scholarly journals Caregiver Perceptions of Child Diet Quality: What Influenced Their Judgment

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 125
Author(s):  
Lijing Shao ◽  
Yan Ren ◽  
Yanming Li ◽  
Mei Yang ◽  
Bing Xiang ◽  
...  
Keyword(s):  
Diet Quality ◽  
Primary Schools ◽  
Dietary Quality ◽  
Obese Children ◽  
Logistic Regression Models ◽  
Poor Diet ◽  
Balanced Diet ◽  
Dietary Index ◽  
High Level ◽  
Child Caregiver

This study aimed at assessing the correctness of a caregiver’s perception of their child’s diet status and to determine the factors which may influence their judgment. 815 child-caregiver pairs were recruited from two primary schools. 3-day 24-h recall was used to evaluate children’s dietary intake, Chinese Children Dietary Index (CCDI) was used to evaluate the dietary quality. Multivariate logistic regression models were used to explore the factors that could influence the correctness of caregiver’s perception. In the current study, 371 (62.1%) children with “high diet quality” and 35 (16.1%) children with “poor diet quality” were correctly perceived by their caregivers. Children who were correctly perceived as having “poor diet quality” consumed less fruits and more snacks and beverages than those who were not correctly perceived (p < 0.05). Obese children were more likely to be correctly identified as having “poor diet quality” (OR = 3.532, p = 0.040), and less likely to be perceived as having “high diet quality”, even when they had a balanced diet (OR = 0.318, p = 0.020). Caregivers with a high level of education were more likely to correctly perceive children’s diet quality (OR = 3.532, p = 0.042). Caregivers in this study were shown to lack the ability to correctly identify their children’s diet quality, especially amongst children with a “poor diet quality”. Obesity, significantly low consumption of fruits or high consumption of snacks can raise caregivers’ awareness of “poor diet quality”.

scholarly journals Caregiver perceptions of child diet status: What influenced their judgement

2020 ◽  
Author(s):  
Lijing Shao ◽  
Qiuping He ◽  
Mei Yang ◽  
Bing Xiang ◽  
Liping Hao ◽  
...  
Keyword(s):  
Primary Schools ◽  
Healthy Diet ◽  
Cluster Sampling ◽  
High Educational Level ◽  
Obese Children ◽  
Logistic Regression Models ◽  
Balanced Diet ◽  
Unhealthy Diet ◽  
24 Hour Recall ◽  
Grade 3

Abstract Background: Caregiver perceptions of child diet status can influence the effect of health intervention, but research focused on the correctness of caregiver's perception is limited. This study aimed to figure out the correctness of caregiver's perception of their child's diet status and find out the factors which may influence their judgement.Methods: 815 children from grade 3rd to 6th and their caregivers were recruited from two primary schools by cluster sampling. 3-day 24-hour recall was used to record children’s diet, caregiver’s perceptions was obtained through questionnaires. Multivariate logistic regression models were used to explore the influencing factors of the correctness of caregiver’s perception.Results: Among the 597 children with “balanced” diet, 62.1% were correctly perceived as having a “healthy” diet by their caregivers; but for the 218 children with “imbalanced” diet, just 16.1% were correctly identified. Those who were correctly identified as having an unhealthy diet consumed less fruits and more snacks than those unidentified (p<0.05). Obese children were more likely to be perceived as having unhealthy diet even when they actually had a balanced diet (OR=0.305, p=0.016). Caregivers with high educational level were more likely to correctly perceive children’s healthy diet status (OR=3.628, p=0.038).Conclusions: Caregivers were generally lack of the ability to identify children's unhealthy diet. Obesity, significantly low consumption of fruits or high consumption of snacks can raise caregivers’ awareness. Extensive health education targeting caregivers is in emergency.

Homocysteine Levels Show Significant Differences among Mediterranean Dietary Quality Index Variables Compared to Folate and Vitamin B12 Status in Women

2015 ◽  
Vol 85 (3-4) ◽  
pp. 202-210 ◽  
Author(s):  
Ivona Višekruna ◽  
Ivana Rumbak ◽  
Ivana Rumora Samarin ◽  
Irena Keser ◽  
Jasmina Ranilović
Keyword(s):  
Mediterranean Diet ◽  
Diet Quality ◽  
Quality Index ◽  
Fruits And Vegetables ◽  
Reproductive Age ◽  
Dietary Quality ◽  
Vitamin B ◽  
Cross Sectional ◽  
Poor Diet ◽  
The Mediterranean

Abstract. Results of epidemiologic studies and clinical trials have shown that subjects following the Mediterranean diet had lower inflammatory markers such as homocysteine (Hcy). Therefore, the aim of this cross-sectional study was to assess female diet quality with the Mediterranean diet quality index (MDQI) and to determine the correlation between MDQI, homocysteine, folate and vitamin B12 levels in the blood. The study participants were 237 apparently healthy women (96 of reproductive age and 141 postmenopausal) between 25 and 93 years. For each participant, 24-hour dietary recalls for 3 days were collected, MDQI was calculated, and plasma Hcy, serum and erythrocyte folate and vitamin B12 levels were analysed. Total MDQI ranged from 8 to 10 points, which represented a medium-poor diet for the subjects. The strength of correlation using biomarkers, regardless of group type, age, gender and other measured parameters, was ranked from best (0.11) to worst (0.52) for olive oil, fish, fruits and vegetables, grains, and meat, in this order. Hcy levels showed the best response among all markers across all groups and food types. Our study shows significant differences between variables of the MDQI and Hcy levels compared to levels of folate and vitamin B12 in participants with medium-poor diet quality, as evaluated according to MDQI scores.

scholarly journals Development of a Healthy Eating Index for patients with type 2 diabetes

2015 ◽  
Vol 28 (5) ◽  
pp. 513-522 ◽  
Author(s):  
Juliana Peçanha ANTONIO ◽  
Flávia Moraes SILVA ◽  
Suzi Alves CAMEY ◽  
Mirela Jobim de AZEVEDO ◽  
Jussara Carnevale de ALMEIDA
Keyword(s):  
Type 2 Diabetes ◽  
Fatty Acids ◽  
Healthy Eating ◽  
Diet Quality ◽  
Saturated Fatty Acids ◽  
Dietary Quality ◽  
Total Lipids ◽  
Dietary Index ◽  
Diet Variety

Objective:This study sought to develop a dietary index for assessment of diet quality aiming for compliance with dietary recommendations for diabetes: The Diabetes Healthy Eating Index.Methods:Cross-sectional study with 201 outpatients with type 2 diabetes (61.4±9.7 years of age; 72.1% were overweight; 12.1±7.7 years of diagnosis; 7.3±1.3% mean HbA1c). Clinical and laboratory evaluations were performed together with 3-day weight diet records. The dietary index developed included 10 components: "diet variety", "fresh fruits", "vegetables", "carbohydrates and fiber sources", "meats and eggs", "dairy products and saturated fatty acids", "oils and fats", "total lipids", "cholesterol", and "transunsaturated fatty acids". The performance of each component was evaluated using the Item Response Theory, and diet quality was scored from 0-100%.Results:Overall, diet quality in this sample was 39.8±14.3% (95%CI=37.8-41.8%), and only 55 patients had a total diet quality score >50%. Good compliance was observed in only four index components: "total lipids", "variety", "fiber sources", and "dairy and saturated fatty acids". The components that differentiated patients with poor dietary quality from those with good dietary quality were "vegetables", "diet variety", "dairy and saturated fatty acids" and "total lipids". The greatest determinants of dietary quality were the components "diet variety", "vegetables", and "total lipids".Conclusion:This dietary index proposed assesses diet quality in compliance with the specific nutritional recommendations for diabetes. In clinical practice, this novel index may be a useful tool for the assessment and management of diet of patients with type 2 diabetes.

scholarly journals Vision Impairment, Poor Diet, and Food Insecurity in the United States

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 30-30
Author(s):  
Ajay Kolli ◽  
Rebecca Mozaffarian ◽  
Erica Kenney
Keyword(s):  
United States ◽  
Logistic Regression ◽  
Food Security ◽  
Food Insecurity ◽  
Diet Quality ◽  
Regression Models ◽  
The United States ◽  
Vision Impairment ◽  
Logistic Regression Models ◽  
Poor Diet

Abstract Objectives To test the hypotheses that poor diet and food insecurity are associated with both measured and self-reported vision impairment (VI). Methods We analyzed data from adults age ≥50 years in the National Health and Nutrition Examination Survey (NHANES) between 1999–2008 in the United States (US). To assess diet quality, Healthy Eating Index 2015 scores (HEI-2015) were applied to participants’ 24-hour recall dietary intake. Participants were categorized as having full, marginal, low, or very low food security using the US Food Security Survey Module. Presenting VI (PVI) was defined as presenting distance visual acuity worse than 20/40 in the better-seeing eye. Self-reported VI (SRVI) was defined as vision reported as fair, poor, or very poor. Accounting for NHANES’ complex survey design, separate logistic regression models were constructed to assess the associations between HEI-2015 quintile and PVI, HEI-2015 quintile and SRVI, food insecurity category and PVI, and food insecurity category and SRVI. Models were adjusted for age, gender, race, education, income, cigarette use, alcohol use, body mass index, and physical activity. Results Of the 10078 adults in this analysis, mean age was 63.4 years, 54% were women, and 80% were white. Mean HEI-2015 score (from 0–100) was 52.5. The prevalence of full food security was 89.9%, that of PVI was 7.2%, and that of SRVI was 20.1%. In adjusted logistic regression models, those with HEI-2015 scores in the lowest quintile (poor diet) had significantly higher odds of SRVI (OR: 1.29; 95% confidence interval [CI]: 1.04–1.61), but not PVI (OR: 1.13; CI: 0.86–1.49) compared to those in the fifth quintile. Compared to full food security, marginal (OR: 1.31; CI: 0.97–1.76), low (OR: 1.61; CI: 1.17–2.23), and very low (OR: 2.71; CI: 1.75, 4.20) food security was associated with increased odds of PVI. Similarly, marginal (OR: 1.58; CI: 1.23–2.02), low (OR: 1.46; CI: 1.11–2.92), and very low (OR: 1.85; CI: 1.41, 2.41) food security were associated with increased odds of SRVI compared to full security. Conclusions In this nationally representative sample of US adults age 50 years and older, poorer overall diet quality was associated with greater prevalence of SRVI. In a dose-response pattern, increasingly severe food insecurity was associated with greater prevalence of both PVI and SRVI. Funding Sources None

scholarly journals Home food procurement impacts food security and diet quality during COVID-19

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Meredith T. Niles ◽  
Kristen Brassard Wirkkala ◽  
Emily H. Belarmino ◽  
Farryl Bertmann
Keyword(s):  
United States ◽  
Food Security ◽  
Diet Quality ◽  
Technical Assistance ◽  
Safety Net ◽  
The United States ◽  
Dietary Quality ◽  
Home Food ◽  
Food Procurement ◽  
Food Insecure Households

Abstract Background Home food procurement (HFP) (i.e. gardening, fishing, foraging, hunting, backyard livestock and canning) have historically been important ways that people obtain food. Recently, some HFP activities have grown (e.g. gardening), while other activities (e.g. hunting) have become less common in the United States. Anecdotally, COVID-19 has sparked an increase in HFP evidenced by increased hunting licenses and shortages in seeds and canning supplies. HFP may have positive benefits for food security and diet quality, though research beyond gardening is especially limited in high-income countries. Methods We examine HFP activities since the COVID-19 pandemic began, and their relationship to food security and dietary quality using multivariable logit models and matching analysis with a statewide representative survey (n = 600) of residents of Vermont, United States. Results We find 29% of respondent households classified as food insecure since COVID-19, and higher prevalence of food insecurity among those experiencing a negative job change since COVID-19, households earning less than $50,000 annually, Hispanic and multi-race respondents. Nearly 35% of respondents engaged in HFP activities since the COVID-19 pandemic began; the majority of those gardened, and more than half pursued HFP activities more intensely than before the pandemic or for the first time. Food insecure households were more likely to pursue HFP more intensely, including more gardening, fishing, foraging, and hunting. Respondents who were food insecure, Black, Indigenous, People of Color, those with a negative job disruption, and larger households all had greater odds of increased intensity of HFP during the COVID-19 pandemic. HFP was significantly associated with eating greater amounts of fruits and vegetables; however, this effect was only significant for food secure households. Conclusion Overall, these results suggest that HFP activities have increased since the start of the COVID-19 pandemic, and may be an important safety net for food insecure households. However, HFP for food insecure households does not translate into the same higher fruit and vegetable intake as found among food secure HFP households, suggesting this population may be trying to maintain intake, or that they may have potential important resource or technical assistance needs. Long-term, HFP activities may have important food security and diet quality impacts, as well as conservation implications, which should be more thoroughly explored. Regardless, the increased interest and intensity of HFP demonstrates opportunities for educational and outreach efforts.

scholarly journals Development and Application of a Total Diet Quality Index for Toddlers

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1943
Author(s):  
Melissa C. Kay ◽  
Emily W. Duffy ◽  
Lisa J. Harnack ◽  
Andrea S. Anater ◽  
Joel C. Hampton ◽  
...  
Keyword(s):  
Young Children ◽  
Diet Quality ◽  
Quality Index ◽  
National Sample ◽  
Dietary Guidelines ◽  
Dietary Quality ◽  
Measurement Tool ◽  
Infants And Toddlers ◽  
Dietary Recall ◽  
Diet Quality Index

For the first time, the 2020–2025 Dietary Guidelines for Americans include recommendations for infants and toddlers under 2 years old. We aimed to create a diet quality index based on a scoring system for ages 12 to 23.9 months, the Toddler Diet Quality Index (DQI), and evaluate its construct validity using 24 h dietary recall data collected from a national sample of children from the Feeding Infants and Toddlers Study (FITS) 2016. The mean (standard error) Toddler DQI was 49 (0.6) out of 100 possible points, indicating room for improvement. Toddlers under-consumed seafood, greens and beans, and plant proteins and over-consumed refined grains and added sugars. Toddler DQI scores were higher among children who were ever breastfed, lived in households with higher incomes, and who were Hispanic. The Toddler DQI performed as expected and offers a measurement tool to assess the dietary quality of young children in accordance with federal nutrition guidelines. This is important for providing guidance that can be used to inform public health nutrition policies, programs, and practices to improve diets of young children.

P2-421: Indicators of Cognitive Reserve Moderate the Adverse Relationship Between Poor Diet Quality and Cognitive Decline in Independent Older Adults: The Nuage Study

2016 ◽  
Vol 12 ◽  
pp. P806-P806
Author(s):  
Matthew D. Parrott ◽  
Alexandra J. Fiocco ◽  
Pierre-Hugues Carmichael ◽  
Nicole D. Anderson ◽  
Danielle Laurin ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Diet Quality ◽  
Cognitive Reserve ◽  
Poor Diet

Abstract P108: Metabolic Profile Of Diet Quality In The Multi-Ethnic Study Of Atherosclerosis

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Meghana Gadgil ◽  
Alexis F Wood ◽  
Ibrahim Karaman ◽  
Goncalo Gomes Da Graca ◽  
Ioanna Tzoulaki ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Diet Quality ◽  
Spectral Feature ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
Elastic Net ◽  
Dietary Quality ◽  
Spectral Features ◽  
Ethnic Study ◽  
Diet Score

Introduction: Poor dietary quality is a well-known risk factor for diabetes and cardiovascular disease (CVD), however metabolites marking adherence to U.S. dietary guidelines are unknown. Our goal was to determine a pattern of metabolites associated with the Healthy Eating Index-2015 (HEI-2015). We hypothesize that there will be metabolites positively and negatively associated with the HEI-2015 score, including those previously linked to diabetes and CVD. Methods: Sample: 2269 adult men and women from the Multi-Ethnic Study of Atherosclerosis (MESA) longitudinal cohort study without known cardiovascular disease or diabetes. Data/specimens: Fasting serum specimens, diet and demographic questionnaires at baseline. Metabolomics: Untargeted 1 H NMR CPMG spectroscopy (600 MHz) annotated by internal and external reference data sets. Statistical analysis: Metabolome-wide association study (MWAS) using linear regression models specifying each spectral feature as the outcome in separate models, HEI-2015 score as the predictor, and adjustment for age, sex, race, and study site, accounting for multiple comparisons. Elastic net regularized regression was used to select an optimal subset of features associated with HEI-2015 score. Separately, hierarchical clustering defined discrete groups of correlated NMR features also tested for association with HEI-2015 score. Results: MWAS identified 1914 spectral features significantly associated with the HEI-2015 diet score. After elastic net regression, 35 metabolomic spectral features remained associated with HEI-2015 diet score. Cluster analysis identified seven clusters, three of which were significantly associated with HEI-2015 score after Bonferroni correction. (Table) Conclusions: Cholesterol moieties, proline betaine, proline/glutamate and fatty acyls chains were significantly associated with higher diet quality in the MESA cohort. Further analysis may clarify the link between dietary quality, metabolites, and pathogenesis of diabetes and CVD.

scholarly journals High-involvement management practices, job control, and employee well-being in the public and private sectors. Evidence from Finland

2018 ◽  
Vol 24 (4) ◽  
pp. 467-486
Author(s):  
Laura Peutere ◽  
Antti Saloniemi ◽  
Simo Aho ◽  
Jouko Nätti ◽  
Tapio Nummi
Keyword(s):  
Job Satisfaction ◽  
Management Practices ◽  
Well Being ◽  
Job Control ◽  
Public And Private ◽  
High Involvement ◽  
Logistic Regression Models ◽  
The Public ◽  
High Level ◽  
High Involvement Management

The connection between high-involvement management (HIM), entailing heavy employee involvement, and employee well-being is a controversial and widely discussed topic. Clarifying how job satisfaction and stress are connected to HIM and job control (the control employees have over their work), this study is based on data from two Finnish sources: an employer survey investigating the extent of HIM within an organisation, and employee assessments of job control, stress and job satisfaction. Logistic regression models were used as the study method. In contrast to previous Finnish studies, our findings show that HIM seems hardly to benefit employee well-being. Especially in the public sector, the correlation between extensive HIM and employee well-being turned out to be negative. However, HIM in the private sector was positively related to job satisfaction. As expected, a high level of job control was regularly associated with greater well-being.

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