Background
Despite research linking family meals to healthier diets, some
families are unable to have regular meals together. These families need
guidance about other ways to promote healthy eating among adolescents.
Objective
To examine the association between various parenting practices and
adolescent fruit and vegetable (FV) intake at different levels of family
meal frequency.
Design
Cross-sectional, population-based survey of influences on adolescent
weight-related behaviors: EAT 2010 (Eating and Activity in Teens).
Participants/Setting
2,491 adolescents recruited from middle/high schools in
Minneapolis/St-Paul
Measures
Adolescent FV intake was ascertained with a food frequency
questionnaire. Survey items assessed frequency of family meals and FV
parenting practices (availability, accessibility, parent modeling, parent
encouragement, and family communication).
Statistical Analyses
Linear regression models were used to examine associations with and
interactions among family meals and parenting practices. Models were
adjusted for age, sex, socioeconomic status, race/ethnicity, and energy
intake (kcal/day).
Results
Family meals, FV availability, FV accessibility, FV modeling, and
encouragement to eat healthy foods were independently associated with higher
FV intake. Of the 949 (34%) adolescents who reported infrequent
family meals (≤2 days/week), mean FV intake was 3.6 servings/day for
those with high home FV availability versus 3.0 servings/day for those with
low home FV availability. Similar differences in mean FV intake (0-3-0.6
servings/day) were found for high versus low FV accessibility, parental
modeling, and parent encouragement for healthy eating. Frequent family meals
in addition to more favorable parenting practices were associated with the
highest FV intakes.
Conclusion
Food parenting practices and family meals are associated with greater
adolescent FV intake. Longitudinal and intervention studies are needed to
determine which combination of parenting practices will lead to improvements
in adolescent diet.