Pei Z, Flexeder C, Fuertes E, Standl M, Berdel D, von Berg A, Koletzko S, Schaaf B, Heinrich J
1] Institute of Epidemiology I, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany [2] Faculty of Medicine, Ludwig Maximilians University of Munich, Munich, Germany.
Institute of Epidemiology I, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany.
Eur J Clin Nutr. 2014 Aug;68(8):898-906. doi: 10.1038/ejcn.2014.92. Epub 2014 May 21.
BACKGROUND/OBJECTIVES: Mother's body mass index (BMI) is a strong predictor of child BMI. Whether mother's BMI correlates with child's food intake is unclear. We investigated associations between mother's BMI/overweight and child's food intake using data from two German birth cohorts.
SUBJECTS/METHODS: Food intakes from 3230 participants were derived from parent-completed food frequency questionnaires. Intakes of 11 food groups were categorized into three levels using group- and sex-specific tertile cutoffs. Mother's BMI and overweight were calculated on the basis of questionnaire data. Multinomial regression models assessed associations between a child's food intake and mother's BMI/overweight. Linear regression models assessed associations between a child's total energy intake and mother's BMI. Models were adjusted for study region, maternal education, child's age, sex, pubertal status and energy intake and the BMIs of the child and father.
Mothers' BMI was associated with high meat intake in children (adjusted relative risk ratio (RRR (95% confidence interval))=1.06 (1.03; 1.09)). Mothers' overweight was associated with the meat intake (medium versus low RRR=1.30 (1.07; 1.59); high versus low RRR=1.50 (1.19; 1.89)) and egg intake (medium versus low RRR=1.24 (1.02; 1.50); high versus low RRR=1.30 (1.07; 1.60)) of children. There were no consistent associations for rest of the food groups. For every one-unit increase in mothers' BMI, the total energy intake in children increased by 9.2 kcal (3.7; 14.7). However, this effect was not significant after adjusting for children's BMI.
Our results suggest that mother's BMI and mother's overweight are important correlates of a child's intake of energy, meat and eggs.
背景/目的:母亲的体重指数(BMI)是儿童BMI的一个强有力的预测指标。母亲的BMI是否与孩子的食物摄入量相关尚不清楚。我们使用来自两个德国出生队列的数据,研究了母亲的BMI/超重与孩子食物摄入量之间的关联。
对象/方法:3230名参与者的食物摄入量来自家长填写的食物频率问卷。使用特定组和性别的三分位数切点,将11个食物组的摄入量分为三个水平。母亲的BMI和超重情况根据问卷数据计算得出。多项回归模型评估了孩子的食物摄入量与母亲的BMI/超重之间的关联。线性回归模型评估了孩子的总能量摄入量与母亲的BMI之间的关联。模型针对研究地区、母亲教育程度、孩子的年龄、性别、青春期状态、能量摄入量以及孩子和父亲的BMI进行了调整。
母亲的BMI与孩子高肉类摄入量相关(调整后的相对风险比(RRR(95%置信区间))=1.06(1.03;1.09))。母亲超重与孩子的肉类摄入量(中等摄入量与低摄入量相比,RRR=1.30(1.07;1.59);高摄入量与低摄入量相比,RRR=1.50(1.19;1.89))和蛋类摄入量(中等摄入量与低摄入量相比,RRR=1.24(1.02;1.50);高摄入量与低摄入量相比,RRR=1.30(1.07;1.60))相关。其他食物组未发现一致的关联。母亲的BMI每增加一个单位,孩子的总能量摄入量增加9.2千卡(3.7;14.7)。然而,在调整孩子的BMI后,这种影响并不显著。
我们的结果表明,母亲的BMI和母亲超重是孩子能量、肉类和蛋类摄入量的重要相关因素。