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WHAT DO YOUNG PEOPLE KNOW
ABOUT AUSTRALIAN DIETARY
GUIDELINES?
Results from two studies




                                               EMILY KOTHE
                           VANESSA ALLOM & BARBARA MULLAN
BACKGROUND


› Australian dietary guidelines
  recommend that adults consume
  two servings of fruit and five
  servings of vegetables each day.


› This recommendation has been
  widely promoted in the Australian
  community through the Go for 2&5
  social marketing campaign.


› Young Australians (19-24 years)
  are less likely than any other age
  group to consume adequate
  amounts of fruit and vegetables.

                                       2
UNDERSTANDING CONSUMPTION

STUDY ONE
› AIM:
 - To investigate the specific factors relevant to healthy eating behaviours in
   Australian young adults using a qualitative design.


› DESIGN:
 - 45 young adults participated in focus group discussions about fruit and
   vegetables.
 - Discussions lasted 1-2 hours and involved 5-7 participants.
 - All focus groups were transcribed verbatim and analysed using framework
   analysis.




                                                                                  3
UNDERSTANDING CONSUMPTION

STUDY ONE
› RESULTS:
 - Analysis identified a number of barriers to consumption that fell into the a priori
   coding frame.
 - Significant knowledge gaps and misunderstandings were also identified.
  - Participants reported feeling confused about dietary guidelines
  - Many groups could not correctly report dietary guidelines
  - Many participants were unsure what foods contributed to dietary guidelines
  - Participants repeatedly made comments that appeared reveal significant
    knowledge gaps relating to serving sizes




                                                                                         4
UNDERSTANDING CONSUMPTION

STUDY ONE
› CONCLUSION:
 - Most fruit and vegetable
   promotion campaigns
   assume that people
   have a certain level of
   knowledge about fruits
   and vegetables.


 - Young people may not
   know enough to
   understand - and
   adhere to - dietary
   guidelines



                                                          5
QUANTIFYING KNOWLEDGE GAPS

STUDY TWO
› AIM:
 - To quantitatively investigate the fruit and vegetable related knowledge of a
   sample of Australian young people.


› DESIGN:
 - One-hundred and six young adults (mean age = 19 years) completed a web-
   based questionnaire that assessed recall and understanding of Australian dietary
   guidelines for fruit and vegetable consumption.
 - Recall of the guidelines, serving size knowledge, and food knowledge were all
   assessed.




                                                                                      6
QUANTIFYING KNOWLEDGE GAPS

STUDY TWO
› RESULTS:
 - Knowledge of Australian dietary recommendations was assessed using both
   unprompted and prompted methods.
  - Unprompted recall:
    - 43% of individuals correctly reported the RDI of fruit
    - 54% of individuals correctly reported the RDI of vegetables.
  - Prompted recall:
    - 48% of individuals correctly reported the RDI of fruit
    - 64% of individuals correctly reported the RDI of vegetables.
    - Only 9% of participants correctly reported the Australia dietary guidelines for
      both fruit and vegetable consumption.


                                                                                        7
QUANTIFYING KNOWLEDGE GAPS

STUDY TWO
› RESULTS:
 - Serving size knowledge was assessed using a serving size approximation task.
   Participants were asked to report the serving size for two fruits and two
   vegetables (apple, grapes, carrot and lettuce)

                          Correct           Incorrect         Don’t Know


   Apple                     61                 34                 0

   Grapes                    41                 47                 0

   Carrot                    30                 57                 4

   Lettuce                   30                 38                 4


                                                                                  8
QUANTIFYING KNOWLEDGE GAPS

STUDY TWO
› RESULTS:
 - Food Product Knowledge was assessed using a recipe task. Participants were
   provided with a recipe and asked to indicate which foods would contribute to their
   daily intake of fruit and vegetables.
                                              % of participants who correctly
                                                 classified the ingredient
   Carrot                                                     97
   Celery                                                     96
   Potato                                                     90
   Turnip                                                     86
   Canned tomato                                              78
   Onion                                                      71
   Tomato paste                                               23
                                                                                        9
QUANTIFYING KNOWLEDGE GAPS

STUDY TWO
› CONCLUSIONS:
 - Young adults in study two appeared to have significant gaps in all three domains
   of fruit and vegetable related knowledge.
  - Only a small minority of individuals could report both the fruit and vegetable
    guidelines
  - Many participants could not accurately report serving sizes or correctly identify
    foods which contribute to their daily intake of fruit and vegetables.
 - Knowledge gaps were consistent with knowledge gaps and misconceptions
   revealed in study one.


    These knowledge gaps show the need for a fresh approach to fruit and
                  vegetable promotion in this population.


                                                                                        10
THANK YOU




            11

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Kothe - ASBHM - What do young people know

  • 1. WHAT DO YOUNG PEOPLE KNOW ABOUT AUSTRALIAN DIETARY GUIDELINES? Results from two studies EMILY KOTHE VANESSA ALLOM & BARBARA MULLAN
  • 2. BACKGROUND › Australian dietary guidelines recommend that adults consume two servings of fruit and five servings of vegetables each day. › This recommendation has been widely promoted in the Australian community through the Go for 2&5 social marketing campaign. › Young Australians (19-24 years) are less likely than any other age group to consume adequate amounts of fruit and vegetables. 2
  • 3. UNDERSTANDING CONSUMPTION STUDY ONE › AIM: - To investigate the specific factors relevant to healthy eating behaviours in Australian young adults using a qualitative design. › DESIGN: - 45 young adults participated in focus group discussions about fruit and vegetables. - Discussions lasted 1-2 hours and involved 5-7 participants. - All focus groups were transcribed verbatim and analysed using framework analysis. 3
  • 4. UNDERSTANDING CONSUMPTION STUDY ONE › RESULTS: - Analysis identified a number of barriers to consumption that fell into the a priori coding frame. - Significant knowledge gaps and misunderstandings were also identified. - Participants reported feeling confused about dietary guidelines - Many groups could not correctly report dietary guidelines - Many participants were unsure what foods contributed to dietary guidelines - Participants repeatedly made comments that appeared reveal significant knowledge gaps relating to serving sizes 4
  • 5. UNDERSTANDING CONSUMPTION STUDY ONE › CONCLUSION: - Most fruit and vegetable promotion campaigns assume that people have a certain level of knowledge about fruits and vegetables. - Young people may not know enough to understand - and adhere to - dietary guidelines 5
  • 6. QUANTIFYING KNOWLEDGE GAPS STUDY TWO › AIM: - To quantitatively investigate the fruit and vegetable related knowledge of a sample of Australian young people. › DESIGN: - One-hundred and six young adults (mean age = 19 years) completed a web- based questionnaire that assessed recall and understanding of Australian dietary guidelines for fruit and vegetable consumption. - Recall of the guidelines, serving size knowledge, and food knowledge were all assessed. 6
  • 7. QUANTIFYING KNOWLEDGE GAPS STUDY TWO › RESULTS: - Knowledge of Australian dietary recommendations was assessed using both unprompted and prompted methods. - Unprompted recall: - 43% of individuals correctly reported the RDI of fruit - 54% of individuals correctly reported the RDI of vegetables. - Prompted recall: - 48% of individuals correctly reported the RDI of fruit - 64% of individuals correctly reported the RDI of vegetables. - Only 9% of participants correctly reported the Australia dietary guidelines for both fruit and vegetable consumption. 7
  • 8. QUANTIFYING KNOWLEDGE GAPS STUDY TWO › RESULTS: - Serving size knowledge was assessed using a serving size approximation task. Participants were asked to report the serving size for two fruits and two vegetables (apple, grapes, carrot and lettuce) Correct Incorrect Don’t Know Apple 61 34 0 Grapes 41 47 0 Carrot 30 57 4 Lettuce 30 38 4 8
  • 9. QUANTIFYING KNOWLEDGE GAPS STUDY TWO › RESULTS: - Food Product Knowledge was assessed using a recipe task. Participants were provided with a recipe and asked to indicate which foods would contribute to their daily intake of fruit and vegetables. % of participants who correctly classified the ingredient Carrot 97 Celery 96 Potato 90 Turnip 86 Canned tomato 78 Onion 71 Tomato paste 23 9
  • 10. QUANTIFYING KNOWLEDGE GAPS STUDY TWO › CONCLUSIONS: - Young adults in study two appeared to have significant gaps in all three domains of fruit and vegetable related knowledge. - Only a small minority of individuals could report both the fruit and vegetable guidelines - Many participants could not accurately report serving sizes or correctly identify foods which contribute to their daily intake of fruit and vegetables. - Knowledge gaps were consistent with knowledge gaps and misconceptions revealed in study one. These knowledge gaps show the need for a fresh approach to fruit and vegetable promotion in this population. 10
  • 11. THANK YOU 11