scholarly journals Validation of a Home Food Environment Instrument Assessing Household Food Patterning and Quality

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3930
Author(s):  
Katherine J. Barrett ◽  
Sarah K. Hibbs-Shipp ◽  
Savannah Hobbs ◽  
Richard E. Boles ◽  
Susan L. Johnson ◽  
...  

The home food environment (HFE) is associated with dietary intake; yet measuring HFE quality often requires burdensome collection of detailed inventories. This project evaluated the capacity of the Home Inventory to Describe Eating and Activity, version 2 (Home-IDEA2) to capture HFE quality by measuring the presence or absence of household foods. Validity was tested using a modified application of the Healthy Eating Index-2010 (HEI). Comparative data were drawn from the National Food Acquisition and Purchase Survey (FoodAPS) Food-at-Home Public Use File. HEI scores were calculated for 4202 households in FoodAPS using Home-IDEA2 inventories and full reported inventories. Paired t-tests compared: (1) estimated vs. total edible grams (EEG; TEG); (2) limited vs. all reported foods; and (3) EEG + limited foods vs. TEG + all reported foods. Sensitivity and range of scores were compared. Mean HEI scores for Home-IDEA2 were higher (p < 0.003) than FoodAPS: (1) 51.6 ± 16.1 vs. 49.6 ± 18.1 (food amounts); (2) 53.5 ± 15.8 vs. 49.8 ± 15.4 (food items); (3) 55.5 ± 15.7 vs. 49.8 ± 15.4 (full instrument); differences were small. Scores demonstrated comparable sensitivity and range. The study found that the Home-IDEA2 can capture HFE quality adequately with low data collection burden.

Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 372 ◽  
Author(s):  
Sarah Hibbs-Shipp ◽  
Richard Boles ◽  
Susan Johnson ◽  
Morgan McCloskey ◽  
Savannah Hobbs ◽  
...  

The home food environment (HFE) is an important factor in the development of food preferences and habits in young children, and the availability of foods within the home reflects dietary intake in both adults and children. Therefore, it is important to consider the holistic quality of the HFE. The purpose of this study was to apply the Healthy Eating Index (HEI; a measure of diet quality in conformance to the Dietary Guidelines for Americans) algorithm to the Home-IDEA2, a valid and reliable food inventory checklist, to develop a Home-IDEA2 HEI Score. After an initial score was developed, it was psychometrically tested for content, criterion, and construct validity. Content validity testing resulted in 104 foods being retained. Internal criterion testing demonstrated that 42 foods (40%) changed component scores by >5%; however, no single food changed a total Home-IDEA2 HEI score by >5%. Testing of hypothetical HFEs resulted in a range of scores in the expected directions, establishing sensitivity to varied HFEs. This study resulted in a validated methodology to assess the overall quality of the HFE, thus contributing a novel approach for examining home food environments. Future research can test interventions modifying the HFE quality to improve individual dietary intake.


2018 ◽  
Vol 22 (5) ◽  
pp. 882-893 ◽  
Author(s):  
Amanda Trofholz ◽  
Allan Tate ◽  
Jayne A Fulkerson ◽  
Mary O Hearst ◽  
Dianne Neumark-Sztainer ◽  
...  

AbstractObjectiveTo categorize the home food environment and dietary intake of young children (5–7 years old) from racially/ethnically diverse households using objectively collected data.DesignCross-sectional study.SettingIn-home observations in Minneapolis/Saint Paul, Minnesota, USA.SubjectsFamilies with 5–7-year-old children who identified as Black, White, Hmong, Latino, Native American or Somali.ResultsThere were many significant differences by race/ethnicity for child dietary intake and for the home food environment, with specific patterns emerging by race/ethnicity. For example, Somali children had high Healthy Eating Index-2010 (HEI-2010) scores, but low daily intakes of fruits and vegetables. Black children had low HEI-2010 scores and a pattern of low intake of healthful foods and high intake of unhealthful foods. White and Latino families had high levels of both healthful and unhealthful home food availability and children with high HEI-2010 scores.ConclusionsResults indicate that the home food environment of young children varies across racial/ethnic group. Study findings also provide new information regarding the home food environment of young children in previously understudied racial/ethnic groups and indicate that interventions working to improve the home food environment and dietary intake of children may want to consider race/ethnicity.


Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Sonia Vega-López ◽  
Emily Ghan ◽  
Michael Todd ◽  
Meg Bruening ◽  
Noe C Crespo

It is known that availability of food in the home influences dietary behaviors; however, few studies have assessed the effects of lifestyle behavioral interventions on the home food environment (HFE). We hypothesized that participation in Athletes for Life (AFL), a family-oriented lifestyle intervention for cardiometabolic disease prevention, would result in favorable changes in the home food environment of families with children aged 6-11 years. AFL is a 12-week community-based, family-focused behavioral intervention delivered at a community center located in an ethnically-diverse, underserved community within a Southwestern metropolitan area. Participants attend 90-minute sessions, twice per week. For children, AFL includes diverse activities aimed at improving fitness and sport skills. Parents participate in a physical activity session for 45 minutes followed by a 45-minute behavior change program focusing on strategies for diet improvement through increasing fruit and vegetable consumption and reducing sugar intake. Parent-child dyads (n=33) were randomized to an immediate AFL intervention or a wait-list control group. Of those, 26 consented to a home visit to assess the HFE and were included in this analysis (intervention n=13; control n=13). The HFE was assessed in both groups at baseline and again after 12 weeks using a modified version of the Home Food Inventory that focused on home availability and variety (measured as number of different items) of fruits, vegetables, and sugar-containing foods including sugar-sweetened beverages, prepared desserts, candy, and breakfast cereals. Intervention effects on home food availability were assessed using Poisson mixed model regressions controlling for days since the last food-shopping trip and household size. At baseline, intervention and control households had comparable home food environments. Relative to the control group, the intervention households had statistically greater increases in the number of vegetable items (+3.88±0.85 items vs. +0.08±0.63 items; p Time*Group =0.015) and WIC-approved breakfast cereal items (1.16±0.31 items vs. 0.00±0.28 items; p Time*Group =0.033). Changes related to home availability of fruit, prepared desserts, sugar sweetened beverages, candy, and non WIC-approved breakfast cereals were small and of comparable magnitude between groups (n.s.). These results suggest that AFL was successful in eliciting small but significant changes in the HFE, which could positively influence dietary intake among participants. Future assessments of how home food availability affects dietary intake and cardiometabolic disease risk are warranted.


Author(s):  
Tonja R. Nansel ◽  
Leah M. Lipsky ◽  
Myles Faith ◽  
Aiyi Liu ◽  
Anna Maria Siega-Riz

Abstract Background Neurobehavioral factors, including reward-related eating and self-regulation, in conjunction with the food environment, may influence dietary behaviors. However, these constructs have not been examined in pregnancy and postpartum, a time of changing appetite and eating behaviors, and when dietary intake has implications for maternal and child health. This study examined associations of reward-related eating, self-regulation, and the home food environment with pregnancy and postpartum diet quality. Methods Participants in the Pregnancy Eating Attributes Study observational cohort were enrolled at ≤12 weeks gestation and followed through one-year postpartum. Pregnancy and postpartum Healthy Eating Index-2015 (HEI-total), and adequacy and moderation scores, respectively, were calculated by pooling 24-h diet recalls administered each trimester and during 2, 6, and 12 months postpartum. Participants completed four measures of reward-related eating – Modified Yale Food Addiction Scale (mYFAS), Power of Food Scale (PFS), Multiple Choice Procedure (MCP), and Reinforcing Value of Food Questionnaire (RVFQ); two measures of self-regulation – Barratt Impulsiveness Scale (BIS) and Delay of Gratification Inventory (DGI); and a Home Food Inventory (HFI), yielding obesogenic (OBES) and fruit/vegetables (FV) scores. Linear regression analyses estimated associations of reward-related eating, self-regulation, and home food environment with diet quality during pregnancy and postpartum, adjusting for sociodemographic characteristics. Results Pregnancy HEI-total was inversely associated with PFS (β = − 0.14 ± 0.05, p = 0.009), mYFAS(β = − 0.14 ± 0.06, p = 0.02), 2 of the 5 RVFQ indices, MCP (β = − 0.14 ± 0.05, p = 0.01), and DGI food subscale (β = 0.23 ± 0.05, p < 0.001), but associations of postpartum HEI-total with reward-related eating measures and self-regulation were small and not statistically significant. Pregnancy and postpartum HEI-total were associated inversely with HFI-OBES (β = − 0.17 ± 0.06, p = 0.004 and β = − 0.19 ± 0.07, p = 0.006, respectively), and positively with HFI-FV (β = 0.21 ± 0.05, p < 0.001 and β = 0.17 ± 0.06, p = 0.009, respectively). Conclusions Associations of poorer diet quality with greater reward-related eating during pregnancy but not postpartum suggests the need to better understand differences in the determinants of eating behaviors and approaches to circumvent or moderate reward-related eating to facilitate more optimal diet quality across this critical period. Trial registration Clinicaltrials.gov. URL – Registration ID – NCT02217462. Date of registration – August 13, 2014.


Author(s):  
Allison Karpyn ◽  
Candace R. Young ◽  
Zachary Collier ◽  
Karen Glanz

The food environment is well documented as an important emphasis for public health intervention. While theoretical models of the relationship between the food environment and dietary outcomes have been proposed, empirical testing of conceptual models has been limited. The purpose of this study was to explore which factors in nutrition environments are significantly associated with dietary outcomes in two urban, low-income, and minority food desert communities. This study analyzed cross-sectional data based on 796 participants from the Food in Our Neighborhood Study. Participants were recruited based on a random sample of addresses in neighborhood study areas, Philadelphia, PA (n = 393) and Trenton, NJ (n = 403). Main dietary outcomes were Healthy Eating Index (HEI) scores and fruit and vegetable consumption subscores computed from ASA24® assessments. Exploratory factor analysis was conducted and yielded a model of four factors with 22 items. Among four factors that emerged, three factors (Perceptions of Neighborhood Food Availability; and Household Food Challenges) were significantly correlated with dietary outcomes. My Store’s Quality and Perceptions of Neighborhood Food Availability were positively correlated with vegetable consumption subscore. The Household Food Challenges factor was negatively correlated with both vegetable subscore and overall HEI score (i.e., more household challenges were associated with lower dietary scores). These findings confirmed the importance of perceived nutrition environments and household food challenges in predicting dietary outcomes among residents of two urban, low-income, and minority food desert communities.


2013 ◽  
Vol 106 (10) ◽  
pp. 550-557 ◽  
Author(s):  
Liang Wang ◽  
William T. Dalton ◽  
Karen E. Schetzina ◽  
Hazel Fulton-Robinson ◽  
Nicole Holt ◽  
...  

2020 ◽  
Author(s):  
Tonja R. Nansel ◽  
Leah M. Lipsky ◽  
Myles Faith ◽  
Aiyi Liu ◽  
Anna Maria Siega-Riz

Abstract Background. Neurobehavioral factors, including reward-related eating and self-control, in conjunction with the food environment, may influence dietary behaviors. However, these constructs have not been examined in pregnancy and postpartum, a time of changing appetite and eating behaviors, and when dietary intake has implications for maternal and child health. This study examined associations of reward-related eating, self-control, and the home food environment with pregnancy and postpartum diet quality. Methods. Participants in the Pregnancy Eating Attributes Study observational cohort were enrolled at ≤12 weeks gestation and followed through one-year postpartum. Pregnancy and postpartum Healthy Eating Index-2015 (HEI) was calculated by pooling 24-hour diet recalls during each trimester and during 2, 6, and 12 months postpartum. Participants completed four measures of reward-related eating – Modified Yale Food Addiction Scale (mYFAS), Power of Food Scale (PFS), Multiple Choice Procedure (MCP), and Food Reinforcement Questionnaire (FRQ); two measures of self-control – Barratt Impulsiveness Scale and Delay of Gratification Inventory; and a Home Food Inventory (HFI), yielding obesogenic (OBES) and fruit/vegetables (FV) scores. Linear regression analyses estimated associations of reward-related eating, self-control, and home food environment with diet quality during pregnancy and postpartum, adjusting for sociodemographic characteristics. Results. Pregnancy, HEI was inversely associated with PFS, mYFAS, MCP, and 2 of the 5 FRQ indices, but most associations of postpartum HEI with reward-related eating measures were not statistically significant. Associations of HEI with general self-control measures were not statistically significant. Pregnancy and postpartum HEI were associated inversely with HFI-OBES and positively with HFI-FV. Conclusions. Associations of diet quality with greater reward-related eating during pregnancy but not postpartum suggests the need to better understand differences in the determinants of eating behaviors and approaches to circumvent or moderate reward-related eating to facilitate more optimal diet quality across this critical period.


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