Changes to the home food environment and parent feeding practices during the COVID-19 pandemic: A qualitative exploration

Trofholz, Amanda; Hersch, Derek; Norderud, Kristin; Berge, Jerica M.; Loth, Katie A.

doi:10.1016/j.appet.2021.105806

Cited by 12 publications

(11 citation statements)

References 47 publications

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“…The absence of an overall change in SSBs and discretionary foods was surprising. Other studies reported increased intake of these foods and increases in the availability of processed foods in the home, snacking frequency and quality, and “pandemic baking” [ 23 , 49 , 50 , 51 , 52 ]. These inconsistencies may be due to differences in the timing of the assessments.…”

Section: Discussionmentioning

confidence: 99%

Health Behavior Changes during the COVID-19 Pandemic: A Longitudinal Analysis among Children

Bekelman

Dong

Elliott

et al. 2022

IJERPH

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This longitudinal study compared children’s health behaviors before the COVID-19 pandemic versus during the pandemic. This analysis examined the association between individual-level characteristics and health behavior change. Four prospective cohort studies in the Environmental influences on Child Health Outcomes (ECHO) Program contributed data. Children aged 4–12 years and their caregivers were recruited in California, Colorado, North Dakota, and New Hampshire. Dietary intake, physical activity, screen time, and sleep duration were assessed with questionnaires pre-pandemic and during the pandemic. The final sample included 347 children: 47% female and 62% non-Hispanic White. Compared with pre-pandemic, weekday screen time duration was higher during the pandemic (3.0 vs. 4.5 h, p < 0.001). Unadjusted increases in screen time duration differed by race and ethnicity: 1.3 h/day for non-Hispanic White children, 2.3 h/day for Hispanic children, and 5.3 h/day for non-Hispanic Black children. Overall, no changes occurred in sugar-sweetened beverage (SSB) intake (p = 0.26), discretionary food intake (p = 0.93), and physical activity (p = 0.15). Sleep duration increased by 30 min among children who did not meet sleep recommendations pre-pandemic. Child sex and maternal education level were not associated with health behavior change. The pandemic may have exacerbated disparities in some health behaviors. Families may need support to re-establish healthy routines.

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Section: Discussionmentioning

confidence: 99%

Health Behavior Changes during the COVID-19 Pandemic: A Longitudinal Analysis among Children

Bekelman

Dong

Elliott

et al. 2022

IJERPH

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“…Parents also described loosening restrictions on their child's dietary intake during the pandemic, which has also been reported among parents of younger children ( 24 ), and providing SDs and treats to help their children cope with disruptions to daily life. These behaviors are concerning because indulgent parenting ( 25 ), where children have freedom to eat and drink whatever they wish, and emotional eating ( 26 ), where intake of foods high in sugar and/or fat to reduce the intensity of negative emotions, are both associated with excess weight gain among children ( 25 , 26 ).…”

Section: Discussionmentioning

confidence: 87%

Impacts of the COVID-19 Pandemic on Children's Sugary Drink Consumption: A Qualitative Study

et al. 2022

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The coronavirus (COVID-19) pandemic has caused striking alterations to daily life, with important impacts on children's health. Spending more time at home and out of school due to COVID-19 related closures may exacerbate obesogenic behaviors among children, including consumption of sugary drinks (SDs). This qualitative study aimed to investigate effects of the pandemic on children's SD consumption and related dietary behaviors. Children 8–14 years old and their parent (n = 19 dyads) participated in an in-depth qualitative interview. Interviews were recorded, transcribed verbatim, and independently coded by two coders, after which, emergent themes and subthemes were identified and representative quotations selected. Although increases in children's SD and snack intake were almost unanimously reported by both children and their parents, increased frequency of cooking at home and preparation of healthier meals were also described. Key reasons for children's higher SD and snack intake were having unlimited access to SDs and snacks and experiencing boredom while at home. Parents also explained that the pandemic impacted their oversight of the child's SD intake, as many parents described loosening prior restrictions on their child's SD intake and/or allowing their child more autonomy to make their own dietary choices during the pandemic. These results call attention to concerning increases in children's SD and snack intake during the COVID-19 pandemic. Intervention strategies to improve the home food environment, including reducing the availability of SDs and energy-dense snacks and providing education on non-food related coping strategies are needed.

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“…Families were offered an incentive of a $150 gift card for participation of the survey and EMA protocol. In August 2020, all parents that participated in this follow-up study (n = 75) were invited to engage in a qualitative interview ( Trofholz et al, 2022 ). A rolling recruitment approach was used to engage participants in one-on-one interviews; this approach was chosen as it allowed our research team to balance recruitment efforts with staff availability for interviews and to reassess sample extensiveness following each interview.…”

Section: Methodsmentioning

confidence: 99%

Impacts of COVID-19 on the home food environment and eating related behaviors of families with young children based on food security status

et al. 2023

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Changes to the home food environment and parent feeding practices during the COVID-19 pandemic: A qualitative exploration

Cited by 12 publications

References 47 publications

Health Behavior Changes during the COVID-19 Pandemic: A Longitudinal Analysis among Children

Health Behavior Changes during the COVID-19 Pandemic: A Longitudinal Analysis among Children

Impacts of the COVID-19 Pandemic on Children's Sugary Drink Consumption: A Qualitative Study

Impacts of COVID-19 on the home food environment and eating related behaviors of families with young children based on food security status

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