{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T20:06:04Z","timestamp":1780344364250,"version":"3.54.1"},"reference-count":59,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T00:00:00Z","timestamp":1600646400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1115496"],"award-info":[{"award-number":["GNT1115496"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Obesity, sedentary behaviour, and poor dietary habits amongst young adults are growing concerns, with this age group being in a worse state of health and nutrition than adolescents and adults. This paper presents the procedures for establishing a new instrument for defining behaviours in relation to healthy lifestyle and food choices amongst young adults (Living and Eating for Health Segments: LEHS). The aim of this paper is to outline the instrument design protocol for external validation and to permit replication in other studies. The instrument design process used a multi-step social marketing instrument design method. This approach has previously been used in designing valid and reliable measures in marketing and consumer research, including social marketing. The protocol established six psycho-behavioural LEHS profiles for young adults. These profiles are: Lifestyle Mavens (15.4%), Aspirational Healthy Eaters (27.5%), Balanced-all Rounders (21.4%), Health Conscious (21.1%), Contemplating Another Day (11.2%), and Blissfully Unconcerned (3.4%). Each of these profiles provided insights into psycho-behavioural characteristics that can be used in designing apposite social media social marketing campaigns.<\/jats:p>","DOI":"10.3390\/nu12092882","type":"journal-article","created":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T08:18:01Z","timestamp":1600676281000},"page":"2882","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Beyond Body Weight: Design and Validation of Psycho-Behavioural Living and Eating for Health Segments (LEHS) Profiles for Social Marketing"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1964-1487","authenticated-orcid":false,"given":"Linda","family":"Brennan","sequence":"first","affiliation":[{"name":"School of Media and Communication, RMIT University, Melbourne 3004, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8249-4176","authenticated-orcid":false,"given":"Shinyi","family":"Chin","sequence":"additional","affiliation":[{"name":"School of Media and Communication, RMIT University, Melbourne 3004, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6037-4133","authenticated-orcid":false,"given":"Annika","family":"Molenaar","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Dietetics and Food, Monash University, Notting Hill 3168, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3194-4499","authenticated-orcid":false,"given":"Amy M.","family":"Barklamb","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Dietetics and Food, Monash University, Notting Hill 3168, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan SC","family":"Lim","sequence":"additional","affiliation":[{"name":"Behaviours and Health Risks, Burnet Institute, Melbourne 3004, Australia"},{"name":"Melbourne School of Population and Global Health, University of Melbourne, Carlton 3053, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike","family":"Reid","sequence":"additional","affiliation":[{"name":"School of Economics, Finance and Marketing, RMIT University, Melbourne 3000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Truby","sequence":"additional","affiliation":[{"name":"School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane 4072, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8750-5818","authenticated-orcid":false,"given":"Eva L.","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Dietetics and Food, Monash University, Notting Hill 3168, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9699-3083","authenticated-orcid":false,"given":"Tracy A.","family":"McCaffrey","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Dietetics and Food, Monash University, Notting Hill 3168, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,9,21]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2020, May 28). Obesity and Overweight. Available online: https:\/\/www.who.int\/en\/news-room\/fact-sheets\/detail\/obesity-and-overweight."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1161\/CIRCULATIONAHA.106.171016","article-title":"Obesity and cardiovascular disease: Pathophysiology, evaluation, and effect of weight loss: An update of the 1997 American Heart Association Scientific Statement on Obesity and Heart Disease from the Obesity Committee of the Council on Nutrition, Physical Activity, and Metabolism","volume":"113","author":"Poirier","year":"2006","journal-title":"Circulation"},{"key":"ref_3","unstructured":"Australian Institute of Health and Welfare (2020, May 28). Australian Burden of Disease Study 2015: Interactive Data on Risk Factor Burden, Available online: https:\/\/www.aihw.gov.au\/reports\/burden-of-disease\/interactive-data-risk-factor-burden\/contents\/overweight-and-obesity."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1177\/1466424006070487","article-title":"Obesogenic environments: Exploring the built and food environments","volume":"126","author":"Townshend","year":"2006","journal-title":"J. R. Soc. Promot. Health"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1037\/0003-066X.55.5.469","article-title":"Emerging adulthood: A theory of development from the late teens through the twenties","volume":"55","author":"Arnett","year":"2000","journal-title":"Am. Psychol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.jadohealth.2014.11.012","article-title":"Investing in the health and well-being of young adults","volume":"56","author":"Stroud","year":"2015","journal-title":"J. Adolesc. Health"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.1016\/j.jada.2004.07.026","article-title":"Changes in food group consumption patterns from childhood to young adulthood: The Bogalusa Heart Study","volume":"104","author":"Morales","year":"2004","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Vilaro, M.J., Colby, S.E., Riggsbee, K., Zhou, W., Byrd-Bredbenner, C., Olfert, M.D., Barnett, T.E., Horacek, T., Sowers, M., and Mathews, A.E. (2018). Food choice priorities change over time and predict dietary intake at the end of the first year of college among students in the US. Nutrients, 10.","DOI":"10.3390\/nu10091296"},{"key":"ref_9","first-page":"277","article-title":"Longitudinal physical activity and sedentary behavior trends: Adolescence to adulthood","volume":"27","author":"Nelson","year":"2004","journal-title":"Am. J. Prev. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1001\/jama.2017.6119","article-title":"Obesity and excessive weight gain in young adults: New targets for prevention","volume":"318","author":"Dietz","year":"2017","journal-title":"JAMA"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1080\/07448480903221392","article-title":"The \u2018Freshman 5\u2019: A meta-analysis of weight gain in the freshman year of college","volume":"58","author":"Elgar","year":"2009","journal-title":"J. Am. Coll. Health"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1038\/ijo.2010.5","article-title":"Diagnostic performance of body mass index to identify obesity as defined by body adiposity: A systematic review and meta-analysis","volume":"34","author":"Okorodudu","year":"2010","journal-title":"Int. J. Obes."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.ehb.2015.02.002","article-title":"Measuring obesity in the absence of a gold standard","volume":"17","year":"2015","journal-title":"Econ. Hum. Biol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1523","DOI":"10.1001\/jama.282.16.1523","article-title":"The disease burden associated with overweight and obesity","volume":"282","author":"Must","year":"1999","journal-title":"JAMA"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s12966-019-0908-0","article-title":"\u2018Social screens\u2019 and \u2018the mainstream\u2019: Longitudinal competitors of non-organized physical activity in the transition from childhood to adolescence","volume":"17","author":"Kemp","year":"2020","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Kitunen, A., Rundle-Thiele, S., and Carins, J. (2019). Segmenting Young Adult University Student\u2019s Eating Behaviour: A Theory-Informed Approach. Nutrients, 11.","DOI":"10.3390\/nu11112793"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s12937-017-0227-8","article-title":"Feasibility and preliminary efficacy of the \u2018HEYMAN\u2019healthy lifestyle program for young men: A pilot randomised controlled trial","volume":"16","author":"Ashton","year":"2017","journal-title":"Nutr. J."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"S27","DOI":"10.1016\/j.jneb.2014.08.007","article-title":"The effects of Young Adults Eating and Active for Health (YEAH): A theory-based Web-delivered intervention","volume":"46","author":"Kattelmann","year":"2014","journal-title":"J. Nutr. Educ. Behav."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e239","DOI":"10.1016\/j.orcp.2011.03.002","article-title":"Engaging men in weight loss: Experiences of men who participated in the male only SHED-IT pilot study","volume":"5","author":"Morgan","year":"2011","journal-title":"Obes. Res. Clin. Pract."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"2284","DOI":"10.1001\/jama.2016.6458","article-title":"Trends in obesity among adults in the United States, 2005 to 2014","volume":"315","author":"Flegal","year":"2016","journal-title":"JAMA"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1038\/ijo.2016.18","article-title":"The downfalls of BMI-focused policies","volume":"40","author":"Dhurandhar","year":"2016","journal-title":"Int. J. Obes."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1111\/1747-0080.12448","article-title":"Communicating health\u2014Optimising young adults\u2019 engagement with health messages using social media: Study protocol","volume":"75","author":"Lombard","year":"2018","journal-title":"Nutr. Diet."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Brennan, L., Binney, W., Parker, L., Aleti, T., and Nguyen, D. (2014). Social Marketing and Behaviour Change: Models, Theory and Applications, Edward Elgar Publishing.","DOI":"10.4337\/9781782548157"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Dietrich, T., Rundle-Thiele, S., and Kubacki, K. (2017). Segmentation in Social Marketing, Springer.","DOI":"10.1007\/978-981-10-1835-0"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Dolnicar, S., Gr\u00fcn, B., and Leisch, F. (2018). Market segmentation analysis. Market Segmentation Analysis, Springer.","DOI":"10.1007\/978-981-10-8818-6"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Kitunen, A., Rundle-Thiele, S., Kadir, M., Badejo, A., Zdanowicz, G., and Price, M. (2019). Learning what our target audiences think and do: Extending segmentation to all four bases. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-6696-2"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/s40271-019-00401-x","article-title":"Reporting Formative Qualitative Research to Support the Development of Quantitative Preference Study Protocols and Corresponding Survey Instruments: Guidelines for Authors and Reviewers","volume":"13","author":"Hollin","year":"2020","journal-title":"Patient-Patient-Cent. Outcomes Res."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1988","DOI":"10.3389\/fpsyg.2015.01988","article-title":"Psychographic profiling for effective health behavior change interventions","volume":"6","author":"Hardcastle","year":"2016","journal-title":"Front. Psychol."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Reid, M., Chin, S., Molenaar, A., Brennan, L., Truby, H., and McCaffrey, T. (2019). Learning from Social Marketing: Living and Eating for Health Segments (LEHS) and Social Media Use (P16-023-19). Curr. Dev. Nutr., 3.","DOI":"10.1093\/cdn\/nzz050.P16-023-19"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1002\/eat.23215","article-title":"The lived experience of working with people with eating disorders: A meta-ethnography","volume":"53","author":"Graham","year":"2020","journal-title":"Int. J. Eat. Disord."},{"key":"ref_31","unstructured":"French, J., and Gordon, R. (2019). Strategic Social Marketing: For Behaviour and Social Change, SAGE Publications Limited."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Borsboom, D. (2005). Measuring the Mind: Conceptual Issues in Contemporary Psychometrics, Cambridge University Press.","DOI":"10.1017\/CBO9780511490026"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Brennan, L., Voros, J., and Brady, E. (2011). Paradigms at play and implications for validity in social marketing research. J. Soc. Mark.","DOI":"10.1108\/20426761111141869"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/s12966-018-0696-y","article-title":"Social media use for nutrition outcomes in young adults: A mixed-methods systematic review","volume":"15","author":"Klassen","year":"2018","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e11573","DOI":"10.2196\/11573","article-title":"Considering the impact of social media on contemporary improvement of Australian aboriginal health: Scoping review","volume":"5","author":"Walker","year":"2019","journal-title":"JMIR Public Health Surveill."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1111\/1747-0080.12581","article-title":"Social media, body image and food choices in healthy young adults: A mixed methods systematic review","volume":"77","author":"Rounsefell","year":"2020","journal-title":"Nutr. Diet."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e10227","DOI":"10.2196\/10227","article-title":"What people \u201clike\u201d: Analysis of social media strategies used by food industry brands, lifestyle brands, and health promotion organizations on Facebook and Instagram","volume":"20","author":"Klassen","year":"2018","journal-title":"J. Med. Internet Res."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Molenaar, A., Choi, T.S., Brennan, L., Reid, M., Lim, M.S., Truby, H., and McCaffrey, T.A. (2020). Language of Health of Young Australian Adults: A Qualitative Exploration of Perceptions of Health, Wellbeing and Health Promotion via Online Conversations. Nutrients, 12.","DOI":"10.3390\/nu12040887"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12966-020-00946-3","article-title":"A social marketing perspective of young adults\u2019 concepts of eating for health: Is it a question of morality?","volume":"17","author":"Brennan","year":"2020","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_40","unstructured":"Friedman, V., Molenaar, A., Wright, C., McCaffrey, T.A., and Lim, M.S. (2020). How does social media act as a persuasive format to facilitate health behaviour change in young adults?, Unpublished work."},{"key":"ref_41","unstructured":"VicHealth (2013). Drinking-Related Lifestyles: Exploring the Role of Alcohol in Victorians\u2019 Lives."},{"key":"ref_42","unstructured":"The Australian Market & Social Research Society (2017). Code of Professional Behaviour, The Australian Market & Social Research Society."},{"key":"ref_43","unstructured":"Australian Bureau of Statistics (2017, April 04). 3101.0\u2014Australian Demographic Statistics, Available online: https:\/\/www.abs.gov.au\/AUSSTATS\/abs@.nsf\/Previousproducts\/3101.0Main%20Features1Jun%202016?opendocument&tabname=Summary&prodno=3101.0&issue=Jun%202016&num=&view=."},{"key":"ref_44","unstructured":"International Organization for Standardization (2019, December 03). The Facts about Certification. Available online: https:\/\/www.iso.org\/certification.html."},{"key":"ref_45","unstructured":"Klassen, K., Reid, M., Brennan, L., McCaffrey, T.A., Truby, H., Lim, M., and Molenaar, A. (2017). Methods\u2014Phase 1a Online Conversations Screening and Profiling Surveys and Discussion Guide, Figshare."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1111\/j.1468-2885.2003.tb00287.x","article-title":"Using theory to design effective health behavior interventions","volume":"13","author":"Fishbein","year":"2003","journal-title":"Commun. Theor."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1023\/A:1020909529486","article-title":"A purposeful approach to the constant comparative method in the analysis of qualitative interviews","volume":"36","author":"Boeije","year":"2002","journal-title":"Qual. Quant."},{"key":"ref_48","unstructured":"Patton, M. (2002). Qualitative Research & Evaluation Methods, SAGE. [3rd ed.]."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.socscimed.2016.10.023","article-title":"Your money or your time? How both types of scarcity matter to physical activity and healthy eating","volume":"172","author":"Venn","year":"2017","journal-title":"Soc. Sci. Med."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Majowicz, S.E., Meyer, S.B., Kirkpatrick, S.I., Graham, J.L., Shaikh, A., Elliott, S.J., Minaker, L.M., Scott, S., and Laird, B. (2016). Food, health, and complexity: Towards a conceptual understanding to guide collaborative public health action. BMC Public Health, 16.","DOI":"10.1186\/s12889-016-3142-6"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/j.cmet.2015.08.017","article-title":"Food for thought: Revisiting the complexity of food intake","volume":"22","author":"Woods","year":"2015","journal-title":"Cell Metab."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/obr.12472","article-title":"The barriers and enablers of healthy eating among young adults: A missing piece of the obesity puzzle: A scoping review","volume":"18","author":"Munt","year":"2017","journal-title":"Obes. Rev."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Whatnall, M.C., Patterson, A.J., Chiu, S., Oldmeadow, C., and Hutchesson, M.J. (2019). Feasibility and preliminary efficacy of the Eating Advice to Students (EATS) brief web-based nutrition intervention for young adult university students: A pilot randomized controlled trial. Nutrients, 11.","DOI":"10.3390\/nu11040905"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.2105\/AJPH.2009.159491","article-title":"Obesity stigma: Important considerations for public health","volume":"100","author":"Puhl","year":"2010","journal-title":"Am. J. Public Health"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1111\/spc3.12172","article-title":"Weighed down by stigma: How weight-based social identity threat contributes to weight gain and poor health","volume":"9","author":"Hunger","year":"2015","journal-title":"Soc. Personal. Psychol. Compass"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"8036","DOI":"10.3390\/nu7095379","article-title":"Dietary behaviours, impulsivity and food involvement: Identification of three consumer segments","volume":"7","author":"Sarmugam","year":"2015","journal-title":"Nutrients"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.addbeh.2015.05.010","article-title":"Differential segmentation responses to an alcohol social marketing program","volume":"49","author":"Dietrich","year":"2015","journal-title":"Addict. Behav."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1111\/josh.12244","article-title":"One size (never) fits all: Segment differences observed following a school-based alcohol social marketing program","volume":"85","author":"Dietrich","year":"2015","journal-title":"J. Sch. Health"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1146\/annurev.publhealth.012809.103604","article-title":"The role of behavioral science theory in development and implementation of public health interventions","volume":"31","author":"Glanz","year":"2010","journal-title":"Ann. Rev. 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