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Preliminary Assessment of the Healthy Beverage Index for US Children and Adolescents: A Tool to Quantify the Overall Beverage Intake Quality of 2- to 19-Year Olds
Improving beverage patterns of children and adolescents is recommended for combatting obesity and reducing disease risk. Therefore, it is important to assess beverage intake quality in this population. For adults, the Healthy Beverage Index (HBI) was created to assess beverage intake quality, but a similar tool did not exist for children and adolescents.Opportunities to Promote Healthy Weight Through Child Care Licensing Regulations: Trends in the United States, 2016-2020
Policies that support healthy nutrition and physical activity environments in early care and education (ECE) settings can help promote healthy weight in children. State child care licensing regulations are a critical mechanism for setting such policies.Social Jetlag Is Associated with the Frequency of Consumption of Sugar-Sweetened Beverages and a High BMI Percentile in Adolescents: Results of the Cross-Sectional Family Life, Activity, Sun, Health, and Eating (FLASHE) Study
Social jetlag (SJL) occurs in adolescents due to misalignment of the biological and social clocks, so that most teens wake up earlier than their biological clocks on weekdays and delay bedtime and wake up time on weekends. This shift in sleep timing among adolescents is associated with an adverse endocrine and behavioral risk profile, in addition to increased food consumption and increased body mass index (BMI).Evidence That Changes in Community Food Environments Lead to Changes in Children’s Weight: Results from a Longitudinal Prospective Cohort Study
Strategies to improve the community food environment have been recommended for addressing childhood obesity, but evidence substantiating their effectiveness is limited.The Association between the 2009 WIC Food Package Change and Early Childhood Obesity Risk Varies by Type of Infant Package Received
In 2009, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food packages were updated. WIC-participating children in Los Angeles County receiving the new food package, compared with the old, had lower obesity risk at age 4.Sugar-Sweetened Beverages and Obesity Risk in Children and Adolescents: A Systematic Analysis on How Methodological Quality May Influence Conclusions
In the context of a worldwide high prevalence of childhood obesity, the role of sugar-sweetened beverage (SSB) consumption as a cause of excess weight gain remains controversial. Conflicting results may be due to methodological issues in original studies and in reviews.He Said, She Said: Examining Parental Concordance on Home Environment Factors and Adolescent Health Behaviors and Weight Status
Few studies have examined concordance/discordance between caregivers to identify whether caregivers see familial and parental factors in the home environment similarly or differently and whether the agreement or disagreement is related to adolescent obesity risk. Answers to these questions are important and may inform whether family-based childhood obesity interventions need to target both parents.Reduction in Food Away from Home Is Associated with Improved Child Relative Weight and Body Composition Outcomes and This Relation Is Mediated by Changes in Diet Quality
Reducing consumption of food away from home is often targeted during pediatric obesity treatment, given the associations with weight status and gain. However, the effects of this dietary change on weight loss are unknown.Disruption in the Relationship between Blood Pressure and Salty Taste Thresholds among Overweight and Obese Children
Prevalence of high blood pressure among American children has increased over the past 2 decades, due in part to increasing rates of obesity and excessive dietary salt intake.The Association between Food Insecurity and Obesity in Children—The National Health and Nutrition Examination Survey
Food insecurity can put children at greater risk of obesity because of altered food choices and nonuniform consumption patterns.Concerning Limitations of Food-Environment Research: A Narrative Review and Commentary Framed around Obesity and Diet-Related Diseases in Youth
Before describing common and concerning limitations of food-environment research (and recommendations to address them), it may be useful to discuss the rationale for studying food environments in the first place. Food environments are relevant to diverse nutritional issues and health disparities. An especially compelling argument for studying food environments is the public health challenge of diet-related chronic diseases, particularly in youth.Parent–Child Associations in Selected Food Group and Nutrient Intakes among Overweight and Obese Adolescents
Few studies have compared parent–child dietary intake among adolescents who are overweight or obese. The purpose of our study was to determine the relationship between parent–teen intake of selected dietary components among this sample. Baseline data from 165 parent and adolescent (aged 11 to 16 years) pairs who presented for a lifestyle behavior modification intervention were collected between 2010 and 2012. Parent and adolescent dietary intake (servings of fruits and vegetables [F/V]; grams of sugar; and percent energy from total fat, saturated fat, dessert/treats, sugar-sweetened beverages, and snacks) was assessed using web-based 24-hour dietary recalls.Children Select Unhealthy Choices when Given a Choice among Snack Offerings
Out-of-school-time programs serve snacks to millions of children annually. State and national snack policies endorse serving more-healthful options, such as fruits, yet often allow less-healthful options, such as cookies and chips, to be served simultaneously. To date, no studies have examined the choices children make when provided with disparate snack options in out-of-school-time programs. An experimental study with randomized exposures was conducted that exposed children (5 to 10 years old) to the following conditions: whole or sliced fruit; whole/sliced fruit, sugar-sweetened snacks (eg, cookies) and flavored salty (eg, nacho cheese−flavored tortilla chips) snacks; and whole/sliced fruit and less-processed/unflavored grain snacks (eg, pretzels), during a 2-week period representing 18 snack occasions (morning and afternoon) during summer 2013.“Teens Talk Healthy Weight”: The Impact of a Motivational Digital Video Disc on Parental Knowledge of Obesity-Related Diseases in an Adolescent Clinic
The purpose of the study was to investigate the impact of a 7-minute educational and motivational weight-management digital video disc (DVD) that uses real patient/parent testimonials and provider–patient interactions, on adolescent and parent knowledge of obesity-related diseases; readiness, motivation, and self-efficacy to lose weight; connectedness to care provider; and likelihood of return to clinic for follow-up care. A randomized controlled trial was conducted among 40 overweight/obese adolescent participants (22.5% male, 77.5% female, mean age=15.43 years) and their parents (n=38) who visited a referral-only adolescent clinic for the first time from October 2009 to March 2010.A Call for Culinary Skills Education in Childhood Obesity-Prevention Interventions: Current Status and Peer Influences
During the past decade, there has been an interest in resurrecting formal culinary skills education for youths (ie, school-aged children). These pursuits have been provoked by what policy makers, scientists, and food and nutrition practitioners suggest is a societal decline in culinary skills.1-3 Some stakeholders believe that this “de-skilling”1 represents a transition3 caused by sociodemographic shifts, such as nontraditional family structures, women in the workforce, and time constraints. Current consumers have new value equations for making food decisions.Trends in Body Mass Index among Ohio's Third-Grade Children: 2004-2005 to 2009-2010
Substantial variation across states in the prevalence and trends in childhood overweight and obesity indicate a need for state-specific surveillance to make state comparisons to national estimates and identify high-risk populations. The purpose of this study was to examine body mass index (BMI) trends among third-grade children in Ohio between the 2004-2005 and 2009-2010 school years and examine changes in prevalence of obesity by specific demographic subgroups. Third-grade children (n=33,672) were directly weighed and measured throughout the school years by trained health care professionals.Nutrition-Related Knowledge, Attitudes, and Dietary Behaviors among Head Start Teachers in Texas: A Cross-Sectional Study
Head Start teachers are responsible for providing nutrition education to over 1 million low-income children annually, yet little is known about their nutrition-related knowledge, attitudes, and behaviors. The purpose of this study is to assess the self-reported nutrition knowledge, attitudes, and behaviors among Head Start teachers from one urban Head Start organization in Harris County, TX. A cross-sectional, descriptive analysis was conducted using baseline surveys in the 2008-2009 school year.
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