Vanderbilt University School of Medicine, 1161 21st Ave S # D3300, Nashville, TN, 37232, USA.
Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville, TN, 37232, USA.
Matern Child Health J. 2024 Aug;28(8):1413-1421. doi: 10.1007/s10995-024-03934-2. Epub 2024 Jun 19.
The COVID-19 pandemic affected child health behaviors, leading to worse physical health. Given the importance of good family health in improved child health outcomes, this secondary cohort analysis tested the hypothesis that family health would improve from baseline to 12-week follow-up after participation in a novel family nutrition program.
Diverse parent-child dyads participated in a home-based virtual Teaching Kitchen Outreach (vTKO) program (11 weekly healthy, low-cost recipes, cooking videos, and associated groceries delivered). The primary outcome was the Family Healthy Lifestyle Subscale (FHLS). Secondary outcomes were parent and child nutrition, and food insecurity. Statistical testing and modeling were used to evaluate pre-post outcomes.
Of 123 enrolled dyads, 114 (93%) had sufficient data for analysis. Participants were 11% Hispanic, 54% Black, and 28% White; 31% completed high school or less; and 30% indicated food insecurity. Cohort mean pre-post FHLS scores significantly increased (25.5 vs. 27.3; p < 0.001). There were significant improvements in parent nutrition (p < 0.001) and child nutrition (p = 0.02 to < 0.001), but not in food security. After adjusting for baseline covariates, tobit regression found statistically significant pre-post FHLS differences (2.3; 95% CI=[1.4, 3.3]; p < 0.001).
Participants in the novel home-based vTKO program reported improved family health over 12 weeks.
COVID-19 大流行影响了儿童的健康行为，导致身体健康状况恶化。鉴于良好的家庭健康对改善儿童健康结果的重要性，本二次队列分析检验了这样一个假设，即参加一个新的家庭营养计划后，家庭健康状况会从基线到 12 周随访时得到改善。
不同的父母-子女二人组参加了一个基于家庭的虚拟教学厨房推广（vTKO）计划（11 个每周的健康、低成本食谱、烹饪视频和相关的食品杂货交付）。主要结果是家庭健康生活方式子量表（FHLS）。次要结果是父母和孩子的营养状况和粮食不安全状况。采用统计检验和模型来评估预-后结果。
在 123 名入组的二人组中，有 114 名（93%）有足够的数据进行分析。参与者中 11%是西班牙裔，54%是黑人，28%是白人；31%完成了高中学业或更少；30%表示粮食不安全。队列的平均 FHLS 评分在预-后显著增加（25.5 对 27.3；p<0.001）。父母的营养状况（p<0.001）和儿童的营养状况（p=0.02 到<0.001）有显著改善，但粮食安全状况没有改善。在调整基线协变量后，Tobit 回归发现 FHLS 评分在预-后有统计学上的显著差异（2.3；95%CI=[1.4, 3.3]；p<0.001）。
参加新型家庭虚拟 TKO 计划的参与者在 12 周内报告家庭健康状况有所改善。
