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Katiforis I, Smith C, Haszard JJ, Styles SE, Leong C, Taylor RW, Conlon CA, Beck KL, von Hurst PR, Te Morenga LA, Daniels L, Brown KJ, Rowan M, Casale M, McLean NH, Cox AM, Jones EA, Bruckner BR, Jupiterwala R, Wei A, Heath ALM. Household food insecurity and novel complementary feeding methods in New Zealand families. MATERNAL & CHILD NUTRITION 2024:e13715. [PMID: 39219400 DOI: 10.1111/mcn.13715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2024] [Revised: 07/08/2024] [Accepted: 08/12/2024] [Indexed: 09/04/2024]
Abstract
Optimal nutrition during infancy is critical given its influence on lifelong health and wellbeing. Two novel methods of infant complementary feeding, commercial baby food pouch use and baby-led weaning (BLW), are becoming increasingly popular worldwide. Household food insecurity may influence complementary feeding practices adopted by families, but no studies have investigated the use of BLW and baby food pouches in families experiencing food insecurity. The First Foods New Zealand study was a multicentre, observational study in infants 7.0-9.9 months of age. Households (n = 604) were classified into one of three categories of food insecurity (severely food insecure, moderately food insecure, and food secure). The use of complementary feeding practices was assessed via a self-administered questionnaire, both at the current age (mean 8.4 months) and retrospectively at 6 months. Mothers experiencing severe food insecurity had 5.70 times the odds of currently using commercial baby food pouches frequently (≥5 times/week) compared to food secure mothers (95% CI [1.54, 21.01]), reporting that pouches were 'easy to use' (89%) and made it 'easy to get fruits and vegetables in' (64%). In contrast, no evidence of a difference in the prevalence of current BLW was observed among mothers experiencing moderate food insecurity (adjusted OR; 1.28, 95% CI [0.73, 2.24]) or severe food insecurity (adjusted OR; 1.03, 95% CI [0.44, 2.43]) compared to food secure mothers. The high prevalence of frequent commercial baby food pouch use in food insecure households underscores the need for research to determine whether frequent pouch use impacts infant health.
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Affiliation(s)
- Ioanna Katiforis
- Department of Human Nutrition, University of Otago, Dunedin, New Zealand
| | - Claire Smith
- Department of Human Nutrition, University of Otago, Dunedin, New Zealand
| | | | - Sara E Styles
- Department of Human Nutrition, University of Otago, Dunedin, New Zealand
| | - Claudia Leong
- Department of Applied Science and Social Practice, Ara Institute of Canterbury, Christchurch, New Zealand
| | - Rachael W Taylor
- Department of Medicine, University of Otago, Dunedin, New Zealand
| | - Cathryn A Conlon
- School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand
| | - Kathryn L Beck
- School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand
| | - Pamela R von Hurst
- School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand
| | - Lisa A Te Morenga
- Research Centre for Hauora and Health, Massey University, Wellington, New Zealand
| | - Lisa Daniels
- Department of Medicine, University of Otago, Dunedin, New Zealand
| | - Kimberley J Brown
- School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand
| | - Madeleine Rowan
- Department of Human Nutrition, University of Otago, Dunedin, New Zealand
| | - Maria Casale
- School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand
| | - Neve H McLean
- Department of Human Nutrition, University of Otago, Dunedin, New Zealand
| | - Alice M Cox
- Department of Medicine, University of Otago, Dunedin, New Zealand
| | - Emily A Jones
- School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand
| | - Bailey R Bruckner
- Department of Human Nutrition, University of Otago, Dunedin, New Zealand
| | - Rosario Jupiterwala
- School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand
| | - Andrea Wei
- School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand
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Iusitini L, Tautolo ES, Plank LD, Rush E. Pacific Islands Families Study: Household Food Security during Pregnancy and Secondary School Educational Achievement. Nutrients 2023; 15:4131. [PMID: 37836415 PMCID: PMC10574222 DOI: 10.3390/nu15194131] [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: 08/08/2023] [Revised: 09/19/2023] [Accepted: 09/21/2023] [Indexed: 10/15/2023] Open
Abstract
Nutritional environment in early life is a key factor for brain development and function. It is important to understand the relationship between nutrition in early life and academic achievement in adolescence. The birth cohort of the Pacific Islands Families (PIF) study was born in the year 2000. When their child was six weeks old, mothers were asked questions concerning food security over the past year. Two binary measures of food security were derived as previously used in PIF and also by the Ministry of Health (MOH). In 2020, records of academic achievement from the National Certificate of Educational Achievement (NCEA) for 649 (317 female, 332 male) cohort members showed progressive achievement at levels 1, 2, and 3 of NCEA and allowed University Entrance (UE) to be assessed. The prevalence of food insecurity was not different for sex but high at 29% and 42% using the PIF and MOH definitions of food insecurity, respectively. More females (27%) than males (18%) achieved UE as their highest qualification, and more males (40%) than females (31%) achieved NCEA levels 1 or 2 as their highest qualification. UE was achieved by 25% of those born into food-secure households and 17% from food-insecure households. Logistic regression demonstrated that the odds of achieving UE were 1.8-fold (95% CI 1.2, 2.6, p = 0.003) higher in females than males and, independently, 1.6-fold (95% CI 1.1, 2.5 p = 0.026) higher if the household was food secure. This work emphasises the importance of maternal and early-life food security for subsequent academic achievement and the well-being of future generations.
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Affiliation(s)
- Leon Iusitini
- New Zealand Work Research Institute, Faculty of Business, Economics and Law, Auckland University of Technology, Auckland 1142, New Zealand;
| | - El-Shadan Tautolo
- School of Public Health & Interdisciplinary Studies, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland 1142, New Zealand;
| | - Lindsay D. Plank
- Department of Surgery, Faculty of Medical and Health Sciences, University of Auckland, Auckland 1142, New Zealand;
| | - Elaine Rush
- School of Sport and Recreation, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland 1142, New Zealand
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Ross H, Kruger R, Wham C. Prevalence of nutrition risk and associated risk factors among New Zealand pre-school children. J Paediatr Child Health 2023; 59:100-106. [PMID: 36318792 PMCID: PMC10092245 DOI: 10.1111/jpc.16253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 10/03/2022] [Accepted: 10/07/2022] [Indexed: 01/12/2023]
Abstract
AIM To determine the prevalence of nutrition risk using the validated, Nutrition Screening Tool for Every Pre-schooler (NutriSTEP) among pre-school children in New Zealand (NZ) and to identify socio-demographic factors associated with nutrition risk. METHODS Parents/caregivers of NZ pre-school children (aged 2-5 years) completed an online survey including NutriSTEP, both parent and child height and weight, as well as socio-demographic characteristics. The 17-item NutriSTEP responses were scored between 0 and 4; where item scores ≥2 indicate risk, and the maximum score is 68. Participants were stratified into low-risk (score ≤ 20) and moderate to high-risk (score > 20) groups. Strength of associations between nutrition risk and socio-demographic characteristics were explored using binary regression analysis. RESULTS Of 505 pre-school children, 96 (19%) were at moderate to high risk (median interquartile range NutriSTEP score 24 [22-26]) and 409 (81%) were at low risk (score 13 [10-16]). Pre-school children at highest risk were non-NZ European (P = 0.002), with solo parents (P = 0.002), from households with incomes ≤$50 000 (P ≤ 0.021) and with non-university educated parents (P ≤ 0.0001). More than 30% of pre-schoolers were at high risk for inadequate consumption of fruit, vegetables, grains, milk products, meat and meat alternatives, as well as exposure to screens during meals and overuse of supplements. CONCLUSIONS A fifth of NZ pre-school children were at moderate to high nutrition risk and may not have met the nutrition guidelines. Economic and ethnic disparities were apparent. Using NutriSTEP may assist to identify NZ pre-school children at highest nutrition risk who may benefit from appropriate nutrition support.
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Affiliation(s)
- Helen Ross
- School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand
| | - Rozanne Kruger
- School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand
| | - Carol Wham
- School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand
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Macaulay GC, Simpson J, Parnell W, Duncanson M. Food insecurity as experienced by New Zealand women and their children. J R Soc N Z 2022. [DOI: 10.1080/03036758.2022.2088574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Grace C. Macaulay
- New Zealand Child and Youth Epidemiology Service, Department of Women’s and Children’s Health, University of Otago, Dunedin, New Zealand
| | - Jean Simpson
- New Zealand Child and Youth Epidemiology Service, Department of Women’s and Children’s Health, University of Otago, Dunedin, New Zealand
| | - Winsome Parnell
- Department of Human Nutrition, University of Otago, Dunedin, New Zealand
| | - Mavis Duncanson
- New Zealand Child and Youth Epidemiology Service, Department of Women’s and Children’s Health, University of Otago, Dunedin, New Zealand
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Donovan K, Lenferna De La Motte KA, Zinn C. Healthy Food Affordability in a New Zealand Context: Perception or Reality? JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2022. [DOI: 10.1080/19320248.2022.2047862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Katie Donovan
- Auckland University of Technology, Human Potential Centre, Auckland, New Zealand
| | | | - Caryn Zinn
- Auckland University of Technology, Human Potential Centre, Auckland, New Zealand
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Hardcastle SJ, Caraher M. The role of foodbanks in the context of food insecurity: Experiences and eating behaviours amongst users. Appetite 2021; 163:105208. [PMID: 33774137 DOI: 10.1016/j.appet.2021.105208] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 01/24/2021] [Accepted: 03/11/2021] [Indexed: 11/29/2022]
Abstract
The study aim was to investigate the role of foodbanks in the context of food insecurity and explore food choices and eating behaviours amongst users. Food insecurity is associated with poor diet quality and obesity; however, the dimensions that influence food choices and eating behaviour remain unclear. Face-to-face interviews were conducted with individuals who had visited a faith-based foodbank in Perth, Western Australia. Participants were thirty-three service users who had collected a food hamper from the foodbank. Interview transcripts were analyzed using thematic analysis. Four main themes emerged: Ties you over until pay day; Food hamper supporting meals and fruit and vegetable consumption; Food choices supplementing hamper; Household gatekeeping and food control. Participants were complimentary about the content of the food hamper received which included a variety of fresh produce. A key new finding was the frequent purchase and consumption of meat and processed meat to supplement the food hamper provision. Future work and interventions to improve eating behaviour and reduce food-related financial pressure for those vulnerable to food insecurity include further exploration of the dimensions influencing food choices (i.e., cultural norms, habits, symbols); exposure to healthy and tasty plant-based meals, (i.e., tasting low-cost and tasty vegetable-based meals); parenting training focused on handling child/partner food choice influences, and, enforcing household rules governing food.
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Affiliation(s)
- Sarah J Hardcastle
- Dublin City University, Glasnevin, Dublin, Ireland; Institute for Health Research, University of Notre Dame, Fremantle, Western Australia, Australia.
| | - Martin Caraher
- Centre for Food Policy, City, University of London, London, UK
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Butcher LM, Ryan MM, O'Sullivan TA, Lo J, Devine A. Food-Insecure Household's Self-Reported Perceptions of Food Labels, Product Attributes and Consumption Behaviours. Nutrients 2019; 11:nu11040828. [PMID: 31013699 PMCID: PMC6521285 DOI: 10.3390/nu11040828] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Revised: 04/09/2019] [Accepted: 04/09/2019] [Indexed: 11/20/2022] Open
Abstract
Dietary compromises related to food insecurity profoundly undermine health and constitute a serious public health issue, even in developed nations. The aim of this study was to explore the impact of food labelling and product attributes on the purchasing choices of food-insecure households in Australia. An online survey containing 19 food choice and 28 purchasing behaviours questions was completed by 1056 adults responsible for household grocery shopping. The short form of the US Household Food Security Survey Module was used as the food security indicator. Multinomial logistic regression modelling was employed to analyse the survey data. Respondents were classified as having either high-marginal (63.4%, n = 670), low (19.8%, n = 209) or very low (16.8%, n = 177) food security. Respondents with low or very low food security status were less likely to self-report understanding the information on the back of packaging (p < 0.001), find information on food labels useful (p = 0.002) or be influenced by product nutrition information (p = 0.002). Convenience (p < 0.001), organic (p = 0.027) and supermarket-branded products (p < 0.001) were more likely to be rated as important by food-insecure respondents when compared to their food-secure counterparts. When asked to rate “how healthy” their diet was, high–marginal FS respondents were twice as likely describe their diet as healthy than very low FS respondents (p = 0.001).
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Affiliation(s)
- Lucy M Butcher
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.
- Foodbank Western Australia, Perth Airport, WA 6105, Australia.
| | - Maria M Ryan
- School of Business and Law, Edith Cowan University, Joondalup, WA 6027, Australia.
| | - Therese A O'Sullivan
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.
| | - Johnny Lo
- School of Science, Edith Cowan University, Joondalup, WA 6027, Australia.
| | - Amanda Devine
- School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.
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Schnettler B, Lobos G, Miranda-Zapata E, Denegri M, Ares G, Hueche C. Diet Quality and Satisfaction with Life, Family Life, and Food-Related Life across Families: A Cross-Sectional Pilot Study with Mother-Father-Adolescent Triads. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:E1313. [PMID: 29109387 PMCID: PMC5707952 DOI: 10.3390/ijerph14111313] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Revised: 10/23/2017] [Accepted: 10/24/2017] [Indexed: 12/12/2022]
Abstract
Family is a major determinant of children's and adolescents' eating behavior. The objectives of the present study were to assess diet quality, eating habits, satisfaction with life, family life, and food-related life in mother-father-adolescent triads, and to identify profiles of families according to family members' diet quality. Questionnaires were administered to a sample of 300 two-parent families with one child over the age of 10 in the city of Temuco (Chile), including the Adapted Healthy Eating Index (AHEI), Satisfaction with Life Scale (SWLS), Satisfaction with Food-related Life (SWFoL) scale, Satisfaction with Family Life (SWFaL) scales, and questions relating to their eating habits. Positive relationships were found between the diet quality of the family members, particularly between mothers and adolescents. Three family profiles with different diet qualities were identified: "families with an unhealthy diet" (39.3%), "families in which mothers and adolescents have healthy diets, but the fathers' diets require changes" (14.3%), and "families that require changes in their diet" (46.4%). These findings stress the key role of mothers in determining family diet quality and suggest a positive relationship between diet quality and satisfaction with life.
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Affiliation(s)
- Berta Schnettler
- Facultad de Ciencias Agropecuarias y Forestales, Universidad de La Frontera, Temuco 4811230, Chile.
- Centro de Excelencia en Psicología Económica y del Consumo, Núcleo Científico y Tecnológico en Ciencias Sociales, Universidad de La Frontera, Temuco 4811230, Chile.
| | - Germán Lobos
- Facultad de Economía y Negocios, Universidad de Talca, Talca 3460000, Chile.
| | - Edgardo Miranda-Zapata
- LICSA, Núcleo Científico y Tecnológico en Ciencias Sociales, Universidad de La Frontera, Temuco 4811230, Chile.
| | - Marianela Denegri
- Centro de Excelencia en Psicología Económica y del Consumo, Núcleo Científico y Tecnológico en Ciencias Sociales, Universidad de La Frontera, Temuco 4811230, Chile.
- Facultad de Educación, Ciencias Sociales y Humanidades, Universidad de La Frontera, Temuco 4811230, Chile.
| | - Gastón Ares
- Instituto Polo Tecnológico de Pando, Facultad de Química, Universidad de la República, Pando 4225, Uruguay.
| | - Clementina Hueche
- Centro de Excelencia en Psicología Económica y del Consumo, Núcleo Científico y Tecnológico en Ciencias Sociales, Universidad de La Frontera, Temuco 4811230, Chile.
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Carty SA, Mainvil LA, Coveney JD. Exploring family home food environments: Household resources needed to utilise weekly deliveries of free fruits and vegetables. Nutr Diet 2016; 74:138-146. [PMID: 28731639 DOI: 10.1111/1747-0080.12296] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2016] [Revised: 04/12/2016] [Accepted: 05/18/2016] [Indexed: 11/30/2022]
Abstract
AIM An adapted ethnographic approach was used to explore household factors that influence family fruit and vegetable consumption when access and cost barriers are removed. 'Structural' barriers, such as food affordability and accessibility, are likely to influence fruit and vegetable consumption in disadvantaged households, but households may require additional resources (human and social) to increase consumption. METHODS Five low-income and five high-income households with children (N = 39 individuals) were observed in their home environment for three months. Including both advantaged and disadvantaged families allowed exploration of socioeconomic factors influencing these households. Each household received a free box of fresh fruit and vegetables each week for 10-12 weeks, delivered to their home, and were home-visited twice a week by a researcher (40+ hours per household). An inductive analysis of rich observational and discussion data revealed themes describing factors influencing household fruit and vegetable consumption. RESULTS Household food cultures were dynamic and influenced by available resources. Even when free produce was delivered to homes, these households required human resource (personal drivers influenced by early life exposure and household dynamics) and external social networks to make use of them. When household finances and/or labour were limited, there was greater dependence on external organisations for tangible support. CONCLUSIONS Even when structural barriers were removed, disadvantaged families needed a range of resources across the life course to improve eating behaviours, including sufficient, motivated and skilled labour and harmonious family relationships. Strategies targeting these households must consider structural, social, cultural and intra-familial influences on food choice.
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Affiliation(s)
- Sophie A Carty
- Department of Human Nutrition, University of Otago, Dunedin, New Zealand
| | - Louise A Mainvil
- Department of Human Nutrition, University of Otago, Dunedin, New Zealand
| | - John D Coveney
- School of Health Sciences, Faculty of Medicine, Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
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