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2年随访时家庭环境与儿童甜饮料消费之间的关联:“积极行动,合理饮食”研究

Associations between the home environment and children's sweet beverage consumption at 2-year follow-up: the 'Be active, eat right' study.

作者信息

van Grieken A, Renders C M, van de Gaar V M, Hirasing R A, Raat H

机构信息

Department of Public Health, Erasmus MC University Medical Center, Rotterdam, the Netherlands.

出版信息

Pediatr Obes. 2015 Apr;10(2):126-33. doi: 10.1111/ijpo.235. Epub 2014 Jun 6.

Abstract

BACKGROUND

This study evaluates the association between home environmental characteristics and sweet beverage consumption (i.e. beverages that contain sugar) of 7-year-old children.

METHODS

The population for analysis consisted of n = 2047 parents and their children from the population-based 'Be active, eat right' study. Data on sociodemographic characteristics, parental beliefs, parenting practices and child's sweet beverage consumption were obtained by parental report with questionnaires. We performed linear and multinomial regression analyses evaluating associations between characteristics at age 5 years and (i) consumption at 7 years and (ii) consumption patterns between age 5 and 7 years with reference category 'low consumption'.

RESULTS

Based on the report from their parents, 5-year-old children drank on average 3.0 (SD:1.4) sweet beverage per day. Children consumed less sweet beverages at age 7 years (beta -0.16, 95% confidence interval [CI] -0.24 to -0.09) when there were less sweet beverages available at home. The multinomial regression model showed that children with parents who discouraged sweet beverage consumption were more likely to decrease their sweet beverage consumption over the study period (odds ratio: 1.24, 95% CI 1.07 to 1.43). Moreover, when there were less sweet beverages available at home, children were less likely to increase their consumption or have a high consumption over the study period (odds ratio: 0.70, 95% CI 0.59 to 0.83 and 0.61, 95% CI 0.54 to 0.70, respectively).

CONCLUSIONS

The results showed that characteristics of the home environment are associated with the consumption of sweet beverages among children. Specifically, the availability of sweet beverages at home is associated with the child's sweet beverage consumption.

摘要

背景

本研究评估家庭环境特征与7岁儿童甜饮料消费(即含糖饮料)之间的关联。

方法

分析人群包括来自基于人群的“积极运动,合理饮食”研究中的n = 2047名父母及其子女。通过父母填写问卷报告获取社会人口学特征、父母观念、育儿方式以及儿童甜饮料消费的数据。我们进行了线性和多项回归分析,评估5岁时的特征与(i)7岁时的消费以及(ii)5至7岁之间的消费模式之间的关联,参考类别为“低消费”。

结果

根据父母的报告,5岁儿童平均每天饮用3.0(标准差:1.4)杯甜饮料。当家中甜饮料供应量较少时,7岁儿童的甜饮料消费量较少(β=-0.16,95%置信区间[CI]-0.24至-0.09)。多项回归模型显示,父母不鼓励甜饮料消费的儿童在研究期间更有可能减少甜饮料消费(优势比:1.24,95%CI 1.07至1.43)。此外,当家中甜饮料供应量较少时,儿童在研究期间增加消费或高消费的可能性较小(优势比分别为:0.70,95%CI 0.59至0.83;0.61,95%CI 0.54至0.70)。

结论

结果表明家庭环境特征与儿童甜饮料消费有关。具体而言,家中甜饮料的可获得性与儿童的甜饮料消费有关。

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