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Understanding the Perceived Determinants of Weight-related Behaviors in Late Adolescence: A Qualitative Analysis among College Youth

      Abstract

      Objective

      Identify key factors underlying college weight gain, nutrition, and physical activity.

      Design

      Six focus groups and one-on-one interviews.

      Setting

      Large, public Midwestern university.

      Participants

      Fifty full-time freshman and sophomore students.

      Main Outcome Measures

      Factors influencing weight and weight-related behaviors among undergraduates.

      Analysis

      Qualitative analysis using a specific thematic approach, identifying themes appearing consistently across transcripts from recorded sessions.

      Results

      Major themes that emerged in describing important influences on weight, dietary intake, and physical activity included: unhealthful food availability on campus, snacking, late-night eating, alcohol-related eating, eating because of stress/boredom, and food in student dorm rooms. Other factors related to physical activity included: negative experiences using campus recreation facilities; poor weather; and lack of time/time management, motivation, and social support for exercise.

      Conclusions and Implications

      A wide range of factors may underlie weight gain and unhealthful diet and physical activity patterns during the college years. Young adulthood is an important and overlooked area for obesity prevention efforts. Universities need to take an active role in designing and evaluating weight-related health promotion intervention strategies focusing on a variety of targets, including individual-, social-, and environmental-level influences.

      Key Words

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      References

        • Gordon-Larsen P.
        • Adair L.S.
        • Nelson M.C.
        • Popkin B.M.
        Five-year obesity incidence in the transition period between adolescence and adulthood.
        Am J Clin Nutr. 2004; 80: 569-575
        • Nelson MC.
        • Story M.
        • Larson NI.
        • Neumark-Sztainer D.
        • Lytle LA.
        Emerging adulthood and college-aged youth: an overlooked age for weight-related behavior change.
        Obesity. 2008; 16: 2205-2211
        • Nelson M.
        • Neumark-Sztainer D.
        • Hannan P.
        • Sirard J.
        • Story M.
        Longitudinal and secular trends in physical activity and sedentary behavior during adolescence.
        Pediatrics. 2006; 118: 1627-1634
        • Demory-Luce D.
        • Morales M.
        • Nicklas T.
        • Baranowski T.
        • Zakeri I.
        • Berenson G.
        Changes in food group consumption patterns from childhood to young adulthood: the Bogalusa Heart Study.
        J Am Diet Assoc. 2004; 104: 1684-1691
      1. Youth Risk Behavior Surveillance: National College Health Risk Behavior Survey—United States, 1995.
        MMWR Surveill Summ. 1997; 46: 1-56
        • Huang T.T.
        • Harris K.J.
        • Lee R.E.
        • Nazir N.
        • Born W.
        • Kaur H.
        Assessing overweight, obesity, diet, and physical activity in college students.
        J Am Coll Health. 2003; 52: 83-86
        • Debate R.D.
        • Topping M.
        • Sargent R.G.
        Racial and gender differences in weight status and dietary practices among college students.
        Adolescence. 2001; 36: 819-833
        • Butler S.M.
        • Black D.R.
        • Blue C.L.
        • Gretebeck R.J.
        Change in diet, physical activity, and body weight in female college freshman.
        Am J Health Behav. 2004; 28: 24-32
        • Racette S.B.
        • Deusinger S.S.
        • Strube M.J.
        • Highstein G.R.
        • Deusinger R.H.
        Weight changes, exercise, and dietary patterns during freshman and sophomore years of college.
        J Am Coll Health. 2005; 53: 245-251
        • Buckworth J.
        • Nigg C.
        Physical activity, exercise, and sedentary behavior in college students.
        J Am Coll Health. 2004; 53: 28-34
        • Levitsky D.A.
        • Halbmaier C.A.
        • Mrdjenovic G.
        The freshman weight gain: a model for the study of the epidemic of obesity.
        Int J Obes Relat Metab Disord. 2004; 28: 1435-1442
        • Anderson D.A.
        • Shapiro J.R.
        • Lundgren J.D.
        The freshman year of college as a critical period for weight gain: an initial evaluation.
        Eat Behav. 2003; 4: 363-367
        • Racette S.B.
        • Deusinger S.S.
        • Strube M.J.
        • Highstein G.R.
        • Deusinger R.H.
        Changes in weight and health behaviors from freshman through senior year of college.
        J Nutr Educ Behav. 2008; 40: 39-42
        • Driskell J.A.
        • Kim Y.N.
        • Goebel K.J.
        Few differences found in the typical eating and physical activity habits of lower-level and upper-level university students.
        J Am Diet Assoc. 2005; 105: 798-801
        • Baranowski T.
        • Perry C.L.
        • Parcel G.S.
        How individuals, environments, and health behavior interact: Social Cognitive Theory.
        in: Glanz K. Rimer B.K. Lewis F.M. Health Behavior and Health Education: Theory, Research, and Practice. 3rd ed. Jossey-Bass Publishers, San Francisco, CA2002: 165-184
        • Miles M.B.
        • Huberman A.M.
        Qualitative Data Analysis: An Expanded Sourcebook. Sage Publications, Inc., Thousand Oaks, CA1994
        • World Health Organization
        Physical Status: The Use and Interpretation of Anthropometry. World Health Organization, Geneva, Switzerland1995 (WHO Technical Report Series 854)
      2. Position of the American Dietetic Association, Society for Nutrition Education, and American School Food Service Association. Nutrition services: an essential component of comprehensive school health programs.
        J Nutr Educ Behav. 2003; 35: 57-67
      3. Center for Science in the Public Interest. The School Foods Report Card. Available at: http://www.cspinet.org/nutritionpolicy/sf_reportcard.pdf. Accessed April 22, 2009.

        • Neumark-Sztainer D.
        • French S.A.
        • Hannan P.J.
        • Story M.
        • Fulkerson J.A.
        School lunch and snacking patterns among high school students: associations with school food environment and policies.
        Int J Behav Nutr Phys Act. 2005; 2: 14
        • French S.A.
        • Jeffery R.W.
        • Story M.
        • et al.
        Pricing and promotion effects on low-fat vending snack purchases: The CHIPS Study.
        Am J Public Health. 2001; 91: 112-117
        • French S.A.
        • Jeffery R.W.
        • Story M.
        • Hannan P.
        • Snyder M.P.
        A pricing strategy to promote low-fat snack choices through vending machines.
        Am J Public Health. 1997; 87: 849-851
        • French S.A.
        • Story M.
        • Fulkerson J.A.
        • Hannan P.
        An environmental intervention to promote lower-fat food choices in secondary schools: outcomes of the TACOS Study.
        Am J Public Health. 2004; 94: 1507-1512
        • French S.A.
        • Wechsler H.
        School-based research and initiatives: fruit and vegetable environment, policy, and pricing workshop.
        Prev Med. 2004; 39: S101-S107
        • Fulkerson J.A.
        • French S.A.
        • Story M.
        • Nelson H.
        • Hannan P.J.
        Promotions to increase lower-fat food choices among students in secondary schools: description and outcomes of TACOS (Trying Alternative Cafeteria Options in Schools).
        Public Health Nutr. 2004; 7: 665-674
        • Transportation Research Board of the National Academies
        Does the Built Environment Influence Physical Activity? Examining the Evidence. Institute of Medicine, National Academy of Sciences, Washington, DC2005 (Transportation Research Board Special Report 282)