Article

Low-income, African American Adolescent Mothers and Their Toddlers Exhibit Similar Dietary Variety Patterns

University of Maryland School of Medicine, Department of Pediatrics, Baltimore, MD.
Journal of nutrition education and behavior (Impact Factor: 1.36). 03/2009; 41(2):87-94. DOI: 10.1016/j.jneb.2008.01.005
Source: PubMed

ABSTRACT To examine the relationship between maternal and toddler dietary variety.
Longitudinal; maternal and toddler dietary data were collected at 13 months; anthropometry was collected at 13 and 24 months.
Data were collected in homes.
109 primiparous, low-income, African American adolescent mothers and toddlers.
Maternal and toddler dietary variety and toddler obesity at 24 months.
Correlations were computed to estimate associations between maternal and toddler dietary variety at 13 months; multiple logistic regression analyses were conducted to estimate associations between maternal and toddler diet and toddler growth.
Maternal and toddler fruit, vegetable, snack, meat, dairy, and soda variety were significantly correlated. There was no association between maternal and toddler dietary variety and obesity at 24 months. Adolescent mothers who purchased groceries consumed more fruits and vegetables and provided more variety for their toddlers than those who relied on others to purchase groceries.
Adolescent mothers and toddlers exhibited similar dietary patterns; consuming more sweets and less fruits and vegetables than recommended. Toddlerhood is an optimal time to address healthful dietary patterns and to help adolescent mothers influence grocery purchasing decisions. Goals are to establish healthful dietary patterns and reduce pediatric obesity.

0 Followers
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Although low-income youth are likely to have low or less frequent fruit and vegetable (FV) intake, current understanding of influences on youths’ intake is limited. A systematic review of quantitative research on determinants of FV intake among low-income youth (i.e., persons aged < 20 years) was conducted. The aims were to identify which determinants have been studied and which are consistently associated with intake. Fifty-eight papers published between 2003 and August 2013 were included. Across studies, 85 unique determinants were identified. Those best supported by evidence were race/ethnicity (with intake consistently higher among Hispanic as compared to African American and white youth), FV preferences and maternal FV intake. For many potential determinants, the consistency of evidence could not be examined due to a lack of studies. Findings highlight racial/ethnic differences in FV intake and influences on intake that should be considered when designing dietary interventions for low-income youth. Further research on intake determinants in this at-risk population is needed to establish an evidence base to guide interventions.
    Nutrition Reviews 09/2014; DOI:10.1111/nure.12126 · 5.54 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Teenage pregnancy is a major public health concern in the United States. In addition to other life stressors, adolescent mothers and their children are at risk for obesity and other negative health outcomes. The current study examines the impact of a brief in-home educational intervention designed to improve health knowledge and behavior in a sample of low-income adolescent mothers. Forty-six teen mothers received 6 in-home educational sessions focused on nutrition and physical activity, with baseline and follow-up knowledge and behavior assessments. Results indicate significant improvements in mothers' health knowledge and physical activity pertaining to themselves and to their children, and also an unexpected increase in sedentary behaviors. Results from this study indicate that knowledge-focused interventions may be an effective method to facilitate positive health behavioral change for teenage mothers.
    Journal of developmental and behavioral pediatrics: JDBP 10/2013; 34(8):609-15. DOI:10.1097/DBP.0b013e3182a509df · 2.12 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: To determine fruit and vegetable (FV) costs at farmers' markets (FMs) and grocery stores, determine Special Supplemental Nutrition Program for Women, Infants, and Children participants' FV intake and psychosocial predictors, and compare FM users and nonusers. Prices were collected biweekly from grocery stores and FM vendors. Participants were recruited from Special Supplemental Nutrition Program for Women, Infants, and Children clinic to complete a survey of FV intake, psychosocial variables, and FM usage. The FM cost was greater. A total of 377 participants (51%) used FMs. The FM users more often ate vegetables as snacks and > 1 vegetable per day (P < .05). Despite higher costs, FMs were often used. The FM users had a better vegetable intake pattern.
    05/2014; 46(3 Suppl):S65-70. DOI:10.1016/j.jneb.2013.11.016