“I Prefer Eating Less Than Eating Healthy”: Drivers of Food Choice in a Sample of Muslim Adolescents

Round 1

Reviewer 1 Report

Comments and Suggestions for Authors

The title of the article must be changed. It seems unethical to represent a diverse religious group with a very small study sample.

Additionally, under the topic, the manuscript adds a discussion of religious issues from adolescents in stages of physical and mental development. Adolescents are incapable of such complex issues discussion. It would be better to keep it general instead of specifying the Muslim community. The whole manuscript should be made general to keep it neutral and up to the subject matter.

Line 19-21. Seems like the study's conclusion. It needs to be very clear and meaningful.

Throughout the paper, very complex and confusing sentences are added. For instance, lines 31-35, 640-645 and many more. It would be better and easy for the reader to make simple and meaningful sentences

Lines 38-39. Says there is a lack of research and policy development of adolescents.....

However, no reference or evidence is given about other research groups. need strong references to show the need for this study.

Extra spaces are given before reference. For instance, see line 42.

Unusual font size is given throughout the paper to sentences. For instance, lines 47-48, 57-58, 67-75 and so on. It would be better to keep a uniform font size for the text.

Better to move lines 75-79 to the discussion part, 'International Adolescents food surveys..........social inequalities'.

high fat, salt, and sugar foods HFSS explained at line 74. No need to explain onwards on line 84. Better to continue the acronym HFSS.

Line 117. It will be better to modify the aims from 'Muslims' to only adolescents living in....Further, specify the study location and name of the English city.

Line 131. Specify the city name and the area

Results part table 1. It will be better to remove the country of origin of the study participants. Just present as Asian, African, British, etc.

Further, remove the Religion part

Line 262, remove the religious identity aspect of the study 'Muslim'

All four themes are unneeded very lengthy and make the reader boring. Make it concise and meaningful to engage the reader

Line 538-539 is the repetition of lines 29-30. Remove the repetition

From the discussion, better to remove the Halal Haram aspect and keep the discussion focused on the scientific arguments

Better to present each in a single meaningful paragraph

'strengths, limitations and future research'

The conclusion part needs improvement based on the above comments.

Comments on the Quality of English Language

The overall quality of the English is very poor. Long and complex sentences are written that make the reader confused. Better to revise the whole manuscript from a native speaker or an English expert service provider to make the English language of the manuscript meaningful and understandable.

Author Response

Thank you for reviewing the manuscript and for the detailed feedback. The comments have been responded to in the attached document for clarity.

Author Response File: Author Response.pdf

Reviewer 2 Report

Comments and Suggestions for Authors

For qualitative research it's recommended to make tables that are carefully labeled with each theme and include some quotes in the table related to that theme.

Please make a table for each theme.

Please also discuss the limitations of qualitative photovoice research that participants may use images to misrepresent a situation or viewers may misinterpret an image.

Comments on the Quality of English Language

Overall very good. Please make sure the font size is the same throughout.

Author Response

Thank you for reviewing the manuscript and for the detailed feedback. The comments have been responded to in the attached document for clarity.

Author Response File: Author Response.docx

Reviewer 3 Report

Comments and Suggestions for Authors

I appreciate the opportunity to review the article " “I prefer eating less than eating healthy”: Drivers of food choice in Muslim adolescents." The topic fits the journal scope and could be relevant for readers. However, I cannot accept the manuscript in its current form. My suggestions/comments are:

 

Introduction

The manuscript does not have an actual introduction. Consider including a brief one. It is not easy to understand the studied phenomenon without an introduction. 

Line 47 and 48. What experiences do the authors refer to? Food, healthy lifestyle?

Line 57. A reference needs to be included here.

Lines 59 to 69. I need to understand why ecological perspectives are presented as different from environmental determinants. In the case of food environments, they are part of an ecological perspective. 

Line 70 to 85. A recognition of peers as determinants of eating behaviors in adolescence is needed. 

103 to 105. There are other studies related to the topic: For example, https://doi.org/10.1111/ijcs.12446. https://doi.org/10.1016/S0140-6736(21)01687-1,  https://doi.org/10.3389/fpsyg.2021.654139 . Please revise this statement. 

Why this group of adolescents is essential to study? Please add the answer to this question to the manuscript. 

The authors could review the aims of the study in terms of its novelty in the field.

 

Methods

Why did the authors use photovoice? The SHOWED and photovoice techniques are used to look for solutions to problems from the same community. I need help seeing these solutions in this research. Authors should explain if this manuscript is part of a more extensive study. 

Why did the author select the framework analysis instead of the thematic analysis? 

Was this analysis inductive or deductive? 

According to the definition of the framework analysis, a previous framework that indicates general themes is required. This should have been explained in the data analysis section. 

Line 240: I suggest changing the term " patient." There were no patients involved in this research

 

Results

This section needs to be improved. The results are presented just as a list of themes. I suggest reorganizing this section according to the framework used. 

Several subthemes and explanations are repeated in the different themes—for example, friends and family. 

Line 282. Cultural preferences belong to theme 4. 

Why are some quotes in cursive and others not?

Line 349. Why are parents and friends on the same level as social media as "influencers"?

I suggest using pictures as examples of the themes and subthemes. 

 

Discussion

Lines 539 to 544 have a higher font. 

Why do the authors use the ecological model? This model should have been explained in the methods section. 

This section should be reorganized when the results are clarified. 

 

 

References

Review references 40. 

 

 

Author Response

Thank you for reviewing the manuscript and for the detailed feedback. The comments have been responded to in the attached document for clarity.

Author Response File: Author Response.pdf

Reviewer 4 Report

Comments and Suggestions for Authors

The paper topic is actual and interesting. It targets an area of research with significance for future adult’s health, knowing that eating habits are also formed and thorough during this period.

Although it consisted of a complex and meticulous activity, a limitation of the study refers to the reduced number of participants. Also, the target group has less global impact. Only respondents from specific ethical groups were chosen during a particular year period. It is known that eating disorder problems are encountered by all young.

To improve the study’s scientific consistency, the author could consider including a comparative analysis of her findings, with possibly one presented in the reference literature that considers other socio-demographic characteristics of the participants.

Comments on the Quality of English Language

An English-style review is recommended, with special attention to the words repeated in the same phrase.

Author Response

Thank you for reviewing the manuscript and for the detailed feedback. The comments have been responded to in the attached document for clarity.

Author Response File: Author Response.pdf

Reviewer 5 Report

Comments and Suggestions for Authors

This manuscript was written very well and explained the drivers of food choices among Muslim adolescents (aged 14-15 years old) who live in a deprived urban area in England. The contributions of this study are 1) using the photovoice method along with focus groups to provide details of adolescents’ photos, confirming the rich quality of the research data, and 2) details of networked drivers (using the Social ecological model) reflecting the food choices not only as an individual problem but also as a social challenge to recover Muslim adolescents’ health concept-eating less than healthy eating. Minor considerations:

1.      If possible, Figure 2 can be removed from the discussion section. The reference is already explained in line 559.

2.      Some letter fonts are bigger: Line 540-544. Please use the same letter font.

3.      For Table 2, could you please add the frequency of each sub-themes?

4.      In Line 216, the lead author mentioned that data extraction/framework analysis was done with other researchers, but there is no information of coauthors in the study, and also need their qualification of conducting qualitative research in method.

Author Response

Thank you for reviewing the manuscript and for the detailed feedback. The comments have been responded to in the attached document for clarity.

Author Response File: Author Response.pdf

Round 2

Reviewer 1 Report

Comments and Suggestions for Authors

NA

Author Response

Thank you for reviewing this article again. I am pleased that the issues you raised previously have been addressed.

Further work on the results and discussion has been done to improve clarity.

Reviewer 3 Report

Comments and Suggestions for Authors

I appreciate the opportunity to review this new version of the article" "I prefer eating less than eating healthy": Drivers of food choice in Muslim adolescents." Even when the manuscript has been improved, and most of my comments/suggestions have been added, I cannot accept it in its current form. I have some minor suggestions/comments on the introduction and the discussion:

 

Introduction

The introduction needs to be reviewed. 

The first paragraph here (in section 1.1) could be an introduction. However, there is a title that is not appropriate for the first lines 29 to 47. 

Lines 58 to 60 need to be moved. The title is Food Practice; therefore, I suggest starting the section explaining food practices and then their determinants. 

Section 1.3 has a mixture of topics. I suggest reorganizing the introduction to allow the reader to go from the more general to the more specific. End this section with why this study is essential and with the aim. 

 

 

Discussion

 

The authors should avoid repeating the same themes described in the results section. Please remove lines 473 to 477. 

I suggest highlighting the new information that this manuscript adds.

I suggest removing the subtitles in this section. 

I suggest including something related to the title that makes the reader understand this part, "I prefer eating less than eating healthy". 

Author Response

Thank you for reviewing this manuscript- your feedback was much appreciated. Please see attached file for detailed responses.

Reviewer comment	Response to reviewer
I appreciate the opportunity to review this new version of the article" "I prefer eating less than eating healthy": Drivers of food choice in Muslim adolescents." Even when the manuscript has been improved, and most of my comments/suggestions have been added, I cannot accept it in its current form. I have some minor suggestions/comments on the introduction and the discussion:   Introduction The introduction needs to be reviewed.	Thank you for reviewing this manuscript and for the useful comments and feedback
The first paragraph here (in section 1.1) could be an introduction. However, there is a title that is not appropriate for the first lines 29 to 47.	Thank you- this suggestion has been incorporated into the manuscript with a short introduction before section 1.1. Section 1.1. has been reorganised to improve flow and clarity.
Lines 58 to 60 need to be moved. The title is Food Practice; therefore, I suggest starting the section explaining food practices and then their determinants.	Thank you- this section has been reorganised to improve flow of information.
Section 1.3 has a mixture of topics. I suggest reorganizing the introduction to allow the reader to go from the more general to the more specific. End this section with why this study is essential and with the aim.	Thank you for your feedback. This section has now been reorganised to reflect your comments.
Discussion
The authors should avoid repeating the same themes described in the results section. Please remove lines 473 to 477.	Lines have been removed.
I suggest highlighting the new information that this manuscript adds.	I have clarified the additional contributions of this study- see lines 587-588, 593-594 for examples.
I suggest removing the subtitles in this section.	Thank you, subtitles have been removed.
I suggest including something related to the title that makes the reader understand this part, "I prefer eating less than eating healthy".	This has been added to the start of the discussion to reiterate the title, and is also discussed lines 607-610.

Author Response File: Author Response.pdf

Reviewer 4 Report

Comments and Suggestions for Authors

The previous observations remain. The target group is small, and the period chosen for the study, Ramadan comes with restrictions that might determine eating frustrations and push toward finding compensation. The author did not give sufficient valuable arguments for the restrictive target group chosen since the attitude toward unhealthy food might be encountered at all young, independent of the ethnic group.

Comments on the Quality of English Language

The recommendations made on English style concerned the author’s text, not the respondent’s citations.

Author Response

Thank you for reviewing this manuscript- your feedback was much appreciated. Please see attached file for detailed responses.

Author Response File: Author Response.pdf