Hunter New England Population Health, Wallsend, New South Wales, Australia.
School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.
Nutr Diet. 2017 Nov;74(5):446-453. doi: 10.1111/1747-0080.12375. Epub 2017 Aug 30.
The primary aim of this study was to describe the dietary intake and physical activity levels of children while attending childcare.
A cross-sectional study was conducted with 18 centre-based childcare services in the Hunter region of New South Wales, Australia. Childcare service characteristics were assessed via telephone interview. Child dietary intake and physical activity levels were assessed during a one-day observation conducted at participating childcare services using previously validated tools.
Children consumed a mean of 0.2 serves of vegetables, 0.7 serves of fruit, 1.4 serves of grain (cereal) foods, 0.1 serves of lean meat and poultry, fish, eggs, nuts and seeds and legumes/beans, 0.6 serves of milk, yoghurt, cheese and alternatives, and 0.7 serves of discretionary foods during attendance at childcare. Of all child physical activity counts, 48.6% were classified as 'sedentary', and 22.3% classified as 'very active'. Bivariate analyses indicated that children attending services located in rural areas consumed significantly more serves of vegetables (0.3 serves (SD 0.7) vs 0.1 serves (SD 0.2), P = 0.05). Multivariate analyses indicated that services with large child enrolments had a significantly greater proportion of child counts classified as 'very active' (23.6% of child counts (95% CI 1.6, 29.5) vs 14.9% of child counts (95% CI 9.1, 20.6), P = 0.007).
There is considerable scope to improve the diet and activity behaviours of children during attendance at childcare. Future research is needed to identify effective strategies to best support childcare services in implementing policies and practices to improve such behaviours in children.
本研究的主要目的是描述儿童在入托期间的饮食摄入和身体活动水平。
在澳大利亚新南威尔士州亨特地区进行了一项横断面研究，涉及 18 个中心式儿童保育服务机构。通过电话访谈评估儿童保育服务机构的特征。在参与的儿童保育服务机构进行为期一天的观察期间，使用先前验证过的工具评估儿童的饮食摄入和身体活动水平。
儿童在入托期间平均摄入 0.2 份蔬菜、0.7 份水果、1.4 份谷物（谷类）食品、0.1 份瘦肉和禽肉、鱼、蛋、坚果和种子以及豆类、0.6 份牛奶、酸奶、奶酪和替代品，以及 0.7 份随意食品。在所有儿童的身体活动计数中，48.6%被归类为“久坐”，22.3%被归类为“非常活跃”。 单变量分析表明，在农村地区入托的儿童摄入的蔬菜量明显更多（0.3 份（SD 0.7）与 0.1 份（SD 0.2），P = 0.05）。多变量分析表明，儿童入托人数较多的服务机构中，被归类为“非常活跃”的儿童计数比例显著更高（23.6%的儿童计数（95%CI 1.6, 29.5）与 14.9%的儿童计数（95%CI 9.1, 20.6），P = 0.007）。
在儿童入托期间，有相当大的空间可以改善儿童的饮食和活动行为。未来的研究需要确定有效的策略，以最好地支持儿童保育服务机构实施政策和实践，以改善儿童的这些行为。
