Is frequency of family meals associated with fruit and vegetable intake among preschoolers? A logistic regression analysis

Caldwell, Angela; Terhorst, Lauren; Skidmore, Elizabeth R.; Bendixen, Roxanna

doi:10.1111/jhn.12531

Cited by 12 publications

(15 citation statements)

References 33 publications

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“…We calculated a sum score, with a potential range between 0 and 12. A higher score was indicative of a higher fruit and vegetable intake [32,33,34,35,36].…”

Section: Methodsmentioning

confidence: 99%

Educational Attainment Promotes Fruit and Vegetable Intake for Whites but Not Blacks

Assari

Lankarani

2018

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Background. Although the protective effects of socioeconomic status (SES) on health behaviors are well-known, according to the minorities’ diminished return theory, the health return of SES, particularly educational attainment, is systemically smaller for minorities than Whites. Aims. The current study explored Black–White differences in the effects of educational attainment and income on the consumption of fruits and vegetables. Methods. This cross-sectional study used the Health Information National Trends Survey (HINTS) 2017 (n = 3217). HINTS is a nationally representative survey of American adults. The current analysis included 2277 adults who were either non-Hispanic White (n = 1868; 82%) or non-Hispanic Black (n = 409; 18%). The independent variables in this study were SES (educational attainment and income). The dependent variable was consumption of fruits and vegetables. Race was the focal moderator. Results. In the overall sample, high educational attainment and income were associated with higher consumption of fruits and vegetables. Race moderated the effect of educational attainment but not income on the consumption of fruits and vegetables. Conclusion. In line with the past research in the United States, Whites constantly gain more health benefits from the very same educational attainment than Blacks. The health gain from income is more equal across races than the health gain from educational attainment. Such diminished returns may be due to racism across institutions in the United States.

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“…We calculated a sum score, with a potential range between 0 and 12. A higher score was indicative of a higher fruit and vegetable intake [32,33,34,35,36].…”

Section: Methodsmentioning

confidence: 99%

Educational Attainment Promotes Fruit and Vegetable Intake for Whites but Not Blacks

Assari

Lankarani

2018

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“…A total of 1,241 studies were identified for dietary outcomes; 890 were reviewed after 349 duplicates were removed, and 87 were selected for full-review. Thirty-one articles 3,4, met study inclusion criteria, were included in the systematic review (supplementary material, Table 1), and of those articles 8 3,4,[51][52][53][54][55][56] in the meta-analysis (Figure 1a). For family functioning outcomes 1,982 articles were identified; 1,433 were reviewed after 549 duplicates were removed, and 83 were selected for full-review.…”

Section: Overview Of Included Studiesmentioning

confidence: 99%

Family Meal Frequency, Diet, and Family Functioning: A Systematic Review With Meta-analyses

Robson

McCullough

Rex

et al. 2020

Journal of Nutrition Education and Behavior

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Objective: To examine the direction and magnitude of the relationship between family meal frequency and dietary and family functioning outcomes in children (2-18 years).Design: Systematic literature review with meta-analysis.Methods: Independent electronic searches, one for each outcome of interest, were conducted across five databases PubMed, CINAHL, Web of Science, Scopus and PsycINFO. Studies were included if peer-reviewed and published in English in the US through December 2018.Main Outcome Measures: Diet and family functioning.Results: Dietary outcomes showed some evidence of a positive association between family meal frequency and fruits, vegetables, fruits and vegetables, sugar-sweetened beverages, and the Healthy Eating Index. There is less clear evidence of this relationship in snacks, fast food and desserts. A positive association was found between family meal frequency or dinner family meal 3 frequency and family functioning outcomes. All studies included had cross-sectional and longitudinal study designs. Conclusions and Implications:There is some evidence to show a positive relationship between family meal frequency and dietary outcomes. There is stronger evidence for the relationship with family functioning outcomes. The majority of articles included in the systematic reviews were excluded from meta-analysis due to inadequate data and high methodological diversity across exposure and outcome variables.

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“…“family-style” serving; 3. child participation in meal prep and/or clean-up; 4. reinforcing appropriate behaviors using praise; 5. redirecting inappropriate behavior to an acceptable alternative; 6. avoiding negative language, threats, and punishments; 7. demonstrating and encouraging different levels of food exploration; 8. allowing the child to guide their own exploration; and 9. incorporating play) into their child’s daily mealtimes. These strategies were chosen based on the following evidence-based principles: Frequent family meals (strategies 1–3) are associated with higher fruit and vegetable intake, lower odds of obesity, and better familial relationships among children (Berge et al., 2015; Caldwell et al., 2018a; Hammons and Fiese, 2011). Positive reinforcement (strategies 4–6) has been shown to increase acceptance of healthy foods (Cooke et al., 2011; Remington et al., 2012).…”

Section: Methodsmentioning

confidence: 99%

“…Frequent family meals (strategies 1–3) are associated with higher fruit and vegetable intake, lower odds of obesity, and better familial relationships among children (Berge et al., 2015; Caldwell et al., 2018a; Hammons and Fiese, 2011).…”

Section: Methodsmentioning

confidence: 99%

“…For some families, mealtimes with a toddler or preschooler become a daily struggle and a source of concern related to the growth, development, and overall health of the young child. These concerns are validated by a growing body of evidence emphasizing the importance of building healthy habits early in life (Haddad et al., 2014; World Health Organization, 2019), and the numerous benefits of frequent family meals throughout childhood (Berge et al., 2015; Caldwell et al., 2018a; Hammons and Fiese, 2011). Picky eating during early childhood leads to dysfunctional mealtime routines, increased parental stress, and negative impact on family relationships (Curtin et al., 2015; Goh and Jacob, 2012; Trofholz et al., 2017).…”

Section: Introductionmentioning

confidence: 99%

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Examining child mealtime behavior as parents are coached to implement the Mealtime PREP intervention in the home: Findings from a pilot study

Caldwell

Skidmore

Bendixen

et al. 2020

British Journal of Occupational Therapy

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Introduction The purpose of this study was to examine parental use of evidence-based mealtime strategies, child mealtime behavior, and parental identification of mealtime problems over time as parents were coached to implement the Promoting Routines of Exploration and Play during Mealtime intervention as part of a pilot study. Method This repeated measures study included data collection during three phases: (a) pre-intervention; (b) intervention; (c) post-intervention. Primary outcome measures included a parental strategy use checklist (parental strategy use) and the Behavioral Pediatric Feeding Assessment (problematic child behavior and parental identification of mealtime problems). Linear mixed models were fitted to assess change over time. Results We observed significant improvements in parental strategy use ( p < .001), child mealtime behavior ( p < .001), and parental perception of mealtime problems ( p = .002) over time. Conclusions The results of these analyses signal that empowering parents to integrate evidence-based strategies into child mealtimes is a promising approach to managing child mealtime behavior. More research is needed to determine the true relationship between parental strategy use and child behavior over time.

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Is frequency of family meals associated with fruit and vegetable intake among preschoolers? A logistic regression analysis

Cited by 12 publications

References 33 publications

Educational Attainment Promotes Fruit and Vegetable Intake for Whites but Not Blacks

Educational Attainment Promotes Fruit and Vegetable Intake for Whites but Not Blacks

Family Meal Frequency, Diet, and Family Functioning: A Systematic Review With Meta-analyses

Examining child mealtime behavior as parents are coached to implement the Mealtime PREP intervention in the home: Findings from a pilot study

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