A Pilot Study Examining the Association of Parental Stress and Household Food Insecurity with Dietary Quality in Pre-School-Aged Children

Adequate dietary quality is necessary for children’s appropriate development and may be influenced by family factors. This study with 24 healthy 3–5-year-old children assessed the associations of parental stress and household food insecurity (HFI) with a child’s dietary quality. Parents completed th...

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Main Authors: Madison McCarthy, Mara Z. Vitolins, Joseph A. Skelton, Edward H. Ip, Callie L. Brown
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/14/3154
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author Madison McCarthy
Mara Z. Vitolins
Joseph A. Skelton
Edward H. Ip
Callie L. Brown
author_facet Madison McCarthy
Mara Z. Vitolins
Joseph A. Skelton
Edward H. Ip
Callie L. Brown
author_sort Madison McCarthy
collection DOAJ
description Adequate dietary quality is necessary for children’s appropriate development and may be influenced by family factors. This study with 24 healthy 3–5-year-old children assessed the associations of parental stress and household food insecurity (HFI) with a child’s dietary quality. Parents completed three 24 h dietary recalls, and the Healthy Eating Index was calculated to assess dietary quality. Parents also completed a questionnaire, including The Perceived Stress Scale (assessing overall parental stress) and the Hunger Vital Sign screen (assessing HFI). Children’s height/weight were measured, and BMIz was calculated. Separate multivariable linear regression models assessed the association of dietary quality components with HFI and parental stress, adjusting for household income, child sex, and child BMI z-score. In bivariate analyses, children with HFI consumed more added sugars, and parental stress was associated with the child’s greens/beans intake. In multivariable analysis, HFI was associated with lower total protein scores and higher added sugar intake, while parental stress was associated with lower greens/beans intake. Higher household income was associated with higher total vegetable and sodium intake, and children with a higher BMIz had a lower total protein intake. Parental stress and HFI can impact a child’s dietary quality; providers should counsel families on strategies to improve diet quality.
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spelling doaj.art-131da7155c29491bb2075455514a95ce2023-11-18T20:48:00ZengMDPI AGNutrients2072-66432023-07-011514315410.3390/nu15143154A Pilot Study Examining the Association of Parental Stress and Household Food Insecurity with Dietary Quality in Pre-School-Aged ChildrenMadison McCarthy0Mara Z. Vitolins1Joseph A. Skelton2Edward H. Ip3Callie L. Brown4Wake Forest University School of Medicine, Winston-Salem, NC 27157, USADepartment of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USADepartment of Pediatrics, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USADepartment of Biostatistics, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USADepartment of Pediatrics, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USAAdequate dietary quality is necessary for children’s appropriate development and may be influenced by family factors. This study with 24 healthy 3–5-year-old children assessed the associations of parental stress and household food insecurity (HFI) with a child’s dietary quality. Parents completed three 24 h dietary recalls, and the Healthy Eating Index was calculated to assess dietary quality. Parents also completed a questionnaire, including The Perceived Stress Scale (assessing overall parental stress) and the Hunger Vital Sign screen (assessing HFI). Children’s height/weight were measured, and BMIz was calculated. Separate multivariable linear regression models assessed the association of dietary quality components with HFI and parental stress, adjusting for household income, child sex, and child BMI z-score. In bivariate analyses, children with HFI consumed more added sugars, and parental stress was associated with the child’s greens/beans intake. In multivariable analysis, HFI was associated with lower total protein scores and higher added sugar intake, while parental stress was associated with lower greens/beans intake. Higher household income was associated with higher total vegetable and sodium intake, and children with a higher BMIz had a lower total protein intake. Parental stress and HFI can impact a child’s dietary quality; providers should counsel families on strategies to improve diet quality.https://www.mdpi.com/2072-6643/15/14/3154childrenparentsstresshousehold food insecuritydietary qualitydiet
spellingShingle Madison McCarthy
Mara Z. Vitolins
Joseph A. Skelton
Edward H. Ip
Callie L. Brown
A Pilot Study Examining the Association of Parental Stress and Household Food Insecurity with Dietary Quality in Pre-School-Aged Children
Nutrients
children
parents
stress
household food insecurity
dietary quality
diet
title A Pilot Study Examining the Association of Parental Stress and Household Food Insecurity with Dietary Quality in Pre-School-Aged Children
title_full A Pilot Study Examining the Association of Parental Stress and Household Food Insecurity with Dietary Quality in Pre-School-Aged Children
title_fullStr A Pilot Study Examining the Association of Parental Stress and Household Food Insecurity with Dietary Quality in Pre-School-Aged Children
title_full_unstemmed A Pilot Study Examining the Association of Parental Stress and Household Food Insecurity with Dietary Quality in Pre-School-Aged Children
title_short A Pilot Study Examining the Association of Parental Stress and Household Food Insecurity with Dietary Quality in Pre-School-Aged Children
title_sort pilot study examining the association of parental stress and household food insecurity with dietary quality in pre school aged children
topic children
parents
stress
household food insecurity
dietary quality
diet
url https://www.mdpi.com/2072-6643/15/14/3154
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