Abstract
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.
Key Words
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Article info
Publication history
Published online: July 29, 2022
Accepted:
April 25,
2022
Footnotes
Conflict of Interest Disclosure: The authors have not stated any conflicts of interest.
Identification
Copyright
© 2022 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
