Eating habits and behaviors, physical activity, nutritional and food safety knowledge and beliefs in an adolescent Italian population.

OBJECTIVE: The present study evaluates eating habits and behaviors, and nutritional and food safety knowledge of a group of Italian adolescents. DESIGN: A dietary questionnaire previously constructed and tested was self-administered during school time. Each section was evaluated using a separate score. SETTING: The study was carried out as a part of a nutritional surveillance project in the Aosta Valley Region, Northern Italy. SUBJECTS: Five hundred and thirty-two adolescent subjects, aged 15.4 +/- 0.7 years, attending the second year of secondary schools participated in the study. MEASURES: We evaluated eating habits, physical activity, meaning of healthy and unhealthy dietary habits and food, self-efficacy, barriers affecting healthy food choices, nutritional and food safety, weight, height, Body Mass Index (BMI). RESULTS: Only 37.0% of the sample have satisfactory eating habits; 18.5% have a very active lifestyle; only 8.6% have quite good nutritional knowledge, 2.4% have satisfactory food safety knowledge, although 43.7% have good hygiene practices. CONCLUSIONS: The results point out unhealthy behaviors influencing adolescents' eating habits and suggest which of these must be considered in order to develop tailored nutrition interventions, improving adolescents' consciousness aimed at adopting a healthy lifestyle.

Evaluation of xenobiotics in human milk and ingestion by the newborn--an epidemiological survey in Lombardy (Northern Italy).

BACKGROUND: Many human milk benefits have been well documented; nevertheless the newborn potential risk to the xenobiotic exposition may be relevant and it requires a biological monitoring in general prevention. Concerning this problem, attention should be paid to mycotoxins and heavy metals. AIM OF THE STUDY: Assessing the presence of the xenobiotics aflatoxins, ochratoxin A, lead and cadmium in human milk, defining their level of contamination and evaluate the potential risk for the newborn derived from this xenobiotic ingestion. METHODS: A study has been carried out on lactating women randomly selected in seven hospitals in Lombardy (Northern Italy). Two hundred and forty-seven puerparae were recruited; 231 women participated in the study. Women's milk samples on the third or fourth day after delivery were tested to determine aflatoxins and ochratoxin A levels. Lead and cadmium were determined in 143 women because supplemental milk could be taken only from these women. RESULTS: Aflatoxin B1 (11.4 ng/l) and aflatoxin M1 (194 ng/l) were found only in one sample,while ochratoxin A was detected in 198 samples (85.7 %) at an average value of 6.01 +/- 8.31 ng/l. A total of 75.7% of samples were positive for lead; the cadmium situation was better with 87.4% of the sample with values below detection limits (2 microg/l). A high percentage of babies (71 %) are exposed to mycotoxin levels on day 6 greater than the TDI value of 0.2 ng/kg b.w. Lead and cadmium presence in human milk presented risk respectively for 8% and 0.7% of newborns on the fourth day; 9.5% and 1.4% on the sixth day. CONCLUSIONS: The study points out that mycotoxins and lead are present in maternal milk, and the data confirm the need to continue biological monitoring in general prevention.