Publications by authors named "Susan L Johnson"

Objective: To assess dietary diversity among foods offered to infants and toddlers in the US and to identify child, caregiver, and household characteristics associated with patterns of diversity in children's dietary exposures during the complementary feeding period.

Design: Cross-sectional survey of complementary feeding practices.

Setting: Participants were recruited via Qualtrics in January 2022.

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Background: Globally, preschoolers' physical activity (PA) levels are lower than recommended. Digital interventions involving child-centered approaches hold promise for increasing PA behaviors. The objective of this cross-sectional study was to evaluate the acute effects of 3 custom mobile apps, Foods & Moves, on preschooler's PA outcomes in comparison with traditional physical education (PE) activities as part of the HEalthy EnviROnments (HEROs) Study.

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Mobile device use has become ubiquitous with daily life, thus providing opportunities to reach parents to promote healthy eating and physical activity in children. Using a socioecological framework and user-centred design approach, the objective of this study was to understand the context in which parents use their devices and their preferences for a digital programme. The formative research phase of the electronic healthy environments (eHEROs) study used a multiple-methods design, consisting of a quantitative survey (n = 116) and a semi-structured qualitative interview (n = 16).

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Background: Frequent concerns are expressed about the diets of children with developmental disabilities. However, previous reports have been based on small samples.

Objectives: The study aimed to assess nutrient intakes of young children with autism spectrum disorder (ASD), children with other developmental delays and disorders (DD), and general population controls (POP) and to examine nutrient intakes for adequacy.

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Objective: To describe the development and testing of an electronic HEalthy EnviROnments study mobile application (app) with parents of preschoolers using a user-centered design approach.

Design: An iterative, multiphase approach comprising formative research, intervention mapping, app development and testing, and pilot testing.

Setting: Online.

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Iron and zinc are important nutrients during infancy, particularly for infants exclusively fed human milk at the beginning of complementary feeding (CF) from 6-12 months. The 1st Foods Study examined the ingredients and nutrient contents of commercially-available infant and toddler foods (ITFs) that were sold in the US and contained meat. Company websites (n = 22) were used to create a database of commercial ITFs (n = 165) available for purchase in the US and contained at least one meat (e.

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Introduction: Language skills, such as the ability to understand words (receptive language), develop during infancy and are built through interactions with the environment, including eating. Exposure to complementary foods also begins in infancy and may play a significant role in language development, especially in understanding of food-related words. However, the relationship between the complementary foods to which a child is exposed and early language acquisition has not been previously studied.

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Objective: To better understand caregivers' decisional processes related to offering novel and disliked foods to their infants and toddlers.

Design: As part of a parent study on young children's food acceptance that took place in Denver, CO, this secondary analysis used a basic qualitative approach to explore caregivers' decisional processes related to repeated exposure and children's food rejection.

Participants: English-speaking caregivers of infants and toddlers (aged 6-24 months; n = 106) were recruited via flyers and social media and interviewed (from July, 2017 to January, 2018) during a laboratory visit focused on introducing a novel food.

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Article Synopsis
  • Childhood appetitive traits are influenced by early-life epigenetic processes, particularly through DNA methylation (DNAm), where methyl groups attach to DNA and potentially affect appetite regulation.
  • The study analyzed DNAm in cord blood from two cohorts, using multiple regression models to examine how different DNAm patterns correlated with children's eating behaviors reported by parents.
  • While no direct associations were found at individual DNA sites, examining grouped methylation patterns revealed significant connections between DNAm and various appetitive traits, suggesting that DNA methylation in newborns might play a role in shaping eating behaviors as children grow.
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Parent feeding styles, behaviors, beliefs, and practices are associated with developing children's eating behaviors. However, many children spend considerable time in childcare; thus, are exposed to child-feeding practices of other adults, e.g.

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Article Synopsis
  • Childhood appetitive traits, which are linked to obesity risk, are influenced by both genetic and environmental factors, but their exact causes are not well understood.
  • The study meta-analyzed data from two cohorts to explore the relationship between DNA methylation (DNAm) in newborns and early childhood appetitive traits.
  • While no associations were found at the individual DNAm site level, significant correlations were established at the regional level, suggesting that early epigenetic processes may contribute to the development of children's appetitive behaviors.
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Maternal self-care, including healthy eating, physical activity, and stress management behaviors, is influenced by environmental, social, and individual factors. Plan-Do-Study-Act (PDSA) Cycling is an effective quality improvement process using rapid cycling to refine interventions to fit audience-specific contexts and to address socioecological influences on behavior change. To refine components of the Healthy EnviROnmentS Self-Care intervention, a mindful self-care program for mothers of preschool-aged children in rural communities, PDSA cycles were used to examine: (A) acceptability of content, (B) suitability of implementation strategies, and (C) feasibility of digital supports across three stages of program development.

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Introduction: The goal of the present study was to investigate factors associated with sustainment of two evidence-based programs for nutrition promotion in early care and education (ECE) settings - Food Friends (FF) and Together, We Inspire Smart Eating (WISE).

Materials And Methods: In a cross-sectional study design, ECE directors ( = 55) from centers that had previously been trained in WISE or FF completed a survey. Program-specific measures included Steckler's Perception of Innovations, the Program Sustainability Assessment Tool (PSAT), and the Organizational Readiness for Change Assessment (ORCA).

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Childhood obesity is an ongoing concern in the United States. Higher weight status in early childhood is associated with higher weight status at older ages. The Maternal Obesity Matters (MOMs) Study investigated associations between maternal risk of cardiovascular disease (CVD) and child BMI z-scores (BMIz) among preschool-aged children.

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Background: Responsive feeding is important for helping children to develop healthy eating behaviors. Verbal feeding interactions between caregivers and children may reflect caregiver's responsiveness and contribute to children's developing lexical networks related to food and eating.

Objectives: This project aimed to: 1) characterize what caregivers say to infants and toddlers during a single feeding session and 2) test the associations between caregiver's verbal prompts and food acceptance by children.

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This pilot evaluated strategies to decrease detrimental feeding practices in early care and education, which are hypothesized to compete with evidence-based feeding and obesity prevention practices. This study made two key comparisons: (1) a between-site comparison of sites receiving (a) no implementation or de-implementation strategies (i.e.

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Objective: Language development, both what is understood (receptive language) and spoken (expressive language), is considered critical to a child's ability to understand and interact with their environment. However, little research has investigated the role children's early language skills might play in their food acceptance. The objective of this study was to explore the relationships between young children's food-related receptive language (FRL) and food-related expressive language (FEL) and acceptance of novel food.

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Validated measures predicting infant consumption of nutrient supplements or fortified foods are essential for the success of nutritional interventions to improve undernutrition. Behavioural coding of food acceptance is one promising approach, though the required time and resources are limiting. The overarching goal of the present study was to adapt a video coding (VC) protocol for use as a live coding (LC) method to assess infant food acceptance in naturalistic settings.

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Prior work has examined associations between cardiometabolic pregnancy complications and autism spectrum disorder (ASD) but not how these complications may relate to social communication traits more broadly. We addressed this question within the Environmental Influences on Child Health Outcomes program, with 6,778 participants from 40 cohorts conducted from 1998-2021 with information on ASD-related traits via the Social Responsiveness Scale. Four metabolic pregnancy complications were examined individually, and combined, in association with Social Responsiveness Scale scores, using crude and adjusted linear regression as well as quantile regression analyses.

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