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Research Article| Volume 52, ISSUE 9, P840-849, September 2020

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Family Mealtime Communication in Single- and Dual-Headed Households Among Hispanic Adolescents With Overweight and Obesity

      Abstract

      Objective

      To investigate the association of adolescent self-report of family mealtime communication on obesity-related behaviors in single- and dual-parent households and by sex in a sample of overweight and obese Hispanic adolescents.

      Design

      Cross-sectional analysis of a randomized control trial

      Setting

      Eighteen middle schools in Miami-Dade County, Florida.

      Participants

      Two-hundred and eighty Hispanic seventh- and eighth-grade students

      Main Outcome Measures

      Physical activity, fruit and vegetable intake, and added sugar intake.

      Analysis

      Structural equation modeling.

      Results

      The findings indicate that mealtime communication was associated with fruit and vegetable consumption in boys (β = .30; P = .001; 95% confidence interval [CI], 0.52–2.68) and physical activity in girls (β = .26; P = .010; 95% CI, 0.16–1.30). Moreover, a single-parent household was associated with dietary consumption in boys (fruit and vegetable intake [β= .18; P = .039; 95% CI, 0.02–2.60] but had a moderating effect on fruit and vegetable consumption in girls (β = .21; P = .015; 95% CI, 0.14–2.19).

      Conclusions and Implications

      Family mealtime communication may impact dietary and physical activity outcomes in Hispanic adolescents with overweight and obesity, but differentially across gender and household parent makeup. These findings, together with the prevalence of single parents, point to the importance of targeting Hispanic single parents as agents of change to promote healthy lifestyle behaviors in their children via positive mealtime interactions.

      Key Words

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