The relationship between family diet consumption, family environment, parent anxiety and nutrition status children during the COVID-19 pandemic: a longitudinal study
BackgroundThe COVID-19 pandemic has exacerbated the trends of childhood overweight, obesity, and malnutrition, as well as increased psychological stress and family conflicts among family members. It is important to explore the relationship between changes in the family environment during the COVID-1...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1228626/full |
| _version_ | 1797745882959970304 |
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| author | Lili Peng Rui Hu Yiwei Feng Wei Shi Li Zhao Lihua Jiang |
| author_facet | Lili Peng Rui Hu Yiwei Feng Wei Shi Li Zhao Lihua Jiang |
| author_sort | Lili Peng |
| collection | DOAJ |
| description | BackgroundThe COVID-19 pandemic has exacerbated the trends of childhood overweight, obesity, and malnutrition, as well as increased psychological stress and family conflicts among family members. It is important to explore the relationship between changes in the family environment during the COVID-19 on child nutrition.ObjectiveThis study aims to analyze the nutritional status of Chinese children during the COVID-19 pandemic and its relationship with family diet, family environment, and parental anxiety, in order to provide evidence for further interventions in children’s nutritional status.MethodThis study included 7,645 primary and secondary school students and their parents from five schools in Chengdu, China. Chi-square tests were used to analyze the categorical variables of children’s malnutrition, overweight, obesity, and parental anxiety. T-tests were used to assess changes in the continuous variable of family environment between two rounds of follow-up surveys. Multiple logistic regression analysis was employed to examine the impact of changes in family diet during the COVID-19 pandemic on children’s nutritional status. Generalized estimating equations were used to analyze the effects of family environment and parental anxiety on childhood obesity.ResultThe prevalence of malnutrition and obesity decreased from 11.64% and 11.60% in wave 1 to 4.96% and 10.50% in wave 2, and the rate of overweight increased from 13.11% in wave 1 to 13.73% in wave 2. Children whose families reduced consumption of staple foods during the COVID-19 were more likely to be frail, and families increased consumption of sugary drinks, take-out or meal delivery services, living in towns, family environmental barriers, and parental anxiety were risk factors for overweight obesity. Mother’s education level in middle and high school and low age were protective factors for overweight obesity.ConclusionThe physical environment of the family, the emotions of family members, and children’s perceptions of the family’s soft environment can influence children’s eating behaviors, children’s nutritional intake, and malnutrition and obesity in children under public health emergencies, and family-based dietary interventions may be effective. Parents can increase consumption of healthy foods and improve the family environment, which improve their growth. |
| first_indexed | 2024-03-12T15:29:19Z |
| format | Article |
| id | doaj.art-30e83be08fa94da59edaf4af46b8856a |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-12T15:29:19Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-30e83be08fa94da59edaf4af46b8856a2023-08-10T08:22:58ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-08-011110.3389/fpubh.2023.12286261228626The relationship between family diet consumption, family environment, parent anxiety and nutrition status children during the COVID-19 pandemic: a longitudinal studyLili Peng0Rui Hu1Yiwei Feng2Wei Shi3Li Zhao4Lihua Jiang5Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaDepartment of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaDepartment of Natural Science, Duke Kunshan University, Kunshan, ChinaInstitute for Disaster Management and Reconstruction (IDMR), Sichuan University, Chengdu, ChinaDepartment of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaInstitute for Hospital Management, West China Hospital, Sichuan University, Chengdu, ChinaBackgroundThe COVID-19 pandemic has exacerbated the trends of childhood overweight, obesity, and malnutrition, as well as increased psychological stress and family conflicts among family members. It is important to explore the relationship between changes in the family environment during the COVID-19 on child nutrition.ObjectiveThis study aims to analyze the nutritional status of Chinese children during the COVID-19 pandemic and its relationship with family diet, family environment, and parental anxiety, in order to provide evidence for further interventions in children’s nutritional status.MethodThis study included 7,645 primary and secondary school students and their parents from five schools in Chengdu, China. Chi-square tests were used to analyze the categorical variables of children’s malnutrition, overweight, obesity, and parental anxiety. T-tests were used to assess changes in the continuous variable of family environment between two rounds of follow-up surveys. Multiple logistic regression analysis was employed to examine the impact of changes in family diet during the COVID-19 pandemic on children’s nutritional status. Generalized estimating equations were used to analyze the effects of family environment and parental anxiety on childhood obesity.ResultThe prevalence of malnutrition and obesity decreased from 11.64% and 11.60% in wave 1 to 4.96% and 10.50% in wave 2, and the rate of overweight increased from 13.11% in wave 1 to 13.73% in wave 2. Children whose families reduced consumption of staple foods during the COVID-19 were more likely to be frail, and families increased consumption of sugary drinks, take-out or meal delivery services, living in towns, family environmental barriers, and parental anxiety were risk factors for overweight obesity. Mother’s education level in middle and high school and low age were protective factors for overweight obesity.ConclusionThe physical environment of the family, the emotions of family members, and children’s perceptions of the family’s soft environment can influence children’s eating behaviors, children’s nutritional intake, and malnutrition and obesity in children under public health emergencies, and family-based dietary interventions may be effective. Parents can increase consumption of healthy foods and improve the family environment, which improve their growth.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1228626/fullchildren’s nutrition statusfamily diet consumptionfamily environmentparent anxietyCOVID-19 |
| spellingShingle | Lili Peng Rui Hu Yiwei Feng Wei Shi Li Zhao Lihua Jiang The relationship between family diet consumption, family environment, parent anxiety and nutrition status children during the COVID-19 pandemic: a longitudinal study Frontiers in Public Health children’s nutrition status family diet consumption family environment parent anxiety COVID-19 |
| title | The relationship between family diet consumption, family environment, parent anxiety and nutrition status children during the COVID-19 pandemic: a longitudinal study |
| title_full | The relationship between family diet consumption, family environment, parent anxiety and nutrition status children during the COVID-19 pandemic: a longitudinal study |
| title_fullStr | The relationship between family diet consumption, family environment, parent anxiety and nutrition status children during the COVID-19 pandemic: a longitudinal study |
| title_full_unstemmed | The relationship between family diet consumption, family environment, parent anxiety and nutrition status children during the COVID-19 pandemic: a longitudinal study |
| title_short | The relationship between family diet consumption, family environment, parent anxiety and nutrition status children during the COVID-19 pandemic: a longitudinal study |
| title_sort | relationship between family diet consumption family environment parent anxiety and nutrition status children during the covid 19 pandemic a longitudinal study |
| topic | children’s nutrition status family diet consumption family environment parent anxiety COVID-19 |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1228626/full |
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