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1.
J Hunger Environ Nutr ; 13(2): 205-227, 2018.
Article in English | MEDLINE | ID: mdl-29904506

ABSTRACT

The National Health and Nutrition Examination Survey's food insecurity questionnaire was administered to 155 children (77 African American, 65 White, 13 "Other" [7 Hispanic; 6 mixed races]) in grade 4 twice, 28-32 days apart. Test-retest reliabilities were modest and somewhat similar for assessment mode (classroom, interview) and subgroup variables (gender, race, socioeconomic status, academic achievement, body mass index percentile, social desirability). As academic achievement increased, White and Other children reported less food insecurity, and African-American children reported slightly less. As social desirability increased, White and African-American children reported slightly more food insecurity, and Other children reported substantially more. Although the questionnaire may be acceptable for use with diverse groups of children in grade 4, validation is needed.

3.
Appetite ; 113: 106-115, 2017 06 01.
Article in English | MEDLINE | ID: mdl-28174038

ABSTRACT

We examined reporting accuracy by meal component (beverage, bread, breakfast meat, combination entrée, condiment, dessert, entrée, fruit, vegetable) with validation-study data on 455 fourth-grade children (mean age = 9.92 ± 0.41 years) observed eating school meals and randomized to one of eight dietary recall conditions (two retention intervals [short, long] crossed with four prompts [forward, meal-name, open, reverse]). Accuracy category (match [observed and reported], omission [observed but unreported], intrusion [unobserved but reported]) was a polytomous nominal item response variable. We fit a multilevel cumulative logit model with item variables meal component and serving period (breakfast, lunch) and child variables retention interval, prompt and sex. Significant accuracy category predictors were meal component (p < 0.0003), retention interval (p < 0.0003), meal-component × serving-period (p < 0.0003) and meal-component × retention-interval (p = 0.001). The relationship of meal component and accuracy category was much stronger for lunch than breakfast. For lunch, beverages were matches more often, omissions much less often and intrusions more often than expected under independence; fruits and desserts were omissions more often. For the meal-component × retention-interval interaction, for the short retention interval, beverages were intrusions much more often but combination entrées and condiments were intrusions less often; for the long retention interval, beverages were matches more often and omissions less often but fruits were matches less often. Accuracy for each meal component appeared better with the short than long retention interval. For lunch and for the short retention interval, children's reporting was most accurate for entrée and combination entrée meal components, whereas it was least accurate for vegetable and fruit meal components. Results have implications for conclusions of studies and interventions assessed with dietary recalls obtained from children.


Subject(s)
Diet Surveys/methods , Diet/psychology , Eating/psychology , Meals/psychology , Mental Recall , Child , Female , Humans , Male , Reproducibility of Results , Students/psychology , Time Factors
4.
J Acad Nutr Diet ; 116(12): 1932-1941, 2016 12.
Article in English | MEDLINE | ID: mdl-27720409

ABSTRACT

BACKGROUND: Validation studies that have directly assessed reporting accuracy for amounts eaten have provided results in various ways. OBJECTIVE: To analyze amount categories of a reporting-error-sensitive approach for insight concerning reporting accuracy for amounts eaten. DESIGN: For a cross-sectional validation study, children were observed eating school-provided breakfast and lunch, and randomized to one of eight 24-hour recall conditions (two retention intervals [short and long] crossed with four prompts [forward, meal name, open, and reverse]). PARTICIPANTS/SETTING: Data collected during 3 school years (2011-2012 to 2013-2014) on 455 children from 10 schools (four districts) in a southern US state. MAIN OUTCOME MEASURES: Items were classified as matches (observed and reported), omissions (observed but unreported), or intrusions (unobserved but reported). Within amount categories (matches [corresponding, overreported, and underreported], intrusions [overreported], and omissions [underreported]), item amounts were converted to kilocalories. STATISTICAL ANALYSES PERFORMED: A multilevel model was fit with food-level explanatory variables (amount category and meal) and child-level explanatory variables (retention interval, prompt, sex, and race/ethnicity). To investigate inaccuracy differences, t tests on three contrasts were performed. RESULTS: Inaccuracy differed by amount category (P<0.001; in order from largest to smallest: omission, intrusion, underreported match, and overreported match), meal (P=0.01; larger for breakfast), retention interval (P=0.003; larger for long), sex (P=0.004; larger for boys), race/ethnicity (P=0.045; largest for non-Hispanic whites), and amount category×meal interaction (P=0.046). Overreported amounts were larger for intrusions than overreported matches (P<0.0001). Underreported amounts were larger for omissions than underreported matches (P<0.0001). Overall underreported amounts (from omissions and underreported matches) exceeded overall overreported amounts (from intrusions and overreported matches) (P<0.003). CONCLUSIONS: Amount categories provide a standard way to analyze validation study data on reporting accuracy for amounts eaten, and compare results across studies. Multilevel analytic models reflecting the data structure are recommended for inference. To enhance reporting accuracy for amounts eaten, focus on increasing reports of correct items, thereby yielding more matches with fewer intrusions and omissions.


Subject(s)
Feeding Behavior , Food Services , Meals , Mental Recall , Child , Cross-Sectional Studies , Diet Surveys , Ethnicity , Female , Humans , Male , Reproducibility of Results , Schools , United States
5.
J Nutr Educ Behav ; 48(2): 152-6.e1, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26864924

ABSTRACT

OBJECTIVE: To test the validity of interviewer-administered recall for measuring moderate to vigorous physical activity (MVPA) in third- and fifth-grade children who reported physical activity (PA) only or both PA and diet, using a short (same-day recall in the afternoon) or long (previous-day recall in the morning) retention interval. METHODS: Randomly selected children (n = 95) wore an accelerometer 1 day in school. Interviews occurred in the afternoon of the day on which the accelerometer was worn or on the next morning. Assignment to interview content was random. Spearman correlations were calculated between MVPA interview and MVPA accelerometer minutes. RESULTS: The MVPA interview minutes were positively associated with the MVPA accelerometer minutes when the interview focused on PA only (r = .34; P = .02) but not when children recalled PA and diet (r = .12; P = .40). The MVPA interview minutes for the previous day was associated with the MVPA accelerometer minutes (r = .33; P = .02), but not for the same day (r = .17; P = .26). CONCLUSIONS: A recall interview method that focuses solely on PA is a promising approach to assessing children's school-day PA.


Subject(s)
Accelerometry , Interviews as Topic/standards , Motor Activity , Students/statistics & numerical data , Child , Female , Humans , Male , Reproducibility of Results , Schools
6.
Br J Nutr ; 115(7): 1301-15, 2016 Apr 14.
Article in English | MEDLINE | ID: mdl-26865356

ABSTRACT

Validation-study data were analysed to investigate retention interval (RI) and prompt effects on the accuracy of fourth-grade children's reports of school-breakfast and school-lunch (in 24-h recalls), and the accuracy of school-breakfast reports by breakfast location (classroom; cafeteria). Randomly selected fourth-grade children at ten schools in four districts were observed eating school-provided breakfast and lunch, and were interviewed under one of eight conditions created by crossing two RIs ('short'--prior-24-hour recall obtained in the afternoon and 'long'--previous-day recall obtained in the morning) with four prompts ('forward'--distant to recent, 'meal name'--breakfast, etc., 'open'--no instructions, and 'reverse'--recent to distant). Each condition had sixty children (half were girls). Of 480 children, 355 and 409 reported meals satisfying criteria for reports of school-breakfast and school-lunch, respectively. For breakfast and lunch separately, a conventional measure--report rate--and reporting-error-sensitive measures--correspondence rate and inflation ratio--were calculated for energy per meal-reporting child. Correspondence rate and inflation ratio--but not report rate--showed better accuracy for school-breakfast and school-lunch reports with the short RI than with the long RI; this pattern was not found for some prompts for each sex. Correspondence rate and inflation ratio showed better school-breakfast report accuracy for the classroom than for cafeteria location for each prompt, but report rate showed the opposite. For each RI, correspondence rate and inflation ratio showed better accuracy for lunch than for breakfast, but report rate showed the opposite. When choosing RI and prompts for recalls, researchers and practitioners should select a short RI to maximise accuracy. Recommendations for prompt selections are less clear. As report rates distort validation-study accuracy conclusions, reporting-error-sensitive measures are recommended.


Subject(s)
Breakfast , Diet Records , Food Services , Lunch , Mental Recall , Schools , Child , Ethnicity , Female , Humans , Male , Reproducibility of Results , Sex Factors , Students , Time Factors
7.
J Nutr Educ Behav ; 47(5): 459-64.e1, 2015.
Article in English | MEDLINE | ID: mdl-26363937

ABSTRACT

OBJECTIVE: To examine test-retest reliability and internal consistency of a 5-item food insecurity questionnaire used in the National Health and Nutrition Examination Survey (NHANES). METHODS: Researchers administered NHANES's questionnaire in the classroom to 92 fourth-grade children (74 African American; 48 girls) in 2 sessions 27-30 days apart in spring, 2011. Each classroom administration lasted 5-10 minutes. RESULTS: Test-retest reliability was 0.66 (Kendall tau), which is modest. Internal consistency (Cronbach alpha) was .67 and .70 for respective administrations. Food insecurity scores were related to gender (adjusted P = .05) and academic achievement (adjusted P = .004) but not to socioeconomic status or body mass index percentile (binomial regression). On average, boys reported higher food insecurity than girls. Children with lower academic achievement scores reported higher food insecurity than children with higher academic achievement scores. CONCLUSIONS AND IMPLICATIONS: NHANES's 5-item questionnaire may be group administered to assess food insecurity efficiently as reported by individual fourth-grade children.


Subject(s)
Food Supply , Nutrition Surveys , Surveys and Questionnaires/standards , Child , Child Nutritional Physiological Phenomena , Female , Humans , Male , Reproducibility of Results , South Carolina , Students
8.
J Nutr ; 145(9): 2185-92, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26224752

ABSTRACT

BACKGROUND: Dietary recall accuracy is related to retention interval (RI) (i.e., time between to-be-reported meals and the interview), and possibly to prompts. To the best of our knowledge, no study has evaluated their combined effect. OBJECTIVE: The combined influence of RI and prompts on children's recall accuracy was investigated in this study. Two RIs [short (prior-24-h recall obtained in afternoon) and long (previous-day recall obtained in morning)] were crossed with 4 prompts [forward (distant-to-recent), meal-name (breakfast, lunch, etc.), open (no instructions), and reverse (recent-to-distant)], creating 8 conditions. METHODS: Fourth-grade children (n = 480; 50% girls) were randomly selected from consenting children at 10 schools in 4 districts in a southern state during 3 school years (2011-2012, 2012-2013, and 2013-2014). Each child was observed eating school-provided breakfast and lunch, and interviewed one time under 1 of the 8 conditions. Condition assignment was constrained so that each had 60 children (30 girls). Accuracy measures were food-item omission and intrusion rates, and energy correspondence rate and inflation ratio. For each measure, linear models determined effects of RI, prompt, gender, and interactions (2-way, 3-way); race/ethnicity, school year, and district were control variables. RESULTS: RI (P values < 0.015) and prompt (P values < 0.005) were significant for all 4 accuracy measures. RI × prompt (P values < 0.001) was significant for 3 accuracy measures (not intrusion rate). Prompt × gender (P = 0.005) was significant for omission rate. RI × prompt × gender was significant for intrusion rate and inflation ratio (P values < 0.001). For the short vs. long RI across prompts and genders, accuracy was better by 33-50% for each accuracy measure. CONCLUSIONS: To obtain the most accurate recalls possible from children, studies should be designed to use a short rather than long RI. Prompts affect children's recall accuracy, although the effectiveness of different prompts depends on RI and varies by gender: at a short RI, the choice of prompts has little systematic effect on accuracy, whereas at a long RI, reverse prompts may elicit the most accurate recalls.


Subject(s)
Cross-Sectional Studies , Diet , Mental Recall , Sex Factors , Black or African American , Child , Female , Hispanic or Latino , Humans , Linear Models , Male , Meals , Reproducibility of Results , White People
9.
Pers Individ Dif ; 83: 85-90, 2015 Sep.
Article in English | MEDLINE | ID: mdl-25870465

ABSTRACT

This study examined a recently developed short version of the Children's Social Desirability (CSD-S) scale with 157 fourth-grade children. Of interest was a) whether one-month test-retest reliability would vary as a function of test assessment mode (interview or classroom), gender, race, SES, and BMI percentile, and b) whether the degree of social desirability would vary as a function of these same variables. The CSD-S scale showed good test-retest reliability for both interview and classroom assessment modes (.85 and .83, respectively). Internal consistency also was good (first interview administration = .84; first classroom administration = .81). Reliability was good and did not vary significantly over assessment mode or any child subgroup variables, suggesting that the CSD-S scale is appropriate for general use. The interview mode elicited significantly more socially desirable answers than did the classroom mode. Social desirability did not differ across child subgroups. Some of these findings were examined, and replicated, on another sample. Thus, the CSD-S scale may be used with diverse groups of children to a) reliably assess a social desirability bias that may systematically bias other self-reports of interest to researchers and b) examine individual differences in degree of social desirability.

10.
J Acad Nutr Diet ; 115(8): 1291-8, 2015 Aug.
Article in English | MEDLINE | ID: mdl-25737438

ABSTRACT

BACKGROUND: Any 24-hour dietary recall (24hDR) has a retention interval and prompts. No research has investigated their combined effect. OBJECTIVE: Eight 24hDR protocols, constructed by crossing two retention intervals (prior-24-hour recall obtained in afternoon and previous-day recall obtained in morning) with four prompts (forward [distant-to-recent], reverse [recent-to-distant], meal-name [eg, breakfast, lunch, etc], and open [no instructions]), were pilot-tested. DESIGN: Via a cross-sectional design, children were interviewed once, using one of eight 24hDR protocols. PARTICIPANTS/SETTING: Forty-eight fourth-grade children (79% black; 50% girls; six per protocol) were randomly selected from two schools during spring 2011. Protocol assignment was random. Analyses excluded one interview due to protocol deviation. STATISTICAL ANALYSES PERFORMED: Multivariate analysis of variance (MANOVA) with four nonaccuracy-related response variables was conducted, with independent variables retention interval, prompt, and their interaction. The significance level was 0.10 due to the study's exploratory nature. RESULTS: The response variable set differed across retention intervals (P=0.0003) and prompts (P=0.045) but not their interaction (P=0.11). Follow-up analysis of variance for each of four variables showed differences by retention interval for three and prompt for two: Interview length (minutes) differed by retention interval (prior-24-hour-afternoon=21.8, previous-day-morning=16.1; P<0.0008) and prompt (open=20.3, reverse=20.0, forward=19.1, and meal-name=16.3; P=0.079). Number of school meals reported eaten during the target period did not depend on retention interval or prompt, but was greater using meal-name prompts (1.7) than the other three prompts (1.3; P=0.055; contrast t test). Number of 10 possible meal components reported eaten at school meals differed by retention interval (prior-24-hour-afternoon=4.1, previous-day-morning=2.9; P=0.048). Weighted number of items (condiment=0.33, combination entrée=2.0, and else=1.0) reported eaten at school meals differed by retention interval (prior-24-hour-afternoon=5.8, previous-day-morning=4.1; P=0.079) and prompt (forward=6.2, meal-name=5.3, reverse=4.9, and open=3.3; P=0.093). CONCLUSIONS: Children's nonaccuracy-related responses to eight 24hDR protocols varied as hypothesized. The selected protocols will be useful in a planned validation study to investigate differences by protocol in children's recall accuracy.


Subject(s)
Diet , Food Services , Interviews as Topic , Mental Recall , Child , Cross-Sectional Studies , Eating , Female , Follow-Up Studies , Humans , Male , Meals , Multivariate Analysis , Pilot Projects , Schools
11.
J Acad Nutr Diet ; 114(12): 1902-14, 2014 Dec.
Article in English | MEDLINE | ID: mdl-24767807

ABSTRACT

BACKGROUND: Practitioners and researchers are interested in assessing children's dietary intake and physical activity together to maximize resources and minimize subject burden. OBJECTIVE: Our aim was to investigate differences in dietary and/or physical activity recall accuracy by content (diet only; physical activity only; diet and physical activity), retention interval (same-day recalls in the afternoon; previous-day recalls in the morning), and grade (third; fifth). DESIGN: Children (n=144; 66% African American, 13% white, 12% Hispanic, 9% other; 50% girls) from four schools were randomly selected for interviews about one of three contents. Each content group was equally divided by retention interval, each equally divided by grade, each equally divided by sex. Information concerning diet and physical activity at school was validated with school-provided breakfast and lunch observations, and accelerometry, respectively. Dietary accuracy measures were food-item omission and intrusion rates, and kilocalorie correspondence rate and inflation ratio. Physical activity accuracy measures were absolute and arithmetic differences for moderate to vigorous physical activity minutes. STATISTICAL ANALYSES PERFORMED: For each accuracy measure, linear models determined effects of content, retention interval, grade, and their two-way and three-way interactions; ethnicity and sex were control variables. RESULTS: Content was significant within four interactions: intrusion rate (content×retention-interval×grade; P=0.0004), correspondence rate (content×grade; P=0.0004), inflation ratio (content×grade; P=0.0104), and arithmetic difference (content×retention-interval×grade; P=0.0070). Retention interval was significant for correspondence rate (P=0.0004), inflation ratio (P=0.0014), and three interactions: omission rate (retention-interval×grade; P=0.0095), intrusion rate, and arithmetic difference (both already mentioned). Grade was significant for absolute difference (P=0.0233) and five interactions mentioned. Content effects depended on other factors. Grade effects were mixed. Dietary accuracy was better with same-day than previous-day retention interval. CONCLUSIONS: Results do not support integrating dietary intake and physical activity in children's recalls, but do support using shorter rather than longer retention intervals to yield more accurate dietary recalls. Additional validation studies need to clarify age effects and identify evidence-based practices to improve children's accuracy for recalling dietary intake and/or physical activity.


Subject(s)
Energy Intake , Interviews as Topic , Mental Recall/physiology , Motor Activity , Accelerometry , Child , Cross-Sectional Studies , Diet , Female , Humans , Linear Models , Male , Meals , Nutrition Assessment , Schools
12.
J Nutr Educ Behav ; 46(5): 423-8, 2014.
Article in English | MEDLINE | ID: mdl-24418615

ABSTRACT

OBJECTIVE: To examine test-retest reliability and internal consistency of the Children's Social Desirability Short (CSD-S) scale, consisting of 14 items from the Children's Social Desirability scale. METHODS: The previously validated CSD-S scale was classroom administered to 97 fourth-grade children (80% African American; 76% low socioeconomic status) in 2 sessions a month apart. Each classroom administration lasted approximately 5 minutes. RESULTS: The CSD-S scale showed acceptable levels of test-retest reliability (0.70) and internal consistency (.82 and .85 for the first and second administrations, respectively). Reliability was adequate within subgroups of gender, socioeconomic status, academic achievement, and body mass index percentile. Levels of social desirability did not differ across subgroups. CONCLUSIONS AND IMPLICATIONS: Social desirability bias is a potential source of systematic response error in children's self-report assessments of nutrition and health-related behaviors. The CSD-S scale may be used with diverse groups of children to reliably and efficiently assess social desirability bias.


Subject(s)
Health Behavior , Research/statistics & numerical data , Self Report , Social Desirability , Surveys and Questionnaires/standards , Child , Female , Humans , Male , Psychometrics , Reproducibility of Results
13.
J Nutr Educ Behav ; 45(4): 368-73, 2013.
Article in English | MEDLINE | ID: mdl-23562487

ABSTRACT

OBJECTIVE: Investigate differences in dietary recall accuracy by interview content (diet only or diet and physical activity), retention interval (same day or previous day), and grade (third or fifth). METHODS: Thirty-two children observed eating school-provided meals and interviewed once each; interview content and retention interval randomly assigned. Multivariate analysis of variance on rates for omissions (foods observed but unreported) and intrusions (foods reported but unobserved); independent variables: interview content, retention interval, grade. RESULTS: Accuracy differed by retention interval (P = .05; better for same day [omission rate, intrusion rate: 28%, 20%] than previous day [54%, 45%]) but not interview content (P > .48; diet only: 41%, 33%; diet and physical activity: 41%, 33%) or grade (P > .27; third: 48%, 42%; fifth: 34%, 24%). CONCLUSIONS AND IMPLICATIONS: Although the small sample limits firm conclusions, results provide evidence-based direction to enhance accuracy: specifically, to shorten the retention interval. Larger validation studies need to investigate the combined effect of interview content, retention interval, and grade on accuracy.


Subject(s)
Diet Surveys/methods , Interviews as Topic/methods , Analysis of Variance , Child , Exercise , Female , Humans , Male , Pilot Projects , Reproducibility of Results , Schools
14.
J Sch Health ; 83(5): 328-34, 2013 May.
Article in English | MEDLINE | ID: mdl-23517000

ABSTRACT

BACKGROUND: A 2010 publication showed a positive relationship between children's body mass index (BMI) and energy intake at school-provided meals (as assessed by direct meal observations). To help explain that relationship, we investigated 7 outcome variables concerning aspects of school-provided meals: energy content of items selected, number of meal components selected, number of meal components eaten, amounts eaten of standardized school-meal portions, energy intake from flavored milk, energy intake received in trades, and energy content given in trades. METHODS: Fourth-grade children (N = 465) from Columbia, SC, were observed eating school-provided breakfast and lunch on 1 to 4 days per child. Researchers measured children's weight and height. For daily values at school meals, a generalized linear model was fit with BMI (dependent variable) and the 7 outcome variables, sex, and age (independent variables). RESULTS: BMI was positively related to amounts eaten of standardized school-meal portions (p < .0001) and increased 8.45 kg/m(2) per serving, controlling for other variables in the model. BMI was positively related to energy intake from flavored milk (p = .0041) and increased 0.347 kg/m(2) for every 100 kcal consumed. BMI was negatively related to energy intake received in trades (p = .0003) and decreased 0.468 kg/m(2) for every 100 kcal received. BMI was not significantly related to 4 outcome variables. CONCLUSIONS: Knowing that relationships between BMI and actual consumption, not selection, at school-provided meals explained the (previously found) positive relationship between BMI and energy intake at school-provided meals is helpful for school-based obesity interventions.


Subject(s)
Body Mass Index , Breakfast , Energy Intake , Lunch , Schools , Child , Female , Food Services , Humans , Linear Models , Male , South Carolina
15.
J Acad Nutr Diet ; 113(4): 551-7, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23522577

ABSTRACT

School-based initiatives to combat childhood obesity may use academic performance to measure success. This cross-sectional study investigated the relationship between academic achievement and body mass index percentile, socioeconomic status (SES), and race by linking existing datasets that are not routinely linked. Data from a school-based project (with National Institutes of Health funding) concerning dietary recall accuracy were linked with data from the state's Department of Education through the state's Office of Research and Statistics. Data were available on 1,504 fourth-grade, predominantly African-American children from 18 schools total in one district in South Carolina during the 2004-2005, 2005-2006, and 2006-2007 school years. School staff administered standardized tests in English, math, social studies, and science. Researchers measured children's weight and height. Children were categorized as low-SES, medium-SES, or high-SES based on eligibility for free, reduced-price, or full-price school meals, respectively. Results from marginal regression analyses for each sex for the four academic subjects, separately and combined, showed that test scores were not related to body mass index percentile, but were positively related to SES (P values <0.0001), and were related to race, with lower scores for African-American children than children of other races (P values <0.0039). Cost-efficient opportunities exist to create longitudinal data sets to investigate relationships between academic performance and obesity across kindergarten through 12th-grade children. State agencies can house body mass index data in state-based central repositories where staff can use globally unique identifiers and link data across agencies. Results from such studies could potentially change the way school administrators view nutrition and physical education.


Subject(s)
Black or African American/statistics & numerical data , Body Mass Index , Educational Measurement/statistics & numerical data , Educational Status , Students/statistics & numerical data , Black or African American/psychology , Child , Cross-Sectional Studies , Female , Health Behavior , Humans , Male , Obesity/epidemiology , Obesity/ethnology , Risk Factors , Socioeconomic Factors , South Carolina
16.
J Sch Health ; 81(7): 417-23, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21668882

ABSTRACT

BACKGROUND: Data from a school-based study concerning fourth-grade children's dietary recall accuracy were linked with data from the South Carolina Department of Education (SCDE) through the South Carolina Budget and Control Board Office of Research and Statistics (ORS) to investigate the relationships of children's school absenteeism with body mass index (BMI), academic achievement, and socioeconomic status (SES). METHODS: Data for all variables were available for 920 fourth-grade children during 2 school years (2005-2006, 2006-2007). Number of school days absent for each child and eligibility for free/reduced-price school meals (SES measure) were provided to ORS by SCDE. Children's weight and height were measured by research staff; age/sex-specific BMI percentile was calculated and grouped into categories. For academic achievement, Palmetto Achievement Challenge Tests scores were provided by the school district. The associations of absenteeism with BMI, academic achievement, SES, and school year were investigated with logistic binomial models using the modified sandwich variance estimator to adjust for multiple outcomes within schools. RESULTS: The relationships between absenteeism and each of BMI percentile category and SES were not significant (all coefficient p values > .118). The relationship between absenteeism and academic achievement was inversely significant (p value < .0001; coefficient = -.087). CONCLUSIONS: These results support the inverse relationship between absenteeism and academic achievement that was expected and has been found by other researchers. The lack of significant results concerning the relationships between absenteeism and both BMI and SES differs from earlier, limited research. More research to investigate these relationships is needed.


Subject(s)
Absenteeism , Achievement , Body Mass Index , Child Behavior/psychology , Educational Measurement/statistics & numerical data , Obesity/epidemiology , Child , Exercise , Female , Health Behavior , Health Status , Humans , Male , Retrospective Studies , Risk Factors , South Carolina/epidemiology , Students/statistics & numerical data
17.
J Health Psychol ; 15(4): 505-14, 2010 May.
Article in English | MEDLINE | ID: mdl-20460407

ABSTRACT

Data from a study concerning retention interval and school-meal observation on children's dietary recalls were used to investigate relationships of social desirability score (SDS) and body mass index percentile (BMI%) to recall accuracy for energy for observed (n = 327) children, and to reported energy for observed and unobserved (n = 152) children. Report rates (reported/observed) correlated negatively with SDS and BMI%. Correspondence rates (correctly reported/observed) correlated negatively with SDS. Inflation ratios (overreported/observed) correlated negatively with BMI%. The relationship between reported energy and each of SDS and BMI% did not depend on observation status. Studies utilizing children's dietary recalls should assess SDS and BMI%.


Subject(s)
Energy Intake , Feeding Behavior , Mental Recall , Retention, Psychology , Social Desirability , Adolescent , Body Mass Index , Child , Female , Humans , Male , Schools
18.
Obesity (Silver Spring) ; 16(9): 2169-74, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18535542

ABSTRACT

Dietary-reporting validation study data and school foodservice production records were used to examine intrusions (reports of uneaten items) in school meals in 24-h recalls. Fourth-grade children [20 low-BMI (> or = 5th and < 50th percentiles); 20 high-BMI (> or = 85th percentile); 50% boys; 75% black] were each observed eating two school meals (breakfast, lunch) and interviewed about the prior 24h that evening (24E) or the previous day the next morning (PDM). Social desirability was assessed. Intrusions were classified as stretches (on meal tray), internal confabulations (in school foodservice environment but not on meal tray), and external confabulations (not in school foodservice environment). For breakfast, reported items were less likely to be intrusions for black than white children, and for low-BMI boys than the other BMI-x-sex groups, and to be external confabulations for high-BMI girls than high-BMI boys. For lunch, reported items and intrusions were more likely to be stretches for 24E than PDM interviews. As social desirability increased, fewer items were reported for breakfast, and reported items and intrusions were more likely to be internal confabulations for lunch. For breakfast, compared to low-BMI girls, as social desirability increased, intruded amounts were larger for high-BMI boys and smaller for high-BMI girls. For lunch, intruded amounts were smaller for high-BMI girls than the other BMI-x-sex groups. Amounts reported were smaller for stretches than internal confabulations and external confabulations for breakfast, and external confabulations for lunch. To better understand intrusions, dietary-reporting validation studies are needed with larger samples by BMI-group, sex, and race.


Subject(s)
Diet Records , Food Preferences , Food Services , Interviews as Topic/methods , Mental Recall , Child , Female , Humans , Male , Social Desirability
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