Healthy Home Environment Research Articles

Associations of sugar-related food parenting practices and parental feeding styles with prospective dietary behavior of children and adolescents: a systematic review of the literature from 2017 to 2023.

High consumption of sugar-rich foods and beverages has been associated with increased overweight and obesity in children and adolescents. Dietary behavior is influenced by learned mechanisms that originate in childhood and is associated with food parenting practices (FPP) and parental feeding styles (PFS). This systematic review aimed to narratively synthesize FPP and PFS concerning sugar-rich foods and beverages and their associations with the prospective dietary behavior of children and adolescents to derive evidence-based recommendations for health professionals and parents to promote healthy behaviors. A systematic literature search was conducted using PubMed and Web of Science databases covering the publication years 2017-2023. The results were narratively synthesized, and exposure-outcome matrices were used for visual representation. The review included 15 peer-reviewed studies from different geographical regions that investigated FPP or PFS regarding the handling of sugar-rich foods and beverages in children's diets and reported the associations with the prospective dietary behavior of children and adolescents. The findings indicate that highly controlling parental practices were associated with the development of unhealthy eating behaviors and preferences for sugar-rich foods and beverages over time. Conversely, parental practices that emphasized structure and balance in dietary choices yielded more positive long-term outcomes, associated with reduced preferences for sugar-rich foods and drinks. The results underscore the significance of fostering a healthy home environment and active parental role modeling in promoting healthier dietary behaviors among children and adolescents.

Effect of multifunctional cationic polymer coatings on mitigation of broad microbial pathogens.

Infection control is critical for maintaining a healthy home, work, and hospital environment. We test a cationic polymer capable of capturing and eradicating viral and bacterial pathogens by applying the polymer to the air filtration material and textiles. The data suggest that the simple addition of cationic material can result in the improvement of an infectious resilient environment against viral and bacterial pathogens.

The Relationship between Housewives' Knowledge and Attitudes towards Clean and Healthy Living Behavior

Aims: The research aims to determine the relationship between knowledge and attitudes of housewives towards clean and healthy living behaviour in Intan Lestari Housing, Bekasi City in 2024 Introduction: Clean and healthy living behaviour can be done anywhere, such as at home, work, health facilities, or in public places. Maintaining a healthy and clean home environment is very important because the home is a place for family members to fulfil each other's needs and build relationships with each other. Study Design: The approach used is a cross-sectional design, which is a type of observational research in which the relationship between variables is observed and studied simultaneously over a certain period. Place and Duration of Study: This research was carried out in the period January 2024 to February 2024. The data collection and retrieval process were carried out online via the Google Form platform which was distributed to housewives at Intan Housing, Bekasi, West Java. Methodology: The population in this study were all housewives in the Intan Lestari Bekasi Housing Complex. The samples used in this research were all housewives in the Intan Lestari Housing Bekasi who lived in the RW 022 area. To calculate the number of samples that would be used as respondents in the research, the researcher used the Slovin formula, obtaining a total sample of 93 housewives. Results: From the research results, data was obtained that of the 93 housewife respondents, there were 62 people (67%) had good abilities; there were 51 people (55%) had an attitude in the good category; In terms of implementing a Clean and Healthy Lifestyle (PHBS), there are 63 people (68%) who implement PHBS well. The results of the bivariate analysis to see the relationship between housewives' knowledge of PHBS using SPSS obtained a p-value of 0.005 < sig 0.05, meaning that there was a significant relationship between housewives' knowledge of PHBS behaviour, as well as the bivariate test of the relationship between attitudes towards PHBS and obtained a p-value of 0.015 < sig 0.05, which means there is a significant relationship between housewives' attitudes towards PHBS. Conclusion: From the research results, it can be concluded that a person's good knowledge and attitudes are very significant in influencing clean and healthy lifestyle habits (PHBS), meaning that a habitual pattern for a clean and healthy life requires good knowledge and attitudes.

Fostering Student Success: The Synergistic Effects of Family Climate and School Environment

This paper delves into the notable, interconnected tasks of family climate and school environment in stimulating student success. It also traverses how these two important influences work synergistically – meaning their combined effect is more than the total of their individual parts – to determine student academic achievement, emotional well-being, and overall development. The paper analyzes the features of positive family climates and supportive school environments, pointing up factors such as communication, parental involvement, clear expectations, and a sense of belonging. It then examines the research on the synergistic effects of these factors, demonstrating how a healthy home environment can amplify the benefits of a positive school experience, and vice versa.

Natural ventilation to improve indoor air quality (IAQ) in existing homes: The development of health-based and context-specific user guidelines

Acceptable indoor air quality (IAQ) is one of the most relevant aspects of a healthy home environment. Despite advances in mechanical and hybrid ventilation systems, natural ventilation still constitutes a crucial intervention to improve IAQ in existing homes; especially in older and/or vulnerable ones. The challenge, however, is optimizing natural ventilation strategies so IAQ is reached while thermal discomfort (and potentially associated energy consumption) is minimized.The complexity of identifying factors that may determine the possibilities of natural ventilation in existing homes has traditionally hindered the efforts from the scientific community to communicate straightforward answers for end-users. This work develops a methodology that, based on real case studies and through a series of simulations, provides simple, context-specific criteria and recommendations in order to reach acceptable IAQ through natural ventilation strategies in existing homes. The use of a minimum ventilation time (MVT) indicator, alongside considerations for different seasons and housing types, are translated into step-by-step guidelines aimed at helping the end-user to (i) gain knowledge regarding the opportunities and limitations for natural ventilation in the dwelling, and (ii) identify which specific actions should be carried out under different conditions to maintain minimum IAQ.The conceptual framework and methodology presented, while illustrated for the case of Barcelona, can be replicated for different cities or regions with differing housing characteristics and climatological conditions, and can easily accommodate other locally relevant factors.

An Overview of Drug Abuse: Causes, Effects, and Control Measures

This study was conducted to assess the causes, effects, and control measures of drug abuse. The review was composed of literature search from databases (Google Scholar, Science Direct, Springer, Scopus and PubMed). Major findings from this study includes:
 
 a) Causes of Drug Abuse: The causes of drug abuse varies from social, interpersonal, cultural, environmental, and family factors. People abuse drugs due to pleasure derived from it. Drug abuse can be socially learned through drug use by peer group members, exposure to offers to use, and easy access to drugs. Pressure from friends that abuse drugs including their frequent escalation of drug experience may appeal others to start the use of drugs. Curiosity arising from recurrent references to drugs by public media generate curiosity for having a personal experience of the drugs. Growing up in a single-parent family, lack of parental support or supervision as well as low involvement with the child, and exposure of children to elders in the family who take drugs can promote drug use. Frustration and depression could make some people to take drugs to experience relief or relief from pain mostly from a prolonged use of pain-relieving drugs prescribed by a doctor.
 b) Effects of Drug Abuse: The signs or harmful effects of drug abuse could be physical, emotional, family dynamics, school behaviours, and social problems. They include cardiovascular disease; abnormalities in brain structure and function; respiratory problems; weakened immune system; insomnia; reduction in libido or sexual dysfunction; anxiety and irritability; loss or increase in appetite; and poor judgment. Different crimes such as armed robbery, kidnapping, and rape have been identified with young people under the influence of drugs. Family dynamics will reflect in the form of secretiveness, withdrawing from family, starting arguments, and breaking rules. For the school behaviours, the teenager will begin to play truancy, display discipline problems, decline in grades, decreased interest, many absences, and subsequently withdrawal from school. In terms of social problems, the teenager will begin to have problems with the law, have new friends, abnormal request for money, changes to less conventional styles in dress and music.
 c) Control Measures for Drug Abuse: Effective drug prevention programs should involve the family, schools, communities, and the media. This includes creating healthy home environment (functional family communication or interaction, parents taking extra measures to monitor the activities of their children including their associations, reduce child’s exposure to drug users in the family). Government should provide easy and affordable access to rehabilitation centres, implement effective addiction counselling and prevention programmes, provide policies that would address the wider availability of drugs in the society, create job opportunities for youth to become self-reliant; develop effective awareness/campaign programs on drug abuse; establish recreational centres; and finally religiosity can prevent people from using drugs even if they are exposed to drugs in the environment.

Associations between Family Routines, Family Relationships, and Children’s Behavior

Consistent daily routines are associated with children’s well-being. Family routines provide both a predictable structure to guide behavior and an emotional environment that supports development. Enforcing family routines, improving family relationships, and creating a healthy home environment are necessary to maintain children’s psychosocial health. This study examined the associations between family routines, family relationships, and elementary school children’s behavior. Parents of 1515 third-grade students (8–9 years old) completed a self-administered questionnaire in Japan in 2017. We conducted a path analysis to examine the associations between the predictor variable of family routines, the mediating variable of family relationships, and the criterion variable of children’s behavior. A total of 717 valid responses were included in the analysis. The results showed that family routines were significantly related to children’s behavior (internalizing problem behaviors, externalizing problem behaviors, and prosocial behaviors) through family relationships (cohesiveness, expressiveness, and conflict). Family routines were positively associated with cohesiveness and expressiveness, and negatively associated with conflict. Cohesiveness was negatively associated with externalizing problem behaviors. While expressiveness was negatively associated with internalizing and externalizing problem behaviors, it was positively associated with prosocial behaviors. Conversely, conflict was positively associated with internalizing and externalizing problem behaviors, and negatively associated with prosocial behaviors. Our findings indicate that family routines may protect children’s mental health from the stressors of daily life and foster interpersonal and social competence. Moreover, family routines may stabilize family relationships, reduce children’s problem behaviors, and improve social competence.

Effectiveness of orange almond potato cookie vs. orange potato cookie supplementation on nutritional wellbeing of the Indonesian stunted preschool-aged children during COVID-19 pandemic.

Preschool-aged children who experience stunting due to insufficient consumption of macro- and micronutrients exhibit weakened immune systems, rendering them susceptible to contracting COVID-19 during the ongoing epidemic. Therefore, it is imperative to implement interventions aimed at enhancing the nutritional status of preschool-aged children by providing them with nutrient-rich food supplements as a preventive measure against illness transmission. The objective of the study was to evaluate the impact of incorporating potato almond orange cookies into the diet on the nutritional status of preschool-aged children who are experiencing stunting. A non-randomized pre-post intervention study was done on 42 individuals aged 12-58 months during 4 weeks. The intervention group was provided with almond potato cookies, while the control group was given orange potato cookies. During the study period, educational sessions on balanced nutrition in preschool-aged children with stunting and COVID-19 were provided to the mothers of both groups. The data analysis involved conducting univariate and bivariate analyses, namely utilizing the independent t-test. The intervention group exhibited the most significant enhancements in -for-Age Z-score. The mean -for-Age Z-score of the intervention group increased by 0.51 (from -3.15 to -2.64), whereas the control group saw a smaller gain of 0.25 (from -2.69 to -2.44). This increase was influenced by the mother's age; mother's education; father's occupation; family size; good sanitation facilities; healthy home environment; and fat, calcium, and zinc intake from the cookies (p < 0.05). From the perspective of knowledge about balanced nutrition and COVID-19, there was no significant difference in the -for-Age Z-score in the intervention group. The ingestion of orange almond potato cookies has the potential to enhance the nutritional wellbeing of children in the preschool age group who are experiencing stunted growth.

Associations of childhood hearing loss and adverse childhood experiences in deaf adults.

Childhood trauma and adverse childhood experiences have a strong relationship with health disparities across the lifespan. Despite experiencing approximately doubled rates of trauma, Adverse Childhood Experiences (ACEs) are poorly characterized in deaf populations. We sought to characterize deaf-specific demographic factors and their association with multiple experiences of ACEs before the age of 18 years old. An analytical cross-sectional approach was used to ascertain associations of deaf-specific demographic factors and experiences with ACEs. The complete dataset included 520 participants for a total response rate of 56%. After adjusting for confounding effects, less severe hearing loss of 16-55 dB (2+ OR: 5.2, 4+ OR: 4.7), having a cochlear implant (2+ OR: 2.1, 4+ OR: 2.6), and not attending at least one school with signing access (2+ OR: 2.4, 4+ OR: 3.7) were significantly and independently associated with reported experiences of multiple ACEs. We conclude that factors associated with childhood hearing loss and language experiences increase risk of experiencing ACEs. Given the strong relationship between ACEs and poor social outcomes, early intervention clinical practice and health policies should consider interventions to support healthy home environments for deaf children.

Overview of Family Economic Status and Environmental Sanitation of Stunting Toddler Homes

Stunting is a malnutrition problem in children characterized by a short body with a size of &lt;-2 elementary school, this greatly affects the quality of life of children in the future. The stunting prevalence of Kendal district was recorded at 4,324 people under five. Some of the factors that cause stunting include parental caregiver practices, family income, education level, employment, number of family members, environmental sanitation, and access to health services. The purpose of this study is to determine the picture of family economic status and sanitary conditions of the home environment of stunting toddlers. This study is a descriptive survey study with a cross sectional approach with a population of 680 people, a sample of 251 people. Implementation of research in five areas of Puskesmas Kendal Regency stunting locus area. The results of this study found that the average age of parents of stunting toddlers was 33 years, mothers with high school education 43.8%, fathers with junior high school education 45.8%, male toddlers 52.6%, classification of stunting toddlers in the very short category 52.6%, the majority of family economic status under UMK Kendal 68.1%, and sanitary conditions of the family home environment in the medium category 44.6% and less 14.7%. This study describes the economic status of stunting toddler families in the low category under Kendal MSEs and the sanitary conditions of the home environment are lacking. Families are expected to strive to improve the family economy and sanitation facilities, a healthy home environment, and behave clean and healthy.

Randomised Controlled Trial of a Brief, Low Intensity Parenting Intervention to Promote Healthy Living: The Lifestyle Triple P Seminar Series

Parents play a key role in establishing a healthy home environment. This randomised controlled trial examined the efficacy of a low-intensity parenting intervention (three 2-hour Lifestyle Triple P-Positive Parenting Program Seminars) for parents who are concerned about or interested in learning more about healthy lifestyle behaviours for children. Parents of 160 children aged 3–10 years were randomly assigned to the intervention or control condition. Primary outcomes of parenting practices, child lifestyle-specific and general behaviour and parent self-efficacy were assessed via parent self-report. Secondary outcomes included child BMI z-score, a food diary measuring energy intake, physical activity levels measured by accelerometers and parent reported time spent on screen-based activities. Assessment occurred at pre-intervention, post-intervention, and 6- and 12-months after completion. At 12-months post-intervention, intent-to-treat analyses found a significant intervention effect on overall ineffective parenting, lifestyle-specific and general parenting confidence. Child lifestyle problem behaviours reduced, with no effects on general child behaviour. On the secondary exploratory outcomes, time spent watching television reduced with no other significant effects detected. Parents viewed the intervention as high-quality and acceptable. A brief parenting program aiming to promote healthy lifestyles for all families offers promise for improving parenting skills and child lifestyle behaviour.

DWELL: Design for WELLness. A pilot study of an online Facebook intervention to improve perceptions of knowledge, engagement, and self-efficacy in the creation of healthy home environments.

Many factors in the environment influence healthy behaviors. Designing user-friendly environments, by changing the way choices are presented in the environment, may result in behavioral changes and promote the well-being. To run a pilot study to evaluate the feasibility and acceptability of DWELL (Design for WELLness), which is an online Facebook intervention to improve perceptions of knowledge, engagement, and self-efficacy in the creation of healthy home environments. Both quantitative and qualitative methods were used to evaluate this 7.5-week pilot study. The intervention was conducted during the first wave of COVID-19 lockdown in Israel. Participants answered an online questionnaire at the beginning and end of the pilot. Afterwards, eleven semi-structured telephone interviews were conducted with some of the participants. There were 36 mothers who participated in the study. The overall DWELL index increased by 15.43 points (p < 0.001) from the beginning of the pilot [Mean(SD) = 48.14(17.91)] to the end [Mean(SD) = 63.57(11.98]. There were significant increases in all 5 items of DWELL (p < 0.05). Positive feedback was obtained from interviewees about their experience with the program, including being interested with the posts and having a mutual learning experience with other members. The intervention was found to be beneficial to most families during COVID-19 lockdown time. DWELL was found to be a promising intervention for improving perceptions regarding designing home environments for wellness. These results justified the continuation of the program toward its next phase of the RCT.

Home as a new physical workplace: a causal model for understanding the inextricable link between home environment, work productivity, and well-being.

The home has become a new physical workplace, and can therefore influence the work, health, and life of workers. This cross-sectional study aimed to evaluate the chronology of the effects of work hazards at home on factors such as workers' health, productivity, and well-being (WB). Information on novice working-from-home (WFH) workers was derived from the "Occupational health of WFH" project. The selected variables in the hypothesis model comprised problems such as perceived indoor environmental quality (IEQ), working conditions (WC), sick house syndrome (SHS), occupational stress (OS), work productivity (WP), and WB. The relationship between these variables was analyzed using a structural equation model. The group analysis results showed the following significant indirect path effects from work environment through WP: IEQ-> SHS->OS->WP. A non-significant direct effect was observed between IEQ and WP. While WC problems could also have a significant direct effect on WP, or be mediated by OS, WP is a significant consequence and a direct effect of WB. In conclusion, the WFH model's causal impact between home environment, WP, and WB is a physiopsychological pathway. Therefore, creating a healthy home environment and WC, along with OS management, comprise important issues for improving productivity and WB for this new work style.

MAPPING OF CHILDREN'S TUBERCULOSIS INCIDENCE BY COVERAGE OF BCG IMMUNIZATION, MALNUTRITION, AND HOME ENVIRONMENT

Background: Based on the Global Tuberculosis (TB) Report, Indonesia is one of the countries with a triple burden of TB, and TB disease can attack all age groups, including children. East Java Province in 2019 was ranked third in the highest number of pediatric TB cases in Indonesia. Purpose: This study aims to describe the distribution trend of tuberculosis cases in children in East Java Province in 2017-2018 based on BCG immunization coverage, cases of malnutrition, amount of healthy houses, and households with PHBS. Methods: The research design was a descriptive study with a correlation study design. The populations were all districts/cities in East Java Province, with as many as 38 districts. The data analysis technique to describe the trend distribution of tuberculosis in children was the health mapper software on a computer developed by World Health Organization (WHO). Results: The distribution of the incidence of tuberculosis in children in East Java from 2017 to 2018 tends to increase. The city of Surabaya became the area with the highest incidence of tuberculosis in children from 2017 to 2018. Based on a spatial map, most districts or cities with BCG immunization coverage, cases of malnutrition, several healthy homes, and high PHBS households experience tuberculosis incidence in children is high. Conclusion: Based on the map, spatially, districts or cities with high cases of tuberculosis in children mainly occur in areas with cases of malnutrition, the number of healthy home environments, and high coverage of BCG immunization as well.

Role of ventilation and cleaning for controlling house dust mite allergen infestation: A study on associations of house dust mite allergen concentrations with home environment and life styles in Tianjin area, China.

House dust mites produce well-known allergens for asthma and allergy among children. To study house dust mite allergen exposure level in northeast China and characterize its association with indoor environmental factors and cleaning habits, we inspected 399 homes in Tianjin area and collected dust from mattresses. Dermatophagoides farinae (Der f) and Dermatophagoides pteronyssinus (Der p) were detected by the enzyme-linked immunosorbent assay (ELISA) method. The medians of total allergen concentrations for spring, summer, autumn, and winter were 524 ng/g, 351 ng/g, 1022 ng/g, and 1010 ng/g. High indoor air relative humidity (RH), low air change rate, indoor dampness, and frequent changing of quilt cover/bedsheet/pillow case were significantly associated with high house dust mite allergen concentration (relative risk [RR]: RH, 1.18-1.34; air change rate, 0.97-1.00; dampness, 2.92-3.83; changing quilt cover/bedsheet/pillow case, 0.66-0.75). The decrease in the absolute humidity gradient between indoors and outdoors that occurs with increased air change rate may explain why a high ventilation reduces house dust mite allergen concentration. The findings of this study show the importance of ventilation and cleaning for controlling house dust mite allergens. We found that the decrease in additional absolute humidity (e.g., humidity indoor -humidity outdoor ) with increased air change rate may be the main reason that a high ventilation rate reduces house dust mite allergen concentration. Ventilation and cleaning should be both considered for creating a healthy home environment.

Family-Based Telehealth Initiative to Improve Nutrition and Physical Activity for Children With Obesity and Its Utility During COVID-19: A Mixed Methods Evaluation.

Guidelines recommend primary care providers refer children with obesity to behavioral interventions, but given limited program availability, access, and parental engagement, referrals remain rare. We developed telehealth coaching interventions for families whose children received care at a health system in Pennsylvania, United States in 2019-2020. Intervention referrals were facilitated by the pediatrician and/or project team for 6–12-year-old children with obesity following well-child visits. Participants chose one of three 26-week interventions focused on healthy eating, physical activity, or a hybrid clinical/nutrition intervention. Interventions engaged parents as change agents, enhancing self-efficacy to model and reinforce behavior and providing resources to help create a healthy home environment. We enrolled 77 of 183 eligible parent/child dyads. We used mixed methods to evaluate the interventions. Repeated measures models among participants showed significant reductions in obesogenic nutrition behaviors post-intervention and at 1-year follow-up, including a reduction in sugar-sweetened beverage intake of 2.14 servings/week (95% confidence interval: −3.45, −0.82). There were also improvements in obesoprotective nutrition behaviors (e.g., frequency of family meals, parental self-efficacy related to meal management). One year post-baseline, we observed no significant differences in changes in body mass index (BMI) z-scores comparing child participants with matched controls. Given potential impacts of COVID-19 community restrictions on study outcomes, we conducted qualitative interviews with 13 participants during restrictions, which exemplified how disrupted routines constrained children’s healthy behaviors but that intervention participation prepared parents by providing cooking and physical activities at home. Findings support the potential of a telehealth-delivered nutrition intervention to support adoption of healthy weight behaviors.

Maternal and paternal involvement in complementary feeding in Kaduna State, Nigeria: The continuum of gender roles in urban and rural settings.

Household gender roles influence infant and young child feeding behaviours and may contribute to suboptimal complementary feeding practices through inequitable household decision‐making, intra‐household food allocation and limited paternal support for resources and caregiving. In Igabi local government area of Kaduna State, Nigeria, the Alive & Thrive (A&T) initiative implemented an intervention to improve complementary feeding practices through father engagement. This study describes household gender roles among A&T participants and how they influence maternal and paternal involvement in complementary feeding. We conducted 16 focus group discussions with mothers and fathers of children aged 6–23 months in urban and rural administrative wards and analysed them using qualitative thematic analysis methods. Most mothers and fathers have traditional roles with fathers as ‘providers’ and ‘supervisors’ and mothers as ‘caregivers’. Traditional normative roles of fathers limit their involvement in ‘hands‐on’ activities, which support feeding and caring for children. Less traditional normative roles, whereby some mothers contributed to the provision of resources and some fathers contributed to caregiving, were also described by some participants and were more salient in the urban wards. In the rural wards, more fathers expressed resistance to fathers playing less traditional roles. Fathers who participated in caregiving tasks reported respect from their children, strong family relationships and had healthy home environments. Our research findings point to the need for more context‐specific approaches that address prevalent gender normative roles in complementary feeding in a variety of settings.

Exploring qualities of ethnically diverse parents related to the healthy home environment of toddlers

Parents serve as role models and household policy makers for their children's home social environment. Also, parents may influence the home physical environment through the provision of resources to support their children's dietary, activity, and sleep behaviors. Understanding the parental characteristics related to children's home environment may allow for tailoring obesity interventions to families' needs. This study aimed to explore parental qualities (general parenting styles, parent feeding practices, and parental BMI) related to healthy home food, physical activity, media and sleep environment of toddlers. A total of 50 multi-ethnic parents with toddler age children who were enrolled in a randomized pilot study of a wellness program completed the Structure and Control in Parent Feeding (SCPF) questionnaire and Comprehensive General Parenting Questionnaire (CGPQ). Parental BMI was calculated using self-reported weight and height data. The Healthy Home Survey, the Home Food Inventory, the Sleep Environment Questionnaire, and items developed for this study were standardized and summed to create home food, physical activity, screen media, and sleep environment scores; high scores reflected healthier environments. To examine the relationships between parental qualities and the home environment, Pearson's correlation test was performed. Parental BMI and overall healthy home environment were inversely associated (r = -0.306; p = 0.032). Structure in general parenting and parental feeding practice were positively correlated with the overall healthy home environment (r = 0.336; p = 0.026) and healthy home food environment (r = 0.415; p = 0.003), respectively. The coercive control general parenting was inversely related to overall healthy home environment score (r = -0.333; p = 0.022). Based on the findings from this study, parents who provide clear communication, set consistent rules, avoid pressure to control their child's behavior, and have lower BMI tend to live in a home environment that support children's health behaviors.

Effects of Healthy Change Intervention on Childhood Obesity Prevention in Mexico

ObjectivesTo evaluate the effects of the Healthy Change intervention on maternal perceptions of their child’s body weight (MPCW), weight status as overweight-obese (OW-OB), and associated variables (child’ BMI, maternal feeding style, and obesogenic home environment) in Mexico. MethodsRandomized control trial consisted of two arms: the intervention group received Healthy Change, and control group received Hygiene and Accident Prevention. Data were collected at baseline and at the end of the program via self-administered questionnaires by mothers and anthropometric measurement in children. ResultsThe proportion of mothers who accurately identified their children’s weight status increased at study endpoint in both groups. The intervention group also showed a shift of mothers feeding style towards an authoritative style (17.4 vs 26.2, P < 0.001) and favorable changes family nutrition and physical activity environment scores on family eating practices, healthy home environment, family and child’s physical activity. ConclusionsThe Healthy Change Intervention contributed to an increased recognition of children’s overweight status, a shift toward a maternal authoritative feeding style, and favorable changes in family nutrition and physical activity environment. Funding SourcesThe National Council for Science and Technology (CONACYT)

Abstract P034: Family Lifestyles And Home Environments Associated With Youth Cardiovascular Health: The Multidimensional Assessment Of Preschoolers Study

Introduction: The importance of healthy family lifestyles and home environments (e.g. environments that support healthy choices for food, physical activity, and sleep) on health behaviors and obesity risks are well-recognized. Less is known about the association of family factors with cardiovascular health (CVH) in youth. We examined the cross-sectional association of family factors (reported by youth and their parents) with youths’ CVH. Methods: Analyses included data from the Multidimensional Assessment of Preschoolers Study. Parents and youth (11.3± 0.7 years old) reported the frequency of ten family factors (e.g. breakfast intake, monitoring of screen time, etc.). The outcome was a 10-point score of youths’ CVH that included 5 CVH metrics (diet, physical activity, smoking, BMI, and blood pressure) summed using the AHA criteria. Pearson correlations were used to compare youth and parents’ reports of family factors and adjusted multivariable linear regression models to examine the association of both reports with youths’ CVH scores. Results: Study included 177 parent-youth dyads, and 22% of youth had ideal, 74% intermediate, and 5% poor CVH. Correlations between parents and youths’ reports of family factors were moderate. Based on parents’ reports, support of healthy beverage choices (i.e. limit sweet and soda beverages and support low fat dairy intake) associated with youths’ CVH scores (β= -0.10, p&lt;0.01). The association of family’ support of youths’ physical activity (i.e. encourage youth's physical activity during leisure time and support enrollment in organized sports/activities) with youths’ CVH scores was nearly significant based on parents’ reports (β= 0.04, p=0.055) and significant based on youths’ reports (β= 0.05, p=0.04). Youths’ CVH scores were not associated with other family factors. Conclusion: Youths’ CVH scores were associated with healthy beverage choices and family support of youths’ physical activity, but not other family factors. These important family factors require further research.