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Pre-school nutrition-related behaviours at home and early childhood education services: findings from the Growing Up in New Zealand longitudinal study

  • Sarah Gerritsen (a1), Sarah E Anderson (a2), Susan MB Morton (a3) and Clare R Wall (a4)
Abstract
Objective

Pre-school nutrition-related behaviours influence diet and development of lifelong eating habits. We examined the prevalence and congruence of recommended nutrition-related behaviours (RNB) in home and early childhood education (ECE) services, exploring differences by child and ECE characteristics.

Design

Telephone interviews with mothers. Online survey of ECE managers/head teachers.

Setting

New Zealand.

Subjects

Children (n 1181) aged 45 months in the Growing Up in New Zealand longitudinal study.

Results

A mean 5·3 of 8 RNB were followed at home, with statistical differences by gender and ethnic group, but not socio-economic position. ECE services followed a mean 4·8 of 8 RNB, with differences by type of service and health-promotion programme participation. No congruence between adherence at home and in ECE services was found; half of children with high adherence at home attended a service with low adherence. A greater proportion of children in deprived communities attended a service with high adherence, compared with children living in the least deprived communities (20 and 12 %, respectively).

Conclusions

Children, across all socio-economic positions, may not experience RNB at home. ECE settings provide an opportunity to improve or support behaviours learned at home. Targeting of health-promotion programmes in high-deprivation areas has resulted in higher adherence to RNB at these ECE services. The lack of congruence between home and ECE behaviours suggests health-promotion messages may not be effectively communicated to parents/family. Greater support is required across the ECE sector to adhere to RNB and promote wider change that can reach into homes.

Copyright
Corresponding author
* Corresponding author: Email s.gerritsen@auckland.ac.nz
References
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1. Birch, LL & Anzman, SL (2010) Learning to eat in an obesogenic environment: a developmental systems perspective on childhood obesity. Child Dev Perspect 4, 138143.
2. Lioret, S, Betoko, A, Forhan, A et al. (2015) Dietary patterns track from infancy to preschool age: cross-sectional and longitudinal perspectives. J Nutr 145, 775782.
3. Wall, CR, Thompson, JM, Robinson, E et al. (2013) Dietary patterns of children at 3.5 and 7 years of age: a New Zealand birth cohort study. Acta Paediatr 102, 137142.
4. Emmett, PM, Jones, LR & Northstone, K (2015) Dietary patterns in the Avon Longitudinal Study of Parents and Children. Nutr Rev 73, Suppl. 3, 207230.
5. Lipsky, LM, Haynie, DL, Liu, D et al. (2015) Trajectories of eating behaviors in a nationally representative cohort of US adolescents during the transition to young adulthood. Int J Behav Nutr Phys Act 12, 138.
6. Ventura, AK & Birch, LL (2008) Does parenting affect children’s eating and weight status? Int J Behav Nutr Phys Act 5, 15.
7. Delormier, T, Frohlich, KL & Potvin, L (2009) Food and eating as social practice – understanding eating patterns as social phenomena and implications for public health. Sociol Health Illn 31, 215228.
8. Rampersaud, GC, Pereira, MA, Girard, BL et al. (2005) Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J Am Diet Assoc 105, 743760.
9. Timlin, MT & Pereira, MA (2007) Breakfast frequency and quality in the etiology of adult obesity and chronic diseases. Nutr Rev 65, 268281.
10. Quigley, R, Taylor, R & Scragg, R (2007) Is Consuming Breakfast Important for Academic Performance, Maintaining a Healthy Body Weight, and Improving Nutrient Intake and Lifestyle Habits in Children? Wellington: Scientific Committee of Agencies for Nutrition Action.
11. Hammons, AJ & Fiese, BH (2011) Is frequency of shared family meals related to the nutritional health of children and adolescents? Pediatrics 127, e1565e1574.
12. Draxten, M, Fulkerson, JA, Friend, S et al. (2014) Parental role modeling of fruits and vegetables at meals and snacks is associated with children’s adequate consumption. Appetite 78, 17.
13. Pearson, N, Biddle, SJH & Gorely, T (2009) Family correlates of fruit and vegetable consumption in children and adolescents: a systematic review. Public Health Nutr 12, 267283.
14. Brown, R, Scragg, R & Quigley, R (2008) Does the Family Environment Contribute to Food Habits or Behaviours and Physical Activity in Children? Wellington: Scientific Committee of Agencies for Nutrition Action.
15. Haszard, J, Williams, S, Skidmore, P et al. (2012) Parental feeding practices are related to children’s diet and weight. Obes Res Clin Pract 6, 48.
16. Marsh, S, Ni Mhurchu, C & Maddison, R (2013) The non-advertising effects of screen-based sedentary activities on acute eating behaviours in children, adolescents, and young adults. A systematic review. Appetite 71, 259273.
17. Dubois, L, Farmer, A, Girard, M et al. (2008) Social factors and television use during meals and snacks is associated with higher BMI among pre-school children. Public Health Nutr 11, 12671279.
18. Dubois, L, Girard, M & Kent, MP (2006) Breakfast eating and overweight in a pre-school population: is there a link? Public Health Nutr 9, 436442.
19. Anderson, SE & Whitaker, RC (2010) Household routines and obesity in US preschool-aged children. Pediatrics 125, 420428.
20. Story, M, Kaphingst, KM, Robinson-O’Brien, R et al. (2008) Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health 29, 253272.
21. Ministry of Health (2016) Annual Update of Key Results 2015/16: New Zealand Health Survey. Wellington: Ministry of Health.
22. Story, M, Kaphingst, KM & French, S (2006) The role of child care settings in obesity prevention. Future Child 16, 143168.
23. Ward, S, Bélanger, M, Donovan, D et al. (2015) Systematic review of the relationship between childcare educators’ practices and preschoolers’ physical activity and eating behaviours. Obes Rev 16, 10551070.
24. Heart Foundation (2012) Fuelled4life Nutrition Guide for Early Childhood Education Services. Wellington: National Heart Foundation of New Zealand.
25. Department of Health, Australian Government (2013) Get Up & Grow: Healthy Eating and Physical Activity for Early Childhood – Director/Coordinator Book. Canberra: Department of Health, Australian Government.
26. Department of Health and Human Services, Administration for Children and Families (2016) Head Start Program Performance Standards. Washington, DC: US Department of Health and Human Services.
27. Children’s Food Trust (2012) Voluntary Food and Drink Guidelines for Early Years Settings in England – A Practical Guide. Sheffield: The Children’s Food Trust.
28. Tysoe, J & Wilson, C (2010) Influences of the family and childcare food environments on preschoolers’ healthy eating. Australas J Early Child 35, 105110.
29. Hersch, D, Perdue, L, Ambroz, T et al. (2014) The impact of cooking classes on food-related preferences, attitudes, and behaviors of school-aged children: a systematic review of the evidence, 2003–2014. Prev Chronic Dis 11, E193.
30. Dawson, A, Richards, R, Collins, C et al. (2013) Edible gardens in early childhood education settings in Aotearoa, New Zealand. Health Promot J Aust 24, 214218.
31. DeCosta, P, Møller, P, Frøst, MB et al. (2017) Changing children’s eating behaviour – a review of experimental research. Appetite 113, 327357.
32. Gubbels, JS, Gerards, SM & Kremers, SP (2015) Use of food practices by childcare staff and the association with dietary intake of children at childcare. Nutrients 7, 21612175.
33. Ward, S, Blanger, M, Donovan, D et al. (2017) Association between childcare educators’ practices and preschoolers’ physical activity and dietary intake: a cross-sectional analysis. BMJ Open 7, 5.
34. Dev, DA, Byrd-Williams, C, Ramsay, S et al. (2017) Engaging parents to promote children’s nutrition and health. Am J Health Promot 31, 153162.
35. Bronfenbrenner, U (1979) Ecology of Human Development: Experiments by Nature and Design. Cambridge MA: Harvard University Press.
36. Gubbels, J, Van Kann, D, de Vries, N et al. (2014) The next step in health behavior research: the need for ecological moderation analyses – an application to diet and physical activity at childcare. Int J Behav Nutr Phys Act 11, 52.
37. Gerritsen, S, Dean, B, Wall, CR et al. (2017) Do childcare menus meet nutrition guidelines? An analysis of the quantity, variety and quality of food provided in New Zealand Early Childhood Education services. Aust N Z J Public Health 41, 345351.
38. Morton, SM, Atatoa Carr, PE, Grant, CC et al. (2013) Cohort profile: growing up in New Zealand. Int J Epidemiol 42, 6575.
39. Gerritsen, S, Wall, C & Morton, S (2016) Child-care nutrition environments: results from a survey of policy and practice in New Zealand early childhood education services. Public Health Nutr 19, 15311542.
40. Morton, SMB, Grant, CC, Berry, SD et al. (2017) Now We Are Four: Describing the Preschool Years. Auckland: University of Auckland.
41. Morton, SMB, Ramke, J, Kinloch, J et al. (2014) Growing Up in New Zealand cohort alignment with all New Zealand births. Aust N Z J Public Health 39, 8287.
42. Statistics New Zealand (2005) Statistical Standard for Ethnicity. Wellington: Statistics New Zealand.
43. Atkinson, J, Salmond, C & Crampton, P (2014) NZDep2013 Index of Deprivation User’s Manual. Wellington: University of Otago.
44. Finnane, J (2017) Exploring partnerships between early childhood educators and parents to promote healthy eating to children (Leaps Study). Master of Applied Science Research Thesis, Queensland University of Technology.
45. Lynch, M & Batal, M (2011) Factors influencing childcare providers’ food and mealtime decisions: an ecological approach. Child Care Pract 17, 185203.
46. Needham, L, Dwyer, JJM, Randall-Simpson, J et al. (2007) Supporting healthy eating among preschoolers: challenges for child care staff. Can J Diet Pract Res 68, 107110.
47. Sisson, SB, Smith, CL & Cheney, M (2017) Big impact on small children: child-care providers’ perceptions of their role in early childhood healthy lifestyle behaviours. Child Care Pract 23, 162180.
48. Ogata, BN & Hayes, D (2014) Position of the Academy of Nutrition and Dietetics: nutrition guidance for healthy children ages 2 to 11 years. J Acad Nutr Diet 114, 12571276.
49. Gerritsen, S (2016) Nutrition education for early childhood managers, teachers and nursery cooks: a prerequisite for effective obesity prevention. Public Health 140, 5658.
50. Rush, E, Obolonkin, V, Young, L et al. (2017) Under 5 Energize: tracking progress of a preschool nutrition and physical activity programme with regional measures of body size and dental health at age of four years. Nutrients 9, E456.
51. Heart Foundation (2012) Healthy Heart Award for Early Childhood Education: Handbook. Auckland: National Heart Foundation of New Zealand.
52. Sisson, SB, Krampe, M, Anundson, K et al. (2016) Obesity prevention and obesogenic behavior interventions in child care: a systematic review. Prev Med 87, 5769.
53. Forry, N, Tout, K, Rothenburg, L et al. (2013) Child Care Decision-Making Literature Review. Issue Brief OPRE Brief 2013-45 . Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, US Department of Health and Human Services.
54. Perrin, EM, Howard, JB & Ward, DS (2016) In the absence of clear causation, casting a wider net for prevention. Pediatrics 138, e20162895.
55. Barraclough, SJ & Smith, AB (1996) Do parents choose and value quality child care in New Zealand? Int J Early Years Educ 4, 526.
56. Briley, ME, Jastrow, S, Vickers, J et al. (1999) Dietary intake at child-care centers and away: are parents and care providers working as partners or at cross-purposes? J Am Diet Assoc 99, 950954.
57. Pinard, CA, Yaroch, AL, Hart, MH et al. (2012) Measures of the home environment related to childhood obesity: a systematic review. Public Health Nutr 15, 97109.
58. Anderson, SE, Sacker, A, Whitaker, RC et al. (2017) Self-regulation and household routines at age three and obesity at age eleven: longitudinal analysis of the UK Millennium Cohort Study. Int J Obes (Lond) 41, 14591466.
59. Spagnola, M & Fiese, BH (2007) Family routines and rituals: a context for development in the lives of young children. Infants Young Child 20, 4, 284299.
60. Shloim, N, Edelson, LR, Martin, N et al. (2015) Parenting styles, feeding styles, feeding practices, and weight status in 4–12 year-old children: a systematic review of the literature. Front Psychol 6, 1849.
61. Vollmer, R & Mobley, AR (2013) Parenting styles, feeding styles, and their influence on child obesogenic behaviors and body weight. A review. Appetite 71, 232241.
62. Sleddens, EF, Gerards, SM, Thijs, C et al. (2011) General parenting, childhood overweight and obesity-inducing behaviors: a review. Int J Pediatr Obes 6, e12e27.
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