|Authors:||Wang, May-Choo; Pratt, Charlotte; Yoshida, Sallie; Schmidt, Marcia; Daniels, Stephen; Schreiber, George B.; Hudes, Mark; Crawford, Patricia B.
|Title:||Family Environment, Nutrition and Child Adiposity
|Classifications:||Children and Youth; Other
|Keywords:||Family environment; Family dinner; Fast food; Nutrition; Child obesity
|Abstract:||Background: Family environment may play an important role in child obesity development.
Objectives: To determine if frequency of eating family dinner and frequency of fast food
consumption are associated with nutrient profile; and examine associations of selected subscales
of the Moos Family Environment Scale (FES) with BMI.
Methods: We analyzed data from the longitudinal NHLBI Growth and Health Study (N ~ 2,400
Black and White girls aged 9-10 years at entry). Relevant data included Body Mass Index,
nutrient intakes, frequency of eating family dinner, frequency of eating fast food, and physical
activity measured annually during the first five years of the study; and the FES administered in
the third year. Data were analyzed using multiple linear regression; longitudinal data were
analyzed using a mixed effects model.
Results: Longitudinal analysis: Among White but not Black girls, those who ate family dinner
usually were more likely to be eating fast food infrequently (less than once a week). Eating
family dinner usually and eating fast food less than once a week were associated with a healthier
nutrient profile, adjusting for age, race, parental education and energy intake. Cross-sectional
analysis: The organization subscale of the FES was associated with lower BMI (p<.01),
independent of nutrient profile and physical activity.
Conclusion: Eating family dinner is associated with less frequent fast food consumption and a
healthier nutrient profile. However, child obesity interventions may need to consider various
dimensions of the family environment that influence dietary and physical activity behaviors.
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