Jennifer A. Woo Baidal, Kayla Morel, Kelsey Nichols, and Erin Elbel are with the Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Columbia University Medical Center, New, York, NY. Nalini Charles is with the New York Presbyterian Hospital Special Supplemental Nutrition, Program for Women, Infants, and Children, New York, NY. Jeff Goldsmith is with the Mailman School of Public Health, Columbia University Medical Center, New York, NY. Ling Chen is with the Department of Ob-Gyn, Columbia University Medical Center. Elsie M. Taveras is with the Division of General Academic Pediatrics, Department of Pediatrics, MassGeneral Hospital for Children, Boston, MA.
Am J Public Health. 2018 Dec;108(12):1659-1665. doi: 10.2105/AJPH.2018.304691. Epub 2018 Oct 25.
To examine the relationship of parental sugar-sweetened beverage (SSB) attitudes with SSB consumption during the first 1000 days of life-gestation to age 2 years.
We studied 394 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)-enrolled families during the first 1000 days of life in northern Manhattan, New York, in 2017. In regression models, we assessed cross-sectional relationships of parental SSB attitude scores with habitual daily parent SSB calories and infant SSB consumption, adjusting for demographic and socioeconomic characteristics.
Each point higher parental SSB attitude score was associated with lower parental SSB consumption (-14.5 median kcals; 95% confidence interval [CI] = -22.6, -6.4). For infants, higher parental SSB attitude score was linked with lower odds of infant SSB consumption (adjusted odds ratio [AOR] = 0.84; 95% CI = 0.71, 0.99), and adjustment for socioeconomic factors slightly attenuated results (AOR = 0.85; 95% CI = 0.71, 1.02).
During the first 1000 days of life, greater negativity in parental attitudes toward SSB consumption was associated with fewer parental calories consumed from SSBs and lower likelihood of infant SSB consumption. Public Health Implications. Parental attitudes toward SSBs should be targeted in future childhood obesity interventions during pregnancy and infancy.
研究父母含糖饮料(SSB)态度与生命最初 1000 天(妊娠至 2 岁)期间 SSB 消费之间的关系。
我们在 2017 年对纽约曼哈顿北部的 394 个特殊补充营养计划(WIC)参与家庭进行了生命最初 1000 天的研究。在回归模型中,我们评估了父母 SSB 态度评分与父母日常 SSB 卡路里和婴儿 SSB 消费的横断面关系,同时调整了人口统计学和社会经济特征。
父母 SSB 态度评分每增加 1 分,与父母 SSB 消费减少 14.5 中位数卡路里(95%置信区间 [CI]:-22.6,-6.4)相关。对于婴儿,父母 SSB 态度评分越高,婴儿 SSB 消费的可能性越低(调整后的优势比 [AOR] = 0.84;95% CI:0.71,0.99),调整社会经济因素后结果略有减弱(AOR = 0.85;95% CI:0.71,1.02)。
在生命最初的 1000 天中,父母对 SSB 消费的态度越消极,父母从 SSB 中摄入的卡路里就越少,婴儿 SSB 消费的可能性就越低。公共卫生意义。在妊娠和婴儿期的未来儿童肥胖干预中,应针对父母对 SSB 的态度进行干预。