Associations of parent dietary role modeling with children's diet quality in a rural setting: Baseline data from the NU-HOME study

Jennifer A. Linde, Melissa L. Horning Dehmer, Jiwoo Lee, Sarah Friend, Colleen Flattum, Chrisa Arcan, Jayne A. Fulkerson

Research output: Contribution to journalArticlepeer-review

Abstract

These analyses examined associations of parent dietary role modeling with diet quality among school-age children in a rural community. Past research has found protective associations between parent role modeling and children's dietary intake; however, there is a gap in understanding these associations for families in rural communities. Baseline data (2017 -2018) were drawn from the New Ulm at Home (NU-HOME) randomized controlled trial, conducted in the United States. The trial recruited 114 children (7–10 years old) and parents. Parents self-reported dietary intake [fruit and vegetable (FV), sugar-sweetened beverage (SSB), fast food (FF)] and frequency of sitting and eating with their child. Children reported parent role modeling of healthful eating (FV and salad at the evening meal; FV as snacks). Two 24-h dietary recalls assessed child diet quality indicators [Healthy Eating Index-2015 (HEI-2015) total scores, FV intake, SSB intake]. General linear models (GLM) and logistic regression analyzed associations of child diet quality (HEI score, FV intake, SSB intake) with parent dietary intake, parent sitting and eating the evening meal with their child, and child perceptions of parent role modeling healthful eating, adjusted for highest level of education in the home. Higher child HEI-2015 scores were positively associated with more frequent parent role modeling of fruit intake at meals, and inversely associated with more frequent parent role modeling of fruit as a snack; no significant associations of child FV intake with parent role modeling were observed. Higher child SSB intake was positively associated with parent FF intake. In this rural community, parents play significant roles in shaping children's dietary quality and intake, though more work needs to be done to address optimal intervention strategies to promote parent role modeling of healthful eating.

Original languageEnglish (US)
Article number106007
JournalAppetite
Volume174
DOIs
StatePublished - Jul 1 2022

Bibliographical note

Funding Information:
The NU-HOME study (PI: Dr. J. Fulkerson) was supported by grant number R01HL123699 from the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH). The use of REDCap for data collection and management was supported by grant number UL1TR002494 from the NIH National Center for Advancing Translational Sciences (NCATS). Co-author J. Lee was supported by UL1TR002494 and by KL2TR002492 (NIH NCATS). This study is registered with NIH ClinicalTrials.gov: NCT02973815. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. We would like to thank the research team members (Daheia Barr-Anderson, Abbey Sidebottom, Jennifer Beaudette, Rebecca Freese, Justin Clark, Lori Rathburn, Yazmin Cespedes, Jessica Ramos, Christie Martin, Eydie Kramer, Brooke Wagner, Samantha Sommerness, Stephanie Grace, Amanda Folk), community advisors, and NU-HOME study participants for their time and engagement.

Funding Information:
The NU-HOME study (PI: Dr. J. Fulkerson) was supported by grant number R01HL123699 from the National Heart, Lung, and Blood Institute ( NHLBI ) of the National Institutes of Health ( NIH ). The use of REDCap for data collection and management was supported by grant number UL1TR002494 from the NIH National Center for Advancing Translational Sciences ( NCATS ). Co-author J. Lee was supported by UL1TR002494 and by KL2TR002492 ( NIH NCATS ). This study is registered with NIH ClinicalTrials.gov: NCT02973815 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

Publisher Copyright:
© 2022 Elsevier Ltd

Keywords

  • Children
  • Dietary intake
  • Parents
  • Role modeling
  • Rural

PubMed: MeSH publication types

  • Journal Article
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

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