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.
N1 - Funding Information:
1. Division of Academic General Pediatrics, the Children’s Hospital at Montefiore, Bronx, NY 2. Applied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michaels Hospital, Toronto, ON 3. Department of Pediatrics, St. Michael’s Hospital, Toronto, ON 4. Division of Pediatric Medicine and the Pediatric Outcomes Research Team (PORT), Hospital for Sick Children, Toronto, ON 5. Child Health Evaluative Sciences, The Hospital for Sick Children Research Institute, Toronto, ON 6. Department of Nutritional Sciences, University of Toronto, Toronto, ON Correspondence: Dr. Anne Fuller, 3411 Wayne Ave, Bronx, NY 10467, Tel: 718-484-5132, E-mail: afgosset@gmail.com Acknowledgements: We thank Deborah Frank for her thoughtful feedback on our manuscript. We thank all of the participating families for their time and involvement in TARGet Kids! and are grateful to all practitioners who are currently involved in the TARGet Kids! practice-based research network. Funding for this study came from Academic Pediatric Association Resident Investigator Award; Canadian Institutes of Health Research; the Institute of Nutrition, Metabolism, and Diabetes; The Hospital for Sick Children Foundation; and St. Michael’s Hospital Foundation. TARGet Kids! Collaboration – Co-Leads: Catherine S. Birken, Jonathon L. Maguire; Advisory Committee: Eddy Lau, Andreas Laupacis, Patricia C. Parkin, Michael Salter, Peter Szatmari, Shannon Weir; Science Review and Management Committees: Laura N. Anderson, Cornelia M. Borkhoff, David
Funding Information:
Karen Pope, Kevin Thorpe; Mount Sinai Services Laboratory: Rita Kandel. Conflict of Interest: Parkin reports funding from Danone Institute of Canada (2002–2004, 2006–2009), Dairy Farmers of Ontario (2008–2010), and non-financial support from Mead Johnson Nutrition (2011–2017). Maguire and Parkin report funding from Dairy Farmers of Canada (2011–2013). These agencies had no role in the design, collection, analysis or interpretation of the results of this study or in the preparation, review or approval of the manuscript. The other authors have no conflict of interest to declare.
Publisher Copyright:
© 2017 Canadian Public Health Association or its licensor.
PY - 2017
Y1 - 2017
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
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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 -