Abstract
Objective
To examine the direction and magnitude of the relation between family meal frequency
and dietary and family functioning outcomes in children (aged 2–18 years).
Design
Systematic literature review with meta-analysis.
Methods
Independent electronic searches, 1 for each outcome of interest, were conducted across
5 databases: PubMed, Cumulative Index to Nursing and Allied Health Literature, Web
of Science, Scopus, and PsycINFO. Studies were included if they were peer-reviewed
and published in English in the US through December 2018.
Main Outcome Measures
Diet and family functioning.
Results
Dietary outcomes showed some evidence of a positive association between family meal
frequency and fruits, vegetables, fruits and vegetables, sugar-sweetened beverages,
and the Healthy Eating Index. There was less clear evidence of this relation in snacks,
fast food, and desserts. A positive association was found between family meal frequency
or dinner family meal frequency and family functioning outcomes. All studies included
had cross-sectional and longitudinal study designs.
Conclusions and Implications
There is some evidence to show a positive relation between family meal frequency and
dietary outcomes. There is stronger evidence for the relation with family functioning
outcomes. Most articles included in the systematic reviews were excluded from meta-analysis
owing to inadequate data and high methodological diversity across exposure and outcome
variables.
Key Words
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REFERENCES
- Is frequencyof shared family meals related to the nutritional health of children and adolescents?.Pediatrics. 2011; 127: e1565-e1574
- Promoting family meals: a review of existing interventions and opportunities for future research.Adolesc Health Med Ther. 2015; 6: 115-131
- Beyond the dinner table: who's having breakfast, lunch and dinner family meals and which meals are associated with better diet quality and BMI in pre-school children?.Public Health Nutr. 2017; 20: 3275-3284
- Associations among nine family dinner frequency measures and child weight, dietary, andpsychosocial outcomes.J Acad Nutr Diet. 2016; 116: 991-999
- Family meals and substance use: is there a long-term protective association?.J Adolesc Health. 2008; 43: 151-156
- Family meals and adolescent emotional well-being: findings from a national study.J Nutr Educ Behav. 2017; 49: 67-72
- Are family meals as good for youth as we think they are? A review of the literature on family meals as they pertain to adolescent risk prevention.J Youth Adolesc. 2013; 42: 943-963
- Family meals and disordered eating in adolescents: longitudinal findings from project EAT.Arch Pediatr Adolesc Med. 2008; 162: 17-22
- A systematic review of the association between family meals and adolescent risk outcomes.J Adolesc. 2015; 44: 134-149
- The protective role of family meals for youth obesity: 10-year longitudinal associations.J Pediatr. 2015; 166: 296-301
- Mealtimes and child health and wellbeing.Soc Res Child Dev. 2008; 42: 3-9
- Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report.Pediatrics. 2007; 120: S164-S192
- A review of family meal influence on adolescents’ dietary intake.Can J Diet Pract Res. 2008; 69: 14-22
- Psychological interventions for parents of children and adolescents with chronic illness.Cochrane Database Syst Rev. 2015; CD009660
- Family functioning and the well-being of children with chronic conditions: a meta-analysis.Res Nurs Health. 2016; 39: 229-243
- Observation of family functioning at mealtime: a comparison between families of children with and without overweight.J Pediatr Psychol. 2007; 32: 52-63
- Family functioning at meals relates to adherence in young children with type 1 diabetes.J Paediatr Child Health. 2009; 45: 736-741
- Protective factors against disordered eating in family systems: a systematic review of research.J Eat Disord. 2017; 5: 12
- A review of familial correlates of child and adolescent obesity: what has the 21st century taught us so far?.Int J Adolesc Med Health. 2009; 21: 457-483
- Parenting style and family meals: cross-sectional and 5-year longitudinal associations.J Am Diet Assoc. 2010; 110: 1036-1042
- Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group.JAMA. 2000; 283: 2008-2012
The Cochrane Collaboration. Cochrane handbook for systematic review of interventions. 2011. http://handbook.cochrane.org/. Accessed November 25, 2019.
US Department of Health and Human Services, National Heart, Lung, and Blood Institute. Study quality assessment tools. https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools. Accessed November 25, 2019.
- The heterogeneity statistic I(2) can be biased in small meta-analyses.BMC Med Res Methodol. 2015; 15: 35
Deeks JJ, Higgins JPT, Altman DG, editors. Analysing data and undertaking meta-analyses. In: Deeks JJ, Higgins JPT, Altman DG, Cochrane Statistical Methods Group, eds. Cochrane Handbook for Systematic Review of Interventions. Version 5.1.0. London, UK: The Cochrane Collection; 2011.
- Meta-analysis in clinical trials.Control Clin Trials. 1986; 7: 177-188
- Bias in meta-analysis detected by a simple, graphical test.BMJ. 1997; 315: 629-634
- Racial and ethnic differences in the home food environment explain disparities in dietary practices of middle school children in Texas.J Nutr Educ Behav. 2015; 47: 53-60
- Family meal patterns: associations with sociodemographic characteristics and improved dietary intake among adolescents.J Am Diet Assoc. 2003; 103: 317-322
- Eating breakfast and dinner together as a family: associations with sociodemographic characteristics and implications for diet quality and weight status.J Acad Nutr Diet. 2013; 113: 1601-1609
- Family meals during adolescence are associated with higher diet quality and healthful meal patterns during young adulthood.J Am Diet Assoc. 2007; 107: 1502-1510
- The association of meal practices and other dietary correlates with dietary intake among high school students in the United States, 2010.Am J Health Promot. 2015; 29: e203-e213
- Multiple sociodemographic and socioenvironmental characteristics are correlated with major patterns of dietary intake in adolescents.J Am Diet Assoc. 2011; 111: 230-240
- Are family meal patterns associated with overall diet quality during the transition from early to middle adolescence?.J Nutr Educ Behav. 2009; 41: 79-86
- Fruit, vegetable, and fat intake among non-Hispanic black and non-Hispanic white adolescents: associations with home availability and food consumption settings.J Am Diet Assoc. 2006; 106: 367-373
- Familial correlates of adolescent girls’ physical activity, television use, dietaryintake, weight, and body composition.Int J Behav Nutr Phys Act. 2011; 8: 25
- Patterns of family meals and food and nutrition intake in limited resource families.Fam Con Sci Res J. 2011; 39: 431-441
- Influences on adolescent eating patterns: the importance of family meals.J Adolesc Health. 2003; 32: 365-373
- Racial and ethnic differences in longitudinal patterns of family mealtimes: link to adolescent fruit and vegetable consumption.J Nutr Educ Behav. 2017; 49: 244-249
- Associations between watching TV during family meals and dietary intake among adolescents.J Nutr Educ Behav. 2007; 39: 257-263
- Food preparation supplies predict children's family meal and home-prepared dinner consumption inlow-income households.Appetite. 2014; 76: 1-8
- Are there nutritional and other benefits associated with family meals among at-risk youth.J Adolesc Health. 2009; 45: 389-395
- Association between family variables and Mexican American children's dietary behaviors.J Nutr Educ Behav. 2007; 39: 62-69
- Trajectories of eating behaviors in a nationally representative cohort of U.S. adolescents during the transition to young adulthood.Int J Behav Nutr Phys Act. 2015; 12: 138
- Eating breakfast together as a family: mealtime experiences and associations with dietary intake among adolescents in rural Minnesota, USA.Public Health Nutr. 2016; 19: 1565-1574
- Associations of family meal frequency with family meal habits and meal preparation characteristics among families of youth with type 1 diabetes.Child Care Health Dev. 2014; 40: 405-411
- Socioeconomic inequalities in children's diet: the role of the home food environment.Int J Behav Nutr Phys Act. 2015; 12: S4
- The association between family meals, TV viewing during meals, and fruit, vegetables, soda, and chips intake among Latino children.J Nutr Educ Behav. 2011; 43: 308-315
- Caregiver food behaviours are associated with dietary intakes of children outside the child-care setting.Public Health Nutr. 2013; 16: 1263-1272
- Multicontextual correlates of energy-dense, nutrient-poor snack food consumption by adolescents.Appetite. 2017; 112: 23-34
- Examining the relationship between family meal frequency and individual dietary intake: does family cohesion play a role?.J Nutr Educ Behav. 2011; 43: 229-235
- No time for family meals? Parenting practices associated with adolescent fruit and vegetable intake when family meals are not an option.J Acad Nutr Diet. 2017; 117: 707-714
- Variables associated with fruit and vegetable intake in adolescents.Am J Health Behav. 2011; 35: 591-602
- Family meals and diet quality among children and adolescents in North Carolina.J Nutr Educ Behav. 2014; 46: 418-422
- Is frequency of family meals associated with fruit and vegetable intake among preschoolers? A logistic regression analysis.J Hum Nutr Diet. 2018; 31: 505-512
- Youth dietary intake and weight status: healthful neighborhood food environments enhance the protective role of supportive family home environments.Health Place. 2014; 26: 69-77
- Family meals and disordered eating in adolescents: are the benefits the same for everyone?.Int J Eat Disord. 2015; 48: 100-110
- Longitudinal associations between family dinner and adolescent perceptions of parent-child communication among racially diverse urban youth.J Fam Psychol. 2010; 24: 261-270
- Assessing causality and persistence in associations between family dinners and adolescent well-being.J Marriage Fam. 2012; 74: 476-493
- Whatmediates the relationship between family meals and adolescent health issues.Health Psychol. 2008; 27: S109-S117
- Family functioning: associations with weight status, eating behaviors, and physical activity in adolescents.J Adolesc Health. 2013; 52: 351-357
- Family mealtimes and family functioning.Am J Fam Ther. 2017; 45: 195-205
- Relationships of family conflict, cohesion, and chaos in the home environment on maternal and child food-related behaviours.Matern Child Nutr. 2018; 14: e12540
- Correlations between family meals and psychosocial well-being among adolescents.Arch Pediatr Adolesc Med. 2004; 158: 792-796
- Family dinner meal frequency and adolescent development: relationships with developmental assets and high-risk behaviors.J Adolesc Health. 2006; 39: 337-345
- Come and get it! A discussion of family mealtime literature and factors affecting obesity risk.Adv Nutr. 2014; 5: 235-247
- Correlates of psychosocial well-being among overweight adolescents: the role of the family.J Consult Clin Psychol. 2007; 75: 181-186
- Does TV viewing during family meals make a difference in adolescent substance use.Prev Med. 2009; 48: 585-587
- Are family meal patterns associated with disordered eating behaviors among adolescents?.J Adolesc Health. 2004; 35: 350-359
- Examining short-term stability of the Mealtime Interaction Coding System (MICS).J Pediatr Psychol. 2009; 34: 63-68
- Adolescent and parent views of family meals.J Am Diet Assoc. 2006; 106: 526-532
- Family meals and adolescents: what have we learned from Project EAT (Eating Among Teens)?.Public Health Nutr. 2010; 13: 1113-1121
- Family meals. Associations with weight and eating behaviors among mothers and fathers.Appetite. 2012; 58: 1128-1135
Article Info
Publication History
Published online: January 23, 2020
Accepted:
December 15,
2019
Footnotes
Conflict of Interest Disclosure: The authors have not stated any conflicts of interest.
Identification
Copyright
© 2019 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
