Maternal educational level and children’s healthy eating behaviour: role of the home food environment (cross-sectional results from the INPACT study)

International Journal of Behavioral Nutrition and Physical Activity

Dike van de Mheen¹  Gerda Rodenburg²  Carola TM Schrijvers²  Wilke JC van Ansem² 

[1] Department of Health Education and Promotion, Maastricht University, Maastricht, The Netherlands;Erasmus Medical Centre, Rotterdam 3000, CA, The Netherlands

关键词: Parents;    Children;    Home food environment;    Socio-economic status;    Breakfast consumption;    Fruit and vegetable consumption;   

Others  :  1136207
DOI  :  10.1186/s12966-014-0113-0

 received in 2013-10-15, accepted in 2014-09-02,  发布年份 2014

【 摘 要 】

Background

The aims of this study are 1) to investigate the association between maternal educational level and healthy eating behaviour of 11-year-old children (fruit, vegetables and breakfast consumption), and 2) to examine whether factors in the home food environment (parental intake of fruit, vegetables and breakfast; rules about fruit and vegetables and home availability of fruit and vegetables) mediate these associations.

Methods

Data were obtained from the Dutch INPACT study. In total, 1318 parent–child dyads were included in this study. Multilevel regression models were used to investigate whether factors of the home food environment mediated the association between maternal educational level and children’s healthy eating behaviour.

Results

Children of mothers with a high educational level consumed more pieces of fruit per day (B = 0.13, 95% CI: 0.04-0.22), more grams of vegetables per day (B = 23.81, 95% CI = 14.93-32.69) and were more likely to have breakfast on a daily basis (OR = 2.97, 95% CI: 1.38-6.39) than children of mothers with a low educational level. Home availability, food consumption rules and parental consumption mediated the association between maternal education level and children’s fruit and vegetable consumption. Parental breakfast consumption mediated the association between maternal education level and children’s breakfast consumption.

Conclusions

Factors in the home food environment play an important role in the explanation of socio-economic disparities in children’s healthy eating behaviour and may be promising targets for interventions.

【 授权许可】

   
2014 van Ansem et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Johnsen SP: Intake of fruit and vegetables and risk of stroke: an overview. Curr Opin Clin Nutr Metab Care 2004, 7:665-670.
• [2]Food, Nutrition, Physical Activity and the Prevention of Cancer: A Global Perspective. AICR, DC; 2007.
• [3]Hoyland A, Dye L, Lawton CL: A systematic review of the effect of breakfast on the cognitive performance of children and adolescents. Nutr Res Rev 2009, 22:220-243.
• [4]Szajewska H, Ruszczynski M: Systematic review demonstrating that breakfast consumption influences body weight outcomes in children and adolescents in Europe. Crit Rev Food Sci Nutr 2010, 50:113-119.
• [5]Diethelm K, Jankovic N, Moreno LA, Huybrechts I, De Henauw S, De Vriendt T, González-Gross M, Leclercq C, Gottrand F, Gilbert CC, Dallongeville J, Cuenca-Garcia M, Manios Y, Kafatos A, Plada M, Kersting M: Food intake of European adolescents in the light of different food-based dietary guidelines: results of the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Public Health Nutr 2012, 15:386-398.
• [6]Huybrechts I, Matthys C, Vereecken C, Maes L, Temme EH, Van Oyen H, De Backer G, De Henauw S: Food intakes by preschool children in flanders compared with dietary guidelines. Int J Environ Res Public Health 2008, 5:243-257.
• [7]Ocke M, van Rossum C, Fransen H, Buurma E, de Boer E, Brants H, Niekerk E, van der laan J, Drijvers J, Ghameshlou Z: Dutch National Food Consumption Survey Young Children 2005/2006. RIVM, Bilthoven; 2008.
• [8]Van Ansem WJ, Schrijvers CT, Rodenburg G, van de Mheen D: Is there an association between the home food environment, the local food shopping environment and children’s fruit and vegetable intake? Results from the Dutch INPACT study. Public Health Nutr 2013, 16(7):1206-1214.
• [9]Vereecken C, Dupuy M, Rasmussen M, Kelly C, Nansel TR, Al Sabbah H, Baldassari D, Jordan MD, Maes L, Niclasen BV-L, Ahluwalia N: Breakfast consumption and its socio-demographic and lifestyle correlates in schoolchildren in 41 countries participating in the HBSC study. Int J Public Health 2009, 54(Suppl 2):180-190.
• [10]Rampersaud GC, Pereira MA, Girard BL, Adams J, Metzl JD: Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J Am Diet Assoc 2005, 105:743-760. quiz 761–2
• [11]Kelder SH, Perry CL, Klepp KI, Lytle LL: Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health 1994, 84:1121-1126.
• [12]Craigie AM, Lake A, Kelly S, Adamson AJ, Mathers JC: Tracking of obesity-related behaviours from childhood to adulthood: a systematic review. Maturitas 2011, 70:266-284.
• [13]Bere E, van Lenthe F, Klepp K-I, Brug J: Why do parents’ education level and income affect the amount of fruits and vegetables adolescents eat? Eur J Public Health 2008, 18:611-615.
• [14]Riediger ND, Shooshtari S, Moghadasian MH: The influence of sociodemographic factors on patterns of fruit and vegetable consumption in Canadian adolescents. J Am Diet Assoc 2007, 107:1511-1518.
• [15]Hanson MD, Chen E: Socioeconomic status and health behaviors in adolescence: a review of the literature. J Behav Med 2007, 30:263-285.
• [16]Rasmussen M, Krølner R, Klepp K-I, Lytle L, Brug J, Bere E, Due P: Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part I: Quantitative studies. Int J Behav Nutr Phys Act 2006, 3:22. BioMed Central Full Text
• [17]Hilsen M, van Stralen MM, Klepp K-I, Bere E: Changes in 10–12 year old’s fruit and vegetable intake in Norway from 2001 to 2008 in relation to gender and socioeconomic status - a comparison of two cross-sectional groups. Int J Behav Nutr Phys Act 2011, 8:108. BioMed Central Full Text
• [18]Pearson N, Biddle SJH, Gorely T: Family correlates of breakfast consumption among children and adolescents. A systematic review. Appetite 2009, 52:1-7.
• [19]Hallström L, Vereecken C, Ruiz JR, Patterson E, Gilbert CC, Catasta G, Díaz L-E, Gómez-Martínez S, González Gross M, Gottrand F, Hegyi A, Lehoux C, Mouratidou T, Widham K, Aström A, Moreno LA, Sjöström M: Breakfast habits and factors influencing food choices at breakfast in relation to socio-demographic and family factors among European adolescents. The HELENA Study. Appetite 2011, 56:649-657.
• [20]Hallström L, Vereecken CA, Labayen I, Ruiz JR, Le Donne C, García MC, Gilbert CC, Martínez SG, Grammatikaki E, Huybrechts I, Kafatos A, Kersting M, Manios Y, Molnár D, Patterson E, Widhalm K, De Vriendt T, Moreno LA, Sjöström M: Breakfast habits among European adolescents and their association with sociodemographic factors: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Public Health Nutr 2012, 15:1879-1889.
• [21]Tinsley B: How Children Learn to Be Healthy. Cambridge University Press, Cambridge; 2003.
• [22]Lindsay AC, Sussner KM, Kim J, Gortmaker S: The role of parents in preventing childhood obesity. Future Child 2006, 16:169-186.
• [23]Krølner R, Rasmussen M, Brug J, Klepp K-I, Wind M, Due P: Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies. Int J Behav Nutr Phys Act 2011, 8:112. BioMed Central Full Text
• [24]Pearson N, Biddle SJH, Gorely T: Family correlates of fruit and vegetable consumption in children and adolescents: a systematic review. Public Health Nutr 2009, 12:267-283.
• [25]Winkleby MA, Jatulis DE, Frank E, Fortmann SP: Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease. Am J Public Health 1992, 82:816-820.
• [26]Bogers RP, Van Assema P, Kester ADM, Westerterp KR, Dagnelie PC: Reproducibility, validity, and responsiveness to change of a short questionnaire for measuring fruit and vegetable intake. Am J Epidemiol 2004, 159:900-909.
• [27]Haraldsdóttir J, Thórsdóttir I, de Almeida MDV, Maes L, Pérez Rodrigo C, Elmadfa I, Frost Andersen L: Validity and reproducibility of a precoded questionnaire to assess fruit and vegetable intake in European 11- to 12-year-old schoolchildren. Ann Nutr Metab 2005, 49:221-227.
• [28]Dutman AE, Stafleu A, Kruizinga A, Brants HAM, Westerterp KR, Kistemaker C, Meuling WJA, Goldbohm RA: Validation of an FFQ and options for data processing using the doubly labelled water method in children. Public Health Nutr 2011, 14:410-417.
• [29]Brants H, Stafleu A, Ter Doest D, Hulshof K: Ontwikkeling van een voedselfrequentievragenlijst:energie-inneming van kinderen van 2 tot en met 12 jaar. Voeding Nu 2006, 2:25-28.
• [30]The Netherlands Nutrition Centre Foundation: Richtlijnen Voedselkeuze (Dietary Guidelines). The Hague: 2011.
• [31]Van der Horst K, Oenema A, van de Looij-Jansen P, Brug J: The ENDORSE study: research into environmental determinants of obesity related behaviors in Rotterdam schoolchildren. BMC Public Health 2008, 8:142. BioMed Central Full Text
• [32]Gattshall ML, Shoup JA, Marshall JA, Crane LA, Estabrooks PA: Validation of a survey instrument to assess home environments for physical activity and healthy eating in overweight children. Int J Behav Nutr Phys Act 2008, 5:3. BioMed Central Full Text
• [33]Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000, 320:1240-1243.
• [34]Baron RM, Kenny DA: The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986, 51:1173-1182.
• [35]Johansen A, Rasmussen S, Madsen M: Health behaviour among adolescents in Denmark: influence of school class and individual risk factors. Scand J Public Health 2006, 34:32-40.
• [36]Sandvik C, Gjestad R, Samdal O, Brug J, Klepp K-I: Does socio-economic status moderate the associations between psychosocial predictors and fruit intake in schoolchildren? The Pro Children study. Health Educ Res 2010, 25:121-134.
• [37]Neumark-Sztainer D, Wall M, Perry C, Story M: Correlates of fruit and vegetable intake among adolescents. Prev Med (Baltim) 2003, 37:198-208.
• [38]MacFarlane A, Crawford D, Ball K, Savige G, Worsley A: Adolescent home food environments and socioeconomic position. Asia Pac J Clin Nutr 2007, 16:748-756.
• [39]Campbell K, Crawford D, Jackson M, Cashel K, Worsley A, Gibbons K, Birch LL: Family food environments of 5-6-year-old-children: does socioeconomic status make a difference? Asia Pac J Clin Nutr 2002, 11(Suppl 3):S553-S561.
• [40]Hupkens CL, Knibbe RA, Van Otterloo AH, Drop MJ: Class differences in the food rules mothers impose on their children: a cross-national study. Soc Sci Med 1998, 47:1331-1339.
• [41]Vereecken C, Keukelier E, Maes L: Influence of mother’s educational level on food parenting practices and food habits of young children. Appetite 2004, 43:93-103.
• [42]Campbell KJ, Abbott G, Spence AC, Crawford DA, McNaughton SA, Ball K: Home food availability mediates associations between mothers’ nutrition knowledge and child diet. Appetite 2013, 71:1-6.
• [43]Hendrie GA, Brindal E, Corsini N, Gardner C, Baird D, Golley RK: Combined home and school obesity prevention interventions for children: what behavior change strategies and intervention characteristics are associated with effectiveness? Health Educ Behav 2012, 39:159-171.
• [44]Tak NI, te Velde SJ, de Vries JHM, Brug J: Parent and child reports of fruit and vegetable intakes and related family environmental factors show low levels of agreement. J Hum Nutr Diet 2006, 19:275-285.
• [45]Matthys C, De Henauw S, Bellemans M, De Maeyer M, De Backer G: Breakfast habits affect overall nutrient profiles in adolescents. Public Health Nutr 2007, 10:413-421.