Smith Kylie J, McNaughton Sarah A, Gall Seana L, Otahal Petr, Dwyer Terence, Venn Alison J
J Acad Nutr Diet. 2017 Aug;117(8):1210-1221. doi: 10.1016/j.jand.2016.12.008. Epub 2017 Feb 4.
Partnering and parenting are important life-stage transitions that often occur during young adulthood. Little is known about how these transitions affect two dietary behaviors linked to increased cardiometabolic disease risk: skipping breakfast and takeaway-food consumption.
Our aim was to examine whether partnering and parenting transitions during a 5-year period were associated with change in diet quality, skipping breakfast, and takeaway-food consumption.
We conducted a cohort study. Questionnaires were completed at baseline (2004 to 2006) and follow-up (2009 to 2011). Marital status and number of children were self-reported.
PARTICIPANTS/SETTING: Australian participants (n=1,402 [39% men]) aged 26 to 36 years were included.
Diet quality was assessed using a Dietary Guideline Index. Breakfast skipping (not eating before 9 am the previous day) and frequent takeaway-food consumption (≥2 times/week) were reported.
Linear regression (mean differences in Dietary Guideline Index) and log binomial regression (relative risks for skipping breakfast and frequent takeaway-food consumption) were adjusted for age, education, follow-up duration, day of the week (skipping breakfast only), the other transition, and baseline behavior.
During the 5-year follow-up, 101 men and 93 women became married/living as married, and 149 men and 155 women had their first child. Diet quality improved among all groups and was similar at follow-up between those who experienced the transitions and those who did not. Compared to having no children, having a first child was associated with a lower risk of skipping breakfast for men (relative risk 0.65; 95% CI 0.42 to 1.01) and women (relative risk 0.47; 95% CI 0.31 to 0.72). Men who became partnered also had a lower risk of skipping breakfast than those who remained single (relative risk 0.64; 95% CI 0.42 to 0.98). The transitions were not significantly associated with takeaway-food consumption.
Life-stage transitions were not associated with better diet quality. Participants who became partnered or parents were more likely to eat breakfast at follow-up than those who remained single or had no children.
伴侣关系的建立和为人父母是重要的人生阶段转变,通常发生在成年早期。对于这些转变如何影响与心血管代谢疾病风险增加相关的两种饮食行为,即不吃早餐和食用外卖食品,我们知之甚少。
我们的目的是研究在5年期间伴侣关系的建立和为人父母的转变是否与饮食质量的变化、不吃早餐和食用外卖食品有关。
我们进行了一项队列研究。在基线期(2004年至2006年)和随访期(2009年至2011年)完成问卷调查。婚姻状况和子女数量由参与者自行报告。
参与者/研究背景:纳入年龄在26至36岁的澳大利亚参与者(n = 1402,男性占39%)。
使用膳食指南指数评估饮食质量。报告了不吃早餐(前一天上午9点前未进食)和频繁食用外卖食品(≥每周2次)的情况。
线性回归(膳食指南指数的平均差异)和对数二项回归(不吃早餐和频繁食用外卖食品的相对风险)针对年龄、教育程度、随访时长、星期几(仅不吃早餐的情况)、另一种转变以及基线行为进行了调整。
在5年的随访期间,101名男性和93名女性结婚/开始同居,149名男性和155名女性生育了第一个孩子。所有组的饮食质量均有所改善,在随访时,经历转变的人和未经历转变的人的饮食质量相似。与没有孩子相比,生育第一个孩子使男性(相对风险0.65;95%置信区间0.42至1.01)和女性(相对风险0.47;95%置信区间0.31至0.72)不吃早餐的风险降低。建立伴侣关系的男性不吃早餐的风险也低于单身男性(相对风险0.64;95%置信区间0.42至0.98)。这些转变与食用外卖食品并无显著关联。
人生阶段的转变与更好的饮食质量无关。建立伴侣关系或成为父母的参与者在随访时比单身或没有孩子的参与者更有可能吃早餐。