BACKGROUND: Energy-dense snacks are considered unhealthy due to their high concentrations of fat and sugar and low concentrations of micronutrients. The present study aimed to evaluate associations between family and home-related factors and children's snack consumption. We explored associations within subgroups based on ethnic background of the child. METHODS: Cross-sectional data of 644 primary school children (mean age: 9.4 years, 53% girls) from the population-based 'Water Campaign' study conducted in the Netherlands were used. Logistic regression analyses were used to evaluate the associations between family and home-related factors and child's snack intake. RESULTS: Of the children, 28.7% consumed more than one snack per day. Children of parents who expressed more restrictive parenting practices towards the child's snack consumption (odds ratio (OR) = 2.5, P < 0.001), and who modelled snack eating less often (OR = 2.2, P < 0.001) had lower snack intake. Restrictive parenting practices and parental modelling of healthy snacking were significant for children with a Dutch or Moroccan/Turkish ethnic background, but not for children with a Surinamese/Antillean ethnic background. CONCLUSIONS: We observed that parenting practices and parental modelling were independently associated with the child's snack intake. Also, the relationships between these factors and the child's snack consumption differed for children with distinct ethnic backgrounds.

child, ethnic background, home environment, overweight prevention, parenting, snacks,
VSNU Open Access deal
Journal of Public Health
Department of Public Health

van Grieken, A, Wang, L, Kruitwagen - van de Gaar, V.M.J, Jansen, W, & Raat, H. (2019). Associations between family and home-related factors and child's snack consumption in a multi-ethnic population. Journal of Public Health, 41(3), 430–438. doi:10.1093/pubmed/fdy124