Presentation on theme: "V v Generating Rural Options for Weight-Healthy Kids and Communities: Examining the rural family home nutrition and physical activity environment Carolyn."— Presentation transcript:
v v Generating Rural Options for Weight-Healthy Kids and Communities: Examining the rural family home nutrition and physical activity environment Carolyn Booth, URAP Apprentice; Kathy Gunter, PhD, Associate Professor COLLEGE OF PUBLIC HEALTH AND HUMAN SCIENCES Childhood health is a strong determinant of adult health, including overweight and obesity. Rural children and adults experience a greater obesity prevalence compared to children and adults living in more urban places. The goal of Generating Rural Options for Weight-Healthy Kids & Communities (GROW HKC) is to prevent childhood obesity and promote healthy weight among children and families living in rural places. GROW HKC focuses efforts in rural communities, schools, and families. The data presented here focus on the rural family home environment. PURPOSE: The purpose of this investigation was to examine the family home food and physical activity environment among rural families. Generally, rural families report healthy eating habits. Areas where families are doing particularly well include: 85% of families reported “usually” or “almost always” eat together. ~60% of families reported their child never drinks sugar sweetened beverages. 52% of families reported they “almost always” monitor eating of chips, cookies and candy. Places where rural families are challenged include: 20% of families report habitually watching electronic media while eating; 40% do so sometimes. 48% of adults do not monitor children’s chips, cookies, or candy eating; 41% reward children to some frequency with sweets. One in five children “sometimes” or “almost never” eat fruits and vegetables at meals and snacks. Identifying FNPA items where rural families struggle to engage in habitually healthy behaviors reveals targets for improving environments and behaviors. Our results suggest intervention strategies should be directed toward: Increasing low-fat milk, fruit, and veggie intake Monitoring eating of chips, cookies, and candy Reducing incidences of rewarding kids with sweets Decreasing screen time Promoting environmental actions that enable greater participation in organized sports of physical activities Though the FNPA survey asks participants to respond with the most usual pattern, and not what the respondent would like to happen, total honesty is not always provided. Exposure to food and PA opportunities outside of the home environment also influences child behaviors; we did not measure that here. Research supported by the Agriculture and Food Research Initiative of the USDA National Institute of Food and Agriculture, grant #2011-68001-30020 and by the College of Public Health and Human Sciences Undergraduate Research Award Program. Introduction Methods FNPA item scores range from 1-4 and measure family-level nutrition and activity practices that predict child BMI. Higher scores reflect healthier habits. Demographic data (Table 1) were also collected on all children and participating child caregivers/parents. Parent/Caregiver education level is presented in Table 2. We recruited 165 families, including 239 children from three diverse, rural Oregon counties. All enrolled families completed the Family Nutrition and Physical Activity Screening Tool (FNPA) relative to each of their enrolled children. The FNPA measures family and child rules and habitual practices shown to predict child BMI. Results Table 3: Participant Responses to Family Nutrition and Physical Activity Survey (FNPA; N=177) Table 3 shows proportion of participant responses to each FNPA item. ~70% of families report they “usually” or “almost always” engage in PA together. 68% of families “almost always” encourage children to be active; 62.2% regularly provide PA opportunities. 48.6% of families reported “almost never” or “sometimes” enrolling their child in activity or sports programs. ~40% report children are never or sometimes spending < 2 hours on TV/games/computers daily Table 1: Participant EthnicityTable 2: Caregiver Education Level The sample of participants are overwhelmingly white, with 11.7% of adults and 13.8% of children identified as Latino. Approximately 50% of respondents reported completing some college; 24.6% never attended college. Two-adult households make up 73% of families, and 8.8% of families are single-adult households, with one to two children. Food security was concerning- 37.4% of families worried about insufficient food budget in the past year, and 30.4% actually ran out of money. Complete data were obtained on N=177 FNPA Surveys (Table 3). RESULTS: Demographics RESULTS: FNPA Nutrition Items RESULTS: FNPA Physical Activity Items Discussion Study Limitations Benefits of the URAP Experience: Honor’s Thesis During the 2014-2015 school year I will use the FNPA survey to collect additional data from rural and non- rural Oregon families. My research question relates to examining differences in FNPA responses between rural and non-rural families. My experience on this project has helped me learn about the measures and the impacts of home environments on rural family health.