Dong Di, Bilger Marcel, van Dam Rob M, Finkelstein Eric A
Di Dong is a PhD student in health services and systems research at the Duke-National University of Singapore (NUS) Graduate Medical School.
Marcel Bilger is an assistant professor in the Health Services and Systems Research Program at the Duke-NUS Graduate Medical School.
Health Aff (Millwood). 2015 Nov;34(11):1940-8. doi: 10.1377/hlthaff.2015.0434.
Efforts are under way to identify successful strategies to reduce long-term childhood obesity risk, such as ways to improve diet quality. To identify foods and beverages associated with excess weight gain, we used cohort data from the Avon Longitudinal Study of Parents and Children in the United Kingdom. We quantified the associations between changes in or levels of consumption of twenty-seven food and beverage groups and excess weight gain in three-year periods among youth ages 7-13. When we considered all dietary factors and physical activity levels simultaneously, we found that foods with the largest positive associations with three-year excess weight gain were fat spread (butter or margarine), coated (breaded or battered) poultry, potatoes cooked in oil (French fries, roasted potatoes, and potato chips), coated fish, processed meats, other meats, desserts and sweets, milk, and sugar-sweetened beverages. Foods associated with weight loss were whole grains and high-fiber cereals. These results provide evidence for targeting specific food and beverage groups in efforts to influence weight outcomes.
目前正在努力寻找成功的策略来降低儿童长期肥胖风险，比如改善饮食质量的方法。为了确定与体重过度增加相关的食品和饮料，我们使用了英国雅芳亲子纵向研究的队列数据。我们对27类食品和饮料的消费变化或消费水平与7至13岁青少年三年期间体重过度增加之间的关联进行了量化。当我们同时考虑所有饮食因素和身体活动水平时，我们发现与三年体重过度增加关联最显著的食品是涂抹脂肪（黄油或人造黄油）、裹面（裹面包屑或面糊）的家禽、油炸土豆（薯条、烤土豆和薯片）、裹面鱼、加工肉类、其他肉类、甜点和糖果、牛奶以及含糖饮料。与体重减轻相关的食品是全谷物和高纤维谷物。这些结果为针对特定食品和饮料类别以影响体重结果的努力提供了证据。
