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Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities

The Appalachian region of the U.S. is disproportionately impacted by poverty, obesity, and nutrition-related chronic diseases. Evidence suggests that caregiver feeding practices may promote healthful eating behaviors among children; however, this has not been examined in low-income, rural, Appalachi...

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Autores principales: McIver, Mikaela B., Colby, Sarah, Hansen-Petrik, Melissa, Anderson Steeves, Elizabeth T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399728/
https://www.ncbi.nlm.nih.gov/pubmed/34444933
http://dx.doi.org/10.3390/nu13082773
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author McIver, Mikaela B.
Colby, Sarah
Hansen-Petrik, Melissa
Anderson Steeves, Elizabeth T.
author_facet McIver, Mikaela B.
Colby, Sarah
Hansen-Petrik, Melissa
Anderson Steeves, Elizabeth T.
author_sort McIver, Mikaela B.
collection PubMed
description The Appalachian region of the U.S. is disproportionately impacted by poverty, obesity, and nutrition-related chronic diseases. Evidence suggests that caregiver feeding practices may promote healthful eating behaviors among children; however, this has not been examined in low-income, rural, Appalachian populations. This study examines caregiver feeding practices as predictors for child diet in low-income Appalachian families, using a cross-sectional analysis of 178 caregivers of young children (ages 2–10 years old), that were recruited from low-income, rural communities in East Tennessee, from November 2017 to June 2018. Caregivers self-reported measures of demographics, feeding practices, and child dietary intake. Multiple linear regression analyses were run, and found that higher use of caregiver modeling positively predicted child vegetable consumption (Beta = 1.02; p = 0.04). Higher caregiver intake of fruits and vegetables positively predicted child fruit consumption (Beta = 0.29; p = 0.02) and vegetable consumption (Beta = 1.56; p < 0.001), respectively. Higher home availability of healthier foods positively predicted child fruit consumption (Beta = 0.06; p = 0.002) and vegetable consumption (Beta = 0.09; p = 0.05). Higher home availability of less healthy foods positively predicted child consumption of high-sugar/high-fat snack foods (Beta = 0.59; p = 0.003). The findings of this study indicate that caregiver modeling, healthy caregiver dietary intake, and healthful home food availability are associated with healthier child dietary intake among young children in low-income, rural, Appalachian areas. Promoting these practices among caregivers may be an important strategy to enhancing dietary intake of children in this hard-to-reach, underserved population.
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spelling pubmed-83997282021-08-29 Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities McIver, Mikaela B. Colby, Sarah Hansen-Petrik, Melissa Anderson Steeves, Elizabeth T. Nutrients Article The Appalachian region of the U.S. is disproportionately impacted by poverty, obesity, and nutrition-related chronic diseases. Evidence suggests that caregiver feeding practices may promote healthful eating behaviors among children; however, this has not been examined in low-income, rural, Appalachian populations. This study examines caregiver feeding practices as predictors for child diet in low-income Appalachian families, using a cross-sectional analysis of 178 caregivers of young children (ages 2–10 years old), that were recruited from low-income, rural communities in East Tennessee, from November 2017 to June 2018. Caregivers self-reported measures of demographics, feeding practices, and child dietary intake. Multiple linear regression analyses were run, and found that higher use of caregiver modeling positively predicted child vegetable consumption (Beta = 1.02; p = 0.04). Higher caregiver intake of fruits and vegetables positively predicted child fruit consumption (Beta = 0.29; p = 0.02) and vegetable consumption (Beta = 1.56; p < 0.001), respectively. Higher home availability of healthier foods positively predicted child fruit consumption (Beta = 0.06; p = 0.002) and vegetable consumption (Beta = 0.09; p = 0.05). Higher home availability of less healthy foods positively predicted child consumption of high-sugar/high-fat snack foods (Beta = 0.59; p = 0.003). The findings of this study indicate that caregiver modeling, healthy caregiver dietary intake, and healthful home food availability are associated with healthier child dietary intake among young children in low-income, rural, Appalachian areas. Promoting these practices among caregivers may be an important strategy to enhancing dietary intake of children in this hard-to-reach, underserved population. MDPI 2021-08-13 /pmc/articles/PMC8399728/ /pubmed/34444933 http://dx.doi.org/10.3390/nu13082773 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
McIver, Mikaela B.
Colby, Sarah
Hansen-Petrik, Melissa
Anderson Steeves, Elizabeth T.
Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities
title Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities
title_full Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities
title_fullStr Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities
title_full_unstemmed Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities
title_short Caregiver Feeding Practices as Predictors for Child Dietary Intake in Low-Income, Appalachian Communities
title_sort caregiver feeding practices as predictors for child dietary intake in low-income, appalachian communities
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399728/
https://www.ncbi.nlm.nih.gov/pubmed/34444933
http://dx.doi.org/10.3390/nu13082773
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