Community and School Programs, Policies and Environments Related to Child Dietary Intake:The Healthy Communities Study.

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2025-07-22 DOI:10.1111/ijpo.70043

Gail Woodward-Lopez, Alexander C McLain, Edward A Frongillo, Natalie Colabianchi, Vicki Collie-Akers, Lorrene D Ritchie

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引用次数: 0

Abstract

Background: To reverse the epidemic of unhealthy eating and related chronic disease in the United States, intervening early in life is essential.

Objective: Identify features of community- and school-based programmes, policies and environments related to child intake of fruits and vegetables (FV) and sugar-sweetened beverages (SSB).

Methods: Dietary intake of children 4-15 years old (n = 5138) from elementary and middle schools in 130 US communities was collected by survey (of parent and/or child) in 2013-2015. Features of community programs and policies (CPPs) and school environments were collected by staff surveys, direct observation, key informant interviews, and/or document review. Community characteristics included socioeconomic status and predominant race/ethnicity. Classification and regression trees identified CPP and school environment features related to child dietary intake.

Results: Community sociodemographic characteristics were the first-selected variables related to child intakes. Children in communities with lower socioeconomic status and larger proportions of African Americans tended to have lower FV and higher SSB intakes. Associations of dietary intake with race/ethnicity varied with SES. CPPs that addressed certain social determinants of health were related to higher FV intake among community race/ethnicity-SES sub-groups. Few other CPPs and no school environment characteristics were related to child FV or SSB intake.

Conclusion: Findings suggest the importance of addressing social determinants of health such as education, poverty and transportation to reduce disparities in dietary intake, and the need to tailor interventions to community characteristics. More research is needed to explore the interaction of race/ethnicity and SES on dietary intake and intervention effectiveness.

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与儿童饮食摄入相关的社区和学校项目、政策和环境：健康社区研究。

背景：为了扭转美国不健康饮食和相关慢性疾病的流行，在生命早期进行干预是必不可少的。目的：确定与儿童摄入水果和蔬菜（FV）和含糖饮料（SSB）有关的社区和学校方案、政策和环境的特点。方法：通过调查（家长和/或儿童）收集2013-2015年美国130个社区4-15岁中小学儿童（n = 5138）的膳食摄入量。通过员工调查、直接观察、关键信息提供者访谈和/或文件审查收集社区计划和政策（CPPs）和学校环境的特征。社区特征包括社会经济地位和主要种族/民族。分类和回归树确定了CPP和学校环境特征与儿童饮食摄入有关。结果：社区社会人口学特征是与儿童摄入量相关的首选变量。社会经济地位较低和非裔美国人比例较大的社区的儿童往往有较低的FV和较高的SSB摄入量。饮食摄入与种族/民族的关系因社会经济地位而异。解决健康的某些社会决定因素的cpp与社区种族/族裔-社会经济地位亚群体中较高的FV摄入量有关。很少有其他cps和学校环境特征与儿童FV或SSB摄入有关。结论：研究结果表明，解决健康的社会决定因素（如教育、贫困和交通）对于减少饮食摄入的差异至关重要，并且需要根据社区特点量身定制干预措施。需要更多的研究来探索种族/民族和社会经济地位对饮食摄入和干预效果的相互作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.