Maffeis C, Grezzani A, Perrone L, Del Giudice E Miraglia, Saggese G, Tatò L
Department of Mother and Child, Biology-Genetics, Section of Pediatrics, University of Verona, Verona, Italy.
J Pediatr Gastroenterol Nutr. 2008 Apr;46(4):429-37. doi: 10.1097/MPG.0b013e318163b850.
The quantity, type and composition of snack foods may play a role in the development and maintenance of obesity in children. A high consumption of energy-dense snacks may promote fat gain.
To assess the type and number of snacks consumed weekly by a large sample of 8- to 10-year-old children, as well as to assess its relationship with body size.
The children consumed on average 4 snacks per day. There was no statistical difference in the number of servings per day between obese and nonobese children. However, the mean energy density of the foods consumed was significantly higher for obese and overweight children than for normal weight children [6.8 (0.3) kJ/g, 6.8 (0.16) kJ/g, and 6.3 (0.08) kJ/g, respectively; P < 0.05]. Logistic regression analysis showed that the energy density of the snacks (kJ/g), their savory taste (servings/week), television viewing (hours/day) and sports activity (hours/week) independently contributed to predict obesity in children. However, when the parents' body mass index was included among the independent variables of the regression, only salty foods and sports activity showed an independent association with childhood obesity.
Parents' eating habits and lifestyle influence those of their children, as suggested by the association between parents' obesity and their children's energy-dense food intake at snacktime, the savory taste of snacks and sedentary behavior. However, regardless of parents' body mass index, the preference for savory snacks seems to be associated with overweight in prepubertal children.
零食的数量、种类和成分可能在儿童肥胖的发生和维持中起作用。高能量密度零食的大量摄入可能会促进脂肪增加。
评估一大群8至10岁儿童每周食用零食的种类和数量,并评估其与体型的关系。
这些儿童平均每天食用4份零食。肥胖儿童和非肥胖儿童每天的食用份数没有统计学差异。然而,肥胖和超重儿童所食用食物的平均能量密度显著高于正常体重儿童[分别为6.8(0.3)千焦/克、6.8(0.16)千焦/克和6.3(0.08)千焦/克;P<0.05]。逻辑回归分析表明,零食的能量密度(千焦/克)、咸味(每周份数)、看电视时间(每天小时数)和体育活动时间(每周小时数)独立地有助于预测儿童肥胖。然而,当将父母的体重指数纳入回归的自变量中时,只有咸味食物和体育活动与儿童肥胖呈现独立关联。
父母的饮食习惯和生活方式会影响孩子的饮食习惯和生活方式,这一点从父母肥胖与孩子零食时间摄入高能量食物、零食的咸味以及久坐行为之间的关联中可以看出。然而,无论父母的体重指数如何,青春期前儿童对咸味零食的偏好似乎与超重有关。