School of Nursing, School of Public Health, University of Minnesota, Minneapolis, Minnesota 55455, USA.
J Adolesc Health. 2009 Oct;45(4):389-95. doi: 10.1016/j.jadohealth.2009.02.011. Epub 2009 May 28.
The literature suggests positive associations between family dinner frequency and dietary practices and psychosocial well-being, and inverse associations between family dinner frequency and overweight status among general adolescent populations. The present study aims to examine these associations among a population of adolescents at-risk of academic failure.
A racially diverse sample of adolescents (n = 145, 52% male, 61% nonwhite) from six alternative high schools (AHS) completed surveys and had their heights and weights measured by trained research staff. Mixed-model logistic regression analyses assessed associations between family dinner frequency and overweight status, healthy and unhealthy weight management, and food insecurity, whereas mixed linear models assessed associations with breakfast consumption, fruit and vegetable consumption, high-fat food intake, fast food intake, substance use, and depressive symptoms. Analyses adjusted for race/ethnicity, age, gender, socioeconomic status, and the random effect of school.
Family dinner frequency was positively associated with breakfast consumption and fruit intake (p < .01 and p < .05, respectively), and inversely associated with depressive symptoms (p < .05). Adolescents who reported never eating family dinner were significantly more likely to be overweight (odds ratio [OR] = 2.8, confidence interval [CI] = 1.1-6.9) and food insecure (OR = 6.0, CI = 2.2-16.4) than adolescents who reported five to seven family meals per week.
In this at-risk sample of youth, some, but not all of the benefits of family meals found in other studies were apparent. Intervention programs to increase the availability and affordability of healthful foods and promote family meals for families of AHS students may be beneficial.
文献表明，家庭用餐频率与饮食行为和心理社会健康之间存在正相关关系，与一般青少年群体的超重状况之间存在负相关关系。本研究旨在检验学业失败风险较高的青少年群体中存在这些关联。
来自六所替代高中（AHS）的具有不同种族背景的青少年（n=145，男性占 52%，非白人占 61%）完成了调查，并由经过培训的研究人员测量了他们的身高和体重。混合模型逻辑回归分析评估了家庭用餐频率与超重状况、健康和不健康的体重管理以及食物不安全之间的关联，而混合线性模型则评估了与早餐消费、水果和蔬菜消费、高脂肪食物摄入、快餐摄入、物质使用和抑郁症状之间的关联。分析调整了种族/族裔、年龄、性别、社会经济地位以及学校的随机效应。
家庭用餐频率与早餐消费和水果摄入呈正相关（p<.01 和 p<.05），与抑郁症状呈负相关（p<.05）。报告从未与家人一起用餐的青少年超重（优势比 [OR] = 2.8，置信区间 [CI] = 1.1-6.9）和食物不安全（OR = 6.0，CI = 2.2-16.4）的可能性明显高于报告每周用餐五到七次的青少年。
在这个有风险的青少年样本中，其他研究中发现的一些但不是所有家庭用餐的益处都很明显。为 AHS 学生的家庭提供增加健康食品的可及性和可负担性以及促进家庭用餐的干预计划可能是有益的。
