The Association Between Family Meals and Child Health and Well-Being

家庭膳食与儿童健康和福祉之间的关系

• 批准号: 9229054
• 负责人: Jerica M Berge
• 金额: $ 7.63万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-03-01 至 2018-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9229054
• 关键词: Address; Adult; African American; Age; Ancillary Study; Behavior Control; Characteristics; Charge; Child; Child health care; Code; Communication; Conflict (Psychology); Data; Data Analyses; Data Collection; Data Set; Diet; Dietary intake; Emotional; Ethnic Origin; Family; Family member; Food; Frequencies; Funding; Health; Health Status; Healthy Eating; Home environment; Hour; Household; Individual; Intervention; Link; Low Income Population; Low income; Measures; Mental Depression; Methodology; Methods; Minority; Nature; Obesity; Overweight; Parents; Prevalence; Preventive Intervention; Public Assistance; Race; Research; Research Personnel; Resources; Siblings; Socioeconomic Status; Stress; Triad Acrylic Resin; Weight; Weight maintenance regimen; Work; contextual factors; depressive symptoms; family influence; food quality; indexing; next generation; obesity in children; obesity risk; planetary Atmosphere; psychologic; public health relevance; sex; temporal measurement

 DESCRIPTION (provided by applicant): Family meals research has shown strong cross-sectional and longitudinal associations between frequency of family meals and child healthful dietary intake, psychological well-being, and lower weight status, however it is not well understood why family meals are protective for child health. The proposed R03 aims to address "why" family meals are protective for child health. Specifically, this study will address a commonly asked question, "is the healthfulness of the food served at family meals more important in predicting child health, or does the quality of the emotional atmosphere during family meals matter more?" Additionally, methodological questions such as, how many meals need to be measured to capture "average healthfulness" of a family meal will be examined. The R03 ancillary study will be linked to a funded R21 study (Berge PI) that used mixed-methods (i.e., direct observation of family meals) to examine the association between interpersonal dynamics (e.g., communication, conflict) during family meals and childhood obesity. Thus, while the parent study measured the quality of the emotional atmosphere at family meals, the proposed R03 will measure the "dietary healthfulness" of the family meal. The two data sets together will allow for examining the individual and combined influence of the quality of the food and the emotional atmosphere at family meals and childhood obesity, while taking into account key contextual factors for low income, minority families (e.g., public assistance, food insecurity, and depression). The main objective of the R03 is to use direct observational methods (i.e., video-recorded family meals data from the R21) to examine important unanswered methodological and analytical questions regarding the quality of family meals, both in regards to meal dietary healthfulness and the emotional atmosphere. The unique parent R21 dataset that the R03 will be built upon includes individual, dyadic, triadic and family-level data, allowing for coding family-level dietary healthfulness at family dinners. Families (n=120; 74% African American) from low income (73% of parents earn < $35,000/yr.) households with children ages 6-12 video-recorded seven family dinner meals on an iPad in their home. Interpersonal dynamics during family meals were coded by researchers into quantitative scales and were used in examining the association between the emotional atmosphere at family meals and childhood obesity. Three 24-hour dietary recalls were also collected on children and heights and weights were taken on all family members. Additionally, food eaten by families was visible in the video-recorded data. For the R03, a Healthfulness of Meal (HOM) index will be created using data from the R21 video-recorded family meals to code the dietary healthfulness of the meals eaten by families. The creation of the HOM index will move the field ahead by: (1) measuring family meal dietary healthfulness and (2) examining the association between the individual and combined influence of family meal dietary healthfulness and the emotional atmosphere at family meals and childhood obesity prevalence. Study results will inform interventions targeting childhood obesity via family meals.

 描述（由申请人提供）：家庭进餐研究表明，家庭进餐频率与儿童健康饮食摄入量、心理健康和较低体重状况之间存在很强的横向和纵向关联，但尚不清楚为什么家庭进餐如此重要。拟议的 R03 旨在解决“为什么”家庭膳食可以保护儿童健康。具体而言，本研究将解决一个常见问题：“家庭膳食中食物的健康性对于预测儿童健康是否更为重要。” ，或者质量是否家庭聚餐期间的情绪氛围更重要吗？”此外，还将研究方法论问题，例如需要测量多少顿饭才能捕获家庭聚餐的“平均健康程度”。R03 辅助研究将与资助的 R21 研究相关联（ Berge PI）使用混合方法（即直接观察家庭进餐）来研究家庭进餐期间的人际动态（例如沟通、冲突）与儿童肥胖之间的关联。为了衡量家庭聚餐时的情绪氛围，拟议的 R03 将衡量家庭聚餐的“饮食健康性”，这两个数据集将能够检查食物质量和家庭聚餐时的情绪氛围的个体和综合影响。儿童肥胖，同时考虑低收入、少数族裔家庭的关键背景因素（例如公共援助、粮食不安全、 R03 的主要目标是使用直接观察方法（即来自 R21 的视频记录的家庭膳食数据）来检查有关家庭膳食质量的重要的未解答的方法和分析问题，包括膳食饮食。 R03 所基于的独特父 R21 数据集包括个人、二元、三元和家庭级别的数据。 对来自低收入家庭（73% 的父母年收入低于 35,000 美元）的家庭晚餐进行家庭层面的饮食健康编码，记录了 7 次家庭晚餐的情况。研究人员将家庭聚餐期间的人际动态编码为定量量表，并用于检查家庭聚餐时的情绪氛围与儿童肥胖之间的关联。此外，对于 R03，将使用 R21 视频中的数据创建膳食健康度 (HOM) 指数。记录家庭膳食，以对家庭膳食的饮食健康状况进行编码 HOM 指数的创建将通过以下方式推动该领域的发展：(1) 测量家庭膳食的健康状况；(2) 检查个人和家庭膳食的综合影响之间的关联。家庭膳食饮食家庭聚餐的健康状况和情绪氛围以及儿童肥胖患病率的研究结果将为通过家庭聚餐针对儿童肥胖的干预措施提供信息。