Abstract
OBJECTIVES: To determine whether parent report of difficulty buying food was associated with child body mass index (BMI) z-score or with eating habits in young children. METHODS: This was a cross-sectional study in primary care offices in Toronto, Ontario. Subjects were children aged 1-5 years and their caregivers, recruited through the TARGet Kids! Research Network from July 2008 to August 2011. Regression models were developed to test the association between parent report of difficulty buying food because of cost and the following outcomes: child BMI z-score, parent’s report of child’s intake of fruit and vegetables, fruit juice and sweetened beverages, and fast food. Confounders included child’s age, sex, birth weight, maternal BMI, education, ethnicity, immigration status, and neighbourhood income. RESULTS: The study sample consisted of 3333 children. Data on difficulty buying food were available for 3099 children, and 431 of these (13.9%) were from households reporting difficulty buying food. There was no association with child BMI z-score (p = 0.86). Children from households reporting difficulty buying food (compared with never having difficulty buying food) had increased odds of consuming three or fewer servings of fruits and vegetables per day (odds ratio [OR]: 1.31, 95% confidence interval [CI]: 1.03-1.69), more than one serving of fruit juice/sweetened beverage per day (OR: 1.60, 95% CI: 1.28-2.00), and, among children 1-2 years old, one or more servings of fast food per week (OR: 2.91, 95% CI: 1.67-5.08). CONCLUSION: Parental report of difficulty buying food is associated with less optimal eating habits in children but not with BMI z-score.
| Original language | English (US) |
|---|---|
| Pages (from-to) | e497-e502 |
| Journal | Canadian Journal of Public Health |
| Volume | 108 |
| Issue number | 5-6 |
| DOIs | |
| State | Published - Jan 1 2017 |
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Keywords
- Child
- Diet
- Food supply
- Obesity
- Poverty
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Difficulty buying food, BMI, and eating habits in young children. / TARGetKids! Collaboration.
In: Canadian Journal of Public Health, Vol. 108, No. 5-6, 01.01.2017, p. e497-e502.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Difficulty buying food, BMI, and eating habits in young children
AU - TARGetKids! Collaboration
AU - Fuller, Anne
AU - Maguire, Jonathon L.
AU - Carsley, Sarah
AU - Chen, Yang
AU - Lebovic, Gerald
AU - Omand, Jessica
AU - Parkin, Patricia
AU - Birken, Catherine S.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - OBJECTIVES: To determine whether parent report of difficulty buying food was associated with child body mass index (BMI) z-score or with eating habits in young children. METHODS: This was a cross-sectional study in primary care offices in Toronto, Ontario. Subjects were children aged 1-5 years and their caregivers, recruited through the TARGet Kids! Research Network from July 2008 to August 2011. Regression models were developed to test the association between parent report of difficulty buying food because of cost and the following outcomes: child BMI z-score, parent’s report of child’s intake of fruit and vegetables, fruit juice and sweetened beverages, and fast food. Confounders included child’s age, sex, birth weight, maternal BMI, education, ethnicity, immigration status, and neighbourhood income. RESULTS: The study sample consisted of 3333 children. Data on difficulty buying food were available for 3099 children, and 431 of these (13.9%) were from households reporting difficulty buying food. There was no association with child BMI z-score (p = 0.86). Children from households reporting difficulty buying food (compared with never having difficulty buying food) had increased odds of consuming three or fewer servings of fruits and vegetables per day (odds ratio [OR]: 1.31, 95% confidence interval [CI]: 1.03-1.69), more than one serving of fruit juice/sweetened beverage per day (OR: 1.60, 95% CI: 1.28-2.00), and, among children 1-2 years old, one or more servings of fast food per week (OR: 2.91, 95% CI: 1.67-5.08). CONCLUSION: Parental report of difficulty buying food is associated with less optimal eating habits in children but not with BMI z-score.
AB - OBJECTIVES: To determine whether parent report of difficulty buying food was associated with child body mass index (BMI) z-score or with eating habits in young children. METHODS: This was a cross-sectional study in primary care offices in Toronto, Ontario. Subjects were children aged 1-5 years and their caregivers, recruited through the TARGet Kids! Research Network from July 2008 to August 2011. Regression models were developed to test the association between parent report of difficulty buying food because of cost and the following outcomes: child BMI z-score, parent’s report of child’s intake of fruit and vegetables, fruit juice and sweetened beverages, and fast food. Confounders included child’s age, sex, birth weight, maternal BMI, education, ethnicity, immigration status, and neighbourhood income. RESULTS: The study sample consisted of 3333 children. Data on difficulty buying food were available for 3099 children, and 431 of these (13.9%) were from households reporting difficulty buying food. There was no association with child BMI z-score (p = 0.86). Children from households reporting difficulty buying food (compared with never having difficulty buying food) had increased odds of consuming three or fewer servings of fruits and vegetables per day (odds ratio [OR]: 1.31, 95% confidence interval [CI]: 1.03-1.69), more than one serving of fruit juice/sweetened beverage per day (OR: 1.60, 95% CI: 1.28-2.00), and, among children 1-2 years old, one or more servings of fast food per week (OR: 2.91, 95% CI: 1.67-5.08). CONCLUSION: Parental report of difficulty buying food is associated with less optimal eating habits in children but not with BMI z-score.
KW - Child
KW - Diet
KW - Food supply
KW - Obesity
KW - Poverty
UR - http://www.scopus.com/inward/record.url?scp=85040917262&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85040917262&partnerID=8YFLogxK
U2 - 10.17269/cjph.108.6049
DO - 10.17269/cjph.108.6049
M3 - Article
AN - SCOPUS:85040917262
VL - 108
SP - e497-e502
JO - Canadian Journal of Public Health
JF - Canadian Journal of Public Health
SN - 0008-4263
IS - 5-6
ER -