Saarilehto Susanna, Lapinleimu Helena, Keskinen Soili, Helenius Hans, Simell Olli
Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.
Arch Pediatr Adolesc Med. 2003 Aug;157(8):753-8. doi: 10.1001/archpedi.157.8.753.
To investigate whether dietary counseling designed for primary prevention of atherosclerosis and given repeatedly since infancy had an effect on prepubertal children's body satisfaction.
Randomized controlled trial.
At the age of 7 months, 1062 infants were randomized to an intervention group (n = 540) or a control group (n = 522). At the age of 8 years, body satisfaction of 217 children in the intervention group and 218 in the control group was evaluated.Intervention Since the children were 8 months old, families in the intervention group had regularly received individualized health education and dietary advice aimed at decreasing the children's intake of saturated fat and cholesterol.
A pictorial instrument was used in measuring estimated current and desired body sizes; a difference between the 2 indicated body dissatisfaction. Weight and height were measured.
When adjusted for relative weight, there were no differences in the mean values of estimated current size, desired size, or body dissatisfaction between the girls in the intervention and control groups (P =.62, P =.72, and P =.39, respectively), or between the boys in the intervention and control groups (P =.21, P =.64, and P =.53, respectively). The proportions of children who were satisfied with their size, who wished to be thinner, or who wished to look heavier did not differ between the intervention and control groups in either girls (P =.65) or boys (P =.85).
Long-term, individualized dietary counseling since infancy with the focus on dietary fat did not enhance body dissatisfaction or desire to be thinner in 8-year-old children.
探讨自婴儿期开始反复进行的旨在预防动脉粥样硬化的饮食咨询对青春期前儿童身体满意度是否有影响。
随机对照试验。
7个月大时，1062名婴儿被随机分为干预组（n = 540）或对照组（n = 522）。8岁时，对干预组的217名儿童和对照组的218名儿童的身体满意度进行评估。干预措施：自儿童8个月大起，干预组家庭定期接受旨在减少儿童饱和脂肪和胆固醇摄入量的个性化健康教育和饮食建议。
使用一种图片工具测量当前估计的身体尺寸和期望的身体尺寸；两者之间的差异表明身体不满意程度。测量体重和身高。
在对相对体重进行调整后，干预组和对照组的女孩之间，在当前估计尺寸、期望尺寸或身体不满意程度的平均值方面没有差异（分别为P = 0.62、P = 0.72和P = 0.39），干预组和对照组的男孩之间也没有差异（分别为P = 0.21、P = 0.64和P = 0.53）。在对自己的身材满意、希望变瘦或希望看起来更胖的儿童比例方面，干预组和对照组的女孩（P = 0.65）或男孩（P = 0.85）之间没有差异。
自婴儿期开始长期进行的以膳食脂肪为重点的个性化饮食咨询，不会增加8岁儿童的身体不满意程度或变瘦的愿望。
