolescents does not accord with their nutritional knowledge. Public Health Nutr. 2007;10:897–901.CrossRefPubMed Mirmiran P, Azadbakht L, Azizi F. Dietary behavior of Tehranian adolescents does not accord with their nutritional knowledge. Public Health Nutr. 2007;10:897–901.CrossRefPubMed
24.
go back to reference Ziaee V, Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh SR, Monazzam MM, et al. Physical activity in Iranian students: caspian study. Iran Pediat J. 2006;16:157–64. Ziaee V, Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh SR, Monazzam MM, et al. Physical activity in Iranian students: caspian study. Iran Pediat J. 2006;16:157–64.
25.
go back to reference Boyce W, Torsheim T, Currie C, Zambon A. The family affluence scale as a measure of national wealth: validation of an adolescent self-report measure. Soc Indic Res. 2006;78:473–87.CrossRef Boyce W, Torsheim T, Currie C, Zambon A. The family affluence scale as a measure of national wealth: validation of an adolescent self-report measure. Soc Indic Res. 2006;78:473–87.CrossRef
26.
go back to reference Watson K, Baranowski T, Thompson D. Item response modeling: an evaluation of the children’s fruit and vegetable self efficacy questionnaire. Health Educ Res. 2006;21 Suppl 1:147–57. Watson K, Baranowski T, Thompson D. Item response modeling: an evaluation of the children’s fruit and vegetable self efficacy questionnaire. Health Educ Res. 2006;21 Suppl 1:147–57.
27.
go back to reference Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR. The development of scales to measure social support for diet and exercise behaviors. Prev Med. 1987;16:825–36.CrossRefPubMed Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR. The development of scales to measure social support for diet and exercise behaviors. Prev Med. 1987;16:825–36.CrossRefPubMed
29.
go back to reference Booth ML, Okely AD, Chey T, Bauman A. The reliability and validity of the adolescent physical activity recall questionnaire. Med Sci Sports Exerc. 2002;34:1986–95.CrossRefPubMed Booth ML, Okely AD, Chey T, Bauman A. The reliability and validity of the adolescent physical activity recall questionnaire. Med Sci Sports Exerc. 2002;34:1986–95.CrossRefPubMed
30.
go back to reference Esfahani FH, Asghari G, Mirmiran P, Azizi F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran lipid and glucose study. J Epidemiol. 2010;20:150–8.CrossRefPubMed Esfahani FH, Asghari G, Mirmiran P, Azizi F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran lipid and glucose study. J Epidemiol. 2010;20:150–8.CrossRefPubMed
31.
go back to reference World Health Organization. Global recommendations on physical activity for health. Geneva, Switzerland: WHO; 2010. World Health Organization. Global recommendations on physical activity for health. Geneva, Switzerland: WHO; 2010.
32.
go back to reference Moore J, Harré N. Eating and activity: the importance of family and environment. Health Promot J Austr. 2007;18:143–8.PubMed Moore J, Harré N. Eating and activity: the importance of family and environment. Health Promot J Austr. 2007;18:143–8.PubMed
33.
go back to reference Abreu S, Santos R, Moreira C, Santos PC, Vale S, Soares-Miranda L, et al. Milk intake is inversely related to body mass index and body fat in girls. Eur J Pediat. 2012;171:1467–74.CrossRef Abreu S, Santos R, Moreira C, Santos PC, Vale S, Soares-Miranda L, et al. Milk intake is inversely related to body mass index and body fat in girls. Eur J Pediat. 2012;171:1467–74.CrossRef
34.
go back to reference Vartanian LR, Schwartz Marlene B, Brownell Kelly D. Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health. 2007;97:667–75.CrossRefPubMedPubMedCentral Vartanian LR, Schwartz Marlene B, Brownell Kelly D. Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health. 2007;97:667–75.CrossRefPubMedPubMedCentral
35.
go back to reference Reicks M, Ballejos ME, Goodell LS, Gunther C, Richards R, Wong SS, et al. Individual and family correlates of calcium-rich food intake among parents of early adolescent children. J Am Diet Assoc. 2011;111:376–84.CrossRefPubMed Reicks M, Ballejos ME, Goodell LS, Gunther C, Richards R, Wong SS, et al. Individual and family correlates of calcium-rich food intake among parents of early adolescent children. J Am Diet Assoc. 2011;111:376–84.CrossRefPubMed
36.
go back to reference Reicks M, Degeneffe D, Ghosh K, Bruhn C, Goodell LS, Gunther C, et al. Parent calcium-rich-food practices perceptions are associated with calcium intake among parents and their early adolescent children. Pub Health Nutr. 2012;15:331–40.CrossRef Reicks M, Degeneffe D, Ghosh K, Bruhn C, Goodell LS, Gunther C, et al. Parent calcium-rich-food practices perceptions are associated with calcium intake among parents and their early adolescent children. Pub Health Nutr. 2012;15:331–40.CrossRef
37.
go back to reference Hanson NI, Neumark-Sztainer D, Eisenberg ME, Story M, Wall M. Associations between parental report of the home food environment and adolescent intakes of fruits, vegetables and dairy foods. Public Health Nutr. 2005;8:77–85.CrossRefPubMed Hanson NI, Neumark-Sztainer D, Eisenberg ME, Story M, Wall M. Associations between parental report of the home food environment and adolescent intakes of fruits, vegetables and dairy foods. Public Health Nutr. 2005;8:77–85.CrossRefPubMed
38.
go back to reference Turconi G, Guarcello M, Maccarini L, Cignoli F, Setti S, Bazzano R, et al. Eating habits and behaviors, physical activity, nutritional and food safety knowledge and beliefs in an adolescent Italian population. J Am College Nutr. 2008;27:31–43.CrossRef Turconi G, Guarcello M, Maccarini L, Cignoli F, Setti S, Bazzano R, et al. Eating habits and behaviors, physical activity, nutritional and food safety knowledge and beliefs in an adolescent Italian population. J Am College Nutr. 2008;27:31–43.CrossRef
39.
go back to reference Kramer-Atwood JL, Dwyer J, Hoelscher DM, Nicklas TA, Johnson RK, Schulz G, et al. Fostering healthy food consumption in schools: focusing on the challenges of competitive foods. J Am Diet Assoc. 2002;102:1228–33. Kramer-Atwood JL, Dwyer J, Hoelscher DM, Nicklas TA, Johnson RK, Schulz G, et al. Fostering healthy food consumption in schools: focusing on the challenges of competitive foods. J Am Diet Assoc. 2002;102:1228–33.
40.
go back to reference Thunfors P, Collins BN, Hanlon AL. Health behavior interests of adolescents with unhealthy diet and exercise: implications for weight management. Health Educ Res. 2009;24:634–45.CrossRefPubMed Thunfors P, Collins BN, Hanlon AL. Health behavior interests of adolescents with unhealthy diet and exercise: implications for weight management. Health Educ Res. 2009;24:634–45.CrossRefPubMed
41.
go back to reference Ambrosini GL, Oddy WH, Robinson M, O'Sullivan TA, Hands BP, de Klerk NH, et al. Adolescent dietary patterns are associated with lifestyle and family psycho-social factors. Public Health Nutr. 2009;12:1807–15.CrossRefPubMed Ambrosini GL, Oddy WH, Robinson M, O'Sullivan TA, Hands BP, de Klerk NH, et al. Adolescent dietary patterns are associated with lifestyle and family psycho-social factors. Public Health Nutr. 2009;12:1807–15.CrossRefPubMed
42.
go back to reference Serrano M, Torres R, Pérez CM, Palacios C. Social environment factors, diet quality, and body weight in 12-year-old children from four public schools in Puerto Rico. P R Health Sci J. 2014;33:80–7.PubMedPubMedCentral Serrano M, Torres R, Pérez CM, Palacios C. Social environment factors, diet quality, and body weight in 12-year-old children from four public schools in Puerto Rico. P R Health Sci J. 2014;33:80–7.PubMedPubMedCentral
Metadata
Title
Social support and dairy products intake among adolescents: a study from Iran
Authors
Behjat Shokrvash
Leili Salehi
Maral Hariri Akbari
Mehrangiz Ebrahimi Mamagani
Saharnaz Nedjat
Mohammad Asghari
Freshteh Majlessi
Ali Montazeri
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2399-5

Other articles of this Issue 1/2015

BMC Public Health 1/2015 Go to the issue