학술논문

Objectives of community policies and programs associated with more healthful dietary intakes among children: findings from the Healthy Communities Study
Document Type
article
Source
Pediatric Obesity. 13(Suppl 1)
Subject
Public Health
Biomedical and Clinical Sciences
Nutrition and Dietetics
Health Sciences
Nutrition
Prevention
Clinical Research
Obesity
Cardiovascular
Oral and gastrointestinal
Metabolic and endocrine
Cancer
Adolescent
Child
Child
Preschool
Diet
Healthy
Feeding Behavior
Female
Humans
Male
Nutrition Policy
Pediatric Obesity
Preventive Health Services
Surveys and Questionnaires
United States
Childhood obesity
community programs and policies
food environment
sugar-sweetened beverages
Healthy Communities Study Team
Biomedical and clinical sciences
Health sciences
Language
Abstract
BackgroundRational planning of community policies and programs (CPPs) to prevent obesity requires an understanding of CPP objectives associated with dietary behaviours.ObjectiveThe objective of the study is to identify objectives of CPPs associated with healthful dietary behaviours.MethodsAn observational study identified 4026 nutrition CPPs occurring in 130 communities in the prior 6 years. Dietary intakes of fruits and vegetables, added sugar and sugar-sweetened beverages, among others, were reported among 5138 children 4-15 years of age from the communities, using a Dietary Screener Questionnaire with children age 9 years and older (parent assisted) or parent proxies for younger children. CPPs were documented through key informant interviews and characterized by their intensity, count, and objectives including target dietary behaviour and food environment change strategy. Associations between dietary intakes and CPP objectives were assessed using hierarchical statistical models.ResultsCPPs with the highest intensity scores that targeted fast food or fat intake or provided smaller portions were associated with greater fruit and vegetable intake (0.21, 0.19, 0.23 cup equivalents/day respectively with p values