The Home Environment Interview and associations with energy balance behaviours and body weight in school-aged children - a feasibility, reliability, and validity study

Autor: Kininmonth, AR, Schrempft, S, Smith, A, Dye, L, Lawton, C, Fisher, A, Llewellyn, C, Fildes, A
Přispěvatelé: Kininmonth, Alice R [0000-0002-1145-525X], Smith, Andrea [0000-0002-6925-6667], Apollo - University of Cambridge Repository
Rok vydání: 2022
Předmět:
Zdroj: The International Journal of Behavioral Nutrition and Physical Activity
International Journal of Behavioral Nutrition and Physical Activity, Vol 18, Iss 1, Pp 1-14 (2021)
ISSN: 1479-5868
DOI: 10.17863/cam.80737
Popis: Background The home environment is thought to influence children’s weight trajectories. However, few studies utilise composite measures of the home environment to examine associations with energy balance behaviours and weight. The present study aimed to adapt and update a comprehensive measure of the obesogenic home environment previously developed for pre-schoolers, and explore associations with school-aged children’s energy balance behaviours and weight. Methods Families from the Gemini cohort (n = 149) completed the Home Environment Interview (HEI) via telephone when their children were 12 years old. The HEI comprises four composite scores: one for each domain (food, activity and media) of the environment, as well as a score for the overall obesogenic home environment. The primary caregiver also reported each child’s height and weight (using standard scales and height charts), diet, physical activity and sedentary screen-based behaviours. A test-retest sample (n = 20) of caregivers completed the HEI a second time, 7–14 days after the initial interview, to establish test-retest reliability. Results Children (n = 298) living in ‘higher-risk’ home environments (a 1 unit increase in the HEI obesogenic risk score) were less likely to consume fruits (OR; 95% CI = 0.40; 0.26–0.61, p p p = 0.022), convenience foods (2.58; 1.64–4.05, p p β (SE) = 4.55 (0.78), p β (SE) = 1.56 (0.43), p p (β (SE) = 0.23 (0.09), p . This finding was mirrored for the home media composite (β (SE) = 0.12 (0.03), p Conclusion Findings reveal associations between the overall obesogenic home environment and dietary intake, activity levels and screen-based sedentary behaviours, as well as BMI in 12 year olds. These findings suggest that the home environment, and in particular the home media environment, may be an important target for obesity prevention strategies.
Databáze: OpenAIRE
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