Abstract
Objective
To describe the proportion of children adhering to recommended physical activity and
dietary guidelines, and examine demographic and household correlates of guideline
adherence.
Design
Cross-sectional (pre-randomization) data from a behavioral intervention trial designed
to prevent unhealthy weight gain in children.
Participants
A total of 421 children (aged 5–10 years) at risk for obesity (body mass index percentile,
70–95).
Main Outcomes Measured
Physical activity (accelerometry), screen time (parent survey), and fruit and vegetable
and sugar-sweetened beverage intake (24-hour dietary recall).
Analysis
Proportions meeting guidelines were calculated. Logistic regression examined associations
between demographic and household factors and whether children met recommended guidelines
for (1) physical activity (≥ 60 min/d), (2) screen time (≤ 2 h/d), (3) fruit and vegetable
intake (≥ 5 servings/d), and (4) sugar-sweetened beverage avoidance.
Results
Few children met more than 1 guideline. Only 2% met all 4 recommended guidelines and
19% met none. Each guideline had unique sociodemographic and domain-specific household
predictors (ie, availability of certain foods and beverages, media, and active play
and exercise equipment).
Conclusions and Implications
Families equipped to promote healthy child behavior patterns in 1 activity or dietary
domain may not be in others. Results have implications for the development of interventions
to affect children's weight-related behaviors and growth trajectories.
Key Words
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Article info
Publication history
Published online: March 04, 2015
Accepted:
January 19,
2015
Footnotes
Conflict of Interest Disclosure: The authors' conflict of interest disclosures can be found online with this article on www.jneb.org.
Identification
Copyright
© 2015 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
