Category: Children

Psychological barriers to proper nutrition

Psychological barriers to proper nutrition

Accessed Injury prevention through diet Aug Psychhological Chart. If chicken and eggs propr produced in traditional ways, this method will not be able to meet the need of the increasing population. Studying health-related internet and mobile device use using web logs and smartphone records. The remaining 35 were unable to provide consent.

Psychological barriers to proper nutrition -

While support for improving nutrition and physical activity behaviors from reputable providers including health professionals was seen as a priority, most participants indicated they wanted to receive these messages through social media channels.

Our results point to a clear opportunity to improve nutrition and physical activity behaviors in this vulnerable group, which could enhance both mental and physical health outcomes across their lifespan [ 46 ]. The poor dietary behaviors in our study sample are similar to results from previous studies in a large sample of young people in Australia who consumed very low levels of fruit and vegetables [ 47 ] and had a high consumption of takeaway foods and drinks with added sugar [ 48 ].

Critically, these foods may be displacing nutrient-rich alternatives if consumed too frequently, leading to poor outcomes for both physical and mental health [ 48 ]. In our study, most participants reported either skipping or not eating breakfast on a regular basis.

Indeed, a greater frequency of skipping breakfast is associated with a higher probability of experiencing depressive symptoms [ 50 ], and young people who consume breakfast have better mental health [ 51 ], indicating that this is a potential area of action for this group.

Walking was the most commonly reported type of physical activity, which is dissimilar to the organized sport preferences of younger Australian children [ 53 ]. Walking is generally considered to be a low-intensity physical activity, which has shown to lack the benefits of moderate or vigorous intensity physical activity for supporting cognitive and mental health measures in young people [ 54 ].

In our study, most participants were aware of how their diet and physical activity compared with public health recommendations, however, substantial barriers in achieving positive behavior changes were reported.

While Australian data shows that healthy diets can be more affordable than current unhealthy diets [ 56 ], research also shows that healthy diets are still unaffordable for some low-socioeconomic groups [ 57 ]. Given more than a third of our survey sample were receiving government financial assistance, financial and physical access to healthy food and opportunities appears to be a major issue in this group.

Our results highlight that in addition to challenges to changing health behaviors in young people in general, for those with poor mental health, barriers are amplified. Our results are similar to other research that shows improving body image, physical health and weight were amongst the top enabling factors for improving diet and physical activity in young people [ 59 ].

In one study in young men, those reporting they experienced greater stress were significantly more likely to rank mental health as a key motivator compared to those experiencing lesser symptoms of stress [ 59 ].

Given the relationship between all these factors and mental health in young people, strategies that improve physical activity and nutrition could promote positive weight and body image outcomes in addition to highlighting the benefits to mental wellbeing could be applied in this group.

Such strategies, based on self-determination theory, that focus on promoting autonomous self-regulatory behavior have been previously demonstrated as effective [ 60 ]. The young people in our study reported wanting to receive health-related nutrition and physical activity support from various, qualified health professionals.

This aligns with research that suggests that young people desire reliable and quality health care information [ 61 ], however in our study, young people commonly reported wanting to receive this information through social media channels. This finding was also confirmed in other Australian research, which was related to the assumed anonymity and privacy that social media offers [ 62 ], in addition to online health information being readily available [ 63 ].

Young people commonly search health related information through online sources [ 64 ]. In our study, the interview and focus group participants expressed concern about how health information can be confusing and misleading when accessed online, particularly when paid advertisements filled their social media.

As such, they expressed a desire for trusted health professionals to deliver the information, or to help them make sense of the information they find online. In addition, young people reported that talking face-to-face was important to them, highlighting that conversations with trusted providers, such as mental health services remain relevant to young people.

Given how widely social media is accessed by young Australians, it is important to explore further how this could be an effective tool for nutrition and physical activity support in young people with mental health issues.

Peer-to-peer support using digital technologies is a preferred method for young people with mental health concerns to promote positive health behaviors [ 65 ]. Congruent with self determination theory [ 66 ], previous health promotion programs have demonstrated the importance of social connectedness and peer support in generating positive behavior change outcomes.

In our study, it was identified that the mental health service was among the top three preferred providers of nutrition and physical activity information, and that some conversations towards diet and physical activity had occurred already for some young people during sessions at headspace. However, given the priority focus on mental health, time pressure and lack of specialization of mental health counsellors in this field it is likely that these were limited to general comments about nutrition and physical activity for wellbeing, and referrals to professional services.

While some preliminary evidence of the acceptability of an exercise program in young people attending a youth mental health service has been published [ 67 ], embedding this approach into standard psychological treatment for young people should be considered.

Improving access for young people to receive nutrition and physical activity interventions may promote their knowledge and confidence, addressing the competency aspect of behavior change [ 66 ]. Integrating support for improving nutrition and physical activity behaviors into current counselling sessions may also be preferable to specialized programs, as it has previously been shown that consumer financial status and other responsibilities can influence program access and attendance in people with mental health issues [ 68 ].

This study has a number of strengths including presenting detailed information about a range of factors impacting nutrition and physical activity behaviors in young people attending a youth mental health service that can be used to directly inform strategies to support young people.

Despite this, limitations of this study are recognised. First, the study is limited by a small sample size due to recruitment challenges and project timeline constraints, which may reduce the power of the study and increase the margin of error. The convenience sampling utilized limits the transferability of the research.

Additionally, the use of paid advertisement on social media to increase response rates means that researchers cannot be certain that all participants met the eligibility criteria, as this was self-reported. The use of the three screening questions for consent impacted the number of young people accessing the survey.

Some survey questions were adapted from validated measures, such as The International Physical Activity Questionnaire [ 69 ], however most survey questions developed for the purpose of this study to be as simple as possible for this population group, regardless of validation, which might contribute to measurement error in this study.

While our study selected appropriate, low literacy questions for screening participants for dietary behaviors to increase engagement, a more comprehensive assessment of diet using validated tools, such as a food frequency questionnaire, should be a priority for future research to more accurately quantify dietary patterns in this at-risk group.

Finally, the study was conducted throughout the COVID pandemic, resulting in delays and limited access to the mental health service at the height of lockdowns. During the study, Tasmania had not had any transmission of COVID. However, it is possible these contextual factors may still have influenced the findings.

Our study, conducted in a sample of young people attending a regional youth mental health service, indicates that most young people are knowledgeable about how their behaviors compare to Australian government nutrition and physical activity recommendations and understand their role in maintaining their mental health.

However, both diet and physical activity behaviors in this group were poor and there are substantial barriers to achieving these recommendations including poor mental health. Our results indicate that young people would prefer support for reputable information and advice to be communicated through social media.

Given the results from this study, which highlights the large scale of poor diet and physical activity behaviors in youth mental health settings, it can be recommended that health professionals be commissioned to either produce or review materials to ensure young people have access to credible and accurate information and support.

Understanding the complexities of behavior change from a self-determination perspective may also enhance the efficacy of interventions within the youth mental health context.

There is an increasing awareness of the importance of dietitians and exercise physiologists in standard care. Further research is still required into how mental health care plans can be extended beyond just psychologists to also include appointments with other allied health professionals, given the increasing importance of multidisciplinary support in the maintenance of good mental health in young people.

Additionally, future research should focus on how to best implement lifestyle interventions that improve nutrition and physical activity behaviors to support mental health outcomes in young people attending mental health services. Australian Institute of Health and Welfare. Health of young people.

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Journal of American College Health , 59 6 , Silliman, K. A survey of dietary and exercise habits and perceived barriers to following a healthy lifestyle in a college population. Cal J Health Promot , 18, If you are struggling to eat better, you may be struggling with one of the following common barriers.

Our Wellness Dietitian Lindsey Wohlford has some ideas to help you move forward if you are facing any of these barriers to change. Just like anything else you want to achieve, you have to plan for healthy eating.

Put time on your calendar to meal plan, grocery shop and prep so you can be sure you have healthy options at your fingertips. You can also use time-saving tricks like buying pre-cut produce, using a slow-cooker or doubling recipes to ensure you have leftovers to freeze.

Try to keep a list of quick, healthy meals and snacks so you don't get stumped when you are shopping and cooking. You can also shop for groceries online to save time. Small changes over time can add up to a big impact and it is much more doable.

Drastic changes all at once can be overwhelming and harder to manage, which can lead to feelings of self-doubt. By mastering small changes you will gain confidence and little improvements will slowly become part of your lifestyle.

Change is a process, not an event. Once you've decided to change your eating habits, you may feel that there is no room for mistakes. At some point, you will backslide and encounter setbacks. When you have an all or nothing mindset, a setback can feel like a failure and prompt you to quit.

Remember that you are aiming for progress, not perfection. Try to view setbacks as a bump in the road and keep going. Change takes time, but you will get there if you just keep going. The enormous number of fad diets as well as all the sources of nutrition information can make healthy eating decisions difficult and confusing.

This can lead to trying many different diets and following nutrition advice that is not evidence-based. A registered dietitian can help cut through the misinformation and provide you with well researched nutrition guidance that is customized for you and your lifestyle.

Dietitians can also offer ongoing support, accountability and encouragement. When you start a healthy lifestyle it can mean giving up foods you like. All foods can fit. A healthy diet is all about learning to eat a variety of foods in moderation.

A dietitian can help you learn how to balance the foods you love with other foods to help you maintain a healthy weight and reduce chronic disease risk.

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