@article{2987403,
    title = "Diet-related behaviors and diet quality among school-aged adolescents living in Greece",
    author = "Benetou, V. and Kanellopoulou, A. and Kanavou, E. and Fotiou, A. and Stavrou, M. and Richardson, C. and Orfanos, P. and Kokkevi, A.",
    journal = "Nutrient Cycling in Agroecosystems",
    year = "2020",
    volume = "12",
    number = "12",
    pages = "1-15",
    publisher = "MDPI AG",
    issn = "1385-1314",
    doi = "10.3390/nu12123804",
    keywords = "adolescence;  adolescent;  article;  candy;  child;  cross-sectional study;  diet;  fast food;  female;  fruit;  Greece;  human;  major clinical study;  meal;  prevalence;  public health;  restaurant;  school child;  sugar-sweetened beverage;  vegetable;  adolescent behavior;  diet;  fast food;  feeding behavior;  Greece;  health behavior;  male;  meal;  statistical model;  student, Adolescent;  Adolescent Behavior;  Child;  Cross-Sectional Studies;  Diet Surveys;  Diet, Healthy;  Feeding Behavior;  Female;  Fruit;  Greece;  Health Behavior;  Humans;  Logistic Models;  Male;  Meals;  Snacks;  Students;  Vegetables",
    abstract = "Prevalence of diet-related behaviors (i.e., breakfast consumption, eating with the family) and their asso-ciation with a 17-point diet quality score, constructed on the basis of reported frequency (in days/week) of vegetable, fruit, sweets and sugar-sweetened beverages consumption, was investigated among 3525 adolescents (51.5% girls) aged 11, 13 and 15 years, who were participants in the Greek arm of the international Health Behaviour in School-Aged Children (HBSC) cross-sectional study, during 2018. Almost one-third (32.9%) of the sample had breakfast ≤1 day/weekdays, 20.2% rarely ate with the family, 26.1% had a meal while watching TV ≥5 days/week, 31.7% had a snack in front of a screen ≥5 days/week and 24.1% ate in fast-food restaurants at least once/week. Multivariable ordinal logistic regression revealed that eating breakfast ≤1 day/weekdays compared to 4–5 days/weekdays (Odds ratio (OR): 1.56, 95% con-fidence interval (CI): 1.34–1.82), eating rarely with the family compared to almost every day (OR: 1.35, 95% CI: 1.13–1.60) and eating in fast-food restaurants ≥2 times/week vs. rarely (OR: 4.59, 95% CI: 3.14–6.70) were associated with higher odds of having poor diet quality. High frequency of having meals/snacks in front of a screen/TV was also associated with poor diet quality. Efforts to prevent or modify these behav-iors during adolescence may contribute to healthier diet. © 2020 by the authors. Licensee MDPI, Basel, Switzerland."
}