Jackson Jennifer A, Smit Ellen, Manore Melinda M, John Deborah, Gunter Katherine
School of Biological and Population Health Sciences, Oregon State University, Corvallis, OR 97331, USA.
Nutrients. 2015 Nov 25;7(12):9707-20. doi: 10.3390/nu7125495.
Obesity and food insecurity rates are higher among rural compared to non-rural populations. Little is known, however, about how family-home environments influence childhood obesity-related behaviors, particularly in rural settings. This study examined associations between the family-home nutrition (FN) environment, food insecurity, and dietary intake (fruits, vegetables, whole grains, dairy, protein foods, and added sugars) in rural elementary school-age children (grades K-5/6; n = 102). Parents/caregivers completed surveys on FN, food insecurity, and the Block Kids Food Screener (BKFS). Body mass index (BMI, kg/m2) was calculated from measured height and weight. Approximately 33% of children were classified as overweight/obese and 28% of families were at-risk for food insecurity. Multivariable linear regression analyses examined associations between dietary intakes with FN and food insecurity. More favorable FN scores were associated with lower added sugar intake (B = -1.38, p = 0.04) and higher vegetable (B = 0.15, p < 0.001), fruit (B = 0.71, p = 0.01), and dairy (B = 0.31, p < 0.001) intakes. No significant associations were found between food insecurity and dietary intake. Given the association between higher FN scores and more favorable dietary intake, promoting healthy FN environments among rural children is warranted.
与非农村人口相比，农村地区的肥胖率和粮食不安全率更高。然而，关于家庭环境如何影响与儿童肥胖相关的行为，尤其是在农村地区，人们知之甚少。本研究调查了农村小学适龄儿童（幼儿园至5/6年级；n = 102）的家庭营养（FN）环境、粮食不安全与饮食摄入量（水果、蔬菜、全谷物、乳制品、蛋白质类食物和添加糖）之间的关联。家长/照顾者完成了关于FN、粮食不安全和儿童饮食筛查量表（BKFS）的调查。根据测量的身高和体重计算体重指数（BMI，kg/m²）。约33%的儿童被归类为超重/肥胖，28%的家庭存在粮食不安全风险。多变量线性回归分析研究了饮食摄入量与FN和粮食不安全之间的关联。更有利的FN得分与较低的添加糖摄入量（B = -1.38，p = 0.04）以及较高的蔬菜（B = 0.15，p < 0.001）、水果（B = 0.71，p = 0.01）和乳制品（B = 0.31，p < 0.001）摄入量相关。未发现粮食不安全与饮食摄入量之间存在显著关联。鉴于较高的FN得分与更有利的饮食摄入量之间的关联，有必要在农村儿童中促进健康的FN环境。
