1Research Unit for Dietary Studies at the Parker Institute,Bispebjerg and Frederiksberg Hospital, the Capital Region,Nordre Fasanvej 57, entrance 5, ground floor,2000 Frederiksberg,Denmark.
3Institute of Preventive Medicine,Bispebjerg and Frederiksberg Hospital, the Capital Region,Frederiksberg,Denmark.
Public Health Nutr. 2017 Nov;20(16):2988-2997. doi: 10.1017/S1368980017002026. Epub 2017 Sep 7.
The study aimed to evaluate the impact of a 15-month intervention on dietary intake conducted among obesity-prone normal-weight pre-school children.
Information on dietary intake was obtained using a 4 d diet record. A diet quality index was adapted to assess how well children's diet complied with the Danish national guidelines. Linear regression per protocol and intention-to-treat analyses of differences in intakes of energy, macronutrients, fruit, vegetables, fish, sugar-sweetened beverages and diet quality index between the two groups were conducted.
The Healthy Start study was conducted during 2009-2011, focusing on changing diet, physical activity, sleep and stress management to prevent excessive weight gain among Danish children.
From a population of 635 Danish pre-school children, who had a high birth weight (≥4000 g), high maternal pre-pregnancy BMI (≥28·0 kg/m2) or low maternal educational level (<10 years of schooling), 285 children completed the intervention and had complete information on dietary intake.
Children in the intervention group had a lower energy intake after the 15-month intervention (group means: 5·29 v. 5·59 MJ, P=0·02) compared with the control group. We observed lower intakes of carbohydrates and added sugar in the intervention group compared with the control group after the intervention (P=0·002, P=0·01).
The intervention resulted in a lower energy intake, particularly from carbohydrates and added sugar after 15 months of intervention, suggesting that dietary intake can be changed in a healthier direction in children predisposed to obesity.
本研究旨在评估一项为期 15 个月的干预措施对易肥胖正常体重学龄前儿童饮食摄入的影响。
使用 4 天饮食记录获取饮食摄入信息。采用饮食质量指数来评估儿童的饮食与丹麦国家指南的符合程度。采用方案线性回归和意向治疗分析比较两组间能量、宏量营养素、水果、蔬菜、鱼、含糖饮料和饮食质量指数的摄入量差异。
健康启动研究于 2009-2011 年进行，重点是改变饮食、体育活动、睡眠和压力管理，以预防丹麦儿童体重过度增加。
从高出生体重（≥4000g）、高母体妊娠前 BMI（≥28.0kg/m2）或低母体教育程度（<10 年学校教育）的 635 名丹麦学龄前儿童中，有 285 名儿童完成了干预并完成了完整的饮食摄入信息。
与对照组相比，干预组儿童在 15 个月干预后能量摄入较低（组均值：5.29 比 5.59MJ，P=0.02）。与对照组相比，干预组在干预后碳水化合物和添加糖的摄入量较低（P=0.002，P=0.01）。
干预措施导致能量摄入降低，特别是在 15 个月的干预后碳水化合物和添加糖的摄入降低，表明易肥胖儿童的饮食摄入可以朝着更健康的方向改变。
