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Vinitchagoon T, Hennessy E, Zhang FF, Fauth RC, Must A, Tovar A, Choumenkovitch SF, Economos CD. A Dietary Pattern With More Fruits and Vegetables in Children of Mothers Who Immigrated to the United States From Latin America Is Associated With Healthful Nutrient Intake and Weight Status. J Acad Nutr Diet 2024; 124:947-956.e1. [PMID: 38609016 DOI: 10.1016/j.jand.2024.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 04/08/2024] [Accepted: 04/08/2024] [Indexed: 04/14/2024]
Abstract
BACKGROUND Children from families who immigrated to the United States may consume a lower-quality diet compared with their US-born peers. However, specific features of their dietary patterns, which could be a focus for improving diet quality, are not well-studied. OBJECTIVE The aim of this study was to examine dietary patterns that distinguish interpersonal variability in dietary intake and explore the association of dietary patterns with nutrient intake and weight status. DESIGN This study was a cross-sectional analysis of baseline data from the Live Well randomized controlled trial collected between 2009 and 2010. PARTICIPANTS/SETTING Study participants included 313 children (3-12 years) whose mothers immigrated to the United States from Latin America and resided in Somerville, Massachusetts. MAIN OUTCOME MEASURES Dietary patterns (derived using principal component analysis); nutrient intake (derived from dietary data collected using the Block Food Screener); and weight status (categorized using body mass index z score based on measured height and weight). STATISTICAL ANALYSES PERFORMED Nutrient intake levels were compared across quartiles for dietary patterns using analysis of covariance. Multivariable logistic or linear regression models were used to determine the associations between dietary pattern scores and odds of overweight or obesity or z scores. RESULTS Two dietary patterns emerged: "fruits and vegetables" and "meat and sweets." Highest adherence to the fruits and vegetables pattern was associated with more healthful nutrient intake and lower odds of having overweight or obesity (odds ratio 0.37; 95% CI 0.16 to 0.98), but not body mass index z score (β = -.07; 95% CI -.51 to 0.36) compared with the lowest adherence. Adherence to the meat and sweets pattern was associated with less healthful nutrient intake but not with the odds of experiencing overweight or obesity (odds ratio 0.48; 95% CI 0.16 to 1.46). CONCLUSIONS A healthful dietary pattern in children of families who immigrated to the United States from Latin America may include a variety of fruits and vegetables. Longitudinal studies should be conducted to further assess the role of dietary intake patterns on the health of these children.
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Affiliation(s)
- Thanit Vinitchagoon
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts; Institute of Nutrition, Mahidol University, Nakhon Pathom, Thailand.
| | - Erin Hennessy
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts; ChildObesity180, Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts
| | - Fang Fang Zhang
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts
| | - Rebecca C Fauth
- Tufts Interdisciplinary Evaluation Research, Eliot-Pearson Department of Child Study and Human Development, Tufts University, Medford, Massachusetts
| | - Aviva Must
- Department of Public Health and Community Medicine, School of Medicine, Tufts University, Boston, Massachusetts
| | - Alison Tovar
- Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, Rhode Island
| | - Silvina F Choumenkovitch
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts
| | - Christina D Economos
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts
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Mohsen H, Ibrahim C, Bookari K, Saadeh D, Al-Jawaldeh A, Sacre Y, Hanna-Wakim L, Al-Jaafari M, Atwi M, AlAsmar S, Najem J, Hoteit M. Prevalence of Essential Nutrient Supplement Use and Assessment of the Knowledge and Attitudes of Lebanese Mothers towards Dietary Supplement Practices in Maternal, Infancy and Preschool Ages: Findings of a National Representative Cross-Sectional Study. Foods 2022; 11:foods11193005. [PMID: 36230080 PMCID: PMC9561973 DOI: 10.3390/foods11193005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 09/18/2022] [Accepted: 09/21/2022] [Indexed: 12/02/2022] Open
Abstract
Mothers are understandably concerned about protecting the well-being of their offspring in every way possible, including providing oral dietary supplements (DSs). Up to now, there has been limited data on maternal knowledge and attitudes toward concomitant maternal–child DSs practices in Lebanon. This study evaluated the maternal knowledge and attitudes toward DSs and documented the DS-related practices in mothers and their under-5 children with their correlates. This cross-sectional study involved a representative stratified cluster random sample of 511 mother–child dyads (mothers: mean age ± SD = 30.25 ± 4.98 years; children: mean age ± SD = 18.7 ± 15.5 months, girls: 55.0%). A self-administered questionnaire was used to meet study aims. Most mothers lack awareness and hold unfavorable attitudes regarding DS use. Among all mothers, 47% were DS users, with the majority using vitamin D (82%). Almost 64% of mothers provide DSs for their children, with a predominant use of multivitamin drops (61.0%). “To keep the child healthy” was the reported reason by 60.0% of mothers to provide DSs for their children. Physicians were the primary information source about DSs for most mothers (64.0%). The usage of DSs among mothers was influenced by their pregnancy status, child’s age, number of children per household, and their awareness and attitudes towards DSs. DS usage among children was correlated with maternal DS use and their mothers’ attitudes towards DSs. DS usage among Lebanese mother–child dyads is common. Mothers should be the focus of education sessions regarding DS use.
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Affiliation(s)
- Hala Mohsen
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
| | - Carla Ibrahim
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
- Doctoral School of Sciences and Technology (DSST), Lebanese University, Hadath P.O. Box 6573, Lebanon
- PHENOL Research Group (Public HEalth Nutrition Program Lebanon), Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
- Lebanese University Nutrition Surveillance Center (LUNSC), Lebanese Food Drugs and Chemical Administrations, Lebanese University, Beirut P.O. Box 6573, Lebanon
- Department of Nutrition and Food Sciences, Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh P.O. Box 446, Lebanon
| | - Khlood Bookari
- Department of Clinical Nutrition, Faculty of Applied Medical Sciences, Taibah University, Madinah 42353, Saudi Arabia
- National Nutrition Committee, Saudi Food and Drug Authority, Riyadh 11451, Saudi Arabia
| | - Danielle Saadeh
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
- INSPECT-LB (Institut National de Santé Publique d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut P.O. Box 1103, Lebanon
| | - Ayoub Al-Jawaldeh
- World Health Organization Regional Office for the Eastern Mediterranean, Cairo 11371, Egypt
| | - Yonna Sacre
- Department of Nutrition and Food Sciences, Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh P.O. Box 446, Lebanon
| | - Lara Hanna-Wakim
- Department of Agricultural and Food Engineering, School of Engineering, Holy Spirit University of Kaslik (USEK), Jounieh P.O. Box 446, Lebanon
| | - Marwa Al-Jaafari
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
- Doctoral School of Sciences and Technology (DSST), Lebanese University, Hadath P.O. Box 6573, Lebanon
| | - Marwa Atwi
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
| | - Sabine AlAsmar
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
| | - Jessica Najem
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
| | - Maha Hoteit
- Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
- PHENOL Research Group (Public HEalth Nutrition Program Lebanon), Faculty of Public Health, Lebanese University, Beirut P.O. Box 6573, Lebanon
- Lebanese University Nutrition Surveillance Center (LUNSC), Lebanese Food Drugs and Chemical Administrations, Lebanese University, Beirut P.O. Box 6573, Lebanon
- University Medical Center, Lebanese University, Beirut P.O. Box 6573, Lebanon
- Correspondence:
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Dang VK, Walker LO. Dietary Information to Support a Healthy Pregnancy in Vietnamese Americans. Nurs Womens Health 2021; 25:461-470. [PMID: 34717893 DOI: 10.1016/j.nwh.2021.09.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 05/22/2021] [Accepted: 09/20/2021] [Indexed: 11/24/2022]
Abstract
Because optimal nutrition is vital during pregnancy, there are specific U.S. dietary guidelines and recommendations for pregnant individuals. However, Vietnamese Americans often have insufficient access to dietary recommendations for pregnancy that pertain specifically to their culture and cuisine. Healthful components of the traditional Vietnamese diet include vegetables, herbs, fruits, fish, and some unsaturated fats. Adjustments to the traditional and acculturated Vietnamese diet, such as reduced sodium intake from fermented foods and sauces, less sugar, more diverse carbohydrate consumption, more fiber, and less fat intake, would improve overall health and potentially reduce the common pregnancy complications pregnant Vietnamese women face, including gestational diabetes and certain micronutrient deficiencies. Understanding the traditional Vietnamese diet can help nurses provide culturally competent care to Vietnamese Americans.
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Collo A, Ferro A, Belci P, Cerutti F, Rabbone I, Ignaccolo MG, Carletto G, Vallini C, Cadario F, Savastio S, Carrera D, Gruden G, Siliquini R, Traversi D, Durazzo M. Nutritional behavior in Italian and immigrant children. Minerva Pediatr 2019; 71:481-487. [PMID: 31840968 DOI: 10.23736/s0026-4946.19.05654-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND There are 1.2 million of immigrant children living in Italy. However, data on their nutritional habits are limited. The aim of this study was to assess the nutritional profile in a cohort of both Italian and immigrant children. METHODS The study included 86 children aged 5-15 consecutively enrolled from January 2016 to May 2017 within a larger epidemiological study on determinants of diabetes. Immigrant state was defined on the basis of the parent origin. Data on nutritional profile, frequency of food group consumption, and eating habits were collected using the 24-hour dietary recall method and a questionnaire. Anthropometric parameters were measured. RESULTS In the cohort of immigrant children there was a higher prevalence of both overweight (27.3 vs. 14.1%) and obesity (18.2 vs. 3.1%) subjects and a greater total calorie intake compared to Italian children, mainly due to excess simple carbohydrate intake. Immigrant children had a higher consumption of sweets, snacks, and drinks with added sugar. Moreover, unhealthy habits, such as eating alone and eating while watching TV, were more frequent among immigrant children. CONCLUSIONS In this cohort, immigrant children had a higher prevalence of overweight/obesity possibly due to less healthy nutritional habits. Culturally-tailored nutritional interventions may help preventing the development of obesity-related diseases in this population.
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Affiliation(s)
- Alessandro Collo
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - Arianna Ferro
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - Paola Belci
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - Franco Cerutti
- Unit of Pediatric Endocrinology and Diabetology, Regina Margherita Children's Hospital, Turin, Italy
| | - Ivana Rabbone
- Unit of Pediatric Endocrinology and Diabetology, Regina Margherita Children's Hospital, Turin, Italy
| | - Maria G Ignaccolo
- Unit of Pediatric Endocrinology and Diabetology, Regina Margherita Children's Hospital, Turin, Italy
| | - Giulia Carletto
- Department of Public Health and Pediatrics, University of Turin, Turin, Italy
| | - Camilla Vallini
- Unit of Pediatric Endocrinology and Diabetology, Regina Margherita Children's Hospital, Turin, Italy
| | - Francesco Cadario
- Unit of Pediatric Endocrinology, Maggiore della Carità Hospital, Novara, Italy
| | - Silvia Savastio
- Unit of Pediatric Endocrinology, Maggiore della Carità Hospital, Novara, Italy
| | - Deborah Carrera
- Unit of Pediatric Endocrinology, Maggiore della Carità Hospital, Novara, Italy
| | - Gabriella Gruden
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - Roberta Siliquini
- Department of Public Health and Pediatrics, University of Turin, Turin, Italy
| | - Deborah Traversi
- Department of Public Health and Pediatrics, University of Turin, Turin, Italy
| | - Marilena Durazzo
- Department of Medical Sciences, University of Turin, Turin, Italy -
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Obeng-Gyasi E, Antwi G, Obeng C. "Food is Environmentally and Culturally Specific!": A Preliminary Qualitative Study on U.S. Immigrant Parents' Perceptions of School Lunch. Eur J Investig Health Psychol Educ 2019; 10:240-249. [PMID: 34542482 PMCID: PMC8314214 DOI: 10.3390/ejihpe10010019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2019] [Revised: 11/18/2019] [Accepted: 11/20/2019] [Indexed: 11/16/2022] Open
Abstract
Children spend most of their day hours in school, so the dietary choices they make during school days are important for their childhood development and later life. This research examined food choices among immigrant families with school-age children in Indiana, USA. Open-ended questions were answered by 52 immigrant parents in 2017. Parents who answered the questions had children in classes ranging from kindergarten to grade 12. NVivo 11 was used for the initial analysis of the dataset, and several themes were identified. After the initial analysis, the data were categorized into major themes to condense the themes. Thirty-eight (73%) of the respondents indicated that their children ate school lunch, 14 (27%) indicated that they prepared lunch for their children to eat at school, and 39 (75%), mostly from non-industrialized countries, indicated that their children ate their home-country staple foods for dinner and on non-school days. Parents indicated that schools are serving the needs of immigrant children by serving varieties of foods during lunchtime.
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Affiliation(s)
- Emmanuel Obeng-Gyasi
- Department of Built Environment, North Carolina Agricultural and Technical State University, Greensboro, NC 27411, USA;
| | - Godfred Antwi
- Department of Public Health and Health Education, The College at Brockport, State University of New York, Brockport, NY 14420, USA;
| | - Cecilia Obeng
- Department of Applied Health Science, Indiana University School of Public Health, Bloomington, IN 47405, USA
- Correspondence: ; Tel.: +1-812-856-0502
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Keller KL, Kling SMR, Fuchs B, Pearce AL, Reigh NA, Masterson T, Hickok K. A Biopsychosocial Model of Sex Differences in Children's Eating Behaviors. Nutrients 2019; 11:nu11030682. [PMID: 30909426 PMCID: PMC6470823 DOI: 10.3390/nu11030682] [Citation(s) in RCA: 56] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Revised: 03/15/2019] [Accepted: 03/19/2019] [Indexed: 12/11/2022] Open
Abstract
The prevalence of obesity and eating disorders varies by sex, but the extent to which sex influences eating behaviors, especially in childhood, has received less attention. The purpose of this paper is to critically discuss the literature on sex differences in eating behavior in children and present new findings supporting the role of sex in child appetitive traits and neural responses to food cues. In children, the literature shows sex differences in food acceptance, food intake, appetitive traits, eating-related compensation, and eating speed. New analyses demonstrate that sex interacts with child weight status to differentially influence appetitive traits. Further, results from neuroimaging suggest that obesity in female children is positively related to neural reactivity to higher-energy-dense food cues in regions involved with contextual processing and object recognition, while the opposite was found in males. In addition to differences in how the brain processes information about food, other factors that may contribute to sex differences include parental feeding practices, societal emphasis on dieting, and peer influences. Future studies are needed to confirm these findings, as they may have implications for the development of effective intervention programs to improve dietary behaviors and prevent obesity.
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Affiliation(s)
- Kathleen L Keller
- Department of Nutritional Science, The Pennsylvania State University, University Park, PA 16802, USA.
- Department of Food Science, The Pennsylvania State University, University Park, PA 16803, USA.
| | - Samantha M R Kling
- Department of Nutritional Science, The Pennsylvania State University, University Park, PA 16802, USA.
| | - Bari Fuchs
- Department of Nutritional Science, The Pennsylvania State University, University Park, PA 16802, USA.
| | - Alaina L Pearce
- Department of Nutritional Science, The Pennsylvania State University, University Park, PA 16802, USA.
| | - Nicole A Reigh
- Department of Nutritional Science, The Pennsylvania State University, University Park, PA 16802, USA.
| | - Travis Masterson
- Department of Epidemiology, Geisel School of Medicine at Dartmouth College, Hanover, NH 03756, USA.
| | - Kara Hickok
- Department of Nutritional Science, The Pennsylvania State University, University Park, PA 16802, USA.
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Lora KR, Branscum PW, Chen S, Wakefield D. Home Food Environment Factors Associated With Hispanic Preschoolers' Intake of Fruits and Vegetables. FAMILY & COMMUNITY HEALTH 2019; 42:261-270. [PMID: 31403987 PMCID: PMC6693638 DOI: 10.1097/fch.0000000000000235] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The purpose of this study was to evaluate the relationship of home fruit and vegetable (F&V) availability and maternal feeding practices with Hispanic preschoolers' F&V intake (N = 238). "Availability' of total fruit" (P < .0001) and "modeling" (P < .020) increased the odds of consuming 1 or more cups of fruit. "Pressure" (P < .009) and the child being female (P < .028) increased the odds of consuming 1 or more cups of vegetables, while having a greater number of children in the home (P < .037) reduced the odds of consuming 1 or more cups of vegetables. To increase preschoolers' intake of F&V, interventions should target specific environmental factors in the home and maternal monitoring practices.
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Affiliation(s)
- Karina R Lora
- Department of Exercise and Nutrition Science, The George Washington University, Washington, District of Columbia (Dr Lora); Department of Kinesiology and Health, Miami University, Oxford, Ohio (Dr Branscum); Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City (Dr Chen); and Center of Aging, University of Connecticut Health, Farmington (Ms Wakefield)
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An Overview of Whole Grain Regulations, Recommendations and Research across Southeast Asia. Nutrients 2018; 10:nu10060752. [PMID: 29891782 PMCID: PMC6024883 DOI: 10.3390/nu10060752] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Revised: 06/05/2018] [Accepted: 06/06/2018] [Indexed: 01/31/2023] Open
Abstract
The Association of Southeast Asian Nations (ASEAN) is a diverse region that is experiencing economic growth and increased non-communicable disease burden. This paper aims to evaluate the current regulations, dietary recommendations and research related to whole grains in this region. To do this, a systematic literature review was carried out and information was collected on regulations and dietary recommendations from each member state. The majority of publications on whole grains from the region (99 of 147) were in the area of food science and technology, with few observational studies (n = 13) and human intervention studies (n = 10) related to whole grains being apparent. Information from six countries (Indonesia, Malaysia, The Philippines, Singapore, Thailand and Vietnam) was available. Wholegrain food-labelling regulations were only noted in Malaysia and Singapore. Public health recommendation related to whole grains were apparent in four countries (Indonesia, Malaysia, The Philippines, Singapore), while recent intake data from whole grains was only apparent from Malaysia, The Philippines and Singapore. In all cases, consumption of whole grains appeared to be very low. These findings highlight a need for further monitoring of dietary intake in the region and further strategies targeted at increasing the intake of whole grains.
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