Three-year trends in dietary behaviours among mothers, teenagers and children from SNAP-Ed (Supplemental Nutrition Assistance Program–Education) eligible households across California

Autor: John Pugliese, Fred Molitor, Lauren Whetstone, Celeste Doerr
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Population
Psychological intervention
Ethnic group
Medicine (miscellaneous)
Mothers
Healthy eating
Behaviour surveillance
Sugar-sweetened beverages
Supplemental Nutrition Assistance Program
California
Nutrition Policy
Environmental health
Vegetables
medicine
Humans
education
Child
Poverty
education.field_of_study
Family Characteristics
Nutrition and Dietetics
business.industry
Public health
Monitoring and Surveillance
Supplemental Nutrition Assistance Program–Education
Public Health
Environmental and Occupational Health
Low-income population
Population-based survey
Feeding Behavior
Nutrition Surveys
Diet
Cross-Sectional Studies
Fruit and vegetable consumption
Child
Preschool
Fruit
Fruit juice
Female
Food Assistance
business
Diet quality
Poverty level
Research Paper
Zdroj: Public Health Nutrition
ISSN: 1475-2727
1368-9800
Popis: Objective:To examine trends from 2015 to 2017 in dietary behaviours and diet quality among low-income mothers, teenagers and children.Design:Cross-sectional telephone surveys using a validated 24 h dietary assessment.Setting:Randomly sampled households with incomes ≤185 % of the US federal poverty level across California.Participants:Survey participants were 13 247 mothers (≥18 years), 3293 teenagers (12–17 years) and 6043 children (5–11 years). Respondents were mostly Latino.Results:Over the 3-year study period, consumption of fruits and vegetables with and without 100 % fruit juice increased (P ≤ 0·05) by at least 0·3 cups/d for mothers, teenagers and children. Intake of water also increased (P ≤ 0·001) by more than 1 cup/d for mothers and children and 2 cups/d for teenagers. Sugar-sweetened beverage (SSB) consumption was unchanged over the 3 years. Overall diet quality, as assessed by the Healthy Eating Index-2015, improved (P ≤ 0·01) for mothers, teenagers and children. Covariates for the fifteen regression models (three age groups by five outcome variables) included race/ethnicity, age, education for mothers, and gender for teenagers and children.Conclusions:The observed increases in fruit and vegetable intake and improvements in overall diet quality during the 3-year period suggest that low-income Californians may have lowered their risk of preventable diseases. However, more intense or strategic SSB-reduction interventions are required. Regional- or state-level, population-based surveillance of dietary behaviours is useful for public health nutrition policy and programme decision making, and can be used to assess potential trends in future negative health outcomes and related costs associated with poor dietary behaviours within at-risk populations.
Databáze: OpenAIRE
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