后 COVID-19 时代低收入幼儿家庭面临的营养和健康挑战:一项定性研究。

IF 2 4区 医学 Q3 NUTRITION & DIETETICS Nutrition Research and Practice Pub Date : 2023-12-01 Epub Date: 2023-11-13 DOI:10.4162/nrp.2023.17.6.1185
Hyunjung Lee, Wilna Oldewage-Theron, Conrad Lyford, Stephanie Shine
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引用次数: 0

摘要

背景/目标:在美国,每 5 名儿童中就有 1 名肥胖,而低收入家庭的儿童肥胖的可能性更大。2019 年冠状病毒病(COVID-19)大流行可能加速了低收入家庭中儿童肥胖风险因素的差异,如不良饮食摄入和久坐行为的增加,原因是经济困难、社会隔离和其他挣扎。本研究揭示了西得克萨斯州低收入幼儿家庭所面临的营养和健康挑战,以便更好地了解需求和制定干预措施:通过 Zoom 对 11 个有 3 岁以下儿童的家庭进行了深入的个人访谈。我们制定了一个半结构化访谈指南,以探讨以下 3 个方面:(1) 饮食摄入量的变化;(2) 久坐行为;(3) 家庭对家长营养教育计划的偏好。每次访谈均使用 MaxQDA 软件进行录音、转录和编码:结果:在 COVID-19 大流行期间,由于工作时间不固定,全家人一起进餐变得具有挑战性。大多数家长表示,随着加工食品消费量的增加,他们孩子的饮食习惯也发生了变化。许多家长买不起健康食品,只能利用食品和营养援助计划来帮助养家糊口。所有家庭都表示,与大流行前相比,他们孩子的屏幕时间大幅增加。此外,大多数家长并没有将儿童的屏幕时间与肥胖风险联系在一起,因此未来的干预措施可能会特别关注这一领域。备餐理念、远程模式和早期时间安排被认为是关键的干预策略:强调儿童屏幕时间和常规膳食指南的在线营养干预将成为有效和有前途的工具,可帮助低收入父母促进儿童早期健康和预防肥胖。
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Nutrition and health challenges among low-income families of young children in the post COVID-19 era: a qualitative study.

Background/objectives: In the United States, one in every 5 children is obese with greater likelihood in low-income households. The coronavirus disease 2019 (COVID-19) pandemic may have accelerated disparities in child obesity risk factors, such as poor dietary intake and increased sedentary behaviors, among low-income families because of financial difficulties, social isolation and other struggles. This study reveals insights into nutrition and health challenges among low-income families of young children in West Texas to better understand needs and develop interventions.

Subjects/methods: In-depth individual interviews were performed via Zoom among 11 families of children under the age of 3. A semi-structured interview guide was developed to explore 3 areas: changes in (1) dietary intake and (2) sedentary behaviors and (3) families' preferences regarding a parent nutrition education program. Each interview was audio-recorded, transcribed, and coded using MaxQDA software.

Results: Eating together as a family become challenging because of irregular work schedules during the COVID-19 pandemic. Most parents stated that their children's dietary habits shifted with an increased consumption of processed foods. Many parents are unable to afford healthful foods and have utilized food and nutrition assistance programs to help feed their families. All families reported that their children's screen time substantially increased compared to the pre-pandemic times. Moreover, the majority of parents did not associate child screen time with an obesity risk, so this area could be of particular interest for future interventions. Meal preparation ideas, remote modality, and early timing were identified as key intervention strategies.

Conclusions: Online nutrition interventions that emphasize the guidelines for child screen time and regular meal routines will be effective and promising tools to reach low-income parents for early childhood health promotion and obesity prevention.

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来源期刊
Nutrition Research and Practice
Nutrition Research and Practice NUTRITION & DIETETICS-
CiteScore
3.50
自引率
4.20%
发文量
62
审稿时长
6-12 weeks
期刊介绍: Nutrition Research and Practice (NRP) is an official journal, jointly published by the Korean Nutrition Society and the Korean Society of Community Nutrition since 2007. The journal had been published quarterly at the initial stage and has been published bimonthly since 2010. NRP aims to stimulate research and practice across diverse areas of human nutrition. The Journal publishes peer-reviewed original manuscripts on nutrition biochemistry and metabolism, community nutrition, nutrition and disease management, nutritional epidemiology, nutrition education, foodservice management in the following categories: Original Research Articles, Notes, Communications, and Reviews. Reviews will be received by the invitation of the editors only. Statements made and opinions expressed in the manuscripts published in this Journal represent the views of authors and do not necessarily reflect the opinion of the Societies.
期刊最新文献
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