What’s Being Served for Dinner? An Exploratory Investigation of the Associations between the Healthfulness of Family Meals and Child Dietary Intake

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• 作者：Amanda C. Trofholz ; MPH ; RD ; ^{trofh002@umn.edu}Author Vitae ; Allan D. Tate ; MPHAuthor Vitae ; Michelle L. Draxten ; MPH ; RDAuthor Vitae ; Seth S. Rowley ; MPHAuthor Vitae ; Anna K. SchulteAuthor Vitae ; Dianne Neumark-Sztainer ; PhD ; MPH ; RDAuthor Vitae ; Richard F. MacLehose ; PhDAuthor Vitae ; Jerica M. Berge ; PhD ; MPH ; LMFTAuthor Vitae
• 关键词：Family meals ; Direct observation ; Diet quality ; Meal screener ; Food availability
• 刊名：Journal of the Academy of Nutrition and Dietetics
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：117
• 期：1
• 页码：102-109
• 全文大小：235 K
• 卷排序：117

文摘

Little is known about the healthfulness of foods offered at family meals or the relationship between the food’s healthfulness and child overall dietary intake.ObjectiveThis exploratory study uses a newly developed Healthfulness of Meal Index to examine the association between the healthfulness of foods served at family dinners and child dietary intake.DesignDirect observational, cross-sectional study.Participants/settingPrimarily low-income, minority families (n=120) video recorded 8 days of family dinners and completed a corresponding meal screener. Dietary recalls were completed on the target child (6 to 12 years old). The Healthfulness of Meal Index was used to measure meal healthfulness and included component scores for whole fruit, 100% juice, vegetables, dark green vegetables, dairy, protein, added sugars, and high-sodium foods.Main outcome measuresChild dietary intake measured by three 24-hour dietary recalls.Statistical analyses performedLinear regression models estimated the association between the healthfulness of foods served at dinner meals and overall child HEI.ResultsThe majority of coded meals included foods from protein and high-sodium components; more than half included foods from dairy and vegetable components. Nearly half of the meals had an added-sugar component food (eg, soda or dessert). Few meals served foods from fruit, 100% juice, or dark green vegetable components. Many components served at family dinner meals were significantly associated with child daily intake of those same foods (ie, dark green vegetable, non−dark green vegetables, dairy, and added sugars). The Healthfulness of Meal Index total score was significantly associated with child HEI score.ConclusionsThis study represents the first report of a new methodology to collect data of foods served at family dinners. Results indicated a significant association between the majority of components served at family dinner meals and child overall dietary intake. Validation of the Healthfulness of Meal Index and video-recorded family meal methodology is needed to strengthen these research methods for use in future studies.