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Yuan X, Matsumoto M, Okada E, Murakami K, Sasaki S, Takimoto H. Relationship between Household Shared Meal Frequency and Dietary Intake among Men and Women Aged ≥20 Years: Cross-Sectional Analyses Based on 2018 and 2019 National Health and Nutrition Surveys in Japan. Nutrients 2024; 16:1764. [PMID: 38892697 PMCID: PMC11175063 DOI: 10.3390/nu16111764] [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: 05/08/2024] [Revised: 05/20/2024] [Accepted: 05/31/2024] [Indexed: 06/21/2024] Open
Abstract
This study aimed to examine the relationship between the frequency of household shared meals and the intake of 17 food groups and 21 nutrients. Participants were 3310 men and 3386 women ≥20 years old living in a household of ≥2 members from 2018 and 2019 National Health and Nutrition Surveys in Japan. A one-day household dietary record was used to classify an individual's shared meal frequency and dietary intake. A shared meal is defined as an eating occasion (i.e., breakfast, lunch, and dinner) where ≥1 food item-other than sugars, fats and oils, beverages, and condiments-was recorded with an assigned approximated shared proportion. The shared meal frequency for each individual was classified into one of four categories: 0, 1, 2, and 3 times/day. Dietary intake was compared across the shared meal categories adjusted for age, occupation, household size, meal skipping, snacking, residential areas, and within-household correlations. Both men and women who had more frequent shared meals showed higher intakes of potatoes, vegetables, mushrooms, and condiments but less confectioneries and beverages. A higher shared meal frequency was also related to a higher intake of many (12/21) nutrients (e.g., protein, dietary fiber, and potassium). However, in women, there was a positive association between shared meal frequency and sodium intake. A higher frequency of household shared meals may be related to a more favorable dietary intake; except for concerns about sodium intake in women.
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Affiliation(s)
- Xiaoyi Yuan
- Department of Nutritional Epidemiology and Shokuiku, National Institutes of Biomedical Innovation, Health, and Nutrition, 3-17 Senrioka Shinmachi, Settsu-shi 566-0002, Osaka, Japan
| | - Mai Matsumoto
- Department of Nutritional Epidemiology and Shokuiku, National Institutes of Biomedical Innovation, Health, and Nutrition, 3-17 Senrioka Shinmachi, Settsu-shi 566-0002, Osaka, Japan
| | - Emiko Okada
- Department of Nutritional Epidemiology and Shokuiku, National Institutes of Biomedical Innovation, Health, and Nutrition, 3-17 Senrioka Shinmachi, Settsu-shi 566-0002, Osaka, Japan
| | - Kentaro Murakami
- Department of Social and Preventive Epidemiology, School of Public Health, University of Tokyo, Bunkyo-ku 113-0033, Tokyo, Japan
| | - Satoshi Sasaki
- Department of Social and Preventive Epidemiology, School of Public Health, University of Tokyo, Bunkyo-ku 113-0033, Tokyo, Japan
| | - Hidemi Takimoto
- Department of Nutritional Epidemiology and Shokuiku, National Institutes of Biomedical Innovation, Health, and Nutrition, 3-17 Senrioka Shinmachi, Settsu-shi 566-0002, Osaka, Japan
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López-Gil JF, Ezzatvar Y, Ojeda-Rodríguez A, Galan-Lopez P, Royo JMP, Gaya AR, Agostinis-Sobrinho C, Martín-Calvo N. Is family meal frequency associated with obesity in children and adolescents? A cross-sectional study including 155 451 participants from 43 countries. Pediatr Obes 2024:e13124. [PMID: 38798042 DOI: 10.1111/ijpo.13124] [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: 02/19/2024] [Revised: 04/04/2024] [Accepted: 04/15/2024] [Indexed: 05/29/2024]
Abstract
OBJECTIVE This study tried to examine the association between the frequency of family meals and excess weight using large and representative samples of children and adolescents from 43 countries. METHODS This cross-sectional study used data from the Health Behaviour in School-aged Children (HBSC), which included nationally representative samples of children and adolescents aged 10-17 years, involving a total of 155 451 participants (mean age = 13.6 years; standard deviation [SD] = 1.6; 51.4% girls). Family meal frequency was gauged through the following question: 'How frequently do you and your family typically share meals?' The possible responses were: 'never', 'less often', 'approximately once a week', 'most days' and 'every day'. The body weight and height of the participants were self-reported and utilized to calculate body mass index (BMI). Subsequently, BMI z-scores were computed based on the International Obesity Task Force criteria, and the prevalence of excess weight was defined as +1.31 SD for boys and + 1.24 SD for girls, with obesity defined as +2.29 SD for boys and + 2.19 SD for girls. Generalized linear mixed models were conducted to examine the associations between the frequency of family meals and excess weight or obesity. RESULTS The lowest predicted probabilities of having excess weight and obesity were observed for those participants who had family meals every day (excess weight: 34.4%, 95% confidence interval [CI] 31.4%-37.5%; obesity: 10.8%, 95% CI 9.0%-13.0%). CONCLUSIONS A higher frequency of family meals is associated with lower odds of having excess weight and obesity in children and adolescents.
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Affiliation(s)
| | - Yasmin Ezzatvar
- Department of Nursing, Universitat de València, Valencia, Spain
| | - Ana Ojeda-Rodríguez
- Lipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, Cordoba, Spain
- Department of Medical and Surgical Science, University of Cordoba, Cordoba, Spain
- Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Spain
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
| | - Pablo Galan-Lopez
- Department of Communication and Education, Universidad Loyola Andalucía, Seville, Spain
| | | | - Anelise Reis Gaya
- Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
| | - Cesar Agostinis-Sobrinho
- Polytechnic Institute Of Guarda, Guarda, Portugal
- Health Research and Innovation Centre, Faculty of Health Science, Klaipeda University, Klaipėda, Lithuania
| | - Nerea Martín-Calvo
- Department of Preventive Medicine and Public Health, Facultad de Medicina, Universidad de Navarra, Pamplona, Spain
- IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain
- Pathophysiology of Obesity and Nutrition, Centro de Investigación Biomédica en Red, Instituto de Salud Carlos III, Madrid, Spain
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Blaess M, Eliot K. A Framework for RDN and SLP Collaboration: A Missing Piece in Autism Spectrum Disorder Treatment. J Acad Nutr Diet 2024:S2212-2672(24)00161-8. [PMID: 38615995 DOI: 10.1016/j.jand.2024.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 04/08/2024] [Accepted: 04/08/2024] [Indexed: 04/16/2024]
Affiliation(s)
- Martha Blaess
- Department of Nutrition and Dietetics, Department of Speech, Language, and Hearing Sciences, Saint Louis University, Saint Louis, MO.
| | - Kathrin Eliot
- Department of Nutritional Sciences, The University of Oklahoma Health Sciences, Oklahoma City, OK
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Cooper M, Mears C, Heckert K, Orloff N, Peebles R, Timko CA. The buffet challenge: a behavioral assessment of eating behavior in adolescents with an eating disorder. J Eat Disord 2024; 12:8. [PMID: 38238787 PMCID: PMC10797715 DOI: 10.1186/s40337-024-00968-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 01/09/2024] [Indexed: 01/22/2024] Open
Abstract
OBJECTIVE Eating disorders are characterized by disturbances in nutritional intake and abnormal mealtime behaviors. Laboratory eating paradigms offer a unique opportunity to accurately measure dietary intake and eating behaviors, however, these studies have predominantly occurred in adults. This paper describes the development and preliminary psychometric examination of the Buffet Challenge, a laboratory-based meal task for youths with an eating disorder. METHOD We recruited and assessed 56 participants as part of a randomized controlled trial of Family-Based Treatment for adolescents with anorexia nervosa. Adolescents completed the Buffet Challenge at baseline, midway through treatment (~ week 16 of a 6 months course), and end of treatment. Participants and their parents also reported eating disorder symptomatology and treatment related variables of interest were recorded. RESULTS All adolescents were willing to complete the Buffet Challenge at all time points, although one refused to give up their cellphone, and there were no significant adverse events recorded. Preliminary results are presented. CONCLUSIONS Our initial pilot of this task in adolescents with anorexia nervosa demonstrates its acceptability, although investigation of our hypotheses was hindered by significant missing data due to COVID-related research shutdowns. Future studies should replicate procedures in a larger sample to ensure analyses are adequately powered.
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Affiliation(s)
- Marita Cooper
- Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Connor Mears
- Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA, USA
- Department of Psychology, West Chester University, West Chester, PA, USA
| | - Kerri Heckert
- Department of Clinical Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Natalia Orloff
- Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA, USA
- Equip Health, Philadelphia, USA
| | - Rebecka Peebles
- The Craig Dalsimer Division of Adolescent Medicine, Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
- Monte Nido & Affiliates, Philadelphia, USA
| | - C Alix Timko
- Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
- Roberts Center for Pediatric Research, 2716 South Street, Philadelphia, PA, 19146, USA.
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Helle C, Hillesund ER, Øverby NC. Maternal mental health is associated with children's frequency of family meals at 12 and 24 months of age. MATERNAL & CHILD NUTRITION 2024; 20:e13552. [PMID: 37596722 PMCID: PMC10750025 DOI: 10.1111/mcn.13552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 07/03/2023] [Accepted: 07/20/2023] [Indexed: 08/20/2023]
Abstract
Diet during the child's first years is important for growth and development. In toddlerhood, higher diet quality is reported among children eating meals together with family. Although previous literature has documented several associations between maternal mental health and early child feeding practices, less is known about the relationship between maternal mental health and child frequency of shared family meals. This study explores associations between maternal symptoms of anxiety and depression, measured by The Hopkins Symptoms Checklist (SCL-8), and toddler participation in family meals. We used cross-sectional data from the Norwegian study Early Food for Future Health, in which participants responded to questionnaires at child age 12 (n = 455) and 24 months (n = 295). Logistic regression was used to explore associations between maternal mental health and child having regular (≥5 per week) or irregular (<5 per week) family meals (breakfast and dinner), adjusting for relevant child and maternal confounding variables. Children of mothers with higher scores of anxiety and depression had higher odds of Irregular family meals at both timepoints; (OR: 2.067, p = 0.015) and (OR: 2.444, p = 0.023). This is one of few studies exploring associations between maternal mental health and child frequency of shared family meals in early childhood, a period where the foundation for life-long health is shaped. Given the high prevalence of mental ailments and disorders, these findings are important and may inform future public health interventions. Further exploration of this relation is needed, including longitudinal research to test predictive associations and qualitative studies to increase insight and understanding.
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Affiliation(s)
- Christine Helle
- Department of Nutrition and Public Health, Faculty of Health and Sport SciencesUniversity of AgderKristiansandNorway
| | - Elisabet R. Hillesund
- Department of Nutrition and Public Health, Faculty of Health and Sport SciencesUniversity of AgderKristiansandNorway
| | - Nina Cecilie Øverby
- Department of Nutrition and Public Health, Faculty of Health and Sport SciencesUniversity of AgderKristiansandNorway
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Robson SM, Alvarado AV, Baker-Smith CM. Family Meals and Cardiometabolic Risk Factors in Young Children. Curr Atheroscler Rep 2023; 25:509-515. [PMID: 37421580 DOI: 10.1007/s11883-023-01123-0] [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] [Accepted: 06/16/2023] [Indexed: 07/10/2023]
Abstract
PURPOSE OF THE REVIEW Family meals represent a novel strategy for improving cardiovascular health in youth. The purpose of this paper is to describe the association between family meals, dietary patterns, and weight status in youth. REVIEW FINDINGS According to the American Heart Association's Life's Essential 8, poor diet quality and overweight/obesity status are key contributors to suboptimal cardiovascular health. Current literature highlights a positive correlation between the number of family meals and healthier eating patterns, including greater consumption of fruits and vegetables, and a reduced risk of obesity in youth. However, to date, the role of family meals in improving cardiovascular health in youth has been largely observational and prospective studies are needed to assess causality. Family meals may be an effective strategy for improved dietary patterns and weight status in youth.
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Affiliation(s)
- Shannon M Robson
- Department of Health Behavior and Nutrition Sciences, University of Delaware, 26 N College Avenue, Newark, DE, 19716, USA.
| | - Adriana Verdezoto Alvarado
- Department of Health Behavior and Nutrition Sciences, University of Delaware, 26 N College Avenue, Newark, DE, 19716, USA
| | - Carissa M Baker-Smith
- Pediatric Preventive Cardiology Program, Nemours Children's Health, Wilmington, DE, 19803, USA
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Brophy-Herb HE, Martoccio TL, Kerver JM, Choi HH, Jeanpierre LA, Williams J, Mitchell K, Martin CK, Sturza J, Contreras DA, Horodynski MA, Van Egeren LA, Kaciroti N, Lumeng JC. Simply Dinner: A Randomized Controlled Trial of Home Meal Delivery. Acad Pediatr 2023; 23:952-962. [PMID: 36351512 PMCID: PMC10163170 DOI: 10.1016/j.acap.2022.10.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 10/26/2022] [Accepted: 10/30/2022] [Indexed: 11/08/2022]
Abstract
OBJECTIVE To determine the effect of a bundled intervention (home meal delivery and provision of cooking/serving resources) on preschoolers' body mass index z-score (BMIz), dietary quality, and family meal frequency. METHODS Participants (299 families; mean child age 4.4 years, 47% male, 55% White, 18% Black, 27% Hispanic or other race and ethnicity, and 25% were overweight or obese) were randomized to a control group or to provision of cooking/serving resources plus home meal delivery for 12 weeks (meals provided by Meals on Wheels [MOW cohort, n = 83] or a commercial service [COM cohort, n = 216]). Outcomes were child dietary quality, family meal frequency, and child BMIz. RESULTS The intervention increased dinnertime intake of red and orange vegetables in the full sample (MOW cohort+COM cohort) (0.10 pre- to 0.15 cup equivalents (CE) post-in the intervention group vs 0.10 pre- to 0.09 post- in the control group; P = .01) and the COM cohort (0.11 pre- to 0.17 CE post- vs 0.11 pre- to 0.09 post-; P = .002), and typical daily dietary intake of fruit and fruit juice in the MOW cohort (1.50 CE pre- to 1.66 post- vs 1.48 pre- to 1.19 post-; P = .05). The intervention did not change meal frequency or BMIz. CONCLUSIONS Short-term home meal delivery with provision of cooking/serving resources improved dietary quality among preschool-aged children but did not change meal frequency or BMIz. Expansion of Meals on Wheels programs to preschool-aged children may be a promising intervention to improve dietary quality. Family meals, when already frequent, are not further increased by reducing the burden of meal preparation.
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Affiliation(s)
- Holly E Brophy-Herb
- Department of Human Development and Family Studies (HE Brophy-Herb, J Williams, K Mitchell, MA Horodynski), Michigan State University, East Lansing, Mich.
| | - Tiffany L Martoccio
- Department of Human Development and Quantitative Methodology (TL Martoccio), University of Maryland, College Park, Md
| | - Jean M Kerver
- Department of Epidemiology and Biostatistics (JM Kerver), Michigan State University, East Lansing, Mich
| | - Hailey Hyunjin Choi
- Department of Childhood Education and Family Studies (HH Choi), Missouri State University, Springfield, Mo
| | - L Alexandra Jeanpierre
- Department of Pediatrics (LA Jeanpierre, J Sturza, N Kaciroti, JC Lumeng), University of Michigan Medical School, Ann Arbor, Mich
| | - Jessica Williams
- Department of Human Development and Family Studies (HE Brophy-Herb, J Williams, K Mitchell, MA Horodynski), Michigan State University, East Lansing, Mich
| | - Koi Mitchell
- Department of Human Development and Family Studies (HE Brophy-Herb, J Williams, K Mitchell, MA Horodynski), Michigan State University, East Lansing, Mich
| | - Corby K Martin
- Pennington Biomedical Research Center (CK Martin), Louisiana State University, Baton Rouge, La
| | - Julie Sturza
- Department of Pediatrics (LA Jeanpierre, J Sturza, N Kaciroti, JC Lumeng), University of Michigan Medical School, Ann Arbor, Mich
| | - Dawn A Contreras
- Michigan State University Extension (DA Contreras), Michigan State University, East Lansing, Mich
| | - Mildred A Horodynski
- Department of Human Development and Family Studies (HE Brophy-Herb, J Williams, K Mitchell, MA Horodynski), Michigan State University, East Lansing, Mich
| | - Laurie A Van Egeren
- Office of University Outreach and Engagement (LA Van Egeren), Michigan State University, East Lansing, Mich
| | - Niko Kaciroti
- Department of Pediatrics (LA Jeanpierre, J Sturza, N Kaciroti, JC Lumeng), University of Michigan Medical School, Ann Arbor, Mich; Department of Biostatistics (N Kaciroti), University of Michigan, Ann Arbor, Mich
| | - Julie C Lumeng
- Department of Pediatrics (LA Jeanpierre, J Sturza, N Kaciroti, JC Lumeng), University of Michigan Medical School, Ann Arbor, Mich; Department of Nutritional Sciences (JC Lumeng), University of Michigan School of Public Health, Ann Arbor, Mich
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Snuggs S, Harvey K. Family Mealtimes: A Systematic Umbrella Review of Characteristics, Correlates, Outcomes and Interventions. Nutrients 2023; 15:2841. [PMID: 37447168 PMCID: PMC10346164 DOI: 10.3390/nu15132841] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Revised: 06/06/2023] [Accepted: 06/12/2023] [Indexed: 07/15/2023] Open
Abstract
Systematic reviews have examined the multitude of studies investigating family mealtimes and their importance to child/adolescent health and psychosocial outcomes, but the focus of each is limited to specific aspects of family meals (e.g., frequency) and/or specific outcomes (e.g., nutrition). Their findings require synthesis and so a systematic umbrella review was undertaken. Databases were searched to identify systematic reviews (with or without meta-analysis/meta-synthesis) addressing at least one of the following questions: what are the characteristics and/or correlates of family mealtimes; what outcomes are associated with family mealtimes; are interventions aimed at promoting family mealtimes effective? Forty-one eligible reviews were retrieved. Their findings demonstrate that families with children/adolescents typically eat together at least a few days each week. More frequent family meals are predicted by a more positive mealtime environment, more positive attitudes towards family meals, the presence of younger children, and families having more time. Greater family meal frequency protects children/adolescents against a poorer diet, obesity, risk behaviours, poorer mental health and wellbeing, and poorer academic outcomes. Findings from interventions seeking to promote family mealtimes are mixed. This umbrella review provides a comprehensive and integrated understanding of research into family mealtimes, establishing where evidence is sound and where further research is needed.
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Affiliation(s)
| | - Kate Harvey
- School of Psychology and Clinical Language Sciences, University of Reading, Reading RG6 6AH, UK;
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Pagani LS, Harbec MJ, Fortin G, Harandian K, Barnett TA. Early school-age family meal characteristics matter for the later development of boys and girls. DIALOGUES IN HEALTH 2022; 1:100007. [PMID: 38515878 PMCID: PMC10953959 DOI: 10.1016/j.dialog.2022.100007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 03/07/2022] [Accepted: 03/14/2022] [Indexed: 03/23/2024]
Abstract
Objective Sharing a meal together offers an innovative approach to study the family environment. How often families eat together may not capture the distinct experience for sons and daughters. Instead, studying family meal characteristics might be more enlightening. This study aims to examine the prospective associations between family meal environment quality at age 6 years and later well-being at age 12 years in 734 boys and 758 girls. Method Participants are from the Quebec Longitudinal Study of Child Development birth cohort. When children were aged 6 years, parents reported on their family meal environment experience. At age 12 years, child outcomes included parent-reported healthy lifestyle habits, teacher-reported academic achievement, and self-reported social adjustment. The relationship between early family meal environment quality and later child outcomes were analyzed using multivariate linear regressions. Results For girls, better family meal environment quality at age 6 years predicted an earlier bedtime, a lower consumption of soft drinks and sweet snacks, more classroom engagement, and fewer behavior problems at age 12 years. For boys, better family meal environment quality at age 6 years predicted an earlier bedtime and less anxiety and more prosocial behaviour at age 12 years. These significant relationships were adjusted for a multitude of child/family characteristics. Conclusion From a population-health perspective, our findings suggest that family meals represent a cost-efficient, effective protective factor that likely has long-term influences on bio-psycho-social development. Information campaigns that promote family meals as a health intervention could optimize the well-being of boys and girls.
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Affiliation(s)
- Linda S. Pagani
- School of Psycho-Education, University of Montreal, 90 Vincent d'Indy, Montreal, Quebec H2V 2S9, Canada
- School Environment Research Group, University of Montreal, 7070 Parc, Montreal, Quebec H3N 1X7, Canada
- Sainte-Justine's Pediatric Hospital Research Center, University of Montreal, 3175 Côte-Sainte-Catherine, Montreal, Quebec H3T 1C5, Canada
| | - Marie-Josée Harbec
- School of Psycho-Education, University of Montreal, 90 Vincent d'Indy, Montreal, Quebec H2V 2S9, Canada
- School Environment Research Group, University of Montreal, 7070 Parc, Montreal, Quebec H3N 1X7, Canada
- Sainte-Justine's Pediatric Hospital Research Center, University of Montreal, 3175 Côte-Sainte-Catherine, Montreal, Quebec H3T 1C5, Canada
| | - Geneviève Fortin
- School of Psycho-Education, University of Montreal, 90 Vincent d'Indy, Montreal, Quebec H2V 2S9, Canada
- School Environment Research Group, University of Montreal, 7070 Parc, Montreal, Quebec H3N 1X7, Canada
| | - Kianoush Harandian
- School of Psycho-Education, University of Montreal, 90 Vincent d'Indy, Montreal, Quebec H2V 2S9, Canada
- School Environment Research Group, University of Montreal, 7070 Parc, Montreal, Quebec H3N 1X7, Canada
| | - Tracie A. Barnett
- Sainte-Justine's Pediatric Hospital Research Center, University of Montreal, 3175 Côte-Sainte-Catherine, Montreal, Quebec H3T 1C5, Canada
- Family Medicine Department, McGill University, 5858 Côte-des-Neiges, Montreal, Quebec H3S 1Z1, Canada
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Kerver JM, Brophy-Herb HE, Sturza J, Horodynski MA, Contreras DA, Stein M, Garner E, Hebert S, Williams JM, Kaciroti N, Martoccio T, Van Egeren LA, Choi H, Martin CK, Mitchell K, Dalimonte-Merckling D, Jeanpierre LA, Robinson CA, Lumeng JC. Supporting family meal frequency: Screening Phase results from the Simply Dinner Study. Appetite 2022; 174:106009. [PMID: 35337884 PMCID: PMC9058229 DOI: 10.1016/j.appet.2022.106009] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 03/10/2022] [Accepted: 03/17/2022] [Indexed: 11/28/2022]
Abstract
We aimed to test main, additive, interactive effects, and feasibility of all possible combinations of six intervention components implemented for 8 weeks (Cooking/Serving Resources; Meal Delivery; Ingredient Delivery; Community Kitchen; Nutrition Education; Cooking Demonstrations). Primary outcomes were family meal frequency and preschoolers' dietary quality; secondary outcomes included family meal preparation type, meal preparation barriers, family functioning, and kitchen inventory adequacy. All possible intervention combinations were tested using a randomized factorial trial design in the first phase of a Multiphase Optimization Strategy (MOST). Feasibility was assessed via attendance, delivery logs, and satisfaction. Parent-reported data collection included: socio-demographics, frequency and type of family meals; preschooler dietary intake; perceived barriers to meal planning and preparation; assessment of family functioning; and a kitchen inventory of materials generally needed for meal preparation. Participants (n = 499) were recruited at two Head Start agencies in mid-Michigan with data collection and delivery of some intervention components in participants' homes. Promising intervention bundles were identified by evaluating pre-to post-intervention effect sizes. The combination of Cooking/Serving Resources and Meal Delivery increased family meal frequency (Cohen's d = 0.17), cooking dinner from scratch (d = 0.21), prioritization of family meals (d = 0.23), and kitchen inventory (d = 0.46) and decreased use/consumption of ready-made (d = -0.18) and fast foods (d = -0.23). Effects on diet quality were in the expected direction but effect sizes were negligible. Community Kitchen, Nutrition Education, and Cooking Demonstration showed poor feasibility due to low attendance while Ingredient Delivery was infeasible due to staffing challenges related to its labor intensity. Additionally, although not one of our pre-specified outcomes, Cooking/Serving Resources (RR = 0.74) and Meal Delivery (RR = 0.73) each decreased food insecurity. Cooking/Serving Resources combined with Meal Delivery showed promise as a strategy for increasing family meal frequency.
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Affiliation(s)
- Jean M. Kerver
- Department of Epidemiology and Biostatistics, Michigan State University, 909 Wilson Road, East Lansing, MI 48824
| | - Holly E. Brophy-Herb
- Department of Human Development and Family Studies, Michigan State University, 552 W Circle Drive, East Lansing, MI 48824
| | - Julia Sturza
- Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI
| | - Mildred A. Horodynski
- College of Nursing, Michigan State University, 1355 Bogue St, East Lansing, MI 48824
| | - Dawn A. Contreras
- Michigan State University Extension, Michigan State University, East Lansing, MI 48824
| | - Mara Stein
- Department of Human Development and Family Studies, Michigan State University, 552 W Circle Drive, East Lansing, MI 48824
| | - Erika Garner
- Michigan State University Extension, Michigan State University, East Lansing, MI 48824
| | - Sheilah Hebert
- Michigan State University Extension, Michigan State University, East Lansing, MI 48824
| | - Jessica M. Williams
- Department of Human Development and Family Studies, Michigan State University, 552 W Circle Drive, East Lansing, MI 48824
| | - Niko Kaciroti
- Department of Biostatistics, University of Michigan, Ann Arbor, MI
| | - Tiffany Martoccio
- Department of Human Development and Quantitative Methodology, University of Maryland, College Park, MD
| | - Laurie A. Van Egeren
- University Outreach and Engagement, Michigan State University, East Lansing, MI 48824
| | - Hailey Choi
- Department of Human Development and Family Studies, Missouri State University, Springfield, MO
| | - Corby K. Martin
- Pennington Biomedical Research Institution, Louisiana State University, Baton Rouge, LA
| | - Koi Mitchell
- Department of Human Development and Family Studies, Michigan State University, 552 W Circle Drive, East Lansing, MI 48824
| | - Danielle Dalimonte-Merckling
- Department of Human Development and Family Studies, Michigan State University, 552 W Circle Drive, East Lansing, MI 48824
| | | | - Chelsea A. Robinson
- Department of Epidemiology and Biostatistics, Michigan State University, 909 Wilson Road, East Lansing, MI 48824
| | - Julie C. Lumeng
- Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI,Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI
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Bamigbade SE, Rogers SL, Wills W, Ludlow AK. Mothers' accounts of mealtime and feeding challenges for children with Tourette syndrome or persistent tic disorders. Front Psychiatry 2022; 13:936796. [PMID: 35978849 PMCID: PMC9377638 DOI: 10.3389/fpsyt.2022.936796] [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: 05/05/2022] [Accepted: 07/05/2022] [Indexed: 12/02/2022] Open
Abstract
Parenting a young person with a tic disorder can present daily challenges to families struggling to manage their child's tics and establish routines. Research recognises that tics can be problematic to everyday activities, however no attention has been given to mealtimes, arguably an important family activity closely related to quality of life of the family. The current qualitative study aimed to investigate the mealtime experiences of families with a child with a tic disorder from the perspective of mothers, looking at mealtime challenges, their impact and how these challenges are navigated. Seventeen mothers with children diagnosed with Tourette Syndrome (TS) or a Persistent Tic Disorder (PTD) (aged 3-14) took part in semi-structured interviews. Interpretative phenomenological analysis of 17 semi-structured interviews resulted in seven subthemes which were grouped under two superordinate themes: (1) tics as a barrier to positive mealtime experiences and (2) eating behaviours and other mealtime challenges. The findings highlight tics to create functional mealtime challenges, affecting a young person's ability to eat, drink and be seated, with mothers noting the family dynamic was often intensified and compounded by additional challenges related to their child's tics and comorbidities. Tics also have the power to disrupt the conviviality of mealtimes. For example, eating out-of-home can be especially challenging, with restaurants being high-pressure environments for young people with tics and their families. The cumulative effect of dissatisfaction, stress and additional foodwork can have a diminishing effect on maternal and familial resilience and wellbeing. Mealtime-related interventions need to be considered to help increase confidence and skills in managing mealtimes.
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Affiliation(s)
- Sandra-Eve Bamigbade
- Centre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, United Kingdom.,NIHR Applied Research Collaboration, Cambridge, United Kingdom
| | - Samantha L Rogers
- Centre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, United Kingdom
| | - Wendy Wills
- Centre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, United Kingdom.,NIHR Applied Research Collaboration, Cambridge, United Kingdom
| | - Amanda K Ludlow
- Department of Psychology and Sports Sciences, University of Hertfordshire, Hatfield, United Kingdom
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12
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Scander H, Lennernäs Wiklund M, Yngve A. Assessing Time of Eating in Commensality Research. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:2941. [PMID: 33805618 PMCID: PMC8000786 DOI: 10.3390/ijerph18062941] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 03/05/2021] [Accepted: 03/10/2021] [Indexed: 11/17/2022]
Abstract
Commensal meals seem to be related to a better nutritional and metabolic health as well as an improved quality of life. The aim of this paper was to examine to what extent research was performed using the search term commensality related to assessment of timing of meals. A scoping review was performed, where 10 papers were identified as specifically addressing the assessment of timing of commensality of meals. Time use studies, questionnaires, and telephone- and person-to-person interviews were used for assessing meal times in relation to commensality. Four of the studies used a method of time use registration, and six papers used interviews or questionnaires. Common meals with family members were the most common, and dinners late at night were often preferred for commensal activities among the working population. In conclusion, the family meal seemed to be the most important commensal meal. It is clear from the collected papers and from previous systematic reviews that more studies of commensal meals in general and about timing aspects in particular and in relation to nutritional health are essential to provide a solid background of knowledge regarding the importance of timing in relation to commensal meals.
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Affiliation(s)
- Henrik Scander
- School of Hospitality, Culinary Arts and Meal Science, Örebro University, 712 02 Grythyttan, Sweden
| | - Maria Lennernäs Wiklund
- Department of Occupational and Public Health Sciences, Gävle University, 801 76 Gävle, Sweden;
| | - Agneta Yngve
- School of Health Sciences, Örebro University, 702 81 Örebro, Sweden;
- Department of Nutrition, Dietetics and Food Studies, Uppsala University, 751 22 Uppsala, Sweden
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13
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Scander H, Yngve A, Lennernäs Wiklund M. Assessing Commensality in Research. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052632. [PMID: 33807934 PMCID: PMC7967394 DOI: 10.3390/ijerph18052632] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Revised: 02/17/2021] [Accepted: 03/02/2021] [Indexed: 11/16/2022]
Abstract
This scoping review focuses on the assessment of commensality in research and attempts to identify used methods for performing research on commensality. It reflects a multidisciplinary research field and draws on findings from Web of Science Core Collection, up to April 2019. The empirical material consisted of 61 studies, whereof most were qualitative research, and some were of quantitative character, including very few dietary surveys. The findings show nine papers categorized as using quantitative approaches, 52 papers were categorized as qualitative. The results show a wide variety of different ways to try to find and understand how commensality can be understood and identified. There seems to be a shift in the very concept of commensality as well as some variations around the concept. This paper argues the need to further investigate the importance of commensality for health and wellbeing, as well as the need to gather data on health and health-related behaviors, living conditions and sociodemographic data in parallel. The review shows the broad-ranging areas where commensality is researched, from cultural and historical areas to ethnographic or anthropological areas over to dietary assessment. To complement large dietary surveys with methods of assessing who you are eating with in what environment should be a simple way to further our knowledge on the circumstances of meal intake and the importance of commensality. To add 24-h dietary recall to any study of commensality is another way of identifying the importance of commensality for dietary quality. The use of mixed methods research was encouraged by several authors as a good way forward in the assessment of commensality and its importance.
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Affiliation(s)
- Henrik Scander
- School of Hospitality, Culinary Arts and Meal Science, Örebro University, 712 02 Grythyttan, Sweden
- Correspondence: ; Tel.: +46-19-302008
| | - Agneta Yngve
- Department of Nutrition, Dietetics and Food Studies, Uppsala University, 751 22 Uppsala, Sweden;
- School of Health Sciences, Örebro University, 702 81 Örebro, Sweden
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14
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de la Torre-Moral A, Fàbregues S, Bach-Faig A, Fornieles-Deu A, Medina FX, Aguilar-Martínez A, Sánchez-Carracedo D. Family Meals, Conviviality, and the Mediterranean Diet among Families with Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052499. [PMID: 33802507 PMCID: PMC7967627 DOI: 10.3390/ijerph18052499] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 02/25/2021] [Accepted: 02/26/2021] [Indexed: 12/12/2022]
Abstract
Two aspects that characterize the Mediterranean diet (MD) are "what" and "how" we eat. Conviviality relates to "how" we eat and to the pleasure of sharing meals with significant people. The most studied concept is "family meals", which includes conviviality, which involves "enjoying" family meals. Given the lack of research on convivial family meals in Mediterranean countries, the purpose of this qualitative study was to analyze the family meal representations and practices of families with 12- to 16-year-old adolescents to assess whether they responded to a pattern of conviviality, and to examine their association with MD adherence. Twelve semi-structured interviews were conducted and food frequency and family meal questionnaires were administered. A food pattern analysis was carried out and digital photos of meals were analyzed to examine eating habits and meal composition, respectively. The findings showed that parents believed family meals are a space for socialization and communication. Items relating to the conviviality of family meals identified in the study were meal frequency, meals at the table, lack of digital distractions, pleasant conversations, and time spent on family meals. Attention should be paid to conviviality in Mediterranean families when designing multi-approach strategies to promote healthy eating among adolescents.
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Affiliation(s)
- Andrea de la Torre-Moral
- Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, Spain;
| | - Sergi Fàbregues
- Department of Psychology and Education, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, Spain;
| | - Anna Bach-Faig
- FoodLab Research Group (2017SGR 83), Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, Spain; (F.X.M.); (A.A.-M.)
- Food and Nutrition Area, Barcelona Official College of Pharmacists, 08009 Barcelona, Spain
- Correspondence:
| | - Albert Fornieles-Deu
- Eating and Weight-Related Problems Unit, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain; (A.F.-D.); (D.S.-C.)
- Department of Psychobiology and Methodology of Health Sciences, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain
| | - F. Xavier Medina
- FoodLab Research Group (2017SGR 83), Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, Spain; (F.X.M.); (A.A.-M.)
| | - Alicia Aguilar-Martínez
- FoodLab Research Group (2017SGR 83), Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, Spain; (F.X.M.); (A.A.-M.)
| | - David Sánchez-Carracedo
- Eating and Weight-Related Problems Unit, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain; (A.F.-D.); (D.S.-C.)
- Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain
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Glanz K, Metcalfe JJ, Folta SC, Brown A, Fiese B. Diet and Health Benefits Associated with In-Home Eating and Sharing Meals at Home: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041577. [PMID: 33562357 PMCID: PMC7915304 DOI: 10.3390/ijerph18041577] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 01/19/2021] [Accepted: 01/28/2021] [Indexed: 11/25/2022]
Abstract
In-home and shared meals have been hypothesized to have positive effects. This narrative review examines research on the influence of in-home eating on diet quality, health outcomes, and family relationships. A combination search approach included a search of PubMed, backward searches of previous published reviews, and studies the authors were familiar with. A search identified 118 publications; 54 original studies and 11 review studies were included in this review. Each study was reviewed and summarized. The diverse designs precluded quantitative data synthesis. Relatively strong evidence from cross-sectional research supports the association of shared family meals with favorable dietary patterns in children and adolescents, including consumption of fruits, vegetables, and healthful nutrients. Correlational evidence links shared meals with health and psychosocial outcomes in youth, including less obesity, decreased risk for eating disorders, and academic achievement. Most evidence is cross-sectional, thus, limiting attribution of causality. There is insufficient evidence to conclude that interventions improve the frequency of shared meals, improve diet, or prevent child obesity. Despite the “common wisdom”, the evidence that in-home, shared meals, per se, have positive effects on diet quality, health outcomes, psychosocial outcomes, and family relationships is limited due to weak research designs and single-item measurement of the independent variable. More research, with stronger designs, is warranted.
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Affiliation(s)
- Karen Glanz
- Perelman School of Medicine and School of Nursing, University of Pennsylvania, Philadelphia, PA 19104, USA
- Correspondence: ; Tel.: +1-215-898-0613
| | - Jessica J. Metcalfe
- Department of Food Science and Human Nutrition, University of Illinois, Urbana, IL 61820, USA;
| | - Sara C. Folta
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA;
| | - Alison Brown
- National Heart, Lung and Blood Institute, NIH, Bethesda, MD 20892, USA;
| | - Barbara Fiese
- Department of Human Development and Family Studies, University of Illinois, Urbana, IL 61820, USA;
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16
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Green EM, Spivak C, Dollahite JS. Early adolescent food routines: A photo-elicitation study. Appetite 2020; 158:105012. [PMID: 33132192 DOI: 10.1016/j.appet.2020.105012] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 10/13/2020] [Accepted: 10/15/2020] [Indexed: 12/17/2022]
Abstract
Early adolescence (ages 10-14) encompasses a critical transition period in which food and nutrition decisions are shifting in important ways. Food routines are food-based activities that repeat across days, weeks, seasons, or lives. Examining routines can provide insight into how individuals are influenced in food choices. The objective of this study was to describe current influences on and experiences with food routines during early adolescence. In-depth interviews, using a photo-elicitation approach, were conducted with 30 participants (16 females; 14 males) in the United States. Participants took photos that were then used during the interview to describe food-related decisions and influences. Interviews were audio recorded and transcribed verbatim. Analysis was guided by a grounded theory approach to identify emergent themes related to routines and resulted in the development of a conceptual model for early adolescent food routines. Participants identified a wide range of routines and three main themes emerged: family, settings, and meals/foods consumed. Some had highly established routines throughout the week, while others described routines only for certain meals or days. Several participants described increased control or the ability to modify routines around some eating episodes such as snacks, lunches, and weekend breakfasts. Findings revealed how participants viewed eating routines and provided information about food-and nutrition-related behaviors that can inform future research and practice. Early adolescents appear to have complex food routines influenced by structures and different amounts of control.
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Affiliation(s)
- Erin M Green
- Division of Nutritional Sciences at Cornell University, Cornell University, Savage Hall- Room 214, 244 Garden Avenue, Ithaca, NY, 14853, United States.
| | - Catherine Spivak
- Division of Nutritional Sciences at Cornell University, Cornell University, Savage Hall- Room 214, 244 Garden Avenue, Ithaca, NY, 14853, United States.
| | - Jamie S Dollahite
- Division of Nutritional Sciences at Cornell University, Cornell University, Savage Hall- Room 214, 244 Garden Avenue, Ithaca, NY, 14853, United States.
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17
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do Amaral e Melo GR, Silva PO, Nakabayashi J, Bandeira MV, Toral N, Monteiro R. Family meal frequency and its association with food consumption and nutritional status in adolescents: A systematic review. PLoS One 2020; 15:e0239274. [PMID: 32946506 PMCID: PMC7500660 DOI: 10.1371/journal.pone.0239274] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Accepted: 09/03/2020] [Indexed: 01/01/2023] Open
Abstract
This systematic review evaluated the association between frequency of family meals (FFM) and nutritional status (NS) and/or food consumption (FC) in adolescents. The protocol was registered with PROSPERO (CRD42017062180) and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. No publication date, language, or meal type restrictions were imposed. Only full-text original articles were included; qualitative studies were excluded. Studies were identified by searching 5 electronic databases (PubMed, Web of Science, Scopus, BVS Brazil, and Adolec) and gray literature (Google Scholar) and by scanning reference lists of included articles. Risk of bias was assessed using the Newcastle-Ottawa scale for cohort and cross-sectional studies. Initial search yielded 2001 results and 47 articles were included. An updated literature search added 3 articles. Of the 50 studies included, 25 studied the association between FFM and NS, 32 investigated the association between FFM and FC, being that seven studies analyzed both outcomes. Thirty-four were cross-sectional studies, 12 were longitudinal studies, and 4 studies analyzed both cross-sectional and longitudinal data. Thirty-five studies were rated as having good quality, whereas 19 were of fair quality. Sample size ranged from 140 to 102 072 participants. Most investigations evaluated the frequency of breakfast, lunch, and/or dinner/supper/evening meals over a 1-week period. Seventeen studies identified a positive relationship between high FFM and better NS, and 26 found a positive association between high FFM and better FC. In conclusion, this review showed an association between FFM and healthy dietary patterns, such as increased consumption of fruits and vegetables. Further research is needed to understand the association between FFM and NS, since some studies showed a protective role of family meals against obesity in this age group, whereas other studies identified no significant association between these variables.
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Affiliation(s)
| | - Priscila Olin Silva
- Department of Nutrition, University of Brasilia, Brasilia, Distrito Federal, Brazil
| | - Jennifer Nakabayashi
- Department of Nutrition, University of Brasilia, Brasilia, Distrito Federal, Brazil
| | | | - Natacha Toral
- Department of Nutrition, University of Brasilia, Brasilia, Distrito Federal, Brazil
| | - Renata Monteiro
- Department of Nutrition, University of Brasilia, Brasilia, Distrito Federal, Brazil
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18
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Hayes K, Williams SG, Fruh S, Graves RJ, Minchew LA, Hall HR. Sleep, screen time, and family meal frequency in preschool children: A pilot study. Nurse Pract 2020; 45:35-41. [PMID: 32701879 PMCID: PMC7451921 DOI: 10.1097/01.npr.0000681788.13417.56] [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] [Indexed: 06/11/2023]
Abstract
This exploratory pilot study identified the prevalence and perceptions of three healthy habits in preschool-age children by surveying their parents/caregivers. Researchers examined children's hours of sleep, screen time, and number of family meals per week.
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19
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Dishing on dinner: a life course approach to understanding the family meal context among families with preschoolers. Public Health Nutr 2020; 24:1338-1348. [PMID: 32686634 DOI: 10.1017/s1368980020001779] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Family meals promote healthful dietary intake and well-being among children. Despite these benefits, family meal participation typically declines as children age. This study utilises life course theory to explore parents' perceptions of family meals in order to understand how parents' past experiences with family meals (in childhood and earlier in adulthood) influence their current beliefs and practices regarding mealtimes with their own children. DESIGN Semi-structured qualitative interviews. SETTING In-person interviews were conducted in participants' homes. PARTICIPANTS Twenty families (twenty-one mothers and fifteen fathers) with a child aged between 18 months and 5 years. RESULTS Thematic analysis revealed that families seemed to primarily approach mealtimes from one of three overarching orientations: meals for (1) Togetherness, (2) Nutrition Messaging or (3) Necessity. These orientations were informed by parents' own mealtime experiences and significant life transitions (e.g. parenthood). The current family meal context, including the messages parents shared with their children during mealtimes and the challenges experienced with mealtimes, characterised the orientations and families' approaches to mealtimes. CONCLUSIONS Parents' own early life experiences and significant life transitions influence why families eat meals together and have important implications for the intergenerational transmission of mealtime practices. Results may help to inform the content and timing of intervention strategies to support the continuation of frequent family meals beyond the preschool years.
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20
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Kasper N, Ball SC, Halverson K, Miller AL, Appugliese D, Lumeng JC, Peterson KE. Deconstructing the Family Meal: Are Characteristics of the Mealtime Environment Associated with the Healthfulness of Meals Served? J Acad Nutr Diet 2019; 119:1296-1304. [PMID: 30898585 PMCID: PMC6987980 DOI: 10.1016/j.jand.2019.01.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Accepted: 01/09/2019] [Indexed: 10/27/2022]
Abstract
BACKGROUND Multiple studies and guidelines emphasize the benefits associated with family meals. However, family meals are not well defined and little research has been conducted to determine whether mealtime characteristics are associated with the healthfulness of foods served. OBJECTIVE The objective of this study was to define and measure specific mealtime characteristics and examine whether these characteristics are associated with the healthfulness of meals served to young children from low-income families, as measured by the Healthy Meal Index (HMI). PARTICIPANTS/SETTING Study participants included 272 young children from low-income families residing in southeast Michigan during 2011 to 2013. DESIGN For this cross-sectional study, parents videorecorded 757 mealtimes that were coded for four mealtime variables and meal healthfulness using the HMI. Mealtime characteristics included Eating at a Table (vs not), Served Family-Style (vs not), TV Off (vs not), and Parent Partakes (sits and eats or drinks with child) (vs not). A Family Meal was defined as a meal that had all four measured mealtime characteristics. MAIN OUTCOME MEASURES All meals were scored using the HMI, which has two components: the HMI Adequacy score (based on the presence of foods that are recommended for a healthy diet) and the HMI Moderation score (based on the absence of foods recommended to be consumed in moderation). The scores are summed to obtain the HMI Total score. STATISTICAL ANALYSES PERFORMED Generalized estimating equations tested the associations of mealtime characteristics with HMI scores, controlling for child sex and age, and parent education and race/ethnicity. RESULTS In adjusted models, Family Meals were positively associated with HMI Adequacy (P=0.02) and Total (P=0.05) scores. Eating at a Table was positively associated with HMI Moderation (P=0.01) and HMI Total (P=0.01) scores. Served Family-Style was positively associated with HMI Adequacy scores (P=0.04). TV Off was associated with higher HMI Total scores (P=0.05). Parent Partakes was not associated with HMI scores. CONCLUSIONS Family Meals were associated with greater healthfulness of the foods served. Characteristics of mealtime that are commonly utilized to define Family Meal were differentially associated with meal healthfulness.
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Affiliation(s)
- Nicole Kasper
- Department of Nutritional Sciences, University of Michigan School of Public Health Ann Arbor, MI
| | - Sarah C Ball
- Department of Nutritional Sciences, University of Michigan School of Public Health Ann Arbor, MI
- Michigan Nutrition Obesity Research Center, University of Michigan Health System, Ann Arbor, MI
| | - Kristina Halverson
- Department of Nutritional Sciences, University of Michigan School of Public Health Ann Arbor, MI
| | - Alison L Miller
- Center for Human Growth and Development, University of Michigan, Ann Arbor, MI
- Appugliese Professional Advisors, LLC, Easton, MA
| | - Danielle Appugliese
- Department of Health Behavior and Health Education, University of Michigan School of Public Health Ann Arbor, MI
| | - Julie C Lumeng
- Department of Nutritional Sciences, University of Michigan School of Public Health Ann Arbor, MI
- Center for Human Growth and Development, University of Michigan, Ann Arbor, MI
- Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI
| | - Karen E Peterson
- Department of Nutritional Sciences, University of Michigan School of Public Health Ann Arbor, MI
- Center for Human Growth and Development, University of Michigan, Ann Arbor, MI
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21
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Nurturing Children's Healthy Eating: Position statement. Appetite 2019; 137:124-133. [DOI: 10.1016/j.appet.2019.02.007] [Citation(s) in RCA: 58] [Impact Index Per Article: 11.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Revised: 02/12/2019] [Accepted: 02/13/2019] [Indexed: 12/14/2022]
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22
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Lopez NV, Schembre S, Belcher BR, O'Connor S, Maher JP, Arbel R, Margolin G, Dunton GF. Parenting styles, food-related parenting practices, and children's healthy eating: A mediation analysis to examine relationships between parenting and child diet. Appetite 2018; 128:205-213. [PMID: 29920321 DOI: 10.1016/j.appet.2018.06.021] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 06/15/2018] [Accepted: 06/15/2018] [Indexed: 01/01/2023]
Abstract
Parents exert a strong influence on their children's diet. While authoritative parenting style is linked to healthier weight and dietary outcomes in children, and authoritarian and permissive parenting styles with unhealthy eating, little is known about the mechanisms that mediate these relationships. Feeding styles are often examined in relation to child diet, but they do not consider the social and physical environmental contexts in which dietary behaviors occur. Therefore, this study examined whether parenting styles (authoritative, authoritarian, and permissive) were associated with three specific food-related parenting practices - mealtime structural practices (e.g., eating meals as a family), parent modeling of healthy food, and household food rules and whether these parenting practices mediated the association between parenting styles and children's diet. Participants were 174 mother-child dyads. Mothers (68% married, 58% college graduates, Mage = 41 years [SD = 6.2]) reported on their parenting practices using validated scales and parenting style using the Parenting Styles and Dimensions Questionnaire. Children (52% female, Mage = 10 years [SD = 0.9]) completed two telephone-based 24-hour dietary recalls. Dietary outcomes included the Healthy Eating Index (HEI)-2010 score, and fruit and vegetables and added sugar intake. Using PROCESS, multiple mediation cross-sectional analyses with parallel mediators using 10,000 bootstraps were performed. Significant indirect effects were observed with mealtime structure and the relationships between authoritative parenting and HEI-2010 score (b = 0.045, p < .05, CI = [0.006, 0.126]), authoritarian parenting and HEI-2010 score (b = -0.055, p < .05, CI = [-0.167, -0.001]), and permissive parenting and HEI-2010 score (b = -0.093, p < .05, CI = [-0.265, -0.008]). Child diet quality is affected by mealtime structural practices. Further examination of the features by which mealtime structural practices serve as a mechanism for parents to support healthy eating among their children may improve children's diet quality.
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Affiliation(s)
- Nanette V Lopez
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto Street, Los Angeles, CA, 90032, USA.
| | - Susan Schembre
- Department of Behavioral Science, Division of Cancer Prevention and Population Sciences, University of Texas, MD Anderson Cancer Center, 1155 Pressler Street, Houston, TX, 77030, USA.
| | - Britni R Belcher
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto Street, Los Angeles, CA, 90032, USA.
| | - Sydney O'Connor
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto Street, Los Angeles, CA, 90032, USA.
| | - Jaclyn P Maher
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto Street, Los Angeles, CA, 90032, USA; Department of Kinesiology, University of North Carolina at Greensboro, 1408 Walker Avenue, 237H Coleman Building, Greensboro, NC, 27412, USA.
| | - Reout Arbel
- Department of Psychology, University of Southern California, 3620 South McClintock Avenue, Los Angeles, CA, 90089, USA.
| | - Gayla Margolin
- Department of Psychology, University of Southern California, 3620 South McClintock Avenue, Los Angeles, CA, 90089, USA.
| | - Genevieve F Dunton
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 North Soto Street, Los Angeles, CA, 90032, USA.
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Beyond the dinner table: who's having breakfast, lunch and dinner family meals and which meals are associated with better diet quality and BMI in pre-school children? Public Health Nutr 2017; 20:3275-3284. [PMID: 28903804 DOI: 10.1017/s1368980017002348] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Having frequent family dinners is associated with better diet quality in children; however, it is unknown whether the frequency of certain family meal types (i.e. dinner) is more strongly associated with better child weight and diet quality compared with other meal types (i.e. breakfast, lunch). Thus, the current study examined the frequency of eating breakfast, lunch or dinner family meals and associations with pre-school children's overall diet quality (HEI-2010) and BMI percentile. DESIGN Cross-sectional baseline data (2012-2014) from two randomized controlled childhood obesity prevention trials, NET-Works and GROW, were analysed together. SETTING Studies were carried out in community and in-home settings in urban areas of Minnesota and Tennessee, USA. SUBJECTS Parent-child (ages 2-5 years) pairs from Minnesota (n 222 non-Hispanics; n 312 Hispanics) and Tennessee (n 545 Hispanics; n 55 non-Hispanics) participated in the study. RESULTS Over 80 % of families ate breakfast or lunch family meals at least once per week. Over 65 % of families ate dinner family meals ≥5 times/week. Frequency of breakfast family meals and total weekly family meals were significantly associated with healthier diet quality for non-Hispanic pre-school children (P<0·05), but not for Hispanic children. Family meal frequency by meal type was not associated with BMI percentile for non-Hispanic or Hispanic pre-school children. CONCLUSIONS Breakfast family meal frequency and total weekly family meal frequency were associated with healthier diet quality in non-Hispanic pre-school children but not in Hispanic children. Longitudinal research is needed to clarify the association between family meal type and child diet quality and BMI percentile.
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Broadening our Understanding of Family Meals. MCN Am J Matern Child Nurs 2017; 42:58. [DOI: 10.1097/nmc.0000000000000293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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