Snacking characteristics and patterns and their associations with diet quality and BMI in the Childhood Obesity Prevention and Treatment Research Consortium

Madison N. Lecroy, Kimberly P. Truesdale, Donna M. Matheson, Sharon M. Karp, Shirley M. Moore, Thomas N. Robinson, Jerica M. Berge, Holly L. Nicastro, Alicia J. Thomas

Research output: Contribution to journalArticle

Abstract

Objective:To describe snacking characteristics and patterns in children and examine associations with diet quality and BMI.Design:Children's weight and height were measured. Participants/adult proxies completed multiple 24 h dietary recalls. Snack occasions were self-identified. Snack patterns were derived for each sample using exploratory factor analysis. Associations of snacking characteristics and patterns with Healthy Eating Index-2010 (HEI-2010) score and BMI were examined using multivariable linear regression models.Setting:Childhood Obesity Prevention and Treatment Research (COPTR) Consortium, USA: NET-Works, GROW, GOALS and IMPACT studies.Participants:Predominantly low-income, racial/ethnic minorities: NET-Works (n 534, 2-4-year-olds); GROW (n 610, 3-5-year-olds); GOALS (n 241, 7-11-year-olds); IMPACT (n 360, 10-13-year-olds).Results:Two snack patterns were derived for three studies: a meal-like pattern and a beverage pattern. The IMPACT study had a similar meal-like pattern and a dairy/grains pattern. A positive association was observed between meal-like pattern adherence and HEI-2010 score (P for trend < 0·01) and snack occasion frequency and HEI-2010 score (β coefficient (95 % CI): NET-Works, 0·14 (0·04, 0·23); GROW, 0·12 (0·02, 0·21)) among younger children. A preference for snacking while using a screen was inversely associated with HEI-2010 score in all studies except IMPACT (β coefficient (95 % CI): NET-Works, -3·15 (-5·37, -0·92); GROW, -2·44 (-4·27, -0·61); GOALS, -5·80 (-8·74, -2·86)). Associations with BMI were almost all null.Conclusions:Meal-like and beverage patterns described most children's snack intake, although patterns for non-Hispanic Blacks or adolescents may differ. Diets of 2-5-year-olds may benefit from frequent meal-like pattern snack consumption and diets of all children may benefit from decreasing screen use during eating occasions.

Original languageEnglish (US)
JournalPublic health nutrition
DOIs
StatePublished - Jan 1 2019

Fingerprint

obesity
diets
diet
eating
ethnic minority
beverages
factor analysis
income
index
coefficients
minorities

Keywords

  • Child diet
  • Childhood obesity
  • Dietary pattern
  • Screen use
  • Snack
  • USA

Cite this

Snacking characteristics and patterns and their associations with diet quality and BMI in the Childhood Obesity Prevention and Treatment Research Consortium. / Lecroy, Madison N.; Truesdale, Kimberly P.; Matheson, Donna M.; Karp, Sharon M.; Moore, Shirley M.; Robinson, Thomas N.; Berge, Jerica M.; Nicastro, Holly L.; Thomas, Alicia J.

In: Public health nutrition, 01.01.2019.

Research output: Contribution to journalArticle

Lecroy, Madison N. ; Truesdale, Kimberly P. ; Matheson, Donna M. ; Karp, Sharon M. ; Moore, Shirley M. ; Robinson, Thomas N. ; Berge, Jerica M. ; Nicastro, Holly L. ; Thomas, Alicia J. / Snacking characteristics and patterns and their associations with diet quality and BMI in the Childhood Obesity Prevention and Treatment Research Consortium. In: Public health nutrition. 2019.
@article{f5a88ddb0c3b43a698a8c7deecfc46a1,
title = "Snacking characteristics and patterns and their associations with diet quality and BMI in the Childhood Obesity Prevention and Treatment Research Consortium",
abstract = "Objective:To describe snacking characteristics and patterns in children and examine associations with diet quality and BMI.Design:Children's weight and height were measured. Participants/adult proxies completed multiple 24 h dietary recalls. Snack occasions were self-identified. Snack patterns were derived for each sample using exploratory factor analysis. Associations of snacking characteristics and patterns with Healthy Eating Index-2010 (HEI-2010) score and BMI were examined using multivariable linear regression models.Setting:Childhood Obesity Prevention and Treatment Research (COPTR) Consortium, USA: NET-Works, GROW, GOALS and IMPACT studies.Participants:Predominantly low-income, racial/ethnic minorities: NET-Works (n 534, 2-4-year-olds); GROW (n 610, 3-5-year-olds); GOALS (n 241, 7-11-year-olds); IMPACT (n 360, 10-13-year-olds).Results:Two snack patterns were derived for three studies: a meal-like pattern and a beverage pattern. The IMPACT study had a similar meal-like pattern and a dairy/grains pattern. A positive association was observed between meal-like pattern adherence and HEI-2010 score (P for trend < 0·01) and snack occasion frequency and HEI-2010 score (β coefficient (95 {\%} CI): NET-Works, 0·14 (0·04, 0·23); GROW, 0·12 (0·02, 0·21)) among younger children. A preference for snacking while using a screen was inversely associated with HEI-2010 score in all studies except IMPACT (β coefficient (95 {\%} CI): NET-Works, -3·15 (-5·37, -0·92); GROW, -2·44 (-4·27, -0·61); GOALS, -5·80 (-8·74, -2·86)). Associations with BMI were almost all null.Conclusions:Meal-like and beverage patterns described most children's snack intake, although patterns for non-Hispanic Blacks or adolescents may differ. Diets of 2-5-year-olds may benefit from frequent meal-like pattern snack consumption and diets of all children may benefit from decreasing screen use during eating occasions.",
keywords = "Child diet, Childhood obesity, Dietary pattern, Screen use, Snack, USA",
author = "Lecroy, {Madison N.} and Truesdale, {Kimberly P.} and Matheson, {Donna M.} and Karp, {Sharon M.} and Moore, {Shirley M.} and Robinson, {Thomas N.} and Berge, {Jerica M.} and Nicastro, {Holly L.} and Thomas, {Alicia J.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1017/S1368980019000958",
language = "English (US)",
journal = "Public Health Nutrition",
issn = "1368-9800",
publisher = "Cambridge University Press",

}

TY - JOUR

T1 - Snacking characteristics and patterns and their associations with diet quality and BMI in the Childhood Obesity Prevention and Treatment Research Consortium

AU - Lecroy, Madison N.

AU - Truesdale, Kimberly P.

AU - Matheson, Donna M.

AU - Karp, Sharon M.

AU - Moore, Shirley M.

AU - Robinson, Thomas N.

AU - Berge, Jerica M.

AU - Nicastro, Holly L.

AU - Thomas, Alicia J.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective:To describe snacking characteristics and patterns in children and examine associations with diet quality and BMI.Design:Children's weight and height were measured. Participants/adult proxies completed multiple 24 h dietary recalls. Snack occasions were self-identified. Snack patterns were derived for each sample using exploratory factor analysis. Associations of snacking characteristics and patterns with Healthy Eating Index-2010 (HEI-2010) score and BMI were examined using multivariable linear regression models.Setting:Childhood Obesity Prevention and Treatment Research (COPTR) Consortium, USA: NET-Works, GROW, GOALS and IMPACT studies.Participants:Predominantly low-income, racial/ethnic minorities: NET-Works (n 534, 2-4-year-olds); GROW (n 610, 3-5-year-olds); GOALS (n 241, 7-11-year-olds); IMPACT (n 360, 10-13-year-olds).Results:Two snack patterns were derived for three studies: a meal-like pattern and a beverage pattern. The IMPACT study had a similar meal-like pattern and a dairy/grains pattern. A positive association was observed between meal-like pattern adherence and HEI-2010 score (P for trend < 0·01) and snack occasion frequency and HEI-2010 score (β coefficient (95 % CI): NET-Works, 0·14 (0·04, 0·23); GROW, 0·12 (0·02, 0·21)) among younger children. A preference for snacking while using a screen was inversely associated with HEI-2010 score in all studies except IMPACT (β coefficient (95 % CI): NET-Works, -3·15 (-5·37, -0·92); GROW, -2·44 (-4·27, -0·61); GOALS, -5·80 (-8·74, -2·86)). Associations with BMI were almost all null.Conclusions:Meal-like and beverage patterns described most children's snack intake, although patterns for non-Hispanic Blacks or adolescents may differ. Diets of 2-5-year-olds may benefit from frequent meal-like pattern snack consumption and diets of all children may benefit from decreasing screen use during eating occasions.

AB - Objective:To describe snacking characteristics and patterns in children and examine associations with diet quality and BMI.Design:Children's weight and height were measured. Participants/adult proxies completed multiple 24 h dietary recalls. Snack occasions were self-identified. Snack patterns were derived for each sample using exploratory factor analysis. Associations of snacking characteristics and patterns with Healthy Eating Index-2010 (HEI-2010) score and BMI were examined using multivariable linear regression models.Setting:Childhood Obesity Prevention and Treatment Research (COPTR) Consortium, USA: NET-Works, GROW, GOALS and IMPACT studies.Participants:Predominantly low-income, racial/ethnic minorities: NET-Works (n 534, 2-4-year-olds); GROW (n 610, 3-5-year-olds); GOALS (n 241, 7-11-year-olds); IMPACT (n 360, 10-13-year-olds).Results:Two snack patterns were derived for three studies: a meal-like pattern and a beverage pattern. The IMPACT study had a similar meal-like pattern and a dairy/grains pattern. A positive association was observed between meal-like pattern adherence and HEI-2010 score (P for trend < 0·01) and snack occasion frequency and HEI-2010 score (β coefficient (95 % CI): NET-Works, 0·14 (0·04, 0·23); GROW, 0·12 (0·02, 0·21)) among younger children. A preference for snacking while using a screen was inversely associated with HEI-2010 score in all studies except IMPACT (β coefficient (95 % CI): NET-Works, -3·15 (-5·37, -0·92); GROW, -2·44 (-4·27, -0·61); GOALS, -5·80 (-8·74, -2·86)). Associations with BMI were almost all null.Conclusions:Meal-like and beverage patterns described most children's snack intake, although patterns for non-Hispanic Blacks or adolescents may differ. Diets of 2-5-year-olds may benefit from frequent meal-like pattern snack consumption and diets of all children may benefit from decreasing screen use during eating occasions.

KW - Child diet

KW - Childhood obesity

KW - Dietary pattern

KW - Screen use

KW - Snack

KW - USA

UR - http://www.scopus.com/inward/record.url?scp=85065977675&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065977675&partnerID=8YFLogxK

U2 - 10.1017/S1368980019000958

DO - 10.1017/S1368980019000958

M3 - Article

C2 - 31112114

AN - SCOPUS:85065977675

JO - Public Health Nutrition

JF - Public Health Nutrition

SN - 1368-9800

ER -