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Open Access Home Environment Factors and Health Behaviors of Low-income, Overweight, and Obese Youth

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Objectives: Home environment may influence children's health behaviors associated with obesity. In this study, we examined home environment factors associated with diet and physical activity behaviors of overweight or obese youth. Methods: We analyzed baseline data from child and parent/caregiver dyads enrolled in an urban family weight management program. Multivariable logistic regression examined how home environment (parenting practices, family meal habits, and home availability of fruits/vegetables, sugar-sweetened beverages (SSBs), screen media, and physical activity resources) are related to children's intake of fruit, vegetables, and SSBs, and moderate-vigorous physical activity and sedentary time (ST) after adjusting for potential confounders. Results: Children were more likely to consume fruit if their families frequently ate meals together and infrequently watched TV during meals, and more likely to consume vegetables with high fruit/vegetable availability and low SSB availability. Children were more likely to engage in ST if parents practiced monitoring and frequently watched TV during meals. Conclusions: Overweight or obese children appear to have healthier habits if their families eat meals together without watching TV and if healthy food choices are available in the home. Encouraging parents to focus these practices may promote healthier body weight in children.
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Keywords: CHILDREN; HOME ENVIRONMENT; NUTRITION; OBESITY; PARENTING; PHYSICAL ACTIVITY

Document Type: Research Article

Affiliations: 1: Postgraduate Student, Albert Einstein College of Medicine, Department of Epidemiology and Population Health, Bronx, NY;, Email: [email protected] 2: Associate Professor, Albert Einstein College of Medicine, Department of Epidemiology and Population Health, Bronx, NY 3: Assistant Professor, Albert Einstein College of Medicine, Department of Epidemiology and Population Health, Bronx, NY 4: Senior Associate, Albert Einstein College of Medicine, Department of Epidemiology and Population Health, Bronx, NY 5: Attending Physician, Department of Pediatrics, Children's Health Services Jacobi Medical Center, Bronx, NY 6: Assistant Director, Department of Pediatric, Children's Health Services Jacobi Medical Center, Bronx, NY 7: Professor, Albert Einstein College of Medicine, Department of Epidemiology and Population Health, Bronx, NY

Publication date: 01 March 2019

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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