Although the pleasure-oriented message appeared to be less clear than the health-oriented message, the median scores of both leaflets for the item clarity corresponded nonetheless to the highest score on the scale. 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). Miniard PW, Sunil B, Lord KR, Dickson PR, Unnava HR. In sum, participants included in the study had a mean age of 45.113.0 y, were overweight (mean BMI 27.95.7), were mainly Caucasians (95%), were mostly workers (66%), and the majority had a college or university degree (81%) and annual household income of C$50,000 (59%). Available from: Psychosocial determinants of fruit and vegetable intake in adult population: a systematic review, Canadian Foundation for Dietetic Research, Pleasure as an ally of healthy eating? contemplation. This observation suggests that both messages have successfully transmitted their respective vision. The median score includes the items: not persuasive/persuasive, ineffective/effective, not convincing/convincing, and not compelling/compelling. 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 . A qualitative study on Quebecers' perceptions, Shaping perceptions to motivate healthy behavior: the role of message framing, Health message framing effects on attitudes, intentions, and behavior: a meta-analytic review, Designing media messages about health and nutrition: what strategies are most effective, The effectiveness of message framing and temporal context on college student alcohol use and problems: a selective e-mail intervention, Being healthy or looking good? Background Childhood overweight and obesity is a public health priority. . . Dimensions of pleasure and health used in the leaflets for each food group1. Fish is a good source of protein and contains many vitamins and minerals. 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. It includes technology that is used to help children with disabilities. Results showed that individuals with normal BMI were more stimulated by the pleasure-oriented message than by the health-oriented message, whereas both of messages induced the same level of stimulation in overweight participants. The video below shows you how to become a great health promoter by: making mealtimes relaxed and comfortable. In addition, individuals with an elevated BMI more frequently associate negatively the notions of healthiness and tastiness than do individuals with normal BMI (65), which may have reduced the impact of the pleasure-oriented messages in our sample. Perceived message effectiveness may predict health behavior change as well as actual effectiveness of a health communication (40, 41). Overall, results suggest that the leaflets would be appropriate to promote healthy eating through 2 distinct perspectives (pleasure and health perspectives). of diet-related ill health, a range of actions are required across the UK.a Supporting local authorities to create healthier food environments Local authorities should have the necessary powers to ensure that the food environment everyone lives in is conducive to healthy eating. Health communication and marketing campaigns that promote positive behavior change are a cornerstone of public health and behavioral science. Comfortable eating environment: Another way home health care aides and nurses can help with your loved one's nutrition is to make sure the eating environment is safe and comfortable. As for the valence, participants were asked to rate the following 6 pairs of bipolar adjectives (positively compared with negatively weighted adjectives) on a 7-point semantic differential scale ranging from 3 to 3 (0 being the neutral option): 1) unhappy/happy; 2) annoyed/pleased; 3) unsatisfied/satisfied; 4) melancholic/contended; 5) despairing/hopeful; and 6) bored/relaxed (44). Participants were recruited through the mailing lists of the Institute of Nutrition and Functional Foods and the institutional listserv of Laval University's staff and students. Have campaigns delivered on the goals, Communication and diet: an overview of experience and principles, From nutrients to nurturance: a conceptual introduction to food well-being, Enjoy your food: on losing weight and taking pleasure, Attitudes to food and the role of food in life in the U.S.A., Japan, Flemish Belgium and France: possible implications for the diet-health debate, Sensory-based nutrition pilot intervention for women. Feasibility studies are not designed to evaluate the effectiveness of interventions . Arousal was assessed with the use of the Self-Assessment Manikin method (44), which consists of a pictorial 9-point scale ranging from totally calm to extremely aroused. The reader was instructed to rate the level of stimulation felt while reading the message. Each section also referred to 1 dimension of eating pleasure or health, as described in Table 1. First, as in all nutrition studies that use self-reported questionnaires, we cannot exclude the possibility of results being influenced by a social desirability bias. This study was conducted among adults aged between 18 and 65 y. A range of diverse initiatives from national and local organisation are helping to promote healthy eating. Except for the mean BMI, which was significantly higher in the health condition than the pleasure condition, no differences were observed for baseline characteristics. Make recommendations on the data that should be collected to enable effective evaluation at the time new interventions are launched; Moreover, the reviewing of messages by a panel of experts and the editing of the leaflets by a communications agency have undoubtedly ensured the development of quality messages, corresponding to the intended pleasure and health focus. 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. 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. The authors responsibilities were as followsCV, AB, AB-G, VP, CB, SD, and SL: contributed to designing the study; CV and AB: were responsible for conducting the research, analyzing the data, and writing the article; CV, AB, and SL: had primary responsibility for the final content; and all authors: revised and approved the final manuscript. Evaluating community health interventions is vital in order to: refine and improve program implementation. This work was supported by the Canadian Institutes of Health Research (grant FHG129921). It takes 15 or more minutes for your brain to get the message that you've been fed. 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. For example children with hearing impairments may need to use hearing aids which is a piece of technology that allows the child to . Thus, it is essential that future studies conducted to replicate the present results in other populations also use this conceptualization of eating pleasure. Effective techniques in healthy eating and physical activity interventions: a meta-regression. aggression) show these programmes to be among the most effective ones in promoting health. In the pleasure leaflet, healthy eating was addressed through different dimensions of eating pleasure: 1) sharing a meal; 2) discovery and variety; 3) cooking; and 4) sensory aspects of foods. The program provides youth and adults with tools and strategies to overcome self-destructive eating and exercise behaviors. Perceived message effectiveness and induced emotions in response to reading were similar between leaflets. Perceived message orientation was measured with the following 2 items on a 7-point Likert scale ranging from strongly disagree to strongly agree: The message focuses on health benefits of eating healthily and The message focuses on the pleasure of eating healthily.. Many foods, such as juice, soups, fruits, vegetables, and milk are 80 to 90 percent water. Two main dimensions were used to document experienced emotions: arousal (calmhighly aroused) and valence (unhappinesshappiness) (4345). The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. Indeed, both approaches appeared to be equally persuasive and believable. Experts recommend beginning with a weight loss of 5 to 10 percent of your starting weight over a period of 6 months. Therefore, focusing on pleasurable aspects of eating when promoting healthy foods might be an effective approach to change perception about healthy eating. The 2020-2025 dietary guidelines emphasize that it's never too late to start eating better. From a clinical practice perspective, a pilot randomized control trial has suggested that eating-related attitudes and behaviors could be improved through sensory-based interventions among restrained women (17). Therefore, challenging the strategies currently used is of significant importance. 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. The four stages of changing a health behavior are. The EATWELL project will gather benchmark data on healthy eating interventions in Member States and review existing evaluations of the effectiveness of interventions using a 3 stage procedure: 1. Of these programmes, the ones that were most effective were of long duration and high intensity, and involved the whole school. This work was supported by the Canadian Institutes of Health Research (grant FHG129921). Methods: A total of 396 fifth- and sixth-grade children, from 2 . Healthy diet: health impact, prevalence, correlates, and interventions, Promoting consumption of fruit and vegetables for better health. Written informed consent was obtained from all participants. 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. Figure 1 shows the flow of participants through the study. Objective To evaluate the real-world . Methods A systematic review of trials using individual or cluster randomisation of interventions delivered in . Author disclosures: CV, AB, AB-G, VP, CB, SD, and SL, no conflicts of interest. 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. Because previous studies have shown that affective messages were more effective than cognitive messages in favoring behavioral changes (48, 6264), these results suggest that efforts in the promotion of healthy eating targeting affective attitude such as a pleasure-oriented approach could be more powerful for fostering dietary behavior changes than efforts appealing solely to utilitarian considerations such as the health-oriented approach. At least 82% of care Regarding the perception that Eating healthily can help me achieve and maintain a good health, an increase has been observed among participants in the pleasure-oriented condition. Pleasure-seeking is recognized to be a prominent factor in food consumption (1821). Childhood is an important time for shaping healthy habits. P value for BMI adjusted with an ANOVA procedure. Conclusions: School-based interventions (including multicomponent interventions) can be an effective and promising means for promoting healthy eating, improving dietary behaviour, attitude and . Some limitations of the present study should be mentioned. Background: Children's overweight and obesity have increased in Western societies, including Israel. Turn off the TV and avoid arguments or emotional stress that can result in digestive problems or overeating. Such an increase was not observed after reading the health leaflet. A score from 1 to 9 was obtained for this variable. Notwithstanding these tremendous efforts, adherence of the population to healthy eating recommendations remains suboptimal. The method to diffuse the message chosen in this study might explain this observation. This past year, the women worked with a group . evaluate the effectiveness of promoting healthy eating. Therefore, 100 subjects evaluated the leaflets (50 assigned to the pleasure leaflet and 50 to the health leaflet). Changes for these 2 perceptions (Eating healthily can bring me pleasure and Eating healthily can help me achieve and maintain a good health) were not significantly different between both conditions. A similar situation is observed in other industrialized countries, in which the consumption of a large proportion of the population does not meet dietary guidelines (811). Participants were counseled to eat a normal diet except for limiting dietary fat to 30% of calories and to exercise moderately. Population health measures may also be used in evaluation. Because participants were already convinced about the health benefits of eating healthily prior to reading the leaflet, this might explain this observation. Both leaflets were similarly appreciated. Therefore, length of the text, pictures representing food groups, foods, or meals proposed in the communications, as well as the design and the format of the leaflet were identical. 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). 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. Second, the participants in our sample had a great interest in nutrition, and therefore were not necessarily representative of the general population. 2022-2023 We undertook a systematic review of interventions to promote . Setting-based approaches included focusing on nurseries and childcare facilities 174 as well as on schools 174, 219 - 224 to promote healthy eating and increase fruit and vegetable intake in children through activities and education; these approaches were found to be particularly effective for young women. To promote healthy dietary habits, public health authorities worldwide have launched various initiatives, all of which have in common the aim of promoting the consumption of nutritious foods through the transmission of information that focuses on the nutritional value of foods and their impact on health and body weight (35). 4.5 Evaluate the effectiveness of different ways of supporting and promoting hydration . Median scores of variables assessing individual's perceptions and potential effect of pleasure- and health-oriented messages1. Nutritional status, depression, social, functional and cognitive status, quality of life, health status, chewing, swallowing, sensorial functions were evaluated in anorexic patients and in a sample of "normal eating" elderly subjects.Results: 96 anorexic subjects were selected in acute and rehabilitation wards (66 women; 81.57 years; 30 . Scores ranged from 1 to 7. . Those involved in promoting health and well-being in communities. Institute of Nutrition and Functional Foods, Laval University, QC, Canada, School of Nutrition, Laval University, QC, Canada. and mental health units. We expected that individuals would be able to successfully recognize message orientation (pleasure compared with health). 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). Perceived message orientation and effectiveness, perceptions towards healthy eating as well as emotions, attitude towards healthy eating, and intention to eat healthily were evaluated. Changing the way you go about eating can make it easier to eat less without feeling deprived. Table 2 shows descriptive characteristics of participants in terms of gender, age, BMI, ethnicity, education, income, and employment status. Dietary and coordinating schedules, and promoting healthy eating the effectiveness of different ways that this target populations to act: the composition and hormone levels and healthier nation in four of people. This finding suggests that the documented perception among the population that unhealthy foods are tasty and, conversely, that healthy foods are less tasty (known as the unhealthy=tasty intuition), is a malleable concept (16, 52, 53). In order to manipulate participants perceptions towards healthy eating, 2 leaflets differing in message orientation have been developed: a pleasure version and a health version. Contrary to what was anticipated, although readers of the pleasure leaflet seemed to have experienced more appeal (arousal) and to have more pleasurable emotions (valence) than readers of the health leaflet, these 2 variables were not significantly different between both conditions. 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. Aims: This study aimed to address this gap by examining low and high parent engagement with . However, little research exists about factors influencing parent engagement with promoting healthy eating and activity behaviors in the this setting. 978 1 446 95317 4 - Pearson BTEC Level 3 Diploma in Adult Care (England) . 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. Therefore, the objective of this study was to compare the perceptions, the potential effect, and the appreciation of pleasure-oriented and health-oriented messages aimed at promoting healthy eating in French-Canadian adults. New habits may help you look better and have more energy. (2009). Here are some simple ways you and your family can optimize their hydration habits. 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. Effect of acute high-intensity intermittent exercise on serum brain-derived neurotrophic factor concentrations. Health communication research has shown that message framing plays an important role in the effectiveness of messages (32, 33). The impact of the intervention on consumer attitudes, consumer behaviour and diets; 2. In order to support research effort on the topic, the first contribution of our work was to develop and pretest new tools that represent accurately these 2 distinct orientations (pleasure and health), based on dimensions of eating pleasure and healthy eating corresponding to the perceptions of the targeted population. Individuals with a BMI25 felt more aroused when reading the pleasure-oriented message [medianpleasure (25th percentile, 75th percentile): 7.0 (6.0, 7.0)] than when reading the health-oriented message [medianhealth (25th percentile, 75th percentile): 4.0 (3.0, 6.0), P=0.01]. After 6 months, those in the treatment group lost significantly more weight (mean weight loss 5.3 kg) than those in the placebo group (2.6 kg) and had significantly greater body fat reduction. To tackle this, government sought to stimulate the production and distribution of as much inexpensive food as possible, in particular starchy (high carbohydrate) staple . Healthy eating was promoted through all 4 food groups included in Canada's Food Guide (i.e. To promote prevention behaviors (e.g., use of sunscreen, consumption of fruits and vegetables), a gain-framed message, which highlights the benefits of adopting a behavior, has been shown to be more persuasive than a loss-framed message (33, 35). Median score for the mean of the 6 items. Krebs-Smith SM, Guenther PM, Subar AF, Kirkpatrick SI, Dodd KW. 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).