Access and time as the main determinants of healthy lifestyle choices, in a sample of Portuguese adults

Natural and Environmental Sciences

Authors

  • Maria Paula Pinto Instituto Politécnico de Santarém - Escola Superior Agrária; Centro de Investigação em Qualidade de Vida (CIEQV) https://orcid.org/0000-0001-6379-1768
  • Vanda Lopes de Andrade Instituto Politécnico de Santarém - Escola Superior Agrária; Centro de Investigação em Qualidade de Vida (CIEQV)
  • Andreia Páscoa Instituto Politécnico de Santarém - Escola Superior Agrária

DOI:

https://doi.org/10.25746/ruiips.v10.i1.28808

Keywords:

Physical activity, Mediterranean Diet, Behavior change

Abstract

Mediterranean diet (MD), regular physical activity (PA), non-smoking, and adequate rest are healthy lifestyle habits that reduce risk of non-communicable diseases. Despite health campaigns and policies enforced by the Portuguese Government, tobacco smoking and overweight, derived from a combination of sedentarism and non-healthy food patterns, have been steadily increasing in the Portuguese adult population. The present study aimed to assess the predisposition to change habits leading to a healthier lifestyle in a convenience sample of 206 Portuguese adults and identify external factors that could help to overcome psychological barriers and prompt these changes.  Most of the participants were predisposed to improve their own and the community well-being through the implementation of healthier lifestyle habits (83.0%). A high percentage of participants reported they would like to improve MD food habits (81.6%), followed by regular PA (65.0 %), sleep 7 to 8 hours per night (47 %), and quit smoking (22.3%). Compared to women, a higher proportion of men reported they should increase fruit consumption (62.5% men, 42.1% women, p=0.02), and whole cereals (30% men, 13.5% women, p=0.017), as well as to reduce red meat (42.5% men, 23.8% women, p=0.02), and reduce butter and increase olive oil consumption (32.5% men, 15.9% women, p=0.022). More access to healthier foods and local producers was reported by most participants (48.5%) as the main external factor that would facilitate the adoption of healthier food choices. More time was the main factor reported to adopt regular PA (62,6%).

References

Abbate, M., Gallardo-Alfaro, L., Bibiloni, M.D.M. & Tur, J.A. (2020). Efficacy of dietary intervention or in combination with exercise on primary prevention of cardiovascular disease: A systematic review. Nutr Metab Cardiovasc Dis. 30(7),1080-1093. https://doi.org/10.1016/j.numecd.2020.02.020.

Andrade, V., Jorge, R., García-Conesa, M.-T., Philippou, E., Massaro, M., Chervenkov, M., Ivanova, T., Maksimova, V., Smilkov, K., Ackova, D.G., Miloseva, L., Ruskovska, T., Deligiannidou, G.E., Kontogiorgis, C.A. & Pinto, P. (2020). Mediterranean Diet Adherence and Subjective Well-Being in a Sample of Portuguese Adults. Nutrients, 12(12), 3837. DOI: 10.3390/nu12123837. https://www.mdpi.com/2072-6643/12/12/3837.

Brandt, C.J., Clemensen, J., Nielsen, J.B., & Søndergaard, J. (2018). Drivers for successful long-term lifestyle change, the role of e-health: a qualitative interview study. BMJ Open, 8(3), e017466. http://dx.doi.org/10.1136/bmjopen-2017-017466.

Cavallini, M. F., Callaghan, M. E. , Premo, C. B. , Scott, J. W. , & Dyck, D. J. (2020). Lack of Time is the Consistent Barrier to Physical Activity and Exercise in 18 to 64 year-old Males and Females from both South Carolina and Southern Ontario. Journal of Physical Activity Research, 5(2), 100-106. DOI: 10.12691/jpar-5-2-6. http://pubs.sciepub.com/jpar/5/2/6/index.html.

DGS, Ministério da Saúde, Direção-Geral da Saúde (2017). PNPAF, Programa Nacional para a Promoção da Atividade Física, Portugal. Retrieved January 21, 2021 from https://r-3.sns.gov.pt/wp-content/uploads/2017/10/DGS_PNPAF2017_V7.pdf.

EU, European Union. General Data Protection Regulation. (2016). Regulation (eu) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the Protection of Natural Persons with Regard to the Processing of Personal Data and on the Free Movement of such Data, and Repealing Directive 95/46/ec.

Enriquez, J.P. & Archila-Godinez, J.C. (2022). Social and cultural influences on food choices: A review. Crit Rev Food Sci Nutr., 62(13), 3698-3704. doi: 10.1080/10408398.2020.1870434.

German, C. A., Baum, S. J., Ferdinand, K. C., Gulati, M., Polonsky, T. S., Toth, P. P., & Shapiro, M. D. (2022). Defining preventive cardiology: A clinical practice statement from the American Society for Preventive Cardiology. American journal of preventive cardiology, 12, 100432. https://doi.org/10.1016/j.ajpc.2022.100432.

GHO, Global Health Observatory, World Health Organization, prevalence of cigarette smokers, and overweight among adults, Portugal. Retrieved March 29, 2021, from https://www.who.int/data/gho.

IOM, Institute of Medicine. (2015). Physical Activity: Moving Toward Obesity Solutions: Workshop Summary. Washington, DC: The National Academies Press. https://doi.org/10.17226/21802.

Lee, R.L.T.& Loke, A.J.T.Y. (2005). Health-Promoting Behaviors and Psychosocial Well-Being of University Students in Hong Kong. Public Health Nursing. 22(3), 209—220. http://dx.doi.org/10.1111/j.0737-1209.2005.220304.x.

Maccagnan, A., Wren-Lewis, S., Brown, H., & Taylor, T. (2019). Wellbeing and Society: Towards Quantification of the Co-benefits of Wellbeing. Soc Indic Res 141, 217–243. https://doi.org/10.1007/s11205-017-1826-7.

Marôco, J. (2018). Análise Estatística com SPSS Statistics; Report Number, Lda: Pêro Pinheiro, Portugal, p. 1005.

Middleton, K.R., Anton, S.D. & Perri, M.G. (2013). Long-Term Adherence to Health Behavior Change. Am J Lifestyle Med. 7(6), 395-404. https://journals.sagepub.com/doi/10.1177/1559827613488867.

Morales, J.S., Valenzuela, P.L., Castillo-García, A., Butragueño, J., Jiménez-Pavón, D., Carrera-Bastos, P. & Lucia A. (2021). The Exposome and Immune Health in Times of the COVID-19 Pandemic. Nutrients. 14(1), 24. https://doi.org/10.3390/nu14010024.

Nielsen, J. B., Leppin, A., Gyrd-Hansen, D. E., Jarbøl, D. E., Søndergaard, J., & Larsen, P. V. (2017). Barriers to lifestyle changes for prevention of cardiovascular disease - a survey among 40-60-year old Danes. BMC cardiovascular disorders, 17(1), 245. https://doi.org/10.1186/s12872-017-0677-0,

Prendergast, K.B., Schofield, G.M., & Mackay, L.M. (2016). Associations between lifestyle behaviours and optimal wellbeing in a diverse sample of New Zealand adults. BMC Public Health,16:62. https://doi: 10.1186/s12889-016-2755-0.

Prinelli, F., Yannakoulia, M., Anastasiou, C.A., Adorni, F., Di Santo, S.G., Musicco, M., Scarmeas, N., & Correa Leite, M.L. (2015). Mediterranean diet and other lifestyle factors in relation to 20-year all-cause mortality: a cohort study in an Italian population. Br J Nutr, 113(6),1003-11. https://doi.org/10.1017/S0007114515000318.

Stepanyan, L., & Asriyan, E. (2022). Psychophysiological correlates of students' well-being in armenia. Georgian medical news, (328-329), 90–96.

Van den Brandt, P.A. (2011). The impact of a Mediterranean diet and healthy lifestyle on premature mortality in men and women. The American Journal of Clinical Nutrition, 94(3), 913–920. https://doi.org/10.3945/ajcn.110.008250.

Turner C., Aggarwal A., Walls H., Herforth, A., Drewnowski, A., Coates, J., Kalamatianou, S. (2018). Concepts and critical perspectives for food environment research: a global framework with implications for action in low- and middle-income countries. Glob Food Sec, 18, 93- 101. https://doi.org/10.1016/j.gfs.2018.08.003.

Vadiveloo, M.K., Sotos-Prieto, M., Parker, H.W., Yao, Q., & Thorndike, A.N. (2021). Contributions of Food Environments to Dietary Quality and Cardiovascular Disease Risk. Curr Atheroscler Rep, 23(4), 14. https://doi.org/10.1007/s11883-021-00912-9

Viera, A.J. & Reamy, B.V. Jr. (2022). Cardiovascular Disease Prevention: Lifestyle Interventions for Primary Prevention. FP Essent, 520, 15-19.

Downloads

Published

2022-12-29

How to Cite

Pinto, P., Lopes de Andrade, V., & Páscoa, A. (2022). Access and time as the main determinants of healthy lifestyle choices, in a sample of Portuguese adults: Natural and Environmental Sciences. Revista Da UI_IPSantarém, 10(1), e28808. https://doi.org/10.25746/ruiips.v10.i1.28808

Most read articles by the same author(s)

<< < 1 2