Home Food Environment, Dietary Intake, and Weight among Overweight and Obese Children in Southern Appalachia
| Autor: | Karen E. Schetzina, Hazel Fulton-Robinson, Fred Tudiver, Ai-Leng Ho, Nicole Holt, William T. Dalton, Tiejian Wu, Liang Wang |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Overweight Diet Surveys Body Mass Index law.invention Randomized controlled trial law Environmental health medicine Humans Obesity Parent-Child Relations Child Maternal Behavior Paternal Behavior Appalachian Region Parenting business.industry Dietary intake General Medicine medicine.disease Diet Cross-Sectional Studies Socioeconomic Factors Child Preschool Linear Models Female Self Report medicine.symptom business Attitude to Health Medicaid Appalachia Body mass index Food environment |
| Zdroj: | Southern Medical Journal. 106:550-557 |
| ISSN: | 0038-4348 |
| Popis: | OBJECTIVES This study examined the relation of multiple aspects of the home food environment to dietary intake and body weight among overweight and obese children in southern Appalachia. METHODS The study used baseline data from a cluster-randomized controlled trial, Parent-Led Activity and Nutrition for Healthy Living, evaluating a parent-mediated approach to treating child overweight and obesity in the primary care setting in southern Appalachia. Sixty-seven children ages 5 to 11 years were recruited from four primary care clinics. Multiple linear regression was used to estimate the relation between multiple aspects of the home food environment to dietary intake (fruit and vegetable intake, fat and sweets intake), and standardized body mass index (zBMI), adjusted for baseline family characteristics (education, smoking status during the past month, BMI) and child characteristics (sex, age, Medicaid/TennCare). RESULTS Findings showed greater parental restriction and pressure in feeding were associated with greater fruit and vegetable intake in children (β = 0.33, β = 0.30, respectively; both P < 0.05). The availability of chips and sweets in a child's home and parental inappropriate modeling of eating were associated with an increased risk for consumption of fats and sweets by children (β = 0.47, β = 0.54, respectively; both P < 0.01). Parental monitoring of the child's eating was associated with a reduced risk for fat and sweets intake (β = -0.24; P < 0.01). Finally, parental responsibility for feeding the child was associated with lower zBMI (β = -0.20; P < 0.05). CONCLUSIONS The home food environment, including food availability and parenting behaviors, was associated with overweight and obese children's dietary intake and weight. This study adds to evidence suggesting that programs aimed at improving overweight and obese children's eating patterns may target both aspects of the physical home environment and parental behaviors surrounding eating. |
| Databáze: | OpenAIRE |
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