Creation and validation of the Family Nutrition and Physical Activity (FNPA) screening tool

Abstract Background Assessing the dieatary and physical activity state of the family is important in determining the causes of obesity in the child. The aim of this study is to adapt The Family Nutrition and Physical Activity Screening Tool (FNPA) to Turkish and evaluate its reliability and validity. Methods In this methodological research, mixed probabilistic sampling methods were used. The sample size was not calculated and it was aimed to reach all of the 1126 students and families in the three primary schools with different socioeconomic status (high, medium, low) in Uskudar, Istanbul. A total of 727 students’ and their families’ data were collected. Research data were collected by a two-part questionnaire. Survey forms were composed of an introductory information form and the Turkish version of the (FNPA). The low total score on the scale means high-risk family environment and behavior, and the high total score means a more positive family environment and behavior. Prior to the implementation of the scale in the field, a pilot application was made. Results The Cronbach alpha coefficient for the internal consistency of the scale was 0.724. The test-retest reliability coefficient of the scale had a medium to very high level ranged from 0.422 to 0.925. The Kaiser-Meyer-Olkin test result of the 20 questions in the scale was found to be appropriate as 0.771. To evaluate the validity of the content, relationships between the scale score and the answers given the questions about the eating behaviors of the family which were not included in the scale. When these relationships were evaluated, the mean scores of those who had regular breakfast were significantly higher (P = 0.001). Conclusions The study shows that the ABFA-TR scale is a valid and reliable measurement tool for Turkish population. Key messages It is likely that home environments and parental behaviors with interchangeable risk factors for obesity and overweight may alleviate or aggravate the potential risk of obesity. The development and use of measurement tools related to the family environment as an element of obesogenic environment are among the important steps taken to fight obesity.

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An Investigation of Family Nutrition and Physical Activity and Affecting Factors in Primary Schools

European Journal of Public Health ◽

10.1093/eurpub/ckz186.277 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

E Ekici ◽

H Ikiişik ◽

H Ankarali ◽

E H Kozan ◽

M Yetim

Keyword(s):

Physical Activity ◽

Socioeconomic Status ◽

Childhood Obesity ◽

Primary Schools ◽

Affecting Factors ◽

The Family ◽

The Mean ◽

Nutrition And Physical Activity ◽

Middle Socioeconomic Status ◽

Family Nutrition

Abstract Background In this study, it was aimed to determine the family nutrition and physical activity status of primary school students and some affecting factors. Methods In this descriptive and correlation-seeking research, mixed sampling methods were used. The sample size was not calculated, it was aimed to reach all students in three primary schools with different socioeconomic status (high, medium, low) in Uskudar, Istanbul. Data from 727 subjects were collected through an introductory information form and The Family Nutrition and Physical Activity Screening Tool (FNPA). Results In the study, data from 294 (49.7%) girls and 297 (50.3%) boys from three primary schools who studied first grade (n = 321, 54.3%) and 4th grade (n = 270, 45.7%), a total of 591 children were used. The total FNPA score of students in schools with high or middle socioeconomic status was significantly higher than the socioeconomically low school (P < 0.001). The mean score of the scale was significantly higher in those who doesn’t eat junkfood or snacks (P = 0.001), who had regular breakfast (P = 0.001) and people with regular meal time (P = 0.001). The mean BMI of children in the middle socioeconomic status school was found to be significantly higher than that of students in the low socioeconomic status school (P = 0.013). There was also a significant correlation between the mean BMI of mothers and the total FNPA score (P < 0.001). Conclusions In the study, as the socioeconomic status of schools increased, FNPA total score increased as well. Although some studies suggest that family income and socioeconomic status are inversely related to childhood obesity, in this research the mean BMI of children in the socioeconomically middle school was significantly higher than the students in the socioeconomically low school. Key messages The evaluation of the nutritional and physical activity status of the family as an element of the obesogenic environment, may be effective on identifying the causes of childhood obesity. Studies to determine the nutritional and physical activity of the family in preventing childhood obesity are essential.

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Association of the Family Nutrition and Physical Activity Screening Tool with Weight Status, Percent Body Fat, and Acanthosis Nigricans in Children from a Low Socioeconomic, Urban Community

Ethnicity & Disease ◽

10.18865/ed.25.4.399 ◽

2015 ◽

Vol 25 (4) ◽

pp. 399 ◽

Cited By ~ 10

Author(s):

Kimbo E. Yee ◽

Karin A. Pfeiffer ◽

Kelly Turek ◽

Marion Bakhoya ◽

Joseph J. Carson ◽

...

Keyword(s):

Physical Activity ◽

Body Fat ◽

Weight Status ◽

Acanthosis Nigricans ◽

Screening Tool ◽

Urban Community ◽

Percent Body Fat ◽

Low Socioeconomic ◽

The Family ◽

Family Nutrition

Objective: To examine the association of the Family Nutrition and Physical Activity (FNPA) screening tool with weight status, percent body fat, and acanthosis nigricans (AN) in 6- to 13-year-old children from a low socioeconomic, urban community.Methods: Children (N=415) from four elementary schools located around Flint, Michigan were assessed for body mass index, percent body fat, and AN. The FNPA screening tool was completed by parents. Mann-Whitney U tests were used to assess differences in FNPA score by sex and presence of AN. Logistic regression was used to evaluate the association of the FNPA (tertiles) with weight status and AN.Results: Children with AN (13.7%) had a significantly lower FNPA score (56.3 + 7.1) compared with children without AN (61.0 + 7.1; P<.05). Children with FNPA scores in the lowest tertile (high-risk) had odds ratios of 1.74 (95% CI =1.05 – 2.91) and 2.77 (95% CI =1.22 – 6.27) compared with children with FNPA scores in the highest tertile (low-risk) for being overfat and having AN, respectively.Conclusion: Although the FNPA screening tool did not predict risk for being overweight or obese, it was significantly associated with an increased odds of children at risk for being overfat or having AN. Ethn Dis. 2015;25(4):399-404; doi:10.18865/ ed.25.4.399

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