School of Biological Sciences, Faculty of Science, The University of Hong Kong, Hong Kong.
Quantitative Data Analysis and Research Unit, Faculty of Education & Social Work, The University of Auckland, New Zealand.
Appetite. 2020 Nov 1;154:104781. doi: 10.1016/j.appet.2020.104781. Epub 2020 Jun 30.
Nature-based interventions, which focus on outdoor play, mental health, and self-directed autonomous play, are becoming popular in promoting well-being. The objective of this study was to test whether connecting to nature would contribute to better feeding and eating habits in families with pre-schoolers.
241 families with children aged two to five were randomly assigned to the Intervention (IG) and Control Groups (CG). IG received 10 sessions of a family-based programme, which included a novel Connectedness to Nature (CN) element. CG received only the government's health recommendations. The effectiveness of the intervention's primary outcomes (CN, eating/feeding behaviours) was analysed by a repeated measures structural equation model with intervention status as a causal predictor.
204 families (IG, n = 120; CG, n = 84) completed the measurements before and after the trial. The intervention had a medium effect on caregivers' CN (f = 0.16, (95%CI = 0.06, 0.30)) and a large effect on children's CN (f = 0.58, (95%CI = 0.36, 0.89)). In the IG, children's CN strongly predicted caregivers' feeding style (β = 0.48 (p < .01, 95%CI = 0.14, 0.83)) and moderately, children's eating behaviours (β = 0.21 (p = .16, 95%CI = -0.09, 0.52)). This produced a positive trend for greater vegetable consumption in the IG compared to the CG (β = 0.20 (95%CI = 0.01, 0.39) vs. β = -0.05, (95%CI = -0.18, 0.08)). Interestingly, the path values in the CG significantly reflected the traditional pattern, (e.g., parental feeding style strongly influenced children's eating behaviour (β = 0.33, p = .001, 95%CI = 0.13, 0.54).
The Play&Grow intervention positively increased caregivers' and children's CN. It also improved eating behaviors in children independent of their caregivers' feeding style. This may indicate a higher degree of autonomy in children's eating behaviour if they are exposed to nature. Further research should test the CN component in promotion of healthy eating in pre-schoolers.
以户外游戏、心理健康和自我导向自主游戏为重点的自然为本的干预措施在促进幸福感方面越来越受欢迎。本研究的目的是检验与大自然接触是否有助于改善有学龄前儿童的家庭的喂养和饮食习惯。
将 241 个 2-5 岁儿童的家庭随机分为干预组(IG)和对照组(CG)。IG 接受了 10 次基于家庭的方案,其中包括一个新的与自然的联系(CN)元素。CG 仅接受政府的健康建议。通过重复测量结构方程模型分析干预的主要结果(CN、进食/喂养行为)的有效性,干预状态作为因果预测因子。
204 个家庭(IG,n=120;CG,n=84)在试验前后完成了测量。干预对照顾者的 CN 有中等影响(f=0.16,(95%CI=0.06,0.30)),对儿童的 CN 有较大影响(f=0.58,(95%CI=0.36,0.89))。在 IG 中,儿童的 CN 强烈预测照顾者的喂养方式(β=0.48(p<0.01,95%CI=0.14,0.83))和适度预测儿童的饮食行为(β=0.21(p=0.16,95%CI=-0.09,0.52))。这导致 IG 中蔬菜摄入量的增加趋势大于 CG(β=0.20(95%CI=0.01,0.39)vs.β=-0.05,(95%CI=-0.18,0.08))。有趣的是,CG 中的路径值明显反映了传统模式,(例如,父母的喂养方式强烈影响儿童的饮食行为(β=0.33,p=0.001,95%CI=0.13,0.54))。
Play&Grow 干预措施积极提高了照顾者和儿童的 CN。它还独立于照顾者的喂养方式改善了儿童的饮食行为。如果儿童接触大自然,这可能表明他们在饮食行为方面具有更高的自主性。应进一步研究 CN 成分在促进学龄前儿童健康饮食方面的作用。