Household factors, family behavior patterns, and adherence to dietary and physical activity guidelines among children at risk for obesity

Alicia S. Kunin-Batson, Elisabeth M. Seburg, A. Lauren Crain, Meghan M. Jaka, Shelby Langer, Rona L. Levy, Nancy E. Sherwood

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objective: To describe the proportion of children adhering to recommended physical activity and dietary guidelines, and examine demographic and household correlates of guideline adherence. Design: Cross-sectional (pre-randomization) data from a behavioral intervention trial designed to prevent unhealthy weight gain in children. Participants: A total of 421 children (aged 5-10years) at risk for obesity (body mass index percentile, 70-95). Main Outcomes Measured: Physical activity (accelerometry), screen time (parent survey), and fruit and vegetable and sugar-sweetened beverage intake (24-hour dietary recall). Analysis: Proportions meeting guidelines were calculated. Logistic regression examined associations between demographic and household factors and whether children met recommended guidelines for (1) physical activity (≥ 60min/d), (2) screen time (≤ 2h/d), (3) fruit and vegetable intake (≥ 5 servings/d), and (4) sugar-sweetened beverage avoidance. Results: Few children met more than 1 guideline. Only 2% metall 4 recommended guidelines and 19% met none. Each guideline had unique sociodemographic and domain-specific household predictors (ie, availability of certain foods and beverages, media, and active play and exercise equipment). Conclusions and Implications: Families equipped to promote healthy child behavior patterns in 1 activity or dietary domain may not be in others. Results have implications for the development of interventions to affect children's weight-related behaviors and growth trajectories.

Original languageEnglish (US)
Pages (from-to)206-215.e1
JournalJournal of Nutrition Education and Behavior
Volume47
Issue number3
DOIs
StatePublished - May 1 2015
Externally publishedYes

Fingerprint

Obesity
Guidelines
Exercise
Beverages
Vegetables
Fruit
Demography
Accelerometry
Guideline Adherence
Food and Beverages
Nutrition Policy
Child Behavior
Random Allocation
Weight Gain
Body Mass Index
Logistic Models
Weights and Measures
Equipment and Supplies
Growth

Keywords

  • Child
  • Diet
  • Guidelines
  • Home environment
  • Physical activity

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Medicine(all)

Cite this

Household factors, family behavior patterns, and adherence to dietary and physical activity guidelines among children at risk for obesity. / Kunin-Batson, Alicia S.; Seburg, Elisabeth M.; Crain, A. Lauren; Jaka, Meghan M.; Langer, Shelby; Levy, Rona L.; Sherwood, Nancy E.

In: Journal of Nutrition Education and Behavior, Vol. 47, No. 3, 01.05.2015, p. 206-215.e1.

Research output: Contribution to journalArticle

Kunin-Batson, Alicia S. ; Seburg, Elisabeth M. ; Crain, A. Lauren ; Jaka, Meghan M. ; Langer, Shelby ; Levy, Rona L. ; Sherwood, Nancy E. / Household factors, family behavior patterns, and adherence to dietary and physical activity guidelines among children at risk for obesity. In: Journal of Nutrition Education and Behavior. 2015 ; Vol. 47, No. 3. pp. 206-215.e1.
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