Zabinski Marion F, Daly Tracy, Norman Gregory J, Rupp Joan W, Calfas Karen J, Sallis James F, Patrick Kevin
Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0811, USA.
J Am Diet Assoc. 2006 Jun;106(6):814-21. doi: 10.1016/j.jada.2006.03.014.
This study examined whether hypothesized psychosocial correlates of behavior change (family/peer influence, pros, cons, self-efficacy, parent/child change strategies, and household eating rules) are associated with consumption of fruits, vegetables, and dietary fat among adolescent boys and girls.
This cross-sectional study used questionnaires to assess psychosocial variables and multiple 24-hour recall interviews to assess dietary intake (daily servings of fruits and vegetables and percentage energy intake from dietary fat).
In this study, 878 adolescents (53.6% female, 57.9% white, mean age 12.8 years, age range 11 to 15 years) completed questionnaires.
Hierarchical linear regressions were conducted on the entire sample as well as on subgroups based on sex and age (young/old).
Results indicated that child behavior change strategies, decisional balance, and household rules were related to percentage energy intake from total fat, whereas child behavior change strategies, family influence, and household rules were related to daily servings of fruit and vegetables. More psychosocial correlates were found for older than for younger adolescents.
Both psychological and social correlates of adolescent eating behaviors were identified, and correlates differed somewhat by adolescent subgroup. Based on these findings, promising intervention strategies that include the following should be evaluated: helping adolescents alter decisional balance, teaching behavior-change strategies, and helping parents support children's dietary changes and institute supportive household rules.
本研究探讨行为改变的假设心理社会相关因素(家庭/同伴影响、益处、弊端、自我效能感、父母/子女改变策略以及家庭饮食规则)是否与青少年男孩和女孩的水果、蔬菜及膳食脂肪摄入量相关。
本横断面研究使用问卷评估心理社会变量,并通过多次24小时回忆访谈评估饮食摄入量(每日水果和蔬菜份数以及膳食脂肪的能量摄入百分比)。
本研究中,878名青少年(53.6%为女性,57.9%为白人,平均年龄12.8岁,年龄范围11至15岁)完成了问卷。
对整个样本以及基于性别和年龄(年轻/年长)的亚组进行分层线性回归。
结果表明,儿童行为改变策略、决策平衡和家庭规则与总脂肪的能量摄入百分比相关,而儿童行为改变策略、家庭影响和家庭规则与每日水果和蔬菜份数相关。年长青少年比年幼青少年发现了更多的心理社会相关因素。
确定了青少年饮食行为的心理和社会相关因素,且不同青少年亚组的相关因素略有不同。基于这些发现,应评估包括以下内容的有前景的干预策略:帮助青少年改变决策平衡、教授行为改变策略,以及帮助父母支持孩子的饮食改变并制定支持性的家庭规则。