Rutayisire Erigene, Wu Xiaoyan, Huang Kun, Tao Shuman, Chen Yunxiao, Wang Sufang, Tao Fangbiao
Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical, University, Hefei 230032, People's Republic of China.
Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei 230032, People's Republic of China.
J Nutr Sci. 2018 Sep 11;7:e24. doi: 10.1017/jns.2018.15. eCollection 2018.
Globally, the prevalence of childhood obesity has substantially increased at an alarming rate. This study investigated associations between dietary patterns and overweight/obesity in 3- to 6-year-old children. Recruited children were from four prefecture-level cities in Eastern China. Childhood overweight and obesity were defined according to WHO Child Growth Standards. Individual dietary patterns were assessed by a comprehensive self-administered FFQ using thirty-five food items. Using factor analysis two dietary patterns were derived: the traditional Chinese pattern was characterised by high consumption of cereals, vegetables and fresh juices while the modern pattern was characterised by high consumption of Western fast food, Chinese fast food, sweets/sugary foods and carbonated beverages. The associations of dietary patterns with overweight/obesity were evaluated by logistic regression models. Data of 8900 preschool children from thirty-five kindergartens recruited from March to June 2015 were used in the final analysis. Adherence to the modern dietary pattern was positively associated with children's age while adherence to the traditional dietary pattern was positively associated with maternal education; these associations were statistically significant. After adjustment, we found that being in the highest tertile of any identified dietary patterns was not significantly associated with overweight and obesity. Dietary patterns are not associated with overweight/obesity in Chinese preschool children. Prospective studies are needed to establish a causal link between dietary patterns and childhood obesity.
在全球范围内，儿童肥胖的患病率以惊人的速度大幅上升。本研究调查了3至6岁儿童的饮食模式与超重/肥胖之间的关联。招募的儿童来自中国东部的四个地级市。儿童超重和肥胖是根据世界卫生组织儿童生长标准定义的。个体饮食模式通过使用35种食物的综合自填式食物频率问卷进行评估。通过因子分析得出两种饮食模式：传统中国模式的特点是谷类、蔬菜和新鲜果汁的高摄入量，而现代模式的特点是西式快餐、中式快餐、糖果/含糖食品和碳酸饮料的高摄入量。通过逻辑回归模型评估饮食模式与超重/肥胖的关联。最终分析使用了2015年3月至6月从35所幼儿园招募的8900名学龄前儿童的数据。坚持现代饮食模式与儿童年龄呈正相关，而坚持传统饮食模式与母亲教育程度呈正相关；这些关联具有统计学意义。调整后，我们发现处于任何已识别饮食模式的最高三分位数与超重和肥胖均无显著关联。饮食模式与中国学龄前儿童的超重/肥胖无关。需要进行前瞻性研究以建立饮食模式与儿童肥胖之间的因果联系。
