Objectives of community policies and programs associated with more healthful dietary intakes among children: findings from the Healthy Communities Study

Autor: Dawn K. Wilson, Catherine M. Loria, Stephen B. Fawcett, Lorrene D. Ritchie, Warren J. Strauss, Janice Kao, Vicki Collie-Akers, Lauren E. Au, Karen L. Webb, Healthy Communities Study Team, Jyothi Nagaraja, R D F Sagatov, Andrew J. Landgraf, Sridharshi Hewawitharana
Rok vydání: 2018
Předmět:
Zdroj: Pediatric Obesity. 13:103-112
ISSN: 2047-6302
DOI: 10.1111/ijpo.12424
Popis: BACKGROUND Rational planning of community policies and programs (CPPs) to prevent obesity requires an understanding of CPP objectives associated with dietary behaviours. OBJECTIVE The objective of the study is to identify objectives of CPPs associated with healthful dietary behaviours. METHODS An observational study identified 4026 nutrition CPPs occurring in 130 communities in the prior 6 years. Dietary intakes of fruits and vegetables, added sugar and sugar-sweetened beverages, among others, were reported among 5138 children 4-15 years of age from the communities, using a Dietary Screener Questionnaire with children age 9 years and older (parent assisted) or parent proxies for younger children. CPPs were documented through key informant interviews and characterized by their intensity, count, and objectives including target dietary behaviour and food environment change strategy. Associations between dietary intakes and CPP objectives were assessed using hierarchical statistical models. RESULTS CPPs with the highest intensity scores that targeted fast food or fat intake or provided smaller portions were associated with greater fruit and vegetable intake (0.21, 0.19, 0.23 cup equivalents/day respectively with p values
Databáze: OpenAIRE
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