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农民市场烹饪和营养计划对美国低收入城市社区儿童健康相关生活质量的积极影响。

: positive influence of a farmers' market cooking and nutrition programme on health-related quality of life of US children in a low-income, urban community.

机构信息

Michigan State University-Hurley Children's Hospital Pediatric Public Health Initiative, Division of Public Health, Department of Food Science and Human Nutrition, 200 E 1st Street, Room 232D, Flint, MI48502, USA.

Michigan State University-Hurley Children's Hospital Pediatric Public Health Initiative, Division of Public Health, Flint, MI, USA.

出版信息

Public Health Nutr. 2021 Apr;24(6):1492-1500. doi: 10.1017/S136898002000395X. Epub 2020 Oct 8.

DOI:10.1017/S136898002000395X
PMID:33028450
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10195638/
Abstract

OBJECTIVE

To examine changes in health-related quality of life (HRQoL) among youth who participated in Flint Kids Cook, a 6-week healthy cooking programme for children, and assess whether changes in HRQoL were associated with changes in cooking self-efficacy, attitude towards cooking (ATC) and diet.

DESIGN

Pre-post survey (Pediatric Quality of Life Inventory, Block Kids Food Screener, 8-item cooking self-efficacy, 6-item ATC) using child self-report at baseline and programme exit. Analysis involved paired sample t-tests and Pearson's correlations.

SETTING

Farmers' market in Flint, Michigan, USA.

PARTICIPANTS

Children (n 186; 55·9 % female, 72·6 % African American) participated in Flint Kids Cook from October 2017 to February 2020 (mean age 10·55 ± 1·83 years; range 8-15).

RESULTS

Mean HRQoL summary score improved (P < 0·001) from baseline (77·22 ± 14·27) to programme exit (81·62 ± 14·43), as did mean psychosocial health summary score (74·68 ± 15·68 v. 79·04 ± 16·46, P = 0·001). Similarly, physical (P = 0·016), emotional (P = 0·002), social (P = 0·037), and school functioning (P = 0·002) improved. There was a correlation between change in HRQoL summary score and change in ATC (r = -0·194, P = 0·025) as well as change in cooking self-efficacy (r = -0·234, P = 0·008). Changes in HRQoL and psychosocial health summary scores were not correlated with dietary changes, which included decreased added sugar (P = 0·019) and fruit juice (P = 0·004) intake.

CONCLUSIONS

This study is the first to report modest yet significant improvements in HRQoL among children and adolescents who participated in a healthy cooking programme. Results suggest that cooking programmes for youth may provide important psychosocial health benefits that are unrelated to dietary changes.

摘要

目的

研究参加弗林特儿童烹饪(一项针对儿童的为期 6 周的健康烹饪计划)的青少年健康相关生活质量(HRQoL)的变化,并评估 HRQoL 的变化是否与烹饪自我效能感、烹饪态度(ATC)和饮食的变化相关。

设计

使用儿童自我报告,在基线和项目结束时进行前后调查(儿童生活质量量表、布洛克儿童食物筛选器、8 项烹饪自我效能感、6 项 ATC)。分析包括配对样本 t 检验和 Pearson 相关。

地点

美国密歇根州弗林特市农贸市场。

参与者

2017 年 10 月至 2020 年 2 月期间,186 名儿童(55.9%为女性,72.6%为非裔美国人)参加了弗林特儿童烹饪(平均年龄 10.55±1.83 岁;年龄范围为 8-15 岁)。

结果

HRQoL 综合评分从基线(77.22±14.27)到项目结束(81.62±14.43)均有显著提高(P<0.001),心理社会健康综合评分也有所提高(74.68±15.68 v. 79.04±16.46,P=0.001)。同样,身体(P=0.016)、情绪(P=0.002)、社会(P=0.037)和学校功能(P=0.002)也有所改善。HRQoL 综合评分的变化与 ATC 的变化(r=-0.194,P=0.025)以及烹饪自我效能感的变化(r=-0.234,P=0.008)相关。HRQoL 和心理社会健康综合评分的变化与饮食变化无关,饮食变化包括减少添加糖(P=0.019)和果汁(P=0.004)的摄入。

结论

本研究首次报告了参加健康烹饪计划的儿童和青少年 HRQoL 有适度但显著的提高。结果表明,针对青少年的烹饪计划可能提供重要的心理社会健康益处,与饮食变化无关。

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