Jarman Megan, Inskip Hazel M, Ntani Georgia, Cooper Cyrus, Baird Janis, Robinson Sian M, Barker Mary E
1MRC Lifecourse Epidemiology Unit,University of Southampton,Southampton General Hospital,Southampton SO16 6YD,UK.
Public Health Nutr. 2015 Aug;18(11):2001-10. doi: 10.1017/S136898001400250X. Epub 2014 Nov 20.
To test the hypothesis that maternal psychological profiles relate to children's quality of diet.
Cross-sectional study. Mothers provided information on their health-related psychological factors and aspects of their child's mealtime environment. Children's diet quality was assessed using an FFQ from which weekly intakes of foods and a diet Z-score were calculated. A high score described children with a better quality diet. Cluster analysis was performed to assess grouping of mothers based on psychological factors. Mealtime characteristics, describing how often children ate while sitting at a table or in front of the television, their frequency of takeaway food consumption, maternal covert control and food security, and children's quality of diet were examined, according to mothers' cluster membership.
Mother-child pairs (n 324) in the Southampton Initiative for Health. Children were aged 2-5 years.
Hampshire, UK.
Two main clusters were identified. Mothers in cluster 1 had significantly higher scores for all psychological factors than mothers in cluster 2 (all P < 0.001). Clusters were termed 'more resilient' and 'less resilient', respectively. Children of mothers in the less resilient cluster ate meals sitting at a table less often (P = 0.03) and watched more television (P = 0.01). These children had significantly poorer-quality diets (β = -0.61, 95% CI -0.82, -0.40, P ≤ 0.001). This association was attenuated, but remained significant after controlling for confounding factors that included maternal education and home/mealtime characteristics (P = 0.006).
The study suggests that mothers should be offered psychological support as part of interventions to improve children's quality of diet.
检验母亲心理特征与儿童饮食质量相关的假设。
横断面研究。母亲们提供了与健康相关的心理因素以及孩子用餐环境方面的信息。使用食物频率问卷评估儿童的饮食质量，从中计算出每周食物摄入量和饮食Z评分。高分描述饮食质量较好的儿童。进行聚类分析以评估基于心理因素的母亲分组情况。根据母亲的聚类成员身份，研究了用餐特征（描述孩子坐在餐桌旁或电视前吃饭的频率、外卖食品消费频率、母亲的隐蔽控制和食品安全）以及儿童的饮食质量。
南安普敦健康倡议中的母婴对（n = 324）。儿童年龄在2至5岁之间。
英国汉普郡。
确定了两个主要聚类。聚类1中的母亲所有心理因素得分均显著高于聚类2中的母亲（所有P < 0.001）。聚类分别被称为“更具复原力”和“复原力较差”。复原力较差聚类中的母亲所生的孩子坐在餐桌旁吃饭的频率较低（P = 0.03），看电视较多（P = 0.01）。这些孩子的饮食质量明显较差（β = -0.61，95%可信区间 -0.82，-0.40，P ≤ 0.001）。在控制了包括母亲教育程度和家庭/用餐特征等混杂因素后，这种关联减弱但仍显著（P = 0.006）。
该研究表明，作为改善儿童饮食质量干预措施的一部分，应为母亲提供心理支持。
