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家庭日托所中学龄前儿童的食物组摄入量的饮食贡献:拉丁裔和非拉丁裔提供者之间的差异。

Dietary Contributors to Food Group Intake in Preschool Children Attending Family Childcare Homes: Differences between Latino and Non-Latino Providers.

机构信息

Department of Nutrition and Food Sciences, University of Rhode Island, Kingston, RI 02881, USA.

Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI 02912, USA.

出版信息

Nutrients. 2020 Nov 29;12(12):3686. doi: 10.3390/nu12123686.

Abstract

While there are several factors that contribute to the diet quality of children in childcare, one contributing factor in Family Childcare Homes (FCCHs) is the provider's ethnicity. However, research examining the food items provided in this setting is limited; in particular, with regards to differences between FCCHs of Latino and non-Latino providers. The aim of this study was to identify and describe the food items that contribute to food group intake in preschool-aged children attending FCCHs, and to examine differences by provider ethnicity. This secondary data analysis used baseline data from Healthy Start/Comienzos Sanos: a cluster-randomized trial. Children's dietary intake was collected using the Dietary Observation in Child Care method and entered into Nutrition Data System for Research software. Food groups were based on the Nutrition Coordinating Center classification. Contribution of food items to their respective food group was calculated as a proportion, using ratio of means and presented as a percentage. Ethnic differences were tested with ANCOVA ( < 0.05) with Bonferroni adjustments for multiple comparisons. All providers ( = 120) were female and 67.5% were Latino. Most fruit consumed by children was in the form of juice (85%), three-fourths of the grains consumed were refined (75%), and half of the sweets consumed were syrup/honey/jelly (50%). Most of the vegetables consumed were non-starchy (61%), nearly three-fourths of dairy consumed was low-fat (71%), and vegetable oils contributed the most to the fats group (89%). Food items differed by provider's ethnicity, with children cared for by non-Latino providers consuming a higher proportion of fruit juice, animal fats and a lower proportion of legumes ( < 0.001 for all). Children with Latino providers consumed a lower proportion of non-starchy vegetables, low-fat dairy, and nuts/seeds ( < 0.001 for all). FCCH providers could offer more whole fruits and grains and a greater variety of vegetables. Differences by ethnicity suggest providers could benefit from culturally tailored recommendations.

摘要

尽管有几个因素会影响儿童在日托中心的饮食质量,但家庭儿童保育中心(FCCH)的一个促成因素是提供者的种族。然而,关于这一环境中提供的食物项目的研究有限;特别是关于拉丁裔和非拉丁裔提供者的 FCCH 之间的差异。本研究的目的是确定和描述有助于学前儿童在 FCCH 中摄入食物组的食物项目,并检查提供者种族的差异。这项二次数据分析使用了 Healthy Start/Comienzos Sanos 的基线数据:一项集群随机试验。儿童的饮食摄入量是使用膳食观察在儿童保育中收集的,并输入到研究营养数据系统软件中。食物组是基于营养协调中心的分类。使用均值比计算食物项目对其各自食物组的贡献,并以百分比表示。使用方差分析(<0.05)和 Bonferroni 调整进行多重比较来测试种族差异。所有提供者(=120)均为女性,其中 67.5%为拉丁裔。儿童食用的大部分水果是果汁形式(85%),四分之三的谷物是精制谷物(75%),一半的甜食是糖浆/蜂蜜/果冻(50%)。食用的大部分蔬菜是非淀粉类蔬菜(61%),近四分之三的奶制品是低脂奶制品(71%),而蔬菜油对脂肪组的贡献最大(89%)。食物项目因提供者的种族而异,由非拉丁裔提供者照顾的儿童食用更多的果汁、动物脂肪和更少的豆类(<0.001)。由拉丁裔提供者照顾的儿童食用较少的非淀粉类蔬菜、低脂奶制品和坚果/种子(<0.001)。FCCH 提供者可以提供更多的完整水果和谷物以及更多种类的蔬菜。种族差异表明,提供者可以从文化上量身定制的建议中受益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3cf/7761496/9b8b09230f02/nutrients-12-03686-g001.jpg

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