scholarly journals Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2773
Author(s):  
Mikaela B. McIver ◽  
Sarah Colby ◽  
Melissa Hansen-Petrik ◽  
Elizabeth T. Anderson Steeves
Keyword(s):  
Rural Communities ◽  
Young Children ◽  
Dietary Intake ◽  
Low Income ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Feeding Practices ◽  
Fruit Consumption ◽  
Cross Sectional ◽  
Home Availability

The Appalachian region of the U.S. is disproportionately impacted by poverty, obesity, and nutrition-related chronic diseases. Evidence suggests that caregiver feeding practices may promote healthful eating behaviors among children; however, this has not been examined in low-income, rural, Appalachian populations. This study examines caregiver feeding practices as predictors for child diet in low-income Appalachian families, using a cross-sectional analysis of 178 caregivers of young children (ages 2–10 years old), that were recruited from low-income, rural communities in East Tennessee, from November 2017 to June 2018. Caregivers self-reported measures of demographics, feeding practices, and child dietary intake. Multiple linear regression analyses were run, and found that higher use of caregiver modeling positively predicted child vegetable consumption (Beta = 1.02; p = 0.04). Higher caregiver intake of fruits and vegetables positively predicted child fruit consumption (Beta = 0.29; p = 0.02) and vegetable consumption (Beta = 1.56; p < 0.001), respectively. Higher home availability of healthier foods positively predicted child fruit consumption (Beta = 0.06; p = 0.002) and vegetable consumption (Beta = 0.09; p = 0.05). Higher home availability of less healthy foods positively predicted child consumption of high-sugar/high-fat snack foods (Beta = 0.59; p = 0.003). The findings of this study indicate that caregiver modeling, healthy caregiver dietary intake, and healthful home food availability are associated with healthier child dietary intake among young children in low-income, rural, Appalachian areas. Promoting these practices among caregivers may be an important strategy to enhancing dietary intake of children in this hard-to-reach, underserved population.

scholarly journals Relationship Of Vegetable And Fruit Consumption With Central Obesity In Adult In Pasar Ikan Community Health Centers Bengkulu City In 2018

2019 ◽  
Vol 10 (1) ◽  
pp. 81-91
Author(s):  
Ketut Murni ◽  
Desri Suryani ◽  
Tetes Wahyu W
Keyword(s):  
Health Center ◽  
Central Obesity ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Overweight And Obesity ◽  
Lifestyle Changes ◽  
Fruit Consumption ◽  
Cross Sectional ◽  
Adult Age ◽  
Relationship Of

Adulthood was where the nutritional needs of the adult age changed according to the age group. Lifestyle changes, in accordance with the changes in diet from traditional food to modern food habits led to overweight and obesity. The purpose of this study was to determine the relationship of vegetable and fruit consumption with the incidence of central obesity in adults in Pasar Ikan Bengkulu Health Center of Bengkulu City in 2018. This research was descriptive research with cross-sectional approach. The location of this research was in Pasar Ikan Bengkulu Health Center of Bengkulu City. The technique of getting samplis was by using simple random sampling with the sample of 74 sampel. The data was colledted by using interview and FFQ semi kuantitatif, which then analyzed by univariate and bivariate. The results of this research were 82,4% for vegetable consumption which was included in poor category, 55.4% fruit consumption which was included in good category and 78.4% for waist circumference which was included in central obesity, it was tested by using chi square test. The result showed that there was no relationship between the habits of consuming vegetables with the incidence of central obesity (ρ> 0.05) and there was no association between the habits of consuming fruit with the incidence of central obesity (ρ> 0.05).  It was important to provide counseling about the importance of eating fruits and vegetables so the obese can always control their weight and add insight to constantly adjust their diet.

scholarly journals Fruit and Vegetable Prescriptions for Pediatric Patients Living in Flint, Michigan: A Cross-Sectional Study of Food Security and Dietary Patterns at Baseline

Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1423 ◽  
Author(s):  
Amy Saxe-Custack ◽  
Jenny LaChance ◽  
Mona Hanna-Attisha ◽  
Tiffany Ceja
Keyword(s):  
Food Security ◽  
Low Income ◽  
Dietary Patterns ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Daily Intake ◽  
Fruit And Vegetable ◽  
Dietary Recommendations ◽  
Cross Sectional ◽  
Health Maintenance

Though fruit and vegetable consumption is essential for disease prevention and health maintenance, intake among children fails to meet dietary recommendations. Limited access to and the affordability of fresh produce, particularly among low-income youth, are barriers to adequate intake. To address these challenges, researchers and pediatricians in Flint, Michigan, expanded a successful fruit and vegetable prescription program that provides one $15 prescription for fresh fruits and vegetables to every child at every office visit. Vendors include the downtown farmers’ market and a local mobile market. This study describes baseline characteristics, dietary patterns, food access, and food security among 261 caregiver–child dyads enrolled August 2018–March 2019. The child-reported mean daily intake of vegetables (0.72 cups ± 0.77), dairy products (1.33 cups ± 1.22), and whole grains (0.51 ounces ± 0.49) were well below recommendations. Furthermore, 53% of children and 49% of caregivers who completed the food security module indicated low or very low food security. However, there were no statistically significant differences in the child consumption of fruits and vegetables between households that reported high versus low food security (p > 0.05). Results validate and raise deep concerns about poor dietary patterns and food insecurity issues facing Flint children, many of whom continue to battle with an ongoing drinking water crisis. Additional poverty-mitigating efforts, such as fruit and vegetable prescription programs, are necessary to address these gaps.

scholarly journals Predictors of changes in adolescents' consumption of fruits, vegetables and energy-dense snacks

2010 ◽  
Vol 105 (5) ◽  
pp. 795-803 ◽  
Author(s):  
Natalie Pearson ◽  
Kylie Ball ◽  
David Crawford
Keyword(s):  
Healthy Eating ◽  
Self Efficacy ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Perceived Value ◽  
Eating Behaviours ◽  
Fruit Consumption ◽  
Snack Consumption ◽  
Physical Environmental Factors ◽  
Home Availability

Understanding the predictors of developmental changes in adolescent eating behaviours is important for the design of nutrition interventions. The present study examined associations between individual, social and physical environmental factors and changes in adolescent eating behaviours over 2 years. Consumption of fruits, vegetables and energy-dense snacks was assessed using a Web-based survey completed by 1850 adolescents from years 7 and 9 of secondary schools in Victoria, Australia, at baseline and 2 years later. Perceived value of healthy eating, self-efficacy for healthy eating, social modelling and support, and home availability and accessibility of foods were assessed at baseline. Self-efficacy for increasing fruit consumption was positively associated with the change in fruit and vegetable consumption, while self-efficacy for decreasing junk food consumption was inversely associated with the change in energy-dense snack consumption. Home availability of energy-dense foods was inversely associated with the change in fruit consumption and positively associated with the change in energy-dense snack consumption, while home availability of fruits and vegetables was positively associated with the change in vegetable consumption. Perceived value of healthy eating and modelling of healthy eating by mothers were positively associated with the change in fruit consumption. Support of best friends for healthy eating was positively associated with the change in vegetable consumption. Self-efficacy and home availability of foods appear to be consistent predictors of change in fruit, vegetable and energy-dense snack consumption. Future study should assess the effectiveness of methods to increase self-efficacy for healthy eating and to improve home availability of healthy food options in programmes promoting healthy eating among adolescents.

scholarly journals Early educators’ practices and opinions in relation to pre-schoolers’ dietary intake at pre-school: case Finland

2019 ◽  
Vol 22 (09) ◽  
pp. 1567-1575 ◽  
Author(s):  
Reetta Lehto ◽  
Carola Ray ◽  
Henna Vepsäläinen ◽  
Liisa Korkalo ◽  
Kaija Nissinen ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Vegetable Consumption ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Positive Opinion ◽  
School Food ◽  
Cross Sectional ◽  
Fibre Intake ◽  
Role Modelling ◽  
Food Consumption Data

AbstractObjectiveWe aimed to examine associations between early educators’ feeding practices and opinions and children’s dietary intake at pre-school, in a context where uniform meals are served and pre-schools are highly regulated.DesignCross-sectional study. Food consumption data of the children consisted of two-day food records from pre-school kept by early educators. Early educators also reported their feeding practices and opinions on pre-school food. Serving style was observed.SettingMunicipal pre-schools in Southern and Western Finland.ParticipantsPre-schoolers (n 586) aged 3–6 years and early educators (n 378).ResultsEarly educators’ positive opinion of the food served at pre-school and the opinion that sufficient vegetables were available for the children were positively associated with children’s vegetable consumption. Early educators’ role modelling and a positive opinion of the food were negatively associated with children’s energy intake. Encouragement to eat fruit and vegetables was associated with higher fibre intake. Intake of added sugar was low (4·4 % of energy).ConclusionsSome of the feeding practices and opinions of early educators were related to healthier dietary intake (higher vegetable consumption and fibre intake) among the children. However, in some respects, the results contradicted previous findings. Overall, early educators’ feeding practices and opinions contribute to children’s dietary intake and should be taken into account when promoting healthy food intake among pre-school children.

scholarly journals Complementary Feeding Practices and Associated Factors Among Infants and Young Children 6–23 Months in Fort Portal Kabarole District Uganda (P11-049-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sharon Bagaaya ◽  
Henry Wamani ◽  
Richard Kajura
Keyword(s):  
Young Children ◽  
Low Income ◽  
Associated Factors ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Child Feeding ◽  
Cross Sectional ◽  
Infants And Young Children

Abstract Objectives To determine the prevalence of appropriate complementary feeding practices and associated factors among infants and young children 6–23 months in Fort Portal municipality Kabarole Uganda Methods A community based cross sectional study was conducted among 206 mothers/caregivers of infants and young children 6–23 months using both quantitative and qualitative methods. Probability proportionate to population size technique was used to select study subjects. A pretested WHO standard questionnaire for measuring infant and young child feeding practices was adopted for assessing complementary feeding practices. Appropriate complementary feeding was defined as attaining both minimum meal frequency and minimum dietary diversity in the last 24 hours. Prevalence ratios and there 95% confidence intervals were generated. Modified poisson regression analysis method was used to generate factors associated with appropriate complementary feeding. Five focus group discussions were conducted to capture participants perceptions on appropriate complementary feeding practices. Results The prevalence of appropriate complementary feeding was 21.4%. Formal employment (PR: 7.05; CI:1.69-29.36), cohabiting (PR: 2.15; CI: 1.10-4.18) and having no child illness (PR: 1.85; CI: 0.88-4.35) were associated with appropriate complementary feeding. Qualitative results showed that inadequate information and low income as major challenges towards appropriate complementary feeding practices. Conclusions Appropriate complementary feeding practices were low. unless interventions such as; health services access and women entrepreneurship are put in place, the inappropriate complementary feeding practices are unlikely to change. Funding Sources Ministry of Health Uganda. Supporting Tables, Images and/or Graphs

scholarly journals Dysfunctional Eating Behaviors and Dietary Intake in Adults Residing in Puerto Rico

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1328-1328
Author(s):  
Andrea Lopez-Cepero ◽  
Josiemer Mattei ◽  
Christine Frisard ◽  
Julio Jimenez ◽  
Stephenie Lemon ◽  
...  
Keyword(s):  
Puerto Rico ◽  
Dietary Intake ◽  
Low Income ◽  
Emotional Eating ◽  
Eating Behaviors ◽  
Fruits And Vegetables ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Funding Sources ◽  
Saturated Fats

Abstract Objectives To document the level of dysfunctional eating behaviors, specifically emotional eating (EE), uncontrolled eating (UE) and cognitive restraint (CR), among adults in Puerto Rico (PR), and explore the association between each behavior and dietary intake (i.e., percentage of calories from fats, saturated fats and servings of fruits and vegetables). Methods Cross-sectional study of adults (n = 94) recruited from three health clinics serving low-income communities in Ponce, PR. The Three Factor Eating Questionnaire R18-V2 was used to measure EE, UE and CR; each score ranged from 1 to 4 (higher values indicate stronger behaviors). The Block Fat and Fruits and Vegetables Screener was used to capture percentage of calories from fats, saturated fats and servings of fruits and vegetables. Analysis included adjusted means (SD) and proportions, and linear regressions adjusted for sex, age and marital status. Results Mean age was 45 years, 52% were female and 55% were married. Adjusted mean (SD) scores for EE, UE and CR were 1.92 (0.78), 1.85 (0.66), and 2.32 (0.85), respectively. Adjusted proportions showed that 76%, 88% and 87% experienced any level of EE, UE and CR, respectively. EE and UE scores were significantly associated with greater percentage of calories from total fats (b = 12.0, 95% CI = 0.42, 3.60 for EE; and b = 1.99, 95% CI = 0.05, 3.93 for UE) and saturated fats (b = 3.36, 95% CI = 0.71, 6.01 for EE; and b = 3.31, 95% CI = 0.09, 6.54 for UE). CR scores were significantly associated with greater intake of fruits and vegetables (b = 0.69, 95% CI = 0.20, 1.19). Conclusions Dysfunctional eating behaviors are prevalent among adults in PR and were associated with dietary intake. Results support the need for larger representative studies of dysfunctional eating behaviors, dietary intake and health in PR to shed light into potential intervention targets to decrease the observed health disparities among adults in PR. Funding Sources National Institutes of Health, Centers for Disease Control and Prevention and Ponce Health Sciences University Seed Program.

Associations between feeding practices in infancy and fruit and vegetable consumption in childhood

2020 ◽  
Vol 124 (12) ◽  
pp. 1320-1328
Author(s):  
Katrina M. Moss ◽  
Annette J. Dobson ◽  
Leigh Tooth ◽  
Gita D. Mishra
Keyword(s):  
Breast Feeding ◽  
Fruits And Vegetables ◽  
Dietary Intervention ◽  
Vegetable Consumption ◽  
Feeding Practices ◽  
Fruit And Vegetable Consumption ◽  
Complementary Food ◽  
Health Study ◽  
Fruit And Vegetable ◽  
Cross Sectional

AbstractA diet rich in fruits and vegetables may reduce the risk of chronic diseases. However, in many countries, the majority of children do not eat the recommended quantities of fruits and vegetables. The present study aimed to understand associations between feeding practices in infancy (breast-feeding and first complementary food) and fruit and vegetable consumption in childhood (frequency and variety). Data were from the national, observational, cross-sectional Mothers and their Children’s Health study conducted in 2016/2017, a sub-study of the national Australian Longitudinal Study on Women’s Health. Mothers completed a written survey on feeding practices in infancy (breast-feeding duration, use of formula, first complementary food) and children’s fruit and vegetable frequency (number of times eaten) and variety (number of different types eaten) in the past 24 h, using the Children’s Dietary Questionnaire. Children (n 4981, mean 7·36 (sd 2·90) years) ate vegetables 2·10 (sd 1·11) times and fruits 2·35 (sd 1·14) times and ate 3·21 (sd 1·35) different vegetables and 2·40 (sd 1·18) different fruits, on average. Compared with breast-feeding for <6 months, breast-feeding for ≥6 months was associated with higher vegetable variety. Compared with cereal as the first complementary food, fruits or vegetables were associated with higher vegetable frequency and variety, and higher fruit frequency. Overall, infancy is a window of opportunity for dietary intervention. Guidance to parents should encourage the use of fruits and vegetables at the beginning of complementary feeding.

scholarly journals Complementary Feeding Practices Among The Caretakers Of The Young Children At Kathmandu

2014 ◽  
Vol 3 (4) ◽  
pp. 25-29 ◽  
Author(s):  
Sochana Sapkota ◽  
S Shrestha
Keyword(s):  
Young Children ◽  
Vitamin A ◽  
Fruits And Vegetables ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Economic Status ◽  
Statistical Significance ◽  
Feeding Practices ◽  
Cross Sectional ◽  
Mcnemar Test

Appropriate complementary feeding practices are very important for proper growth and development of children. The objec­tive of this study was to find out knowledge and practices of complementary feeding among caretakers of young children. A cross sectional descriptive study was conducted by taking 195 caretakers of 6 to 24 months children of randomly selected wards of Ramkot, Sewchatar and Ichangunarayan VDC of Kathmandu district. Descriptive and inferential statistics (Chi square and McNemar test) were used for data analysis. Caretakers having adequate knowledge were 59.5%. Regarding prac­tices, 83.65% had continuing breastfeeding. Only 33.3% of caretakers had started complementary feeding at 6 months even though the72.3% had knowledge on it. Children having minimum meal frequency were 64.65%, minimum dietary diversity were 72.3% and minimum acceptable diet were 52.30%. Practice of feeding Vitamin A rich fruits and vegetables was only 3.1%. In observation, most of the caretakers were doing as they said the interview showing no statistical significance by McNemar test. Occupation (p=0.015), literacy status (p=0.000) and economic status (p=0.000) have the association with the complementary feeding knowledge. Similarly economic status, literacy status and age of caretakers were significantly associated with most of the feeding practices. The knowledge levels as well as most of the feeding practices were found good in caretakers of young children. But the large gaps were found in the initiation of complementary feeding and feeding vitamin A rich fruits and vegetables. Journal of Chitwan Medical College 2013; 3(4); 25-29 DOI: http://dx.doi.org/10.3126/jcmc.v3i4.9550

scholarly journals Barriers to fruit and vegetable consumption among farmers’ market incentive programme users in Illinois, USA

2018 ◽  
Vol 21 (7) ◽  
pp. 1345-1349 ◽  
Author(s):  
Chelsea R Singleton ◽  
Sydney Fouché ◽  
Rucha Deshpande ◽  
Angela Odoms-Young ◽  
Corey Chatman ◽  
...  
Keyword(s):  
Low Income ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Farmers Markets ◽  
Cross Sectional ◽  
Assistance Program ◽  
Farmers Market ◽  
Logistic Regression Models ◽  
Nutrition Assistance ◽  
Adjusted Logistic Regression

AbstractObjectivePrevious research indicates that low-income individuals often struggle to consume the recommended amount of fruits and vegetables (F&V). LINK Up Illinois is a farmers’ market incentive programme that aims to increase F&V consumption among Supplemental Nutrition Assistance Program (SNAP) recipients by improving access to and affordability of locally grown foods. The present research aimed to identify barriers to F&V consumption that exist among users of the LINK Up Illinois programme.DesignCross-sectional.SettingFarmers’ markets in Chicago, Springfield, Northbrook, Woodstock, Aurora and Urbana, IL.SubjectsIn 2016, a volunteer sample of 140 LINK Up Illinois users (mean age 42·5 years; 81·7 % female; 28·7 % African American; 44·0 % obese) completed a survey at participating farmers’ markets across the state. Information on demographics, food shopping behaviours, programme satisfaction, barriers to F&V consumption and frequency of F&V consumption was collected and examined.ResultsApproximately 23 % of survey participants reported consuming F&V ≥3 times/d. The barriers to F&V consumption most often reported by survey participants were the cost of F&V (29·5 %), spoilage (18·6 %), knowing how to cook F&V (8·7 %) and not thinking about F&V when hungry (8·6 %). Results from multivariable-adjusted logistic regression models suggested that reporting one or more barriers was associated with reduced odds of consuming vegetables ≥3 times/d, but not fruits.ConclusionsCost, spoilage and knowledge of cooking are key barriers to F&V consumption that exist among LINK Up Illinois users. Strategies are needed to mitigate these barriers and increase F&V consumption in this population.

Implementation and outcome evaluation of a team nutrition intervention: increasing knowledge, attitudes, and preferences

2020 ◽  
Author(s):  
Natoshia M Askelson ◽  
Patrick Brady ◽  
Grace Ryan ◽  
Carrie Scheidel ◽  
Patti Delger ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Nutrition Education ◽  
Low Income ◽  
Fruits And Vegetables ◽  
Linear Models ◽  
Vegetable Consumption ◽  
Low Cost ◽  
Outcome Evaluation ◽  
Nutrition Intervention ◽  
Taste Testing

Abstract Low-income, rural children are at a greater risk for poor dietary intake. Schools offer a venue to deliver appropriate interventions. Our aim was to evaluate the implementation and effectiveness of Healthy Schools, Healthy Students (HSHS). We conducted a mixed-methods evaluation using a cluster-randomized trial design with 20 schools in a rural, Midwestern state. HSHS included education sessions, cafeteria coaching and taste testing. We interviewed implementers (n = 13) and nutrition educators (n = 8), conducted six focus groups with cafeteria coaches, and surveyed fourth graders (n = 1057) about their nutrition knowledge, attitudes toward and preferences for fruits and vegetables (F&V), F&V consumption and MyPlate awareness. We used multi-level linear models to estimate the intervention effect and qualitative data were coded. There were very few challenges to implementation. HSHS participation was positively associated with knowledge, attitudes toward F&V, preferences for vegetables from the taste tests, MyPlate awareness and vegetable consumption. HSHS was viewed as beneficial and easy to deliver, suggesting this type of intervention could be widely implemented. Improving knowledge and attitudes through nutrition education and preferences through taste testing have the potential to improve dietary intake among rural students. Low-cost nutrition interventions can be successfully implemented in rural elementary schools with positive outcomes.

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