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Adolescent diet and physical activity in the context of economic, social and nutrition transition in rural Maharashtra, India: a qualitative study

Adolescent diet and physical activity in the context of economic, social and nutrition transition in rural Maharashtra, India: a qualitative study
Adolescent diet and physical activity in the context of economic, social and nutrition transition in rural Maharashtra, India: a qualitative study
Objective:
To explore the perceptions of adolescents and their caregivers on drivers of diet and physical activity in rural India in the context of ongoing economic, social and nutrition transition.

Design:
A qualitative study comprising eight focus group discussions (FGD) on factors affecting eating and physical activity patterns, perceptions of health and decision-making on food preparation.

Setting:
Villages approximately 40–60 km from the city of Pune in the state of Maharashtra, India.

Participants:
Two FGD with adolescents aged 10–12 years (n 20), two with 15- to 17- year-olds (n 18) and four with their mothers (n 38).

Results:
Dietary behaviour and physical activity of adolescents were perceived to be influenced by individual and interpersonal factors including adolescent autonomy, parental influence and negotiations between adolescents and caregivers. The home food environment, street food availability, household food security and exposure to television and digital media were described as influencing behaviour. The lack of facilities and infrastructure was regarded as barriers to physical activity as were insufficient resources for public transport, safe routes for walking and need for cycles, particularly for girls. It was suggested that schools take a lead role in providing healthy foods and that governments invest in facilities for physical activity.

Conclusions:
In this transitioning environment, that is representative of many parts of India and other Lower Middle Income Countries (LMIC), people perceive a need for interventions to improve adolescent diet and physical activity. Caregivers clearly felt that they had a stake in adolescent health, and so we would recommend the involvement of both adolescents and caregivers in intervention design.

Adolescence, Caregivers, Diet and physical activity, Food choices, Qualitative research, Rural India, Transition
1368-9800
Reddy, Kejal Joshi
7d96ee54-7148-4303-ac04-f706e27d1503
Kamble, Veena
f8f283fd-e78c-41ea-98ec-007a4aacded8
Kunte, Pooja
af40b0fe-0e0e-4847-9cf9-c26dcdba92fa
Hardy-Johnson, Polly
49276c2f-01a9-4488-9f30-dc359cf867e0
Fall, Caroline
7171a105-34f5-4131-89d7-1aa639893b18
Barker, Mary
374310ad-d308-44af-b6da-515bf5d2d6d2
Weller, Susie
6ad1e079-1a7c-41bf-8678-bff11c55142b
Yajnik, Chittaranjan S.
f5777038-bba7-49bd-80b9-be4e586eecf4
Kehoe, Sarah
534e5729-632b-4b4f-8401-164d8c20aa26
Reddy, Kejal Joshi
7d96ee54-7148-4303-ac04-f706e27d1503
Kamble, Veena
f8f283fd-e78c-41ea-98ec-007a4aacded8
Kunte, Pooja
af40b0fe-0e0e-4847-9cf9-c26dcdba92fa
Hardy-Johnson, Polly
49276c2f-01a9-4488-9f30-dc359cf867e0
Fall, Caroline
7171a105-34f5-4131-89d7-1aa639893b18
Barker, Mary
374310ad-d308-44af-b6da-515bf5d2d6d2
Weller, Susie
6ad1e079-1a7c-41bf-8678-bff11c55142b
Yajnik, Chittaranjan S.
f5777038-bba7-49bd-80b9-be4e586eecf4
Kehoe, Sarah
534e5729-632b-4b4f-8401-164d8c20aa26

Reddy, Kejal Joshi, Kamble, Veena, Kunte, Pooja, Hardy-Johnson, Polly, Fall, Caroline, Barker, Mary, Weller, Susie, Yajnik, Chittaranjan S. and Kehoe, Sarah (2020) Adolescent diet and physical activity in the context of economic, social and nutrition transition in rural Maharashtra, India: a qualitative study. Public Health Nutrition, [20002220]. (doi:10.1017/S1368980020002220).

Record type: Article

Abstract

Objective:
To explore the perceptions of adolescents and their caregivers on drivers of diet and physical activity in rural India in the context of ongoing economic, social and nutrition transition.

Design:
A qualitative study comprising eight focus group discussions (FGD) on factors affecting eating and physical activity patterns, perceptions of health and decision-making on food preparation.

Setting:
Villages approximately 40–60 km from the city of Pune in the state of Maharashtra, India.

Participants:
Two FGD with adolescents aged 10–12 years (n 20), two with 15- to 17- year-olds (n 18) and four with their mothers (n 38).

Results:
Dietary behaviour and physical activity of adolescents were perceived to be influenced by individual and interpersonal factors including adolescent autonomy, parental influence and negotiations between adolescents and caregivers. The home food environment, street food availability, household food security and exposure to television and digital media were described as influencing behaviour. The lack of facilities and infrastructure was regarded as barriers to physical activity as were insufficient resources for public transport, safe routes for walking and need for cycles, particularly for girls. It was suggested that schools take a lead role in providing healthy foods and that governments invest in facilities for physical activity.

Conclusions:
In this transitioning environment, that is representative of many parts of India and other Lower Middle Income Countries (LMIC), people perceive a need for interventions to improve adolescent diet and physical activity. Caregivers clearly felt that they had a stake in adolescent health, and so we would recommend the involvement of both adolescents and caregivers in intervention design.

Text
Manuscript-Pune-TALENT-Finalrev-12-5-20 - Accepted Manuscript
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More information

Accepted/In Press date: 12 June 2020
e-pub ahead of print date: 28 September 2020
Additional Information: © The Author(s) 2020
Keywords: Adolescence, Caregivers, Diet and physical activity, Food choices, Qualitative research, Rural India, Transition

Identifiers

Local EPrints ID: 445211
URI: http://eprints.soton.ac.uk/id/eprint/445211
ISSN: 1368-9800
PURE UUID: 802d8a07-026f-46f5-8214-55ef36c0de00
ORCID for Caroline Fall: ORCID iD orcid.org/0000-0003-4402-5552
ORCID for Mary Barker: ORCID iD orcid.org/0000-0003-2976-0217
ORCID for Susie Weller: ORCID iD orcid.org/0000-0002-6839-876X
ORCID for Sarah Kehoe: ORCID iD orcid.org/0000-0003-2584-7999

Catalogue record

Date deposited: 25 Nov 2020 17:31
Last modified: 02 Jul 2022 01:50

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Contributors

Author: Kejal Joshi Reddy
Author: Veena Kamble
Author: Pooja Kunte
Author: Polly Hardy-Johnson
Author: Caroline Fall ORCID iD
Author: Mary Barker ORCID iD
Author: Susie Weller ORCID iD
Author: Chittaranjan S. Yajnik
Author: Sarah Kehoe ORCID iD

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