More-To-Less Home Healthful Foods Ratio is Associated With Diet Quality in Preadolescents With Elevated Body Mass Index

Gina L. Tripicchio, Martha Y. Kubik, Jiwoo Lee, Jennifer Orlet Fisher

Research output: Contribution to journalArticlepeer-review


Objective: To examine home food availability (HFA) and the association with diet quality in preadolescents with elevated body mass index. Methods: A cross-sectional analysis examined HFA and diet quality (using the 2015-Health Eating Index [HEI] derived from 1 or 2 24-hour dietary recalls) among preadolescents (n = 111; aged 8–12 years; body mass index ≥ 75th percentile). A novel ratio of more-to-less healthful items was created to represent HFA. Multivariate linear regression models examined the HFA ratio and individual food and beverage groups as correlates of HEI. Results: The HFA ratio was associated with higher HEI (β = 5.3 [1.3]; P < 0.001). Home food availability of sweets (β = −2.6 [0.9]; P = 0.003) and sugar-sweetened beverages (β = −2.3 [1.0]; P = 0.02) were associated with lower HEI. Home food availability of fruits was associated with higher HEI (β = 1.3 [0.7]; P = 0.05). Conclusions and Implications: Structuring the HFA so that more healthful choices are available relative to less healthful foods could be an effective approach for improving diet quality in preadolescents at risk for obesity.

Original languageEnglish (US)
Pages (from-to)939-946
Number of pages8
JournalJournal of Nutrition Education and Behavior
Issue number10
StatePublished - Oct 2022

Bibliographical note

Funding Information:
This research was supported by the National Institute of Nursing Research under Award no. R01NR013473 of the National Institutes of Health (NIH). A coauthor (Gina L. Tripicchio) received support from the NIH National Heart, Lung and Blood Institute K01HL153783. Another coauthor (Jiwoo Lee) was supported by the grants KL2TR002492 and UL1TR002494 from the National Center for Advancing Translational Sciences of the NIH. The content is solely the responsibility of the authors and does not necessarily represent the views of the NIH.

Publisher Copyright:
© 2022 Society for Nutrition Education and Behavior


  • diet quality
  • dietary intake
  • home environment
  • home food availability
  • pediatric obesity
  • Body Mass Index
  • Cross-Sectional Studies
  • Diet
  • Fruit
  • Humans
  • Feeding Behavior
  • Diet, Healthy

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural


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