BACKGROUND:In order to promote healthful nutrition, insight is needed in the behavioural determinants of nutrition behaviours. Most research on behavioural determinants has been restricted to individual-level motivational factors. However, health behaviour is influenced by individual motivation and abilities, as well as environmental opportunities. OBJECTIVE:To provide an overview of motivation, ability and opportunity-related potential determinants of nutrition behaviours and of the evidence for associations of potential environmental determinants with nutrition behaviour. METHOD:A narrative review informed by a series of six systematic reviews including more than 400 original studies and recent original studies on associations of environmental factors with nutrition behaviours. RESULTS:Although the number of studies on potential environmental determinants of nutrition as well as physical activity behaviour has increased steeply over the last decades, these include only few well-designed studies with validated measures. Preliminary evidence from the available systematic reviews indicates that social support and modelling, availability and accessibility of healthy and less healthy foods as well as socio-economic status are important for nutrition behaviours; schools and worksites offer good settings for improving healthful nutrition opportunities. CONCLUSION:Although the evidence to date is inconclusive due to lack of well-designed studies, specific social-cultural, physical and economical environmental factors appear of importance for healthful nutrition.

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背景:为了促进健康的营养,需要了解营养行为的行为决定因素。关于行为决定因素的大多数研究都局限于个人层面的动机因素。但是,健康行为受个人动机和能力以及环境机会的影响。
目的:概述与营养行为的动机,能力和机会相关的潜在决定因素,以及潜在环境决定因素与营养行为之间关联的证据。
方法:叙述性综述由一系列六项系统评价组成,其中包括400多项原始研究以及有关环境因素与营养行为相关性的最新原始研究。
结果:尽管在过去的几十年中有关营养和体育锻炼行为的潜在环境决定因素的研究数量急剧增加,但这些研究仅包括精心设计的,经过验证的研究。现有的系统评价的初步证据表明,健康和较不健康食品的社会支持和建模,可获得性和可及性以及社会经济状况对于营养行为很重要;学校和工作场所为改善健康的营养机会提供了良好的环境。
结论:尽管由于缺乏精心设计的研究,迄今为止尚无定论,但特定的社会文化,自然和经济环境因素似乎对健康营养很重要。

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