{
    "abstract": "Nutrition plays a critical role in adolescence. Adolescents are vulnerable to the impact of different factors that distance them from healthy habits, increasing their risk of chronic diseases in adulthood. Qualitative methodologies allow for a better understanding of these factors.\nThis systematic review aims to consolidate qualitative research evidence from the past 10\u2009years to analyze the facilitators and barriers influencing adolescents' eating behaviors.\nDatabases searched for relevant studies were Scopus, Medline/PubMed, PsycINFO, and Web of Science.\nA total of 4176 records were identified. The authors used the GRADE-CERQual (Confidence in Evidence from Reviews of Qualitative Research) quality-assessment tool.\nFifty articles with qualitative or mixed methodologies were finally included. The most applied techniques were focus groups and semi-structured interviews. The factors influencing adolescents' diets were classified into 4 dimensions: individual, social, community, and macrosystem factors. The most influential were the following-(1) at the individual level: gender (facilitator or barrier), taste and appearance of food (barrier), and lack of time (barrier); (2) at the social level: parents' and caregivers' influence (facilitator or barrier), peer group influence (barrier), and socioeconomic position (barrier); (3) at the community level: school food environment (facilitator or barrier), neighborhood food environment (barrier), household food environment (facilitator or barrier), food insecurity (barrier), and availability and affordability of ultra-processed foods (barrier); and (4) at the macrosystem level: digital tools (facilitator or barrier).\nThis systematic review identified several facilitators and barriers influencing eating behaviors among adolescents. Qualitative research provides a rich source of knowledge to inform interventions aimed at improving adolescents' diets. Qualitative research is very useful for collecting researches that help to implement intervention programs that improve adolescent nutrition.",
    "authors": [
        {
            "affiliation": "Sociology and Communication Department, Social Sciences Faculty, Salamanca University, Salamanca, Spain.",
            "firstname": "Raquel",
            "initials": "R",
            "lastname": "Vidal"
        },
        {
            "affiliation": "Sociology and Communication Department, Social Sciences Faculty, Salamanca University, Salamanca, Spain.",
            "firstname": "Jes\u00fas",
            "initials": "J",
            "lastname": "Rivera-Navarro"
        },
        {
            "affiliation": "Nursing I Department, Nursing and Medicine Faculty, University of the Basque Country (UPV/EHU), Leioa, Spain.\nBiocruces Bizkaia Health Research Institute, Barakaldo, Spain.",
            "firstname": "Leyre",
            "initials": "L",
            "lastname": "Gravina"
        },
        {
            "affiliation": "Public Health and Epidemiology Research Group, School of Medicine and Health Sciences, Universidad de Alcal\u00e1, Alcal\u00e1 de Henares, Madrid, Spain.",
            "firstname": "Julia",
            "initials": "J",
            "lastname": "D\u00edez"
        },
        {
            "affiliation": "Public Health and Epidemiology Research Group, School of Medicine and Health Sciences, Universidad de Alcal\u00e1, Alcal\u00e1 de Henares, Madrid, Spain.\nDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.",
            "firstname": "Manuel",
            "initials": "M",
            "lastname": "Franco"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 The Author(s) 2023. Published by Oxford University Press on behalf of the International Life Sciences Institute. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.",
    "doi": "10.1093/nutrit/nuad088",
    "journal": "Nutrition reviews",
    "keywords": [
        "adolescent",
        "diet",
        "qualitative research",
        "systematic review"
    ],
    "methods": null,
    "publication_date": "2023-07-11",
    "pubmed_id": "37432794",
    "results": "Fifty articles with qualitative or mixed methodologies were finally included. The most applied techniques were focus groups and semi-structured interviews. The factors influencing adolescents' diets were classified into 4 dimensions: individual, social, community, and macrosystem factors. The most influential were the following-(1) at the individual level: gender (facilitator or barrier), taste and appearance of food (barrier), and lack of time (barrier); (2) at the social level: parents' and caregivers' influence (facilitator or barrier), peer group influence (barrier), and socioeconomic position (barrier); (3) at the community level: school food environment (facilitator or barrier), neighborhood food environment (barrier), household food environment (facilitator or barrier), food insecurity (barrier), and availability and affordability of ultra-processed foods (barrier); and (4) at the macrosystem level: digital tools (facilitator or barrier).",
    "title": "Correlates of eating behaviors in adolescence: a systematic review of qualitative studies.",
    "xml": "<Element 'PubmedArticle' at 0x7885069f2b60>"
}