Reliability and validity of the Children's Dietary Questionnaire; A new tool to measure children's dietary patterns

Magarey, Anthea; Golley, Rebecca K.; Spurrier, Nicola; Goodwin, Emma; Ong, Fangyi

doi:10.3109/17477160902846161

Cited by 131 publications

(168 citation statements)

References 16 publications

(14 reference statements)

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“…Second, our interventions were not matched in terms of frequency, timing or duration. Finally, we chose to use a short questionnaire to assess dietary intake, 29 which was a pragmatic choice, but interpretation is difficult given the outcomes are scores rather than amounts of food.…”

Section: Discussionmentioning

confidence: 99%

“…The child's results were compared with guidelines (eg, ,2 hours of screen time each day, participate in at least 1 hour of physical activity) or published data (eg, recommended scores for the dietary questionnaire). 29 Generalized advice using publicly The TP condition consisted of a single multidisciplinary consultant session (usually both parents, mentor, dietitian, exercise specialist, and clinical psychologist all together) followed by regular, brief contact (predominantly mothers only) with a MInT mentor (1 nutritionist, 1 exercise trainer) over the 2-year intervention. The intervention was family-based rather than solely targeting the overweight child.…”

Section: Phase 2: Interventionmentioning

confidence: 99%

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A Tailored Family-Based Obesity Intervention: A Randomized Trial

Taylor¹,

et al. 2015

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OBJECTIVE: To determine whether a 2-year family-based intervention using frequent contact and limited expert involvement was effective in reducing excessive weight compared with usual care.METHODS: Two hundred and six overweight and obese (BMI $85th percentile) children aged 4 to 8 years were randomized to usual care (UC) or tailored package (TP) sessions at university research rooms. UC families received personalized feedback and generalized advice regarding healthy lifestyles at baseline and 6 months. TP families attended a single multidisciplinary session to develop specific goals suitable for each family, then met with a mentor each month for 12 months, and every third month for another 12 months to discuss progress and provide support. Outcome measurements (anthropometry, questionnaires, dietary intake, accelerometry) were obtained at 0, 12, and 24 months.RESULTS: BMI at 24 months was significantly lower in TP compared with UC children (difference, 95% confidence interval: -0.34, -0.65 to -0.02), as was BMI z score (-0.12, -0.20 to -0.04) and waist circumference (-1.5, -2.5 to -0.5 cm). TP children consumed more fruit and vegetables (P = .038) and fewer noncore foods (P = .020) than UC children, and fewer noncore foods were available in the home (P = .002). TP children were also more physically active (P = .035). No differences in parental feeding practices, parenting, quality of life, child sleep, or behavior were observed.CONCLUSIONS: Frequent, low-dose support was effective for reducing excessive weight in predominantly mild to moderately overweight children over a 2-year period. Such initiatives could feasibly be incorporated into primary care.

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Section: Discussionmentioning

confidence: 99%

Section: Phase 2: Interventionmentioning

confidence: 99%

A Tailored Family-Based Obesity Intervention: A Randomized Trial

Taylor¹,

et al. 2015

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“…A 1-point increase in fruit and vegetable score or non-core food score is equivalent to an increase in variety or frequency of consumption of that food group of approximately one type or time each day (26) . A 1-point increase in score for the sweet drink scale is approximately equal to an extra sweet drink serving per day (26) . These regressions were also undertaken with an interaction term for fussy eating and the feeding practice.…”

Section: Fussy Eatingmentioning

confidence: 99%

Associations between parental feeding practices, problem food behaviours and dietary intake in New Zealand overweight children aged 4–8 years

Haszard

Skidmore

Williams

et al. 2014

Public Health Nutr.

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Objective: Parents report that children's eating behaviours are a major barrier to providing them with a healthy diet. Links between problem eating behaviours and parental feeding practices are not well established and have not previously been examined in overweight children. The aim of the present study was to assess associations between problem food behaviours, dietary intake and parental feeding practices of overweight children aged 4-8 years. Design: Participants were recruited for a lifestyle intervention (n 203). At baseline, children's BMI was measured and parents completed comprehensive questionnaires about the feeding practices they used, the problem food behaviours their children exhibited and the foods their child consumed. A fussy eating scale was developed and associations were determined using correlations and regression analysis, including interactions. Setting: Dunedin, New Zealand. Subjects: Overweight children aged 4-8 years.Results: Healthy eating guidance and monitoring by parents were related to the consumption of fewer unhealthy foods (B = − 0·4, P = 0·001 and B = − 0·4, P < 0·001). Conversely, a lack of parental control (child control) was related to a higher intake of unhealthy foods (B = 0·5, P < 0·001). Parents of children who were fussy eaters monitored their child's food intake less (P < 0·001) and allowed the child more freedom over what he/she ate (P < 0·001). These children consumed fewer fruit and vegetables than those who were not fussy eaters (P < 0·001). However, fussy eaters with food-restrictive parents ate more fruit and vegetables (B = 2·9, P < 0·001). Conclusions: These results suggest that a more structured food environment might be beneficial for the diet and food behaviours of young overweight children.

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“…Children's usual vegetable intake Children's usual vegetable intake was measured in two ways, based on the parent-report measure, the Children's Dietary Questionnaire (21) . To measure variety, parents used a checklist of twenty-three vegetables to indicate how many vegetables child consumed in the past week.…”

Section: Target Vegetable Consumptionmentioning

confidence: 99%

Rewards can be used effectively with repeated exposure to increase liking of vegetables in 4–6-year-old children

Corsini

Slater

Harrison

et al. 2011

Public Health Nutr.

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Objective: To examine whether parents offering a sticker reward to their child to taste a vegetable the child does not currently consume is associated with improvements in children's liking and consumption of the vegetable. Design: A randomized controlled trial evaluated the effectiveness of exposure only (EO) and exposure plus reward (E1R), relative to a control group, on children's liking and consumption of a target vegetable. Assessments were conducted at baseline and 2 weeks from baseline (post-intervention). Follow-up assessments were conducted at 4 weeks and 3 months from baseline. Setting: The study took place in Adelaide, South Australia. Participants were selfselected in response to local media advertisements seeking to recruit parents finding it difficult to get their children to eat vegetables. Subjects: Participants were 185 children (110 boys, seventy-five girls) aged 4-6 years and their primary caregiver/parent (172 mothers, thirteen fathers). Results: The E1R group was able to achieve more days of taste exposure. Both EO and E1R increased liking at post-intervention compared with control and no further change occurred over the follow-up period. All groups increased their intake of the target vegetable at post-intervention. Target vegetable consumption continued to increase significantly over the follow-up period for E1R and control but not for EO. Conclusions: The findings provide support for the effectiveness of using a sticker reward with a repeated exposure strategy. In particular, such rewards can facilitate the actual tastings necessary to change liking.

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Reliability and validity of the Children's Dietary Questionnaire; A new tool to measure children's dietary patterns

Abstract: The CDQ shows acceptable reliability and relative validity for assessing group level child dietary patterns with key aspects of healthy eating guidelines.

Cited by 131 publications

References 16 publications

A Tailored Family-Based Obesity Intervention: A Randomized Trial

A Tailored Family-Based Obesity Intervention: A Randomized Trial

Associations between parental feeding practices, problem food behaviours and dietary intake in New Zealand overweight children aged 4–8 years

Rewards can be used effectively with repeated exposure to increase liking of vegetables in 4–6-year-old children

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