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      The Evolving Family Mealtime: Findings From Focus Group Interviews With Hispanic Mothers

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          Abstract

          Background

          Given the protective effects of shared family mealtimes and the importance of family in the Hispanic culture, this context should be explored further to determine how it can be leveraged and optimized for interventions.

          Objective

          This study aimed to explore contextual factors associated with family mealtimes in Mexican and Puerto Rican families.

          Methods

          A total of 63 mothers participated in 13 focus group interviews across 4 states. Thematic analysis was used to analyze transcripts.

          Results

          Seven overarching themes were identified through the thematic analysis. Themes reflected who was present at the mealtime, what occurs during mealtime, the presence of television, the influence of technology during mealtime, and how mealtimes have changed since the mothers were children.

          Conclusions

          Hispanic mothers may be adapting family mealtimes to fit their current situations and needs, keeping the television and other devices on during mealtimes, and making additional meals for multiple family members to appease everyone’s tastes. All of these are areas that can be incorporated into existing culturally tailored obesity prevention programs to help families lead healthier lives.

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          Most cited references30

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          Using thematic analysis in psychology

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            Eating out of home and its association with dietary intake: a systematic review of the evidence.

            During the last decades, eating out of home (OH) has gained importance in the diets worldwide. We document the nutritional characteristics of eating OH and its associations with energy intake, dietary quality and socioeconomic status. We carried out a systematic review of peer-reviewed studies in eight databases up to 10 March 2011. Of the 7,319 studies retrieved, 29 met the inclusion criteria and were analysed in this review. The quality of the data was assessed and a sensitivity analysis was conducted by isolating nationally representative or large cohort data from 6 and 11 countries, respectively. OH foods were important sources of energy in all age groups and their energy contribution increased in adolescents and young adults. Eating OH was associated with a higher total energy intake, energy contribution from fat in the daily diet and higher socioeconomic status. Two large studies showed how eating OH was also associated with a lower intake of micronutrients, particularly vitamin C, Ca and Fe. Although the studies were cross-sectional and heterogeneous in the way they classified eating OH, we conclude that eating OH is a risk factor for higher energy and fat intake and lower micronutrient intake. © 2011 The Authors. obesity reviews © 2011 International Association for the Study of Obesity.
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              Healthy Habits, Happy Homes: randomized trial to improve household routines for obesity prevention among preschool-aged children.

              Racial/ethnic and socioeconomic disparities exist across risk factors for childhood obesity. To examine the effectiveness of a home-based intervention to improve household routines known to be associated with childhood obesity among a sample of low-income, racial/ethnic minority families with young children. Randomized trial. The intervention was delivered in the families' homes. The study involved 121 families with children aged 2 to 5 years who had a television (TV) in the room where he or she slept; 111 (92%) had 6-month outcome data (55 intervention and 56 control). The mean (SD) age of the children was 4.0 (1.1) years; 45% were overweight/obese. Fifty-two percent of the children were Hispanic, 34% were black, and 14% were white/other. Nearly 60% of the families had household incomes of $20,000 or less. The 6-month intervention promoted 4 household routines, family meals, adequate sleep, limiting TV time, and removing the TV from the child's bedroom, using (1) motivational coaching at home and by phone, (2) mailed educational materials, and (3) text messages. Control subjects were mailed materials focused on child development. Change in parent report of frequency of family meals (times/wk), child sleep duration (hours/d), child weekday and weekend day TV viewing (hours/d), and the presence of a TV in the room where the child slept from baseline to 6 months. A secondary outcome was change in age- and sex-adjusted body mass index (calculated as weight in kilograms divided by height in meters squared). Compared with control subjects, intervention participants had increased sleep duration (0.75 hours/d; 95% CI, 0.06 to 1.44; P = .03), greater decreases in TV viewing on weekend days (-1.06 hours/d; 95% CI, -1.97 to -0.15; P = .02), and decreased body mass index (-0.40; 95% CI, -0.79 to 0.00; P = .05). No significant intervention effect was found for the presence of a TV in the room where the child slept or family meal frequency. Our results suggest that promoting household routines, particularly increasing sleep duration and reducing TV viewing, may be an effective approach to reduce body mass index among low-income, racial/ethnic minority children. Longer-term studies are needed to determine maintenance of behavior change. clinicaltrials.gov Identifier: NCT01565161.
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                Author and article information

                Contributors
                Journal
                JMIR Pediatr Parent
                JMIR Pediatr Parent
                JPP
                JMIR Pediatrics and Parenting
                JMIR Publications (Toronto, Canada )
                2561-6722
                Jul-Dec 2020
                10 August 2020
                : 3
                : 2
                : e18292
                Affiliations
                [1 ] California State University Fresno, CA United States
                [2 ] NORC at the University of Chicago Chicago, IL United States
                [3 ] University of Houston Houston, TX United States
                [4 ] Iowa State University Ames, IA United States
                [5 ] University of Illinois at Urbana-Champaign Urbana-Champaign, IL United States
                [6 ] University of Puerto Rico San Juan Puerto Rico
                [7 ] Auburn University Auburn, AL United States
                Author notes
                Corresponding Author: Amber Jean Hammons ahammons@ 123456csufresno.edu
                Author information
                https://orcid.org/0000-0001-7713-0944
                https://orcid.org/0000-0003-0807-6176
                https://orcid.org/0000-0001-8868-0781
                https://orcid.org/0000-0002-8472-3075
                https://orcid.org/0000-0003-2935-8682
                https://orcid.org/0000-0002-8196-7605
                Article
                v3i2e18292
                10.2196/18292
                7445606
                32576547
                7c37f1a2-f42f-4fa0-8dc8-a821380513a1
                ©Amber Jean Hammons, Elizabeth Villegas, Norma Olvera, Kimberly Greder, Barbara Fiese, Margarita Teran-Garcia, The Abriendo Caminos Team. Originally published in JMIR Pediatrics and Parenting (http://pediatrics.jmir.org), 10.08.2020.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Pediatrics and Parenting, is properly cited. The complete bibliographic information, a link to the original publication on http://pediatrics.jmir.org, as well as this copyright and license information must be included.

                History
                : 11 March 2020
                : 11 April 2020
                : 26 May 2020
                : 19 June 2020
                Categories
                Original Paper
                Original Paper

                family mealtimes,healthy eating,technology at the table,parenting and mealtimes,hispanic culture,obesity prevention

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