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Experiences of overweight/obese adolescents in navigating their home food environment

  • Allison W Watts (a1), Chris Y Lovato (a1), Susan I Barr (a2), Rhona M Hanning (a3) and Louise C Mâsse (a1)...

Abstract

Objective

To explore perceived factors that impede or facilitate healthful eating within the home environment among overweight/obese adolescents.

Design

In the present qualitative photovoice study, participants were instructed to take photographs of things that made it easier or harder to make healthful food choices at home. Digital photographs were reviewed and semi-structured interviews were conducted to promote discussion of the photographs. Data were analysed using constant comparative analysis.

Setting

Vancouver, Canada, in 2012–2013.

Subjects

Twenty-two overweight/obese adolescents who completed a family-based lifestyle modification intervention.

Results

The mean age of participants was 14 (sd 1·9) years, 77 % were female and their mean BMI Z-score was 2·4 (sd 0·6). Adolescents talked about six aspects of the home environment that influenced their eating habits (in order of frequency): home cooking, availability and accessibility of foods/beverages, parenting practices, family modelling, celebrations and screen use/studying. In general, homes with availability of less healthful foods, where family members also liked to eat less healthful foods and where healthier foods were less abundant or inaccessible were described as barriers to healthful eating. Special occasions and time spent studying or in front of the screen were also conducive to less healthful food choices. Home cooked meals supported adolescents in making healthier food choices, while specific parenting strategies such as encouragement and restriction were helpful for some adolescents.

Conclusions

Adolescents struggled to make healthful choices in their home environment, but highlighted parenting strategies that were supportive. Targeting the home food environment is important to enable healthier food choices among overweight/obese adolescents.

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Copyright

Corresponding author

* Corresponding author: Email awwatts@umn.edu

References

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1. World Health Organization (2011) Childhood overweight and obesity. http://www.who.int/dietphysicalactivity/childhood/en/ (accessed November 2011).
2. Roberts, KC, Shields, M, de Groh, M et al. (2012) Overweight and obesity in children and adolescents: results from the 2009 to 2011 Canadian Health Measures Survey. Health Rep 23, 3741.
3. Linde, J & Jeffery, R (2010) Evolving environmental factors in the obesity epidemic. In Obesity Epidemiology: From Aetiology to Public Health, 2nd ed., pp. 119135 [D Crawford, RW Jeffery, K Ball et al., editors]. New York: Oxford University Press.
4. Garriguet, D (2008) Beverage consumption of children and teens. Health Rep 19, 17.
5. Garriguet, D (2007) Canadians’ eating habits. Health Rep 18, 1732.
6. Laska, MN, Murray, DM, Lytle, LA et al. (2012) Longitudinal associations between key dietary behaviors and weight gain over time: transitions through the adolescent years. Obesity (Silver Spring) 20, 118125.
7. Lytle, LA, Seifert, S, Greenstein, J et al. (2000) How do children’s eating patterns and food choices change over time? Results from a cohort study. Am J Health Promot 14, 222228.
8. Patterson, E, Wärnberg, J, Kearney, J et al. (2009) The tracking of dietary intakes of children and adolescents in Sweden over six years: the European Youth Heart Study. Int J Behav Nutr Phys Act 6, 91.
9. Reilly, J & Kelly, J (2011) Long term impact of overweight and obesity. Int J Obes (Lond) 35, 891898.
10. 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.
11. Rosenkranz, RR & Dzewaltowski, DA (2008) Model of the home food environment pertaining to childhood obesity. Nutr Rev 66, 123140.
12. Birch, LL & Davison, KK (2001) Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatr Clin North Am 48, 893907.
13. De Vet, E, de Ridder, DTD & de Wit, JBF (2011) Environmental correlates of physical activity and dietary behaviours among young people: a systematic review of reviews. Obes Rev 12, e130e142.
14. Nurmi, RM (2004) Socialization and self-development. In Handbook of Adolescent Psychology, 2nd ed., pp. 85124 [RM Lerner and M Steinberg, editors]. New York: John Wiley & Sons.
15. Kelly, SA & Melnyk, BM (2008) Systematic review of multicomponent interventions with overweight middle adolescents: implications for clinical practice and research. Worldviews Evid Based Nurs 5, 113135.
16. Stevenson, C, Doherty, G, Barnett, J et al. (2007) Adolescents’ views of food and eating: identifying barriers to healthy eating. J Adolesc 30, 417434.
17. Neumark-Sztainer, D, Story, M, Perry, C et al. (1999) Factors influencing food choices of adolescents: findings from focus-group discussions with adolescents. J Am Diet Assoc 99, 929937.
18. Fitzgerald, A, Heary, C, Nixon, E et al. (2010) Factors influencing the food choices of Irish children and adolescents: a qualitative investigation. Health Promot Int 25, 289298.
19. Holsten, JE, Deatrick, JA, Kumanyika, S et al. (2012) Children’s food choice process in the home environment. A qualitative descriptive study. Appetite 58, 6473.
20. St. George, SM & Wilson, DK (2012) A qualitative study for understanding family and peer influences on obesity-related health behaviors in low-income African-American adolescents. Child Obes 8, 466476.
21. O’Dea, JA (2003) Why do kids eat healthful food? Perceived benefits of and barriers to healthful eating and physical activity among children and adolescents. J Am Diet Assoc 103, 497501.
22. Skelton, JA, Buehler, C, Irby, MB et al. (2012) Where are family theories in family-based obesity treatment?: conceptualizing the study of families in pediatric weight management. Int J Obes (Lond) 36, 891900.
23. Lopez, KA & Willis, DG (2004) Descriptive versus interpretive phenomenology: their contributions to nursing knowledge. Qual Health Res 14, 726735.
24. Martin, N, Garcia, AC & Leipert, B (2010) Photovoice and its potential use in nutrition and dietetic research. Can J Diet Pract Res 71, 9397.
25. Wang, C & Burris, MA (1997) Photovoice: concept, methodology, and use for participatory needs assessment. Health Educ Behav 24, 369387.
26. Plunkett, R, Leipert, BD & Ray, SL (2012) Unspoken phenomena: using the photovoice method to enrich phenomenological inquiry. Nurs Inq 20, 156164.
27. Mâsse, LC, Watts, AW, Barr, SI et al. (2014) Individual and household predictors of adolescents’ adherence to a web-based intervention. Ann Behav Med (Epublication ahead of print version).
28. Hewitt-Taylor, J (2001) Use of constant comparative analysis in qualitative research. Nurs Stand 15, 3942.
29. Hsieh, H-F & Shannon, SE (2005) Three approaches to qualitative content analysis. Qual Health Res 15, 12771288.
30. Lincoln, Y & Guba, E (1985) Naturalistic Inquiry. Newbury Park, CA: Sage Publications.
31. Gerards, SMPL, Sleddens, EFC, Dagnelie, PC et al. (2011) Interventions addressing general parenting to prevent or treat childhood obesity. Int J Pediatr Obes 6, e28e45.
32. Kremers, S, Sleddens, E, Gerards, S et al. (2013) General and food-specific parenting: measures and interplay. Child Obes 9, Suppl., S22S31.
33. Birch, LL & Fisher, JO (2000) Mothers’ child-feeding practices influence daughters’ eating and weight. Am J Clin Nutr 71, 10541061.
34. Brown, R & Ogden, J (2004) Children’s eating attitudes and behaviour: a study of the modelling and control theories of parental influence. Health Educ Res 19, 261271.
35. Boutelle, KN, Feldman, S & Neumark-Sztainer, D (2012) Parenting an overweight or obese teen: issues and advice from parents. J Nutr Educ Behav 44, 500506.
36. Burgess-Champoux, TL, Larson, N, Neumark-Sztainer, D et al. (2009) Are family meal patterns associated with overall diet quality during the transition from early to middle adolescence? J Nutr Educ Behav 41, 7986.
37. Hammons, AJ & Fiese, BH (2011) Is frequency of shared family meals related to the nutritional health of children and adolescents? Pediatrics 127, e1565e1574.
38. Larson, NI, Neumark-Sztainer, D, Hannan, PJ et al. (2007) Family meals during adolescence are associated with higher diet quality and healthful meal patterns during young adulthood. J Am Diet Assoc 107, 15021510.
39. Simmons, D & Chapman, GE (2012) The significance of home cooking within families. Br Food J 114, 11841195.
40. Chu, YL, Farmer, A, Fung, C et al. (2013) Involvement in home meal preparation is associated with food preference and self-efficacy among Canadian children. Public Health Nutr 16, 108112.
41. Larson, NI, Story, M, Eisenberg, ME et al. (2006) Food preparation and purchasing roles among adolescents: associations with sociodemographic characteristics and diet quality. J Am Diet Assoc 106, 211218.
42. Pearson, N, Ball, K & Crawford, D (2011) Predictors of changes in adolescents’ consumption of fruits, vegetables and energy-dense snacks. Br J Nutr 105, 795803.
43. Ezendam, NPM, Evans, AE, Stigler, MH et al. (2010) Cognitive and home environmental predictors of change in sugar-sweetened beverage consumption among adolescents. Br J Nutr 103, 768774.
44. Williams, LK, Abbott, G, Thornton, LE et al. (2014) Improving perceptions of healthy food affordability: results from a pilot intervention. Int J Behav Nutr Phys Act 11, 15.
45. Ciccone, J, Woodruff, SJ, Fryer, K et al. (2013) Associations among evening snacking, screen time, weight status, and overall diet quality in young adolescents. Appl Physiol Nutr Metab 38, 789794.
46. Temple, JL, Giacomelli, AM, Kent, KM et al. (2007) Television watching increases motivated responding for food and energy intake in children. Am J Clin Nutr 85, 355361.
47. Dennison, BA & Edmunds, LS (2008) The role of television in childhood obesity. Prog Pediatr Cardiol 25, 191197.
48. Mitchell, JA, Rodriguez, D, Schmitz, KH et al. (2013) Greater screen time is associated with adolescent obesity: a longitudinal study of the BMI distribution from ages 14 to 18. Obesity (Silver Spring) 21, 572575.
49. Atkin, AJ, Corder, K & van Sluijs, EM (2013) Bedroom media, sedentary time and screen-time in children: a longitudinal analysis. Int J Behav Nutr Phys Act 10, 137.

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