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Background: The aims of this study are 1) to investigate the association between maternal educational level and healthy eating behaviour of 11-year-old children (fruit, vegetables and breakfast consumption), and 2) to examine whether factors in the home food environment (parental intake of fruit, vegetables and breakfast; rules about fruit and vegetables and home availability of fruit and vegetables) mediate these associations., Methods: Data were obtained from the Dutch INPACT study. In total, 1318 parent-child dyads were included in this study. Multilevel regression models were used to investigate whether factors of the home food environment mediated the association between maternal educational level and children's healthy eating behaviour., Results: Children of mothers with a high educational level consumed more pieces of fruit per day (B = 0.13, 95% CI: 0.04-0.22), more grams of vegetables per day (B = 23.81, 95% CI = 14.93-32.69) and were more likely to have breakfast on a daily basis (OR = 2.97, 95% CI: 1.38-6.39) than children of mothers with a low educational level. Home availability, food consumption rules and parental consumption mediated the association between maternal education level and children's fruit and vegetable consumption. Parental breakfast consumption mediated the association between maternal education level and children's breakfast consumption., Conclusions: Factors in the home food environment play an important role in the explanation of socio-economic disparities in children's healthy eating behaviour and may be promising targets for interventions.

Background: Parental influence on child food intake is typically conceptualized at three levels-parenting practices, feeding style, and parenting style. General parenting style is modeled at the most distal level of influence and food parenting practices are conceptualized as the most proximal level of influence. The goal of this article is to provide insights into contents and explanatory value of instruments that have been applied to assess food parenting practices, feeding style, and parenting style., Methods: Measures of food parenting practices, feeding style, and parenting style were reviewed, compared, and contrasted with regard to contents, explanatory value, and interrelationships., Results: Measures that are used in the field often fail to cover the full scope and complexity of food parenting. Healthy parenting dimensions have generally been found to be positively associated with child food intake (i.e., healthier dietary intake and less intake of energy-dense food products and sugar-sweetened beverages), but effect sizes are low. Evidence for the operation of higher-order moderation has been found, in which the impact of proximal parental influences is moderated by more distal levels of parenting., Conclusions: Operationalizing parenting at different levels, while applying a contextual higher-order moderation approach, is advocated to have surplus value in understanding the complex process of parent-child interactions in the area of food intake. A research paradigm is presented that may guide future work regarding the conceptualization and modeling of parental influences on child dietary behavior.

Objective: To examine: (i) the association between home availability of fruit and vegetables and children’s fruit and vegetable intake; (ii) the association between parental perception of the local food shopping environment and the home availability of fruit and vegetables; and (iii) whether the home availability of fruit and vegetables mediates the association between parental perception of the local food environment and children’s fruit and vegetable consumption., Design: Cross-sectional study., Setting: A total of ninety-one primary schools in the Netherlands., Subjects: In total 1501 primary caregivers completed a questionnaire to measure children’s fruit and vegetable consumption, home availability of fruit and vegetables, parental perceptions of the local food shopping environment (price, quality and availability), the child’s socio-economic status, the child’s ethnicity and maternal height and weight., Results: The home availability of fruit and vegetables was positively associated with children’s fruit and vegetable intake (P,0?01 and P,0?001, respectively). Negative parental perceptions of the local food shopping environment were associated with less fruit available at home (P,0?05, P,0?01 and P,0?05 for price, quality and availability of fruit, respectively). No significant associations were found between parental perception of the local food shopping environment and children’s fruit and vegetable consumption. We found no evidence that home availability of fruit and vegetables mediates the association between parental perception of the local food environment and children’s fruit and vegetable intake., Conclusions: Interventions focusing on improving the home availability of fruit and vegetables may help to increase children’s fruit and vegetable consumption. However, more data are required on factors influencing the home availability of fruit and vegetables.

This study examined clustering of food and activity preferences in Dutch primary school children. It also explored whether the preference clusters are associated with child and parental background characteristics and with parenting practices. Data were used from 1480 parent-child dyads participating in the IVO Nutrition and Physical Activity Child cohort (INPACT). Children aged 8-11years reported their preferences for food (e.g. fruit and sweet snacks) and activities (e.g. biking and watching television) at school with a newly-developed, visual instrument designed for primary school children. Parents completed a questionnaire at home. Principal component analysis was used to identify preference clusters. Backward regression analyses were used to examine the relationship between child and parental characteristics with cluster scores. We found (1) a clustering of preferences for unhealthy foods and unhealthy drinks, (2) a clustering of preferences for various physical activity behaviours, and (3) a clustering of preferences for unhealthy drinks and sedentary behaviour. Boys had a higher cluster score than girls on all three preference clusters. In addition, physical activity-related parenting practices were negatively related to unhealthy preference clusters and positively to the physical-activity-preference cluster. The next step is to relate our preference clusters to child dietary and activity behaviours, with special attention to gender differences. This may help in the development of interventions aimed at improving children's food and activity preferences., (Copyright © 2012 Elsevier Ltd. All rights reserved.)

This study examines the association between parental and child fruit consumption in the context of general parenting, parental education and ethnic background. A cross-sectional study was performed among 1762 parent-child dyads. Mean age of the children was 8 years. One parent completed a questionnaire to measure their own and their child's fruit consumption, parenting style, education level and ethnicity. In mediation and moderation analyses, child fruit consumption was regressed on parental fruit consumption, parenting style, parental education and ethnicity. Participating children consumed on average 7.5 pieces of fruit per week. Fourteen percent met the recommended Dutch norm of two pieces of fruit per day. Parental and child fruit consumption were positively associated. The association was more pronounced under higher levels of psychological control and behavioural control, and among ethnic groups. Additionally, parental education and child fruit consumption were positively associated. Parental fruit consumption partially mediated this association. Interventions are needed to increase child fruit consumption. Interventions should focus on increasing parental fruit consumption and positive parental modelling, with particular focus on low-SES families. Additionally, interventions that combine positive modelling with positive general parenting skills (e.g. increasing behavioural control) may be more effective than interventions that focus on parental modelling alone., (Copyright © 2011 Elsevier Ltd. All rights reserved.)