Research Original Research| Volume 115, ISSUE 6, P919-926, June 2015

Download started.

Ok

Investigating the Relationship of Body Mass Index, Diet Quality, and Physical Activity Level between Fathers and Their Preschool-Aged Children

Published:January 28, 2015DOI:https://doi.org/10.1016/j.jand.2014.12.003

      Abstract

      Background

      Diet quality and physical activity are two important factors in determining a child’s risk for obesity. In early childhood, parents may serve as role models for these behaviors. However, few studies have examined associations of a father’s body mass index (BMI), dietary intake, and physical activity with his preschool-aged child.

      Objective

      The purpose of this study was to examine relationships between fathers’ and children’s body weight, diet quality, and physical activity.

      Design

      This cross-sectional study included one-on-one interviews with fathers (n=150) of preschool-aged children conducted by a trained interviewer (a registered dietitian nutritionist).

      Participants

      To be eligible, biological fathers (n=150) of preschool-aged children (aged 3 to 5 years) were required to regularly eat at least one meal per week with their child and be able to read or speak English. They could be of any race, ethnicity, income, or education level.

      Main outcome measures

      During the interview, diet quality was assessed using a single 24-hour recall and the Healthy Eating Index-2010. Physical activity was assessed using the Pre-Physical Activity Questionnaire. Height and weight for each father and child were also measured. BMI and BMI z scores were calculated for fathers and children, respectively.

      Statistical analyses performed

      Linear regression was used to test relationships between fathers’ and children’s body weight, diet quality, and physical activity while controlling for income level, race, and ethnicity.

      Results

      Overall, the findings revealed that there were significant, positive relationships between father–child weight status (β=.03; P=0.05), overall diet quality (β=.39; P<0.0001), and weekday (β=.27; P=0.002) and weekend (β=.62; P=0.001) vigorous physical activity.

      Conclusions

      These results suggest that there are relationships between fathers’ and children’s BMI z score, dietary intake, and physical activity level. Future research should consider the inclusion of fathers in obesity prevention programs for young children.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the Academy of Nutrition and Dietetics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Durmuş B.
        • Arends L.
        • Ay L.
        • et al.
        Parental anthropometrics, early growth and the risk of overweight in preschool children: The generation R study.
        Pediatr Obes. 2013; 8: 339-350
        • Whitaker R.C.
        • Wright J.A.
        • Pepe M.S.
        • Seidel K.D.
        • Dietz W.H.
        Predicting obesity in young adulthood from childhood and parental obesity.
        N Engl J Med. 1997; 337: 869-873
        • Freeman E.
        • Fletcher R.
        • Collins C.
        • Morgan P.
        • Burrows T.
        • Callister R.
        Preventing and treating childhood obesity: Time to target fathers.
        Int J Obesity. 2012; 36: 12-15
        • Hall L.
        • Collins C.
        • Morgan P.
        • Burrows T.
        • Lubans D.
        • Callister R.
        Children's intake of fruit and selected energy-dense nutrient-poor foods is associated with fathers' intake.
        J Am Diet Assoc. 2011; 111: 1039-1044
        • Natale R.A.
        • Messiah S.E.
        • Asfour L.
        • Uhlhorn S.B.
        • Delamater A.
        • Arheart K.L.
        Role modeling as an early childhood obesity prevention strategy: Effect of parents and teachers on preschool children's healthy lifestyle habits.
        J Dev Behav Pediatr. 2014; 35: 378-387
        • Hesketh K.R.
        • Goodfellow L.
        • Ekelund U.
        • et al.
        Activity levels in mothers and their preschool children.
        Pediatrics. 2014; 133: e973-e980
        • Telama R.
        • Yang X.
        • Viikari J.
        • Välimäki I.
        • Wanne O.
        • Raitakari O.
        Physical activity from childhood to adulthood: A 21-year tracking study.
        Am J Prev Med. 2005; 28: 267-273
        • Birch L.
        • Ventura A.
        Preventing childhood obesity: What works?.
        Int J Obes. 2009; 33: S74-S81
        • Wang Y.
        • Beydoun M.A.
        • Li J.
        • Liu Y.
        • Moreno L.A.
        Do children and their parents eat a similar diet? Resemblance in child and parental dietary intake: Systematic review and meta-analysis.
        J Epidemiol Community Health. 2011; 65: 177-189
        • van der Horst K.
        • Oenema A.
        • Ferreira I.
        • et al.
        A systematic review of environmental correlates of obesity-related dietary behaviors in youth.
        Health Educ Res. 2007; 22: 203-226
        • Beydoun M.A.
        • Wang Y.
        Parent–child dietary intake resemblance in the United States: Evidence from a large representative survey.
        Soc Sci Med. 2009; 68: 2137-2144
        • Vauthier J.
        • Lluch A.
        • Lecomte E.
        • Artur Y.
        • Herbeth B.
        Family resemblance in energy and micronutrient intakes: The Stanislas Family study.
        Int J Epidemiol. 1996; 25: 1030-1037
        • Vollmer R.
        • Sigman-Grant M.
        • Mobley A.
        Don't forget about dad: Exploring paternal influences on children's weight status and eating behaviors.
        FASEB J. 2012; 26: 1011.7
        • Lowenstein L.M.
        • Perrin E.M.
        • Berry D.
        • et al.
        Childhood obesity prevention: Fathers' reflections with healthcare providers.
        Child Obes. 2013; 9: 137-143
        • Morgan P.
        • Lubans D.
        • Callister R.
        • et al.
        The ‘healthy dads, healthy kids’ randomized controlled trial: Efficacy of a healthy lifestyle program for overweight fathers and their children.
        Int J Obes. 2011; 35: 436-447
        • Burrows T.
        • Morgan P.
        • Lubans D.
        • et al.
        Dietary outcomes of the ‘healthy dads, healthy kids’ randomized controlled trial.
        J Pediatr Gastroenterol Nutr. 2012; 55: 408-411
        • Lubans D.
        • Morgan P.
        • Collins C.
        • Okely A.
        • Burrows T.
        • Callister R.
        Mediators of weight loss in the ‘healthy dads, healthy kids’ pilot study for overweight fathers.
        Int Behav Nutr Phys Act. 2012; 9: 45-50
        • Birch L.L.
        • Anzman S.L.
        Learning to eat in an obesogenic environment: A developmental systems perspective on childhood obesity.
        Child Dev Perspect. 2010; 4: 138-143
      1. Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey: Anthropometry procedures manual. http://www.cdc.gov/nchs/nhanes/nhanes2009-2010/current_nhanes_09_10.htm. Updated January 2009. Accessed October 3, 2014.

      2. The Children's Hospital of Philadelphia Research Institute. Pediatric BMI z-score calculator. http://stokes.chop.edu/web/zscore/. Updated 2014. Accessed October 3, 2014.

        • Kuczmarski R.J.
        • Ogden C.L.
        • Guo S.S.
        • et al.
        2000 CDC growth charts for the United States: Methods and development.
        Vital Health Stat 11. 2002; : 1-190
        • Feskanich D.
        • Sielaf B.
        • Chong K.
        • Bartsch G.
        Computerized collection and analysis of dietary intake information.
        Comput Methods Programs Biomed. 1989; 30: 47-57
        • Johnson R.
        • Driscoll P.
        • Goran M.
        Comparison of multiple-pass 24-hour recall estimates of energy intake with total energy expenditure determined by the doubly labeled water method in young children.
        J Am Diet Assoc. 1996; 96: 1140-1144
      3. US Department of Agriculture, Agricultural Research Service, Beltsville Human Nutrition Research Center, Food Surveys Research Group. Using the USDA food models for estimating portion sizes. http://www.ars.usda.gov/SP2UserFiles/Place/80400530/pdf/fmb/foodmod_estportions1.pdf. Updated July 2007. Accessed January 10, 2014.

        • Guenther P.M.
        • Casavale K.O.
        • Reedy J.
        • et al.
        Update of the Healthy Eating Index: HEI-2010.
        J Acad Nutr Diet. 2013; 113: 569-580
        • Guenther P.
        • Reedy J.
        • Krebs-Smith S.
        • Reeve B.
        Evaluation of the healthy eating index-2005.
        J Am Diet Assoc. 2008; 108: 1854-1864
        • Dwyer G.
        • Hardy L.
        • Peat J.
        • Baur L.
        The validity and reliability of a home environment preschool-age physical activity questionnaire (pre-PAQ).
        Int J Behav Nutr Phys Act. 2011; 8: 86-99
        • Ogden C.L.
        • Carroll M.D.
        • Kit B.K.
        • Flegal K.M.
        Prevalence of childhood and adult obesity in the United States, 2011-2012.
        JAMA. 2014; 311: 806-814
        • Ogden C.L.
        • Carroll M.D.
        • Kit B.K.
        • Flegal K.M.
        Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010.
        JAMA. 2012; 307: 483-490
        • Burke V.
        • Beilin L.
        • Simmer K.
        • et al.
        Predictors of body mass index and associations with cardiovascular risk factors in Australian children: A prospective cohort study.
        Int J Obes. 2005; 29: 15-23
        • Semmler C.
        • Ashcroft J.
        • Jaarsveld C.H.
        • Carnell S.
        • Wardle J.
        Development of overweight in children in relation to parental weight and socioeconomic status.
        Obesity. 2009; 17: 814-820
        • Leary S.
        • Smith G.D.
        • Ness A.
        No evidence of large differences in mother–daughter and father–son body mass index concordance in a large UK birth cohort.
        Int J Obes. 2010; 34: 1191-1192
        • Dattilo A.
        • Birch L.
        • Krebs N.
        • Lake A.
        • Taveras E.
        • Saavedera J.
        Need for early interventions in the prevention of pediatric overweight: A review and upcoming directions.
        J Obes. 2012; 2012: 1-18
        • Perez-Pastor E.
        • Metcalf B.
        • Hosking J.
        • Jeffery A.
        • Voss L.
        • Wilkin T.
        Assortative weight gain in mother–daughter and father–son pairs: An emerging source of childhood obesity. Longitudinal study of trios (EarlyBird 43).
        Int J Obes. 2009; 33: 727-735
        • Laster L.E.R.
        • Lovelady C.A.
        • West D.G.
        • et al.
        Diet quality of overweight and obese mothers and their preschool children.
        J Acad Nutr Diet. 2013; 113: 1476-1483
        • Vereecken C.A.
        • Inchley J.
        • Subramanian S.V.
        • Hublet A.
        • Maes L.
        The relative influence of individual and contextual socio-economic status on consumption of fruit and soft drinks among adolescents in Europe.
        Eur J Public Health. 2005; 15: 224-232
        • Knol L.L.
        • Haughton B.
        • Fitzhugh E.C.
        Dietary patterns of young, low-income US children.
        J Am Diet Assoc. 2005; 105: 1765-1773
        • Tjonna A.E.
        • Lee S.J.
        • Rognmo O.
        • et al.
        Aerobic interval training versus continuous moderate exercise as a treatment for the metabolic syndrome: A pilot study.
        Circulation. 2008; 118: 346-354
        • Janssen I.
        • Ross R.
        Vigorous intensity physical activity is related to the metabolic syndrome independent of the physical activity dose.
        Int J Epidemiol. 2012; 41: 1132-1140
        • Wisloff U.
        • Stoylen A.
        • Loennechen J.P.
        • et al.
        Superior cardiovascular effect of aerobic interval training versus moderate continuous training in heart failure patients: A randomized study.
        Circulation. 2007; 115: 3086-3094
        • Carson V.
        • Rinaldi R.
        • Torrance B.
        • et al.
        Vigorous physical activity and longitudinal associations with cardiometabolic risk factors in youth.
        Int J Obes. 2014; 38: 16-21
        • Parke R.
        Father involvement.
        Marriage Fam Rev. 2008; 29: 43-58
        • Jacobs Jr., D.R.
        • Ainsworth B.E.
        • Hartman T.J.
        • Leon A.S.
        A simultaneous evaluation of 10 commonly used physical activity questionnaires.
        Med Sci Sports Exerc. 1993; 25: 81-91
        • Sylvia L.G.
        • Bernstein E.E.
        • Hubbard J.L.
        • Keating L.
        • Anderson E.J.
        Practical guide to measuring physical activity.
        J Acad Nutr Diet. 2014; 114: 199-208
        • Hodges E.A.
        • Smith C.
        • Tidwell S.
        • Berry D.
        Promoting physical activity in preschoolers to prevent obesity: A review of the literature.
        J Pediatr Nurs. 2013; 28: 3-19
        • Alhassan S.
        • Sirard J.R.
        • Robinson T.N.
        The effects of increasing outdoor play time on physical activity in Latino preschool children.
        Int J Pediatr Obes. 2007; 2: 153-158
        • Dowda M.
        • Brown W.H.
        • McIver K.L.
        • et al.
        Policies and characteristics of the preschool environment and physical activity of young children.
        Pediatrics. 2009; 123: e261-e266
        • Trost S.G.
        • Fees B.
        • Dzewaltowski D.
        Feasibility and efficacy of a “move and learn” physical activity curriculum in preschool children.
        J Phys Act Health. 2008; 5: 88-103
        • Fletcher R.
        • May C.
        • St George J.
        • Morgan P.J.
        • Lubans D.R.
        Fathers' perceptions of rough-and-tumble play: Implications for early childhood services.
        Aust J Early Child. 2011; 36: 131-138
        • Parke R.D.
        Fathers and families.
        Handbook Parenting. 2002; 3: 27-73
        • Anzman S.
        • Rollins B.
        • Birch L.
        Parental influence on children's early eating environments and obesity risk: Implications for prevention.
        Int J Obes. 2010; 34: 1116-1124

      Biography

      R. L. Vollmer is an assistant professor, Department of Family and Consumer Sciences, Illinois State University, Normal; at the time of the study, she was a graduate student, Department of Nutritional Sciences, University of Connecticut, Storrs.

      Biography

      K. Adamsons is an associate professor, Department of Human Development and Family Studies, University of Connecticut, Storrs.

      Biography

      J. S. Foster is a graduate student, Department of Nutritional Sciences, University of Connecticut, Storrs.

      Biography

      A. Gorin is an associate professor, Department of Psychology, University of Connecticut, Storrs.

      Biography

      A. R. Mobley is an assistant professor, Department of Nutritional Sciences, University of Connecticut, Storrs.