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Factors in the home environment associated with toddler diet: an ecological momentary assessment study.

Abstract：

OBJECTIVE:To identify home environment factors associated with toddler dietary behaviours using ecological momentary assessment (EMA). DESIGN:Home environment and toddler's diet were assessed by mothers through EMA (random beeps over ≤8 d and a brief survey). Dietary outcomes were fruit/vegetable consumption, eating episode ('snack' v. 'meal') and sugar-sweetened beverage (SSB) consumption. Home environment factors included interacting with mother, eating alone/with others, eating in a high chair/chair at the table, watching television and movement/translocation. Multilevel logistic mixed-effects regression models assessed both within- (individual toddlers across time) and between- (toddlers-on-average) subject effects. SUBJECTS:Low-income mother-toddler dyads (n 277). SETTING:Urban and suburban Maryland, USA. RESULTS:EMA captured eating/drinking episodes for 249/277 (89·9 %) toddlers (883 eating episodes, 1586 drinking episodes). Toddlers-on-average were more likely (adjusted OR, P value) to eat fruit/vegetables when not moving around (0·43, P=0·043), eat with the television off (0·33, P<0·001) and eat in a high chair/chair (3·38, P<0·001); no within-subject effects were shown. For eating episodes, both toddlers-on-average and individual toddlers were more likely to eat snacks when not in a high chair/chair (0·13, P<0·001 and 0·06, P<0·001, respectively) and when eating alone (0·30, P<0·001 and 0·31, P<0·001, respectively). Also, individual toddlers were more likely to eat snacks when moving around (3·61, P<0·001). Toddlers-on-average were more likely to consume SSB when not in a high chair/chair (0·21, P=0·001), eating alone (0·38, P=0·047) or during a snacking episode (v. a meal: 3·96, P=0·012); no within-subject effects shown. CONCLUSIONS:Factors in the home environment are associated with dietary behaviours among toddlers. Understanding the interplay between the home environment and toddler diet can inform future paediatric dietary recommendations.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Campbell KL,Babiarz A,Wang Y,Tilton NA,Black MM,Hager ER

doi

10.1017/S1368980018000186

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

1855-1864

issue

eissn

1368-9800

issn

1475-2727

pii

S1368980018000186

journal_volume

pub_type

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Factors in the home environment associated with toddler diet: an ecological momentary assessment study.