1
|
Berge JM, Hazzard VM, Trofholz A, Noser AE, Hochgraf A, Neumark-Sztainer D. Longitudinal associations between family meal quality and quantity: Does one matter more for child, parent, and family health and well-being or are they synergistic? Appetite 2023; 191:107080. [PMID: 37832722 PMCID: PMC11006826 DOI: 10.1016/j.appet.2023.107080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 09/15/2023] [Accepted: 10/08/2023] [Indexed: 10/15/2023]
Abstract
It is unknown how family meal quantity (i.e., frequency) and quality (i.e., meal healthfulness and interpersonal quality) are associated with child, parent, and family health and well-being over time. This study aimed to examine longitudinal associations between family meal quantity and quality and child, parent, and family health and well-being and whether there was a synergistic effect between family meal quantity and quality. Children ages 5-9 and their parents from six racial/ethnic groups participated in this longitudinal cohort study. Regression models adjusted for socio-demographic characteristics examined family meal quantity, interpersonal quality, and nutritional quality at baseline and interactions between quantity and quality, in relation to changes in child, parent, and family health outcomes from baseline to 18-month follow-up. Higher family meal quantity predicted reduced obesity prevalence, improved diet quality and less food fussiness, food responsiveness, and conduct problems among children at follow-up. Higher family meal quality predicted improved diet quality, lower emotional problems, less food responsiveness, and fewer peer relationship problems among children, improved diet quality and reduced psychological distress for parents, and less family chaos at follow-up. One interaction between family meal quantity and quality was found for child peer relationship problems. Overall, family meal quantity and quality were independently important for child health and well-being and for some parent and family health outcomes. Clinicians working with families may want to emphasize the importance of both family meal quantity and quality, as these longitudinal findings suggest potential benefits for the entire family.
Collapse
Affiliation(s)
- Jerica M Berge
- Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.
| | - Vivienne M Hazzard
- Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA; Division of Epidemiology and Community Health, School of Public Health, University of Minnesota Twin Cities, Minneapolis, MN, USA
| | - Amanda Trofholz
- Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA
| | - Amy E Noser
- Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA
| | - Anna Hochgraf
- Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA; Division of Epidemiology and Community Health, School of Public Health, University of Minnesota Twin Cities, Minneapolis, MN, USA
| | - Dianne Neumark-Sztainer
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota Twin Cities, Minneapolis, MN, USA
| |
Collapse
|
2
|
Mahmood L, Gonzalez-Gil EM, Makrilakis K, Liatis S, Schwarz P, Herrmann S, Willems R, Cardon G, Latomme J, Rurik I, Radó S, Iotova V, Usheva N, Tankova T, Karaglani E, Manios Y, Moreno LA. Cross-sectional and longitudinal associations between family meals frequency and children's overweight/obesity in families at high risk of type 2 diabetes: The Feel4Diabetes-study. Pediatr Obes 2023; 18:e13000. [PMID: 36632012 DOI: 10.1111/ijpo.13000] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 12/06/2022] [Accepted: 12/12/2022] [Indexed: 01/13/2023]
Abstract
BACKGROUND The frequency of family meals has been suggested as a protective factor against obesity among children. OBJECTIVE This study aimed to investigate the cross-sectional and longitudinal associations between family meals frequency and children's overweight/obesity in families at high risk of type 2 diabetes (T2D) across six European countries. METHODS 989 parent-child dyads (52% girls and 72% mothers) were included. Participants completed validated measures to assess the frequency of family meals and anthropometrics. Multivariable regression models were applied to examine the longitudinal associations between family meals frequency and overweight/obesity in children. Logistic regression was performed to predict the odds of having overweight/obesity depending on changes in family meals frequency over a two-year follow-up period. Analyses were stratified for children's sex. RESULTS High frequency of family breakfasts and/or dinners was inversely associated with children's BMI in boys and girls at T2. Results showed decreased odds of overweight/obesity at follow-up among both boys (OR = 0.65; 95% CI 0.41, 0.96) and girls (OR = 0.53; 95% CI 0.31, 0.87) who consumed minimum of three times family breakfasts and/or family dinners a week at baseline. An increase in family breakfasts and/or dinners frequency was associated with lower odds of overweight/obesity in both boys and girls at follow-up. CONCLUSION A high frequency of family breakfasts and/or dinners but not lunch during childhood is associated with lower odds of overweight/obesity development in children from families at high risk of T2D. The promotion of family meals could help in preventing the development of overweight/obesity among children.
Collapse
Affiliation(s)
- Lubna Mahmood
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, Zaragoza, Spain
| | - Esther M Gonzalez-Gil
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, Zaragoza, Spain.,Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain
| | | | - Stavros Liatis
- Paul Langerhans Institute Dresden of the Helmholtz Center Munich at University Hospital and Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Peter Schwarz
- Paul Langerhans Institute Dresden of the Helmholtz Center Munich at University Hospital and Faculty of Medicine, TU Dresden, Dresden, Germany.,Department for Prevention and Care of Diabetes, Medical Faculty Carl Gustav Carus at the Technical University of Dresden, Dresden, Germany.,German Center for Diabetes Research (DZD e.V.), Neuherberg, Germany
| | - Sandra Herrmann
- Paul Langerhans Institute Dresden of the Helmholtz Center Munich at University Hospital and Faculty of Medicine, TU Dresden, Dresden, Germany.,Department for Prevention and Care of Diabetes, Medical Faculty Carl Gustav Carus at the Technical University of Dresden, Dresden, Germany.,German Center for Diabetes Research (DZD e.V.), Neuherberg, Germany
| | - Ruben Willems
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Greet Cardon
- Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium
| | - Julie Latomme
- Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium
| | - Imre Rurik
- Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Sándorné Radó
- Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Violeta Iotova
- Department of Social Medicine and Health Care Organization, Medical University of Varna, Varna, Bulgaria
| | - Natalya Usheva
- Department of Social Medicine and Health Care Organization, Medical University of Varna, Varna, Bulgaria
| | - Tsvetalina Tankova
- Department of Diabetology, Clinical Center of Endocrinology, Medical University of Sofia, Sofia, Bulgaria
| | - Eva Karaglani
- Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, Athens, Greece
| | - Yannis Manios
- Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, Athens, Greece.,Institute of Agri-food and Life Sciences, Hellenic Mediterranean University Research Centre, Heraklion, Greece
| | - Luis A Moreno
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, Zaragoza, Spain.,Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain.,Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Zaragoza, Spain
| | | |
Collapse
|
3
|
De Giuseppe R, Calcaterra V, Biino G, Rodriguez N, Gerbaldo A, Mantelli M, Cena H. Dietary habits and physical activity: Which influence on abdominal fat deposition in children and adolescents? MEDITERRANEAN JOURNAL OF NUTRITION AND METABOLISM 2020. [DOI: 10.3233/mnm-200407] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND: Prevention of childhood obesity is recommended throughout interventions aiming at enhancing healthy dietary habits (DH) and increasing physical activity (PA). OBJECTIVE: This cross-sectional study aimed at investigating DH and PA, in a sample of Italian children/adolescents. METHODS: We evaluated DH and PA by means of a previously validated questionnaire in 178 children/adolescents (88F/90M, 11.8±2.6 years): 49 normal weight (NW), 76 overweight (OW) and 53 with obesity (OB). Abdominal obesity was defined as Waist to Height Ratio (WHeR) >0.5. RESULTS: DH did not differ in NW subjects compared to OW and OB but higher PA score (p = 0.001) was observed in NW than OW and OB. No association was found between DH and WHeR, unlike PA. Four clusters of subjects were identified that could be defined by DH and PA; only one cluster, defined by PA, showed a significantly lower WHeR within subjects playing sports at least 3–4 hours/week. Moreover, subjects belonging to this cluster did not skip the main meals, eat a varied diet and drank milk at breakfast. CONCLUSIONS: In our sample PA performed at least 3–4 hours/week is inversely associated with abdominal fat deposition and is expected to positively impact health, protecting from abdominal obesity.
Collapse
Affiliation(s)
- Rachele De Giuseppe
- Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
| | - Valeria Calcaterra
- Department of Maternal and Children’s Health, Pediatric Endocrinology Unit, Fondazione IRCCS Policlinico S. Matteo and University of Pavia, Department of Internal Medicine, Pavia, Italy
| | - Ginevra Biino
- Institute of Molecular Genetics, National Research Council of Italy, Pavia, Italy
| | - Noelia Rodriguez
- Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
- Master of Medicine, KU Leuven, Leuven, Belgium
| | - Anna Gerbaldo
- Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
| | - Melissa Mantelli
- Immunology and Transplantation Laboratory/Cell Factory/Pediatric Hematology/Oncology Department, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy
| | - Hellas Cena
- Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
- Clinical Nutrition and Dietetics Service, Unit of Internal Medicine and Endocrinology, ICS Maugeri IRCCS, Pavia, Italy
| |
Collapse
|
4
|
Rahman A, Fulda KG, Franks SF, Fernando SI, Habiba N, Muzaffar O. How often parents make decisions with their children is associated with obesity. BMC Pediatr 2018; 18:311. [PMID: 30253768 PMCID: PMC6156975 DOI: 10.1186/s12887-018-1283-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2017] [Accepted: 09/16/2018] [Indexed: 12/05/2022] Open
Abstract
Background Evidence supports that better parental involvement and communication are related to reduced obesity in children. Parent-child collaborative decision-making is associated with lower BMI among children; while child-unilateral and parent-unilateral decision-making are associated with overweight children. However, little is known about associations between joint decision-making and obesity among Hispanic youth. The purpose of this analysis was to determine the relationship between parent-child decision making and obesity in a sample of predominantly Hispanic adolescents. Methods Data from two studies focused on risk for type II diabetes were analyzed. A total of 298 adolescents 10–14 years of age and their parent/legal guardian were included. Parents completed questionnaires related to psychosocial, family functioning, and environmental factors. Multiple logistic regression was used to determine the association between obesity (≥ 95th percentile for age and gender), the dependent variable, and how often the parent felt they made decisions together with their child (rarely/never, sometimes, usually, always), the primary independent variable. Covariates included gender, age, ethnicity, total family income, and days participated in a physical activity for at least 20 min. ORs and 95% CIs were calculated. Results Adolescent participants were predominantly Hispanic n = 233 (78.2%), and approximately half n = 150 (50.3%) were female. In multivariate analyses, adolescents who rarely/never made decisions together with their family had significantly higher odds (OR = 3.50; 95% CI [1.25–9.83]) of being obese than those who always did. No association was observed between either those who sometimes make decisions together or those who usually did and those that always did. Conclusions Parents and children not making decisions together, an essential aspect of parent-child communication, is associated with increased childhood obesity. The results of our study contribute to evidence of parental involvement in decision-making as an important determinant of adolescent health. Further studies should explore temporal relationships between parenting or communication style and obesity.
Collapse
Affiliation(s)
- Adrita Rahman
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S 2nd Street, Suite 300, Minneapolis, MN, 55454, USA
| | - Kimberly G Fulda
- North Texas Primary Care Practice-Based Research Network (NorTex), University of North Texas Health Science Center at Fort Worth, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA. .,Department of Family Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center at Fort Worth, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.
| | - Susan F Franks
- North Texas Primary Care Practice-Based Research Network (NorTex), University of North Texas Health Science Center at Fort Worth, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.,Department of Family Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center at Fort Worth, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA
| | - Shane I Fernando
- North Texas Primary Care Practice-Based Research Network (NorTex), University of North Texas Health Science Center at Fort Worth, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.,Department of Pediatrics, Texas College of Osteopathic Medicine, University of North Texas Health Science Center at Fort Worth, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA
| | - Nusrath Habiba
- Department of Pediatrics, Texas College of Osteopathic Medicine, University of North Texas Health Science Center at Fort Worth, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA
| | - Omair Muzaffar
- North Texas Primary Care Practice-Based Research Network (NorTex), University of North Texas Health Science Center at Fort Worth, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.,Department of Family Medicine, Texas College of Osteopathic Medicine, University of North Texas Health Science Center at Fort Worth, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA
| |
Collapse
|
5
|
Machado-Rodrigues AM, Valente-dos-Santos J, Fernandes R, Gama A, Mourao I, Nogueira H, Marques V, Padez C. Waist-to-height ratio and its association with TV viewing in a sample of Portuguese children aged 7-9 years. Am J Hum Biol 2017; 29. [DOI: 10.1002/ajhb.23024] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2016] [Revised: 04/04/2017] [Accepted: 05/27/2017] [Indexed: 11/06/2022] Open
Affiliation(s)
- Aristides M. Machado-Rodrigues
- Faculdade de Ciências e Tecnologia, University of Coimbra, Research Centre for Anthropology and Health; Apartado 3046, 3001-401 Coimbra Portugal
| | | | - Romulo Fernandes
- Department of Physical Education; Universidade Estadual Paulista - UNESP; Presidente Prudente, Sao Paulo Brazil
| | - Augusta Gama
- Departamento de Biologia Animal; Universidade de Lisboa; Lisboa Portugal
| | - Isabel Mourao
- Universidade de Tras-os-Montes e Alto Douro; Vila Real Portugal
| | | | - Vitor Marques
- Instituto Investigação Científica Tropical; Lisboa Portugal
| | - Cristina Padez
- Departamento Antropologia; Universidade de Coimbra; Coimbra Portugal
| |
Collapse
|
6
|
McDonald SW, Ginez HK, Vinturache AE, Tough SC. Maternal perceptions of underweight and overweight for 6-8 years olds from a Canadian cohort: reporting weights, concerns and conversations with healthcare providers. BMJ Open 2016; 6:e012094. [PMID: 27798005 PMCID: PMC5073603 DOI: 10.1136/bmjopen-2016-012094] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
OBJECTIVES The majority of mothers do not correctly identify their child's weight status. The reasons for the misperception are not well understood. This study's objective was to describe maternal perceptions of their child's body mass index (BMI) and maternal report of weight concerns raised by a health professional. DESIGN Prospective, community-based cohort. PARTICIPANTS Data were collected in 2010 from 450 mothers previously included in a longitudinal birth cohort. Mothers of children aged 6-8 years reported their child's anthropometric measures and were surveyed concerning their opinion about their child's weight. They were also asked if a healthcare provider raised any concerns regarding their child's body weight. Child BMI was categorised according to the WHO Growth Charts adapted for Canada. Descriptive statistics and bivariate analyses were used to evaluate mothers' ability to correctly identify their children's body habitus. RESULTS 74% of children had a healthy BMI, 10% were underweight, 9% were overweight and 7% were obese. 80%, 89% and 62% of mothers with underweight, overweight and obese children, respectively, believed that their child was at the right weight. The proportion of mothers who recalled a health professional raising concerns about their child being underweight, overweight, and obese was low (12.5%). CONCLUSIONS The majority of mothers with children at unhealthy weights misclassified and normalised their child's weight status, and they did not recall a health professional raising concerns regarding their child's weight. The highest rates of child body weight misclassification occurred in overweight children. This suggests that there are missed opportunities for healthcare professionals to improve knowledge exchange and early interventions to assist parents to recognise and support healthy weights for their children.
Collapse
Affiliation(s)
- Sheila W McDonald
- Department of Paediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Population, Public, and Aboriginal Health, Alberta Health Services, Calgary, Alberta, Canada
| | - Heather K Ginez
- Department of Paediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Angela E Vinturache
- Department of Paediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Suzanne C Tough
- Department of Paediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| |
Collapse
|
7
|
Vik FN, Te Velde SJ, Van Lippevelde W, Manios Y, Kovacs E, Jan N, Moreno LA, Bringolf-Isler B, Brug J, Bere E. Regular family breakfast was associated with children's overweight and parental education: Results from the ENERGY cross-sectional study. Prev Med 2016; 91:197-203. [PMID: 27514247 PMCID: PMC5061554 DOI: 10.1016/j.ypmed.2016.08.013] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Revised: 06/26/2016] [Accepted: 08/06/2016] [Indexed: 12/30/2022]
Abstract
INTRODUCTION This study aims to assess (i) the prevalence of having regular family breakfast, lunch, dinner (i.e. 5-7days/week together with their family) among 10-12year olds in Europe, (ii) the association between family meals and child weight status, and (iii) potential differences in having family meals according to country of residence, gender, ethnicity and parental levels of education. METHODS 7716 children (mean age: 11.5±0.7years, 52% girls) in eight European countries (Belgium, Greece, Hungary, The Netherlands, Norway, Slovenia, Spain, Switzerland) participated in a cross-sectional school-based survey in 2010. Data on family meals were self-reported by the parents and children's height and weight were objectively measured to determine overweight status. Binary regression analyses assessed the associations of having regular family meals (adjusted for potential confounders) with children's overweight/obesity and to assess potential differences in having family meals according to gender, ethnicity and parental education, in the total sample and for each country respectively. RESULTS The prevalence of regular family meals was 35%, 37% and 76% for breakfast, lunch and dinner respectively. Having regular family breakfast, but not lunch or dinner, was inversely associated with overweight (OR=0.78 (95% CI 0.67-0.91)). Children of higher educated parents were more likely to have regular family breakfast (1.63 (95% CI 1.42-1.86)) and less likely to have regular family lunch (0.72 (95% CI 0.63-0.82)) compared to children of lower educated parents. CONCLUSION This study showed that having regular family breakfast - but not other family meals- was inversely associated with children's weight status.
Collapse
Affiliation(s)
- Frøydis N Vik
- Department of Public Health, Sport and Nutrition, University of Agder, Postboks 422, N-4604 Kristiansand, Norway.
| | - Saskia J Te Velde
- Department of Public Health, Sport and Nutrition, University of Agder, Postboks 422, N-4604 Kristiansand, Norway; EMGO Institute for Health and Care Research, VU University Medical Center, Postbus 7057, 1007 MB Amsterdam, The Netherlands; Department of Epidemiology and Biostatistics, VU University Medical Center, Postbus 7057, 1007 MB Amsterdam, The Netherlands.
| | - Wendy Van Lippevelde
- Department of Public Health, Ghent University, De Pintelaan 185, 4K3, 9000 Ghent, Belgium.
| | - Yannis Manios
- Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, 70, El Venizelou Ave, 17671, Kallithea, Athens, Greece.
| | - Eva Kovacs
- Department of Paediatrics, Medical Faculty, University of Pécs, 48-as tér 1, 7622 Pécs, Hungary; Institute for Medical Information Processing, Biometrics and Epidemiology, German Centre for Vertigo and Balance Disorders, Ludwig Maximilian University, Munich, Germany.
| | - Natasa Jan
- Slovenian Heart Foundation, Postboks 1000, Ljubljana, Slovenia.
| | - Luis A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERObn), University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain.
| | - Bettina Bringolf-Isler
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Socinstrasse 57, 4051 Basel, Switzerland; University of Basel, Basel, Switzerland.
| | - Johannes Brug
- EMGO Institute for Health and Care Research, VU University Medical Center, Postbus 7057, 1007 MB Amsterdam, The Netherlands; Department of Epidemiology and Biostatistics, VU University Medical Center, Postbus 7057, 1007 MB Amsterdam, The Netherlands.
| | - Elling Bere
- Department of Public Health, Sport and Nutrition, University of Agder, Postboks 422, N-4604 Kristiansand, Norway.
| |
Collapse
|
8
|
O'Connor TM, Pham T, Watts AW, Tu AW, Hughes SO, Beauchamp MR, Baranowski T, Mâsse LC. Development of an item bank for food parenting practices based on published instruments and reports from Canadian and US parents. Appetite 2016; 103:386-395. [DOI: 10.1016/j.appet.2016.04.033] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Revised: 04/04/2016] [Accepted: 04/26/2016] [Indexed: 02/06/2023]
|
9
|
Parikka S, Mäki P, Levälahti E, Lehtinen-Jacks S, Martelin T, Laatikainen T. Associations between parental BMI, socioeconomic factors, family structure and overweight in Finnish children: a path model approach. BMC Public Health 2015; 15:271. [PMID: 25885334 PMCID: PMC4371876 DOI: 10.1186/s12889-015-1548-1] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2014] [Accepted: 02/16/2015] [Indexed: 12/24/2022] Open
Abstract
Background The aim of this study was to assess the less studied interrelationships and pathways between parental BMI, socioeconomic factors, family structure and childhood overweight. Methods The cross-sectional LATE-study was carried out in Finland in 2007–2009. The data for the analyses was classified into four categories: younger boys and girls (ca 3–8 years) (n = 2573) and older boys and girls (ca 11–16 years) (n = 1836). Associations between parental BMI, education, labor market status, self-perceived income sufficiency, family structure and childhood overweight were first examined by logistic regression analyses. As parental BMI and education had the most consistent associations with childhood overweight, the direct and indirect (mediated by parental BMI) associations of maternal and paternal education with childhood overweight were further assessed using a path model. Results Parental BMI and education were the strongest determinants of childhood overweight. Children of overweight parents had an increased risk of being overweight. In younger boys, maternal and paternal education had both direct (b-coefficient paternal −0.21, 95% CI −0.34 to −0.09; maternal −0.17, 95% CI −0.28 to −0.07) and indirect (b-coefficient paternal −0.04, 95% CI −0.07 to −0.02; maternal −0.04, 95% CI −0.06 to −0.02) inverse associations with overweight. Among the older boys, paternal education had both direct (b-coefficient −0.12, 95% CI −0.24 to −0.01) and indirect (b-coefficient −0.03, 95% CI −0.06 to −0.01) inverse associations with overweight, but maternal education had only an indirect association (b-coefficient −0.04, 95% CI −0.07 to −0.02). Among older girls, only an indirect association of maternal education with childhood overweight was found (b-coefficient −0.03, 95% CI −0.06 to −0.01). In younger girls, parental education was not associated with childhood overweight. Conclusion The observed pathways between parental BMI and education and childhood overweight emphasize a need for evidence-based health promotion interventions tailored for families identified with parental overweight and low level of education.
Collapse
Affiliation(s)
- Suvi Parikka
- National Institute for Health and Welfare, Department of Welfare, P.O. Box 30, 00271, Helsinki, Finland.
| | - Päivi Mäki
- National Institute for Health and Welfare, Department of Health, Helsinki, Finland.
| | - Esko Levälahti
- National Institute for Health and Welfare, Department of Health, Helsinki, Finland.
| | - Susanna Lehtinen-Jacks
- National Institute for Health and Welfare, Department of Health, Helsinki, Finland. .,University of Tampere, School of Health Sciences, Tampere, Finland.
| | - Tuija Martelin
- National Institute for Health and Welfare, Department of Welfare, P.O. Box 30, 00271, Helsinki, Finland.
| | - Tiina Laatikainen
- National Institute for Health and Welfare, Department of Health, Helsinki, Finland. .,University of Eastern Finland, Institute of Public Health and Clinical Nutrition, Kuopio, Finland. .,Hospital District of North Karelia, Joensuu, Finland.
| |
Collapse
|
10
|
Association between migration and physical activity of school-age children left behind in rural Mexico. Int J Public Health 2014; 60:49-58. [DOI: 10.1007/s00038-014-0630-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2014] [Revised: 11/20/2014] [Accepted: 11/27/2014] [Indexed: 01/22/2023] Open
|
11
|
Roos E, Pajunen T, Ray C, Lynch C, Kristiansdottir ÁG, Halldorsson TI, Thorsdottir I, te Velde SJ, Krawinkel M, Behrendt I, de Almeida MDV, Franchini B, Papadaki A, Moschandreas J, Ribič CH, Petrova S, Duleva V, Simčič I, Yngve A. Does eating family meals and having the television on during dinner correlate with overweight? A sub-study of the PRO GREENS project, looking at children from nine European countries. Public Health Nutr 2014; 17:2528-36. [PMID: 24642340 PMCID: PMC10282415 DOI: 10.1017/s1368980013002954] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2013] [Revised: 07/31/2013] [Accepted: 10/02/2013] [Indexed: 12/28/2022]
Abstract
OBJECTIVE Family meals have been negatively associated with overweight in children, while television (TV) viewing during meals has been associated with a poorer diet. The aim of the present study was to assess the association of eating family breakfast and dinner, and having a TV on during dinner, with overweight in nine European countries and whether these associations differed between Northern and Southern & Eastern Europe. DESIGN Cross-sectional data. Schoolchildren reported family meals and TV viewing. BMI was based on parental reports on height and weight of their children. Cut-off points for overweight by the International Obesity Task Force were used. Logistic regressions were performed adjusted by age, gender and parental education. SETTING Schools in Northern European (Sweden, the Netherlands, Iceland, Germany and Finland) and Southern & Eastern European (Portugal, Greece, Bulgaria and Slovenia) countries, participating in the PRO GREENS project. SUBJECTS Children aged 10-12 years in (n 6316). RESULTS In the sample, 21 % of the children were overweight, from 35 % in Greece to 10 % in the Netherlands. Only a few associations were found between family meals and TV viewing during dinner with overweight in the nine countries. Northern European children, compared with other regions, were significantly more likely to be overweight if they had fewer family breakfasts and more often viewed TV during dinner. CONCLUSIONS The associations between family meals and TV viewing during dinner with overweight were few and showed significance only in Northern Europe. Differences in foods consumed during family meals and in health-related lifestyles between Northern and Southern & Eastern Europe may explain these discrepancies.
Collapse
Affiliation(s)
- Eva Roos
- Folkhälsan Research Center, Paasikivenkatu 4, 00250 Helsinki, Finland
- Hjelt Institute, Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Tuuli Pajunen
- Folkhälsan Research Center, Paasikivenkatu 4, 00250 Helsinki, Finland
| | - Carola Ray
- Folkhälsan Research Center, Paasikivenkatu 4, 00250 Helsinki, Finland
- Hjelt Institute, Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Christel Lynch
- Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden
| | - Ása Gudrun Kristiansdottir
- Unit for Nutrition Research, Faculty of Food Science and Nutrition, School of Health Sciences, University of Iceland & Landspitali University Hospital, Reykjavik, Iceland
| | - Thorhallur I Halldorsson
- Unit for Nutrition Research, Faculty of Food Science and Nutrition, School of Health Sciences, University of Iceland & Landspitali University Hospital, Reykjavik, Iceland
| | - Inga Thorsdottir
- Unit for Nutrition Research, Faculty of Food Science and Nutrition, School of Health Sciences, University of Iceland & Landspitali University Hospital, Reykjavik, Iceland
| | - Saskia J te Velde
- EMGO Institute for Health and Care Research and the Department of Epidemiology & Biostatistics, VU University Medical Center, Amsterdam, The Netherlands
| | - Michael Krawinkel
- Institute of Nutritional Sciences, Unit for International Nutrition, Faculty of Agricultural Nutrition, Environmental Sciences and Home Economics, Justus-Liebig-University, Giessen, Germany
| | - Isabel Behrendt
- Institute of Nutritional Sciences, Unit for International Nutrition, Faculty of Agricultural Nutrition, Environmental Sciences and Home Economics, Justus-Liebig-University, Giessen, Germany
| | | | - Bela Franchini
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
| | - Angeliki Papadaki
- Department of Social Medicine, Preventive Medicine & Nutrition Clinic, University of Crete, Heraklion, Crete, Greece
- Centre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, Bristol, UK
| | - Joanna Moschandreas
- Department of Social Medicine, Preventive Medicine & Nutrition Clinic, University of Crete, Heraklion, Crete, Greece
| | | | - Stefka Petrova
- National Center for Public Health Protection, Sofia, Bulgaria
| | - Vesselka Duleva
- National Center for Public Health Protection, Sofia, Bulgaria
| | - Irena Simčič
- National Education Institute of the Republic of Slovenia, Ljubljana, Slovenia
| | - Agneta Yngve
- Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden
- School of Hospitality, Culinary Arts and Meal Sciences, Örebro University, Örebro, Sweden
| |
Collapse
|
12
|
Rebholz CE, Chinapaw MJM, van Stralen MM, Bere E, Bringolf B, De Bourdeaudhuij I, Jan N, Kovacs E, Maes L, Manios Y, Moreno L, Singh AS, Brug J, te Velde SJ. Agreement between parent and child report on parental practices regarding dietary, physical activity and sedentary behaviours: the ENERGY cross-sectional survey. BMC Public Health 2014; 14:918. [PMID: 25190541 PMCID: PMC4169834 DOI: 10.1186/1471-2458-14-918] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2013] [Accepted: 07/29/2014] [Indexed: 12/14/2022] Open
Abstract
Background Parents and their parenting practices play an important role in shaping their children’s environment and energy-balance related behaviours (EBRBs). Measurement of parenting practices can be parent- or child-informed, however not much is known about agreement between parent and child perspectives. This study aimed to assess agreement between parent and child reports on parental practices regarding EBRBs across different countries in Europe and to identify correlates of agreement. Methods Within the ENERGY-project, a cross-sectional survey was conducted among 10–12 year old children and their parents in eight European countries. Both children and parents filled in a questionnaire on 14 parental practices regarding five different EBRBs (i.e. soft drink, fruit juice and breakfast consumption, sports activity and watching TV) and socio-demographic characteristics. Children’s anthropometric measurements were taken at school. We calculated percentages of agreement between children and their parents and weighted kappa statistics (for ordinal variables) per practice and country and assessed factors associated with agreement using multilevel linear regression. Results Reports of 6425 children and their parents were available for analysis. Overall mean agreement between parent and child reports was 43% and varied little among countries. The lowest agreement was found for questions assessing joint parent–child activities, such as sports (27%; Kappa (κ) = 0.14) or watching TV (30%;κ = 0.17), and for parental allowance of the child to have soft drinks (32%;κ = 0.24) or fruit juices (32%;κ = 0.19), or to watch TV (27%;κ = 0.17). Having breakfast products available at home or having a TV in the child’s bedroom were the only practices with moderate to good agreement (>60%;κ = 0.06 and 0.77, respectively). In general, agreement was lower for boys, younger children, younger parents, parents with less than 14 years of education, single parents, parents with a higher self-reported body mass index and parents who perceived their child to be underweight. Conclusions Parents and children perceive parental practices regarding dietary, physical activity and sedentary behaviours differently in all parts of Europe, with considerable variation across specific practices and countries. Therefore, future studies should assess both, parents and children’s view on parental practices. Electronic supplementary material The online version of this article (doi:10.1186/1471-2458-14-918) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | - Saskia J te Velde
- EMGO Institute for Health and Care Research and the Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands.
| |
Collapse
|
13
|
Pizzi M, Vroman KG, Lau C, Gill SV, Bazyk S, Suarez-Balcazar Y, Orloff S. Occupational Therapy and the Childhood Obesity Epidemic: Research, Theory and Practice. JOURNAL OF OCCUPATIONAL THERAPY, SCHOOLS, & EARLY INTERVENTION 2014. [DOI: 10.1080/19411243.2014.930605] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
|
14
|
Mazzeschi C, Pazzagli C, Laghezza L, Battistini D, Reginato E, Perrone C, Ranucci C, Fatone C, Pippi R, Giaimo MD, Verrotti A, De Giorgi G, De Feo P. Description of the EUROBIS program: a combination of an Epode community-based and a clinical care intervention to improve the lifestyles of children and adolescents with overweight or obesity. BIOMED RESEARCH INTERNATIONAL 2014; 2014:546262. [PMID: 25162015 PMCID: PMC4137627 DOI: 10.1155/2014/546262] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/07/2013] [Revised: 06/13/2014] [Accepted: 07/17/2014] [Indexed: 11/30/2022]
Abstract
The present paper describes the Epode Umbria Region Obesity Prevention Study (EUROBIS) and aims to implement the C.U.R.I.A.MO. model through the EPODE methodology. The main goal of the EUROBIS is to change the pendency of slope of the actual trend towards the increase in the yearly rates of childhood overweight and obesity in Umbria and to improve healthy lifestyles of children and their parents. The project is the first EPODE program to be performed in Italy. The aims of the Italian EUROBIS study are: (1) a community-based intervention program (CBP) carrying out activities in all primary schools of the Umbria Region and family settings as first step, to reverse the current obesity trend on a long-term basis, and (2) a clinical care program for childhood and adolescent by C.U.R.I.A.MO. model. C.U.R.I.A.MO. model is a multidisciplinary approach to improve three key aspects of healthy lifestyles: nutrition, exercise, and psychological aspects with the strategy of a family-based approach. The community-based intervention and clinical trial provide an innovative valuable model to address the childhood obesity prevention and treatment in Italy.
Collapse
Affiliation(s)
- Claudia Mazzeschi
- Healthy Lifestyle Institute, Centro Universitario Ricerca Interdipartimentale Attività Motoria (C.U.R.I.A.MO.), University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy
| | - Chiara Pazzagli
- Healthy Lifestyle Institute, Centro Universitario Ricerca Interdipartimentale Attività Motoria (C.U.R.I.A.MO.), University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy
| | - Loredana Laghezza
- Healthy Lifestyle Institute, Centro Universitario Ricerca Interdipartimentale Attività Motoria (C.U.R.I.A.MO.), University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy
| | - Dalila Battistini
- Department of Psychiatry, Clinical Psychology and Psychiatric Rehabilitation, Specialty School of Psychiatry, University of Perugia, Piazzale Gambuli, 1-06132 Perugia, Italy
| | - Elisa Reginato
- Healthy Lifestyle Institute, Centro Universitario Ricerca Interdipartimentale Attività Motoria (C.U.R.I.A.MO.), University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy
| | - Chiara Perrone
- Healthy Lifestyle Institute, Centro Universitario Ricerca Interdipartimentale Attività Motoria (C.U.R.I.A.MO.), University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy
| | - Claudia Ranucci
- Healthy Lifestyle Institute, Centro Universitario Ricerca Interdipartimentale Attività Motoria (C.U.R.I.A.MO.), University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy
| | - Cristina Fatone
- Healthy Lifestyle Institute, Centro Universitario Ricerca Interdipartimentale Attività Motoria (C.U.R.I.A.MO.), University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy
| | - Roberto Pippi
- Healthy Lifestyle Institute, Centro Universitario Ricerca Interdipartimentale Attività Motoria (C.U.R.I.A.MO.), University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy
| | - Maria Donata Giaimo
- Department of Health Prevention, Umbria Region, Via M. Angeloni, 61-06124 Perugia, Italy
| | - Alberto Verrotti
- Department of Medicine, Pediatric Clinic, University of Perugia, Piazzale Menghini, 1-0612 Perugia, Italy
| | - Giovanni De Giorgi
- Healthy Lifestyle Institute, Centro Universitario Ricerca Interdipartimentale Attività Motoria (C.U.R.I.A.MO.), University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy
| | - Pierpaolo De Feo
- Healthy Lifestyle Institute, Centro Universitario Ricerca Interdipartimentale Attività Motoria (C.U.R.I.A.MO.), University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy
| |
Collapse
|
15
|
Mazzeschi C, Pazzagli C, Laghezza L, Radi G, Battistini D, De Feo P. The role of both parents' attachment pattern in understanding childhood obesity. Front Psychol 2014; 5:791. [PMID: 25120507 PMCID: PMC4112908 DOI: 10.3389/fpsyg.2014.00791] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2014] [Accepted: 07/05/2014] [Indexed: 01/14/2023] Open
Abstract
Within the research area on the determinants of childhood obesity, a relatively new approach is the use of attachment theory to explore the mechanisms underlying children’s obesity risk, especially considered as emotion regulation strategies in parent–child relationship. Few are the empirical researches that have addressed this issue. The empirical investigations have used self-report measures to assess adult attachment. In attachment studies, the use of interview methods and/or performance-based instruments is advised to evaluate the entire range of possible adult attachment patterns and comprehensively explain the emotional strategies, correlates, and consequences of individual differences in attachment system functioning. The aim of this study was to explore the extent to which both parents’ attachment patterns serve as self-regulative mechanisms related to childhood overweight/obesity by the Adult Attachment Projective Picture System (AAP) in a sample of 44 mothers and fathers of children referred for obesity. Insecure attachment was found as a risk factor both for mothers and fathers. Also unresolved/disorganization was found to play a significant role in childhood obesity. The role of father’s attachment was explored and findings suggested considering it in etiology and treatment of childhood obesity.
Collapse
Affiliation(s)
- Claudia Mazzeschi
- Department of Philosophy and Human Sciences, University of Perugia, Perugia Italy
| | - Chiara Pazzagli
- Department of Philosophy and Human Sciences, University of Perugia, Perugia Italy
| | - Loredana Laghezza
- Department of Philosophy and Human Sciences, University of Perugia, Perugia Italy
| | - Giulia Radi
- Department of Philosophy and Human Sciences, University of Perugia, Perugia Italy
| | - Dalila Battistini
- Department of Psychiatry, School of Clinical Psychology and Psychiatric Rehabilitation, Perugia Italy
| | - Pierpaolo De Feo
- Health Lifestyle Institute, Centro Universitario Ricerca Interdipartimentale per l'Attività Motoria, University of Perugia, Perugia Italy
| |
Collapse
|
16
|
Rodenburg G, Kremers SPJ, Oenema A, van de Mheen D. Associations of parental feeding styles with child snacking behaviour and weight in the context of general parenting. Public Health Nutr 2014; 17:960-9. [PMID: 23527513 PMCID: PMC10282213 DOI: 10.1017/s1368980013000712] [Citation(s) in RCA: 85] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2012] [Revised: 01/28/2013] [Accepted: 02/12/2013] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To examine cross-sectional and longitudinal (one-year follow-up) associations of parental feeding styles with child snacking behaviour and weight in the context of general parenting, taking into account the multidimensionality of the controlling feeding style. DESIGN Linear regression analyses were performed. Parents completed a questionnaire to measure five feeding style dimensions (Instrumental Feeding, Emotional Feeding, Encouragement, Overt Control and Covert Control) and children's fruit, energy-dense snack and sugar-sweetened beverage (SSB) intakes. Children's height and weight were measured to calculate their BMI Z-scores. Moderation by parenting style was tested by adding interaction terms to the regression analyses. SETTING Observational study in the Netherlands. SUBJECTS Parent-child dyads (n 1275) participating in the INPACT (IVO Nutrition and Physical Activity Child cohorT) study; children were (on average) 9 years of age. RESULTS Instrumental Feeding and Emotional Feeding were negatively related to child fruit intake one year later and positively to (changes in) child energy-dense snack intake. Encouragement was negatively related to child energy-dense snacking and SSB intake one year later. Overt Control was cross-sectionally and prospectively related to (changes in) child energy-dense snacking and SSB intake in a negative direction. Covert Control showed similar associations with child energy-dense snacking and SSB intake as Overt Control. Although Covert Control was also positively related to child fruit intake and (changes in) child BMI Z-score, bootstrapping analyses revealed only a differential effect of Overt Control and Covert Control on child BMI Z-score one year later, with Covert Control displaying a stronger, positive association. Moderation analyses showed that some significant associations between parental feeding styles and outcome measures were dependent on the degree of psychological control and behavioural control. CONCLUSIONS Instrumental Feeding and Emotional Feeding may have a detrimental impact on children's snacking behaviour, while Encouragement, Overt Control and Covert Control may lead to less energy-dense snacking and less SSB intake. Overt Control and Covert Control have differential effects on child BMI Z-score one year later, which supports the idea that they should be treated as separate constructs. Prospective studies with a longer follow-up may elucidate the causal pathways between the various feeding styles and children's snacking behaviour and weight, as well as the moderating influences of psychological and behavioural control.
Collapse
Affiliation(s)
- Gerda Rodenburg
- IVO Addiction Research Institute, Heemraadssingel 194, 3021 DM Rotterdam, The Netherlands
- Erasmus Medical Center, Rotterdam, The Netherlands
| | - Stef PJ Kremers
- Department of Health Promotion, Maastricht University, Maastricht, The Netherlands
| | - Anke Oenema
- Department of Health Promotion, Maastricht University, Maastricht, The Netherlands
| | - Dike van de Mheen
- IVO Addiction Research Institute, Heemraadssingel 194, 3021 DM Rotterdam, The Netherlands
- Erasmus Medical Center, Rotterdam, The Netherlands
| |
Collapse
|
17
|
Larson N, MacLehose R, Fulkerson JA, Berge JM, Story M, Neumark-Sztainer D. Eating breakfast and dinner together as a family: associations with sociodemographic characteristics and implications for diet quality and weight status. J Acad Nutr Diet 2013; 113:1601-9. [PMID: 24139290 PMCID: PMC3833880 DOI: 10.1016/j.jand.2013.08.011] [Citation(s) in RCA: 83] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2013] [Accepted: 08/08/2013] [Indexed: 11/18/2022]
Abstract
BACKGROUND Research has shown that adolescents who frequently share evening meals with their families experience more positive health outcomes, including diets of higher nutritional quality. However, little is known about families eating together at breakfast. OBJECTIVE This study examined sociodemographic differences in family meal frequencies in a population-based adolescent sample. In addition, this study examined associations of family breakfast meal frequency with dietary quality and weight status. DESIGN Cross-sectional data from EAT 2010 (Eating and Activity in Teens) included anthropometric assessments and classroom-administered surveys completed in 2009-2010. PARTICIPANTS/SETTING Participants included 2,793 middle and high school students (53.2% girls, mean age=14.4 years) from Minneapolis/St Paul, MN, public schools. MAIN OUTCOME MEASURES Usual dietary intake was self-reported on a food frequency questionnaire. Height and weight were measured. STATISTICAL ANALYSES PERFORMED Regression models adjusted for sociodemographic characteristics, family dinner frequency, family functioning, and family cohesion were used to examine associations of family breakfast frequency with dietary quality and weight status. RESULTS On average, adolescents reported having family breakfast meals 1.5 times (standard deviation=2.1) and family dinner meals 4.1 times (standard deviation=2.6) in the past week. There were racial/ethnic differences in family breakfast frequency, with the highest frequencies reported by adolescents of black, Hispanic, Native American, and mixed race/ethnicity. Family breakfast frequency was also positively associated with male sex, younger age, and living in a two-parent household. Family breakfast frequency was associated with several markers of better diet quality (such as higher intake of fruit, whole grains, and fiber) and lower risk for overweight/obesity. For example, adolescents who reported seven family breakfasts in the past week consumed an average of 0.37 additional daily fruit servings compared with adolescents who never had a family breakfast meal. CONCLUSIONS Results suggest that eating breakfast together as a family can have benefits for adolescents' dietary intake and weight status.
Collapse
Affiliation(s)
- Nicole Larson
- Division of Epidemiology and Community Health School of Public Health, University of Minnesota 1300 South Second Street, Suite 300 Minneapolis, MN 55454
| | - Rich MacLehose
- Division of Epidemiology and Community Health School of Public Health, University of Minnesota 1300 South Second Street, Suite 300 Minneapolis, MN 55454 Phone: 612-624-1932 Fax: 612-624-0315
| | - Jayne A. Fulkerson
- School of Nursing University of Minnesota 5-160 Weaver-Densford Hall 308 Harvard Street SE Minneapolis, MN 55455 Phone: 612-624-4823 Fax: 612-626-6606
| | - Jerica M. Berge
- Department of Family Medicine and Community Health University of Minnesota Phillips Wangensteen Building 516 Delaware Street SE Minneapolis, MN 55455 Phone: 612-626-3693
| | - Mary Story
- Division of Epidemiology and Community Health School of Public Health, University of Minnesota 1300 South Second Street, Suite 300 Minneapolis, MN 55454 Phone: 612-626-8801 Fax: 612-624-9328
| | - Dianne Neumark-Sztainer
- Division of Epidemiology and Community Health School of Public Health, University of Minnesota 1300 South Second Street, Suite 300 Minneapolis, MN 55454 Phone: 612-624-0880 Fax: 612-626-7103
| |
Collapse
|
18
|
Kong A, Jones BL, Fiese BH, Schiffer LA, Odoms-Young A, Kim Y, Bailey L, Fitzgibbon ML. Parent-child mealtime interactions in racially/ethnically diverse families with preschool-age children. Eat Behav 2013; 14:451-5. [PMID: 24183134 PMCID: PMC3817496 DOI: 10.1016/j.eatbeh.2013.08.005] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2013] [Revised: 07/12/2013] [Accepted: 08/07/2013] [Indexed: 11/25/2022]
Abstract
Family meals may improve diet and weight outcomes in children; however, results from nationally representative samples suggest that these relationships vary by race/ethnicity. Observing parent-child mealtime interactions may lend insight to why racial/ethnic differences exist. In this pilot study, a multi-ethnic sample of low-income families (n = 30) with a preschool-age child was videotaped during a dinner in their home. A global coding scheme was used to assess the following: 'Action' (behaviors that divert attention from eating), 'Behavior Control' (behaviors intended to modify another person's behavior), and 'Communication' (i.e., meal-oriented, interpersonal, and critical). All families spent a significant amount of time in 'action' oriented behaviors that diverted their attention from eating. We also observed racial/ethnic differences in communication (i.e. critical) and behavior patterns (i.e. behavior control). This study demonstrated that this approach for observing parent-child mealtime interactions in a naturalistic setting among a diverse study sample was feasible; however, future studies should address how these patterns relate to dietary intake and weight status.
Collapse
Affiliation(s)
- Angela Kong
- Cancer Education and Career Development Program, Institute of Health Research and Policy, University of Illinois at Chicago, 1747 West Roosevelt Road, MC275, Room 558, Chicago, IL 60608, USA.
| | - Blake L. Jones
- Family Resiliency Center, Department of Human and Community Development, University of Illinois, 2028 Doris Kelley Christopher Hall, 904 West Nevada Street, MC-081, Urbana, IL 61801, USA; ;
| | - Barbara H. Fiese
- Family Resiliency Center, Department of Human and Community Development, University of Illinois, 2028 Doris Kelley Christopher Hall, 904 West Nevada Street, MC-081, Urbana, IL 61801, USA; ;
| | - Linda A. Schiffer
- Department of Medicine, University of Illinois at Chicago, 1747 West Roosevelt Road, MC275, Room 558,Chicago, Illinois, 60612, USA; ;
| | - Angela Odoms-Young
- Department of Kinesiology and Nutrition, University of Illinois at Chicago, 1919 W. Taylor Street Chicago, IL, 60612, USA;
| | - Yoonsang Kim
- Institute for Health Research and Policy, 1747 West Roosevelt Road, MC275, Room 558, University of Illinois at Chicago, Chicago, Illinois, USA; ;
| | - Lauren Bailey
- Institute for Health Research and Policy, 1747 West Roosevelt Road, MC275, Room 558, University of Illinois at Chicago, Chicago, Illinois, USA; ; ,School of Public Health, University of Illinois at Chicago, Chicago, Illinois, 60612, USA
| | - Marian L. Fitzgibbon
- Department of Medicine, University of Illinois at Chicago, 1747 West Roosevelt Road, MC275, Room 558,Chicago, Illinois, 60612, USA; ; ,Institute for Health Research and Policy, 1747 West Roosevelt Road, MC275, Room 558, University of Illinois at Chicago, Chicago, Illinois, USA; ; ,School of Public Health, University of Illinois at Chicago, Chicago, Illinois, 60612, USA,Center for the Management of Complex Chronic Care, Jesse Brown VA Medical Center, Hines VA Hospital 151-H, 5000 South 5th Avenue, Bldg. 1, B-260, Hines, Illinois, 60612 USA
| |
Collapse
|
19
|
Abstract
OBJECTIVE The aim of the present study was to investigate the maternal and paternal specific contributions on the associations between family socioeconomic status, parental anthropometric factors, parental alliance, and family functioning. These were assessed separately for mothers and fathers, by means of a case-control study with families of Italian youths with and without overweight/obesity. METHODS Ninety families with children aged 11 to 16 years (mean = 13.27 years; SD = 1.5) participated in the study. Half of the families included children with overweight/obesity (n = 45). The body mass indices (BMIs) of youths and parents were measured and the former transformed in BMI z-scores. The parents completed the Parenting Alliance Measure and the Family Assessment Measure Version III, General Scale. RESULTS Higher levels of dysfunction in parental alliance and family functioning of the mothers and fathers of the overweight/obese group were found. Socioeconomic status did not contribute significantly to the prediction of overweight and obesity in youth. Both maternal and paternal BMIs were positively associated with youth overweight/obesity. The degrees of parental alliance perceived by both mothers (odds ratio [OR], 81; 95% confidence interval [CI], 0.72-0.90) and fathers (OR, 89; 95% CI, 0.81-0.98) predicted child's weight status. The perception of poor parental and familial functioning by both parents contributed to the prediction of overweight and obesity in youth (mother: OR, 1.06; 95% CI, 1.02-1.10; father: OR, 1.06; 95% CI, 1.01-1.11). CONCLUSION The results support a strong effect of parental and family functioning on a youth's overweight/obesity also from the father's perspective. The importance of considering the father's perspective is discussed.
Collapse
|
20
|
Trost SG, McDonald S, Cohen A. Measurement of general and specific approaches to physical activity parenting: a systematic review. Child Obes 2013; 9 Suppl:S40-50. [PMID: 23944923 PMCID: PMC3746243 DOI: 10.1089/chi.2013.0027] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
BACKGROUND Parents play a significant role in shaping youth physical activity (PA). However, interventions targeting PA parenting have been ineffective. Methodological inconsistencies related to the measurement of parental influences may be a contributing factor. The purpose of this article is to review the extant peer-reviewed literature related to the measurement of general and specific parental influences on youth PA. METHODS A systematic review of studies measuring constructs of PA parenting was conducted. Computerized searches were completed using PubMed, MEDLINE, Academic Search Premier, SPORTDiscus, and PsycINFO. Reference lists of the identified articles were manually reviewed as well as the authors' personal collections. Articles were selected on the basis of strict inclusion criteria and details regarding the measurement protocols were extracted. A total of 117 articles met the inclusionary criteria. Methodological articles that evaluated the validity and reliability of PA parenting measures (n=10) were reviewed separately from parental influence articles (n=107). RESULTS A significant percentage of studies used measures with indeterminate validity and reliability. A significant percentage of articles did not provide sample items, describe the response format, or report the possible range of scores. No studies were located that evaluated sensitivity to change. CONCLUSION The reporting of measurement properties and the use of valid and reliable measurement scales need to be improved considerably.
Collapse
Affiliation(s)
- Stewart G. Trost
- School of Human Movement Studies, The University of Queensland, Brisbane, Queensland, Australia
| | - Samantha McDonald
- School of Biological and Population Health Sciences, Oregon State University, Corvallis, OR
| | - Alysia Cohen
- School of Biological and Population Health Sciences, Oregon State University, Corvallis, OR
| |
Collapse
|