Changes in weight, physical activity, sedentary behaviour and dietary intake during the transition to higher education: a prospective study

International Journal of Behavioral Nutrition and Physical Activity

Ilse De Bourdeaudhuij¹  Tom Deliens³  Delfien Van Dyck²  Benedicte Deforche³ 

[1] Department of Movement and Sports Sciences, Ghent University, Watersportlaan 2, Ghent, 9000, Belgium;Research Foundation Flanders (FWO), Egmontstraat 5, Brussels, 1000, Belgium;Department of Human Biometrics and Biomechanics, Vrije Universiteit Brussel, Pleinstraat 2, Brussels, 1050, Belgium

关键词: Body weight changes;    Students;    Longitudinal study;    Health behaviour;    Freshman 15;    Body mass index;   

Others  :  1135870
DOI  :  10.1186/s12966-015-0173-9

 received in 2014-03-21, accepted in 2015-01-26,  发布年份 2015

【 摘 要 】

Background

The transition to higher education involves a significant life change and might be accompanied with less healthy behaviours. However, the only longitudinal study that spanned the period from high school to college/university was limited to self-reported weight. Other studies assessed objective weight, but only at the start of the first semester at college/university and used retrospective questionnaires to asses health behaviours in high school. This study investigated changes in objectively assessed weight and prospective health behaviours during the transition from high school to college/university in Belgian students and examined which health behaviour changes were related to weight change.

Methods

A sample of 291 students was followed from the final year of high school until the second year of college/university. Body mass index (BMI) and waist circumference were measured objectively. Physical activity, sedentary behaviours and dietary intake were estimated using validated questionnaires. In order to study changes in BMI and health behaviours, 2 × 2 (time × gender) Repeated Measures ANOVA analyses were conducted. A stepwise multiple regression analysis was executed to investigate the association between changes in health behaviours and BMI changes, and the moderating effect of gender.

Results

On average students gained 2.7 kg with a greater increase in boys (boys: 4.2 kg, girls: 1.9 kg). Active transportation and sport participation decreased. Some sedentary behaviours (watching TV/DVD, playing computer games) decreased, while others (internet use, studying) increased. Consumption of different foods decreased, while alcohol consumption increased. A higher decrease in sport participation, a higher increase in internet use and a lower increase in studying were related to a greater increase in BMI. An increase in alcohol consumption only contributed to weight gain in boys, whereas a decrease in fruit/vegetable intake only contributed to weight gain in girls.

Conclusion

We can conclude that the transition to higher education is an at risk period for weight gain and unfavourable changes in health behaviours. Interventions to prevent weight gain in college/university students should therefore already start in high school with a somewhat different focus in boys versus girls.

【 授权许可】

   
2015 Deforche et al.; licensee BioMed Central.

【 参考文献 】

• [1]Gill TP: Key issues in the prevention of obesity. Br Med Bull 1997, 53:359-88.
• [2]Crombie AP, Ilich JZ, Dutton GR, Panton LB, Abood DA: The freshman weight gain phenomenon revisited. Nutr Rev 2009, 67:83-94.
• [3]Gordon-Larsen P, Adair LS, Nelson MC, Popkin BM: Five-year obesity incidence in the transition period between adolescence and adulthood. Am J Clin Nutr 2004, 80:569-75.
• [4]Vella-Zarb RA, Elgar FJ: The ‘freshman 5’: a meta-analysis of weight gain in the freshman year of college. J Am Coll Health 2009, 58:161-6.
• [5]Arnett JJ: Emerging adulthood, a theory of development from the late teens through the twenties. Am Psych 2000, 55:469-80.
• [6]Brooks JH, DuBois DL: Individual and environmental predictors of adjustment during the first year of college. J Coll Student Dev 1995, 36:347-60.
• [7]Compas B, Wagner B, Slavin L, Vannatta K: A prospective study of life events, social support, and psychological symptomatology during the transition from high school to college. Am J Community Psychol 1986, 14:241-57.
• [8]Paul EL, Brier S: Friendsickness in the transition to college: precollege predictors and college adjustment correlates. J Couns Dev 2001, 79:77-89.
• [9]Holm-Denoma JM, Joiner TE, Vohs KD, Heatherton TF: The “freshman fifteen” (the “freshman five” actually): predictors and possible explanations. Health Psychol 2008, 27(Suppl 1):S3-9.
• [10]Deliens T, Clarys P, Van Hecke L, De Bourdeaudhuij I, Deforche B: Changes in weight and body composition during the first semester at university. A prospective explanatory study. Appetite 2013, 65C:111-6.
• [11]Cluskey M, Grobe D: College weight gain and behavior transitions: boy and girl differences. J Am Diet Assoc 2009, 109:325-9.
• [12]Mifsud G, Duval K, Doucet E: Low body fat and high cardiorespiratory fitness at the onset of the freshmen year may not protect against weight gain. Br J Nutr 2009, 101:1406-12.
• [13]Mihalopoulos NL, Auinger P, Klein JD: The freshman 15: is it real? J Am Coll Health 2008, 56:531-3.
• [14]Racette SD: Changes in weight and health behaviors from freshmen through senior year of college. J Nutr Educ Behav 2008, 40:39-42.
• [15]Gillen MM, Lefkowitz ES: The ‘freshman 15’: trends and predictors in a sample of multiethnic men and women. Eat Behav 2011, 12:261-6.
• [16]Hoffman DJ, Policatro P, Quick V, Lee SK: Changes in body weight and fat mass of men and women in the first year of college: a study of the “freshman 15”. J Am Coll Health 2006, 55:41-5.
• [17]Lloyd-Richardson EE, Bailey S, Fava JL, Wing R: the Tobacco Etiology Research Network (TERN): A prospective study of weight gain during the college freshman and sophomore years. Prev Med 2009, 48:256-61.
• [18]Kasparek DC: Selected health behaviors that influence college freshman weight change. J Am Coll Health 2008, 56:437-44.
• [19]Provencher V, Polivy J, Wintre MG, Pratt MW, Pancer SM, Birni-Lefcovitch S, et al.: Who gains or who loses weight? Psychosocial factors among first-year university students. Physiol Behav 2009, 96:135-41.
• [20]Keating XD, Guan J, Pinero JC, Bridges DW: A meta-analysis of college students’ physical activity behaviors. J Am Coll Health 2005, 54:116-25.
• [21]Serlachius AM: Stress and weight change in university students in the United Kingdom. Physiol Behav 2007, 92:548-53.
• [22]Bray SR, Born HA: Transition to university and vigorous physical activity: implications for health and psychological wellbeing. J Am Coll Health 2004, 52:181-8.
• [23]Wengreen HJ, Moncur C: Change in diet, physical activity, and body weight among young-adults during the transition from high school to college. Nutr J 2009, 8:32. BioMed Central Full Text
• [24]Morrow ML, Heesch KC, Dinger MK, Hull HR, Kneehans AW, Fields DA: Freshman 15: fact or fiction? Obesity (Silver Spring) 2006, 14:1438-43.
• [25]Jung ME, Bray SR, Ginis KAM: Behavior change and the Freshman 15: tracking physical activity and dietary patterns in 1st-year university women. J Am Coll Health 2008, 56:523-30.
• [26]Levitsky DA, Halbmaier CA, Mrdjenovic G: The freshman weight gain: a model for the study of the epidemic of obesity. Int J Obes 2004, 28:1435-42.
• [27]Pliner P, Saunders T: Vulnerability to freshman weight gain as a function of dietary restraint and residence. Physiol Behav 2008, 93:76-82.
• [28]Economos CD, Hildrbrandt L, Hyatt RR: College freshman stress and weight change: differences by gender. Am J Health Behav 2008, 32:16-25.
• [29]International Society for the Advancement of Kinanthropometry: International standards for anthropometric assessment. ISAK, Potchefstroom, South Africa; 2001.
• [30]Garrow JS, Webster J: Quetelet’s index (W/H2) as a measure of fatness. Int J Obes 1985, 9:147-53.
• [31]Philippaerts RM, Matton L, Wijndaele K, Balduck AL, De Bourdeaudhuij I, Lefevere J: Validity of a physical activity computer questionnaire in 12- to 18-year-old boys and girls. Int J Sports Med 2006, 27:131-6.
• [32]Rosenberg DE, Norman GJ, Wagner N, Patrick K, Calfas KJ, Sallis JF: Reliability and validity of the Sedentary Behavior Questionnaire (SBQ) for adults. J Phys Act Heatlh 2010, 7:697-705.
• [33]Rosenberg DE, Sallis JF, Kerr J, Maher J, Norman GJ, Durant N, et al.: Brief scales to assess physical activity and sedentary equipment in the home. Int J Behav Nutr Phys Act 2010, 7:10. BioMed Central Full Text
• [34]Vereecken CA, Rossi S, Giacchi MV, Maes L: Comparison of a short food-frequency questionnaire and derived indices with a seven-day diet record in Belgian and Italian children. Int J Public Health 2008, 53:297-305.
• [35]Vereecken CA, Maes L: A Belgian study on the reliability and relative validity of the Health Behaviour in School-Aged Children food-frequency questionnaire. Public Health Nutr 2003, 6:581-8.
• [36]Bland JM, Altman DG: Regression towards the mean. British Med J 1994, 308:1499.
• [37]Cohen J, Cohen P: Applied multiple regression/correlation for the behavioral sciences. 2nd edition. Erlbaum, Hillsdale, NJ; 1985.
• [38]Cohen J: Statistical power analysis for the behavioral sciences (2nd ed). Lawrence Erlbaum, New Jersey; 1988.
• [39]Sterne JAC, Davey Smith G: Sifting the evidence—what’s wrong with significance tests? BMJ 2001, 322:226-31.
• [40]Gropper SS, Newton A, Harrington P, Simmons KP, Connell LJ, Ulrich P: Body composition changes during the first two years of university. Prev Med 2011, 52:20-2.
• [41]Loyd-Richardon EE, Lucero ML, Dibello JR, Jacobson AE, Wing RR: The relationship between alcohol use, eating habits and weight change in college freshmen. Eat Behav 2008, 9:504-8.
• [42]Lewis CE, Jacobs DR, McCreath H, Kiefe CI, Schreiner PJ, Smith DE, et al.: Weight gain continues in the 1990s: 10-year trends in weight and overweight from the CARDIA study. Am J Epidemiol 2000, 151:1172-81.
• [43]Reas DL, Nygård JF, Svensson E, Sørensen T, Sandanger I: Changes in body mass index by age, gender, and socio-economic status among a cohort of Norwegian men and women (1990–2001). BMC Public Health 2007, 7:269. BioMed Central Full Text
• [44]Balkau B, Deanfield JE, Despre’s JP, Bassand JP, Fox KA, Smith SC Jr, et al.: International day for the evaluation of abdominal obesity (idea): a study of waist circumference, cardiovascular disease, and diabetes mellitus in 168,000 primary care patients in 63 countries. Circulation 2007, 116:1942-51.
• [45]Eaton DK, Kann L, Kinchen S, Shanklin S, Ross J, Hawkins J, et al.: Youth risk behavior surveillance—United States, 2009. MMWR Surveill Summ 2010, 59:1-142.
• [46]Ward BW, Gryczynski J: Alcohol use and participation in organized recreational sports among university undergraduates. J Am Coll Health 2007, 56:273-80.
• [47]Daskapan A, Tuzun EH, Eker L: Perceived barriers to physical activity in university students. J Sports Sci Med 2006, 5:615-20.
• [48]Gomez-Lopez M, Granero-Gallegos A, Baena-Extremera A, Ruiz-Juan F: The abandonement of an active lifestyle within university students: reasons for abandonement and expectations of re-engagement. Psychol Belg 2011, 51:155-75.
• [49]Lacaille LJ, Dauner KN, Krambeer RJ, Pedersen J: Psychosocial and environmental determinants of eating behaviors, physical activity, and weight change among college students: a qualitative analysis. J Am Coll Health 2011, 59:531-8.
• [50]Nelson MC, Kocos R, Lytle LA, Perry CL: Understanding the perceived determinants of weight-related behaviors in late adolescence: a qualitative analysis among college youth. J Nutr Educ Behav 2009, 41:287-92.
• [51]Boone JE, Gordon-Larsen P, Adair LS, Popkin BM: Screen time and physical activity during adolescence: longitudinal effects on obesity in young adulthood. Int J Behav Nutr Phys Act 2007, 4:26. BioMed Central Full Text
• [52]De Cocker KA, van Uffelen JGZ, Brown WJ: Associations between sitting time and weight in young adult Australian women. Prev Med 2010, 51:361-7.
• [53]Junger M, van Kampen M: Cognitive ability and self-control in relation to dietary habits, physical activity and bodyweight in adolescents. Int J Behav Nutr Phys Act 2010, 23(7):22. BioMed Central Full Text
• [54]Werch CE, Gorman DR: Relationship between self-control and alcohol consumption patterns and problems of college students. J Stud Alcohol 1988, 49:30-7.
• [55]Leeman RF, Wapner S: Some factors involved in alcohol consumption of first-year undergraduates. J Drug Educ 2001, 31:249-62.
• [56]Tangney JP, Baumeister RF, Boone AL: High self-Control predicts good adjustment, less Pathology, better Grades, and interpersonal success. J Pers 2004, 72:271-324.
• [57]Oaten M, Cheng K: Improved self-control: the benefits of a regular program of academic study. Basic Appl Soc Psych 2006, 28:1-16.
• [58]Greaney ML, Less FD, White AA, Dayton SF, Riebe D, Blissmer B, et al.: College Students’ barriers and enablers for healthful weight management: a qualitative study. J Nutr Educ Behav 2009, 41:281-6.
• [59]Butler SM, Black DR, Blue CL, Gretebeck RJ: Change in diet, physical activity, and body weight in girl college freshman. Am J Health Behav 2004, 28:24-32.
• [60]Rolls BJ, Ello-Martin JA, Tohill BC: What Can intervention studies tell Us about the relationship between fruit and vegetables consumption and weight management? Nutr Rev 2004, 62:1-17.
• [61]Alinia S, Hels O, Tetens I: The potential association between fruit intake and body weight – a review. Obes Rev 2009, 10:639-47.
• [62]Ledoux TA, Hingle MD, Baranowski T: Relationship of fruit and vegetable intake with adiposity: a systematic review. Obes Rev 2011, 12:e143-50.
• [63]Aljadani HM, Patterson A, Sibbritt D, Hutchesson MJ, Jensen ME, Collins CE: Diet quality, measured by fruit and vegetable intake, predicts weight change in young women. J Obes 2013, 2013:525161.
• [64]te Velde SJ, Twisk JW, Brug J: Tracking of fruit and vegetable consumption from adolescence into adulthood and its longitudinal association with overweight. Br J Nutr 2007, 98:431-8.
• [65]Bes-Rastrollo M, Martinez-Gonzalez MA, Sanchez-Villegas A, de la Fuente Arrillaga C, Martinez JA: Association of fiber intake and fruit/vegetable consumption with weight gain in a Mediterranean population. Nutrition 2006, 22:5004-11.
• [66]Boeing H, Bechthold A, Bub A, Ellinger S, Haller D, Kroke A, et al.: Critical review: vegetables and fruit in the prevention of chronic diseases. Eur J Nutr 2012, 6:637-63.
• [67]Lowe RM, Annunziato RA, Markowitz JT, Didie E, Bellace DL, Riddell L, et al.: Multiple types of dieting prospectively predict weight gain during the freshman year of college. Appetite 2006, 47:83-90.
• [68]Merten JM, Williams AL, Shriver LH: Breakfast consumption in adolescence and young adulthood: parental presence, community context, and obesity. J Am Diet Assoc 2009, 109:1384-91.
• [69]Quick V, Wall M, Larson N, Haines J, Neumark-Sztainer D: Personal, behavioral and socio-environmental predictors of overweight incidence in young adults: 10-yr longitudinal findings. Int J Behav Nutr Phys Act 2013, 10:37. BioMed Central Full Text
• [70]Kim KN, Lee KS: Nutrition knowledge, dietary attitudes, and food behaviors of college students. Korean J Community Nutr 1996, 1:89-99.