The effect of the home environment on physical activity and dietary intake in preschool children.
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BACKGROUND: The effects of the home environment on child health behaviors related to obesity are unclear. PURPOSE: To examine the role of the home physical activity (PA) and food environment on corresponding outcomes in young children, and assess maternal education/work status as a moderator. METHODS: Overweight or obese mothers reported on the home PA and food environment (accessibility, role modeling and parental policies). Outcomes included child moderate-vigorous PA (MVPA) and sedentary time derived from accelerometer data and two dietary factors ('junk' and healthy food intake scores) based on factor analysis of mother-reported food intake. Linear regression models assessed the net effect (controlling for child demographics, study arm, supplemental time point, maternal education/work status, child body mass index and accelerometer wear time (for PA outcomes)) of the home environment on the outcomes and moderation by maternal education/work status. Data were collected in North Carolina from 2007 to 2011. RESULTS: Parental policies supporting PA increased MVPA time, and limiting access to unhealthy foods increased the healthy food intake score. Role modeling of healthy eating behaviors increased the healthy food intake score among children of mothers with no college education. Among children of mothers with no college education and not working, limiting access to unhealthy foods and role modeling reduced 'junk' food intake scores whereas parental policies supporting family meals increased 'junk' food intake scores. CONCLUSIONS: To promote MVPA, parental policies supporting child PA are warranted. Limited access to unhealthy foods and role modeling of healthy eating may improve the quality of the child's food intake.
Body Mass Index
Child Nutritional Physiological Phenomena
Health Knowledge, Attitudes, Practice
Published Version (Please cite this version)10.1038/ijo.2013.76
Publication InfoBrouwer, Rebecca; Fuemmeler, Bernard F; Lovelady, C; Malhotra, R; Østbye, Truls; Stroo, M; & Zucker, Nancy (2013). The effect of the home environment on physical activity and dietary intake in preschool children. Int J Obes (Lond), 37(10). pp. 1314-1321. 10.1038/ijo.2013.76. Retrieved from http://hdl.handle.net/10161/11440.
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Dir, Research Initiatives
My overarching goal is to facilitate effective research and collaborations for the Duke research community, through the delivery of targeted programs and individual consultations.
Adjunct Associate Professor in the Department of Community and Family Medicine
Unhealthy lifestyle factors, such as tobacco use, poor dietary intake, lack of physical activity, and high body mass index are the leading causes of cancer and chronic disease. The prevention of such diseases will be advanced through a more thorough understanding of the complex determinants of these lifestyle factors and the development of novel interventions that help change individual behavior for the better. Dr. Fuemmeler’s program of research takes a lifespan approach toward understand
This author no longer has a Scholars@Duke profile, so the information shown here reflects their Duke status at the time this item was deposited.
Consulting Professor in the Department of Family Medicine and Community Health
Dir, Clinical Res Educ Training and Ops
Associate Professor in Psychiatry and Behavioral Sciences
Our laboratory studies individuals who have difficulty detecting, interpreting, and/or using signals from their body and using this information to guide adaptive behavior, particularly in interpersonal contexts. Our primary populations of study are individuals struggling with eating disorders and feeding disorders of childhood: conditions that are sine quo non for dysregulation of basic motivational drives. Several conditions are of particular focus due to the presence of profound deficits in in
Professor of Family Medicine and Community Health
Chronic disease epidemiology; obesity; health services research; population health; public health; social medicine; health information systems; health surveys; programme evaluation; clinical trials; aging; nutrition; dementia; Global Health
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