1 INTRODUCTION LITERATURE REVIEW OF FAMILY FACTORS ASSOCIATED WITH CHILDHOOD OBESITY... 4
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2 1 INTRODUCTION LITERATURE REVIEW OF FAMILY FACTORS ASSOCIATED WITH CHILDHOOD OBESITY ADULT POPULATION PREVALENCE AND TRENDS IN AUSTRALIA CHILDHOOD OBESITY THE IMPORTANCE OF CHILDREN AS A TARGET GROUP HEALTH CONSEQUENCES PSYCHOSOCIAL CONSEQUENCES ECONOMIC CONSEQUENCES TRACKING OF WEIGHT STATUS THEORY AND FRAMEWORKS USED IN OBESITY PREVENTION INTERVENTIONS EXAMPLES OF MODELS DEVELOPED FOR CHILDHOOD OBESITY INCREASED ENERGY CONSUMPTION DECREASED PHYSICAL ACTIVITY INCREASED SEDENTARY BEHAVIOURS SOCIOECONOMIC STATUS AND THE DEVELOPMENT OF OBESITY RECOGNITION OF THE PROBLEM THE ROLE OF KNOWLEDGE IN WEIGHT-RELATED HEALTH BEHAVIOUR EARLY LIFE HOME ENVIRONMENT THE DEVELOPMENT OF CHILDREN S FOOD PREFERENCES AND CHOICES PARENTS AS ROLE MODELS PERCEIVED BARRIERS TO HEALTHY BEHAVIOURS GENERAL PARENTING STYLE CHILD FEEDING PRACTICES PROVIDING OPPORTUNITY AND SUPPORT ii
3 VALIDATION OF THE GENERAL NUTRITION KNOWLEDGE QUESTIONNAIRE IN AN AUSTRALIAN COMMUNITY SAMPLE QUESTIONNAIRE REFINEMENT MEASURES SAMPLE SELECTION DATA COLLECTION DATA MANAGEMENT STATISTICAL ANALYSIS DESCRIPTION OF THE SAMPLE DISTRIBUTION OF SCORED DATA INTERNAL RELIABILITY TEST-RETEST RELIABILITY CONCURRENT VALIDITY COMPARISON BETWEEN THE ORIGINAL QUESTIONNAIRE AND THE AUSTRALIAN SAMPLE EXPLORING NUTRITION KNOWLEDGE AND THE DEMOGRAPHIC VARIATION IN KNOWLEDGE LEVELS IN A SOUTH AUSTRALIAN COMMUNITY SAMPLE DEMOGRAPHIC VARIATION IN NUTRITION KNOWLEDGE MEASURES SAMPLE SELECTION DEMOGRAPHIC INFORMATION OF THE SAMPLING AREAS iii
4 4.4.4 DATA COLLECTION STATISTICAL ANALYSIS DESCRIPTION OF THE SAMPLE DETAILED EXAMINATION OF NUTRITION KNOWLEDGE DEMOGRAPHIC VARIATION IN NUTRITION KNOWLEDGE MULTIVARIATE ANALYSIS OF DEMOGRAPHIC INFLUENCES OF NUTRITION KNOWLEDGE THE EFFECT OF SOCIOECONOMIC STATUS ON NUTRITION KNOWLEDGE GENERAL NUTRITION KNOWLEDGE DEMOGRAPHIC VARIATION IN NUTRITION KNOWLEDGE NUTRITION KNOWLEDGE AND DIETARY INTAKE: WHAT IS THE RELATIONSHIP? WHAT IS THE CURRENT EVIDENCE? METHODS FOR MEASURING DIETARY INTAKE DIETARY INTAKE IN AUSTRALIA MEASURES AUSTRALIAN NUTRITION RECOMMENDATIONS SAMPLE SELECTION DATA COLLECTION STATISTICAL ANALYSIS DESCRIPTION OF THE SAMPLE THE INFLUENCE OF KNOWLEDGE LEVEL ON DIETARY INTAKE COMPLIANCE WITH CURRENT AUSTRALIAN NUTRITION RECOMMENDATIONS RELATIONSHIPS BETWEEN NUTRITION KNOWLEDGE AND DIETARY INTAKE iv
5 6 MODIFICATION OF A DIET QUALITY INDEX TO MEASURE COMPLIANCE WITH THE CURRENT AUSTRALIAN DIETARY GUIDELINES DIET QUALITY INDEXES COMPONENTS 1-5: FOOD GROUPS COMPONENTS 6-9: NUTRIENTS COMPONENT 10: DIET VARIETY SAMPLE AND MEASURES STATISTICAL ANALYSIS DESCRIPTIVE STATISTICS FOR THE HEI HEI COMPONENT SCORES DEMOGRAPHIC VARIATION IN HEI SCORES THE ROLE OF NUTRITION KNOWLEDGE IN DIET QUALITY THE APPLICATION OF THE HEI IN AN AUSTRALIAN SETTING NUTRITION KNOWLEDGE AND DIET QUALITY HEALTHY KIDS: THE FAMILY WAY METHODOLOGY AND JUSTIFICATION FOR MEASUREMENT TOOLS RECRUITMENT PROCEDURES RECRUITMENT STRATEGY DATA COLLECTION PROCEDURE RECRUITMENT FLOWCHART DATA MANAGEMENT v
6 ANTHROPOMETRIC MEASUREMENTS ENERGY INTAKE ENERGY EXPENDITURE KNOWLEDGE PARENTING STYLES FOOD INVOLVEMENT FOOD ENVIRONMENT PHYSICAL ACTIVITY ENVIRONMENT HEALTHY KIDS: THE FAMILY WAY, RESULTS PART 1 PARENT AND CHILD CHARACTERISTICS DESCRIPTIVE CHARACTERISTICS OF THE SAMPLE PARENTS ANTHROPOMETRIC INFORMATION CHILDREN S ANTHROPOMETRIC INFORMATION PARENTS NUTRIENT AND FOOD GROUP INTAKE PARENTS PHYSICAL ACTIVITY CHILDREN S FOOD AND NUTRIENT INTAKES CHILDREN S ENERGY EXPENDITURE PARENTS NUTRITION KNOWLEDGE PARENTS PHYSICAL ACTIVITY KNOWLEDGE SAMPLE CONSIDERATIONS CHILDREN S DIETARY INTAKES AND ACTIVITY HABITS FAMILIAL BEHAVIOUR PATTERNS HEALTHY KIDS: THE FAMILY WAY, RESULTS PART 2 FAMILY FOOD AND PHYSICAL ACTIVITY ENVIRONMENTS vi
7 GENERAL PARENTING STYLES CHILD FEEDING PRACTICES FOOD INVOLVEMENT FACTOR ANALYSIS OF FOOD ENVIRONMENT QUESTIONS FOOD ENVIRONMENT FACTOR SCORES FACTOR ANALYSIS OF THE PHYSICAL ACTIVITY ENVIRONMENTS PHYSICAL ACTIVITY ENVIRONMENT FACTOR SCORES DIFFERENCES BETWEEN HEALTHY WEIGHT AND OVERWEIGHT CHILDREN DEMOGRAPHIC VARIATION IN FAMILY ENVIRONMENT MEASURES WHAT ARE THE DIFFERENCES BETWEEN HEALTHY AND OVERWEIGHT CHILDREN? CONFIRMATORY FACTOR ANALYSIS AND DEVELOPMENT OF THE OBESITY RESISTANCE MODEL CONFIRMATORY FACTOR ANALYSIS FAMILY FOOD ENVIRONMENT LATENT VARIABLE FAMILY PHYSICAL ACTIVITY ENVIRONMENT LATENT VARIABLE DEVELOPMENT OF THE OBESITY RESISTANCE MODEL THE OBESITY RESISTANCE MODEL BMI Z-SCORE CHANGE DEMOGRAPHIC VARIATION IN BODY COMPOSITION CHANGE PREDICTIVE ABILITY OF THE OBESITY RESISTANCE MODEL FOR WEIGHT STATUS CHANGE LIMITATIONS OF THE OBESITY RESISTANCE MODEL CONCLUSION vii
8 11 CONCLUSIONS AND IMPLICATIONS FOR FUTURE OBESITY RESEARCH REFERENCES APPENDIX APPENDIX APPENDIX APPENDIX APPENDIX APPENDIX viii
9 ix
10 x
11 xi
12 xii
13 xiii
14 xiv
15 xv
16 xvi
17 xvii
18 xviii
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