家庭用餐参与与挪威南部 12 个月大婴儿的饮食摄入有关。
Family meal participation is associated with dietary intake among 12-month-olds in Southern Norway.
机构信息
Department of Nutrition and Public Health, University of Agder, Serviceboks 422, 4604, Kristiansand, Norway.
Department of Obstetrics and Gynecology, Sørlandet Hospital HF, Serviceboks 416, 4604, Kristiansand, Norway.
出版信息
BMC Pediatr. 2021 Mar 15;21(1):128. doi: 10.1186/s12887-021-02591-6.
BACKGROUND
Family meal participation is associated with healthier eating among children and adolescents. Less is known about family meal participation among infants and toddlers. The objective of the present study was to explore whether family meal participation at 12 months of age is associated with dietary intake and whether a potential relationship differs according to maternal education or child sex.
METHODS
Follow-up data from children born to mothers participating in the Norwegian Fit for Delivery (NFFD) trial during pregnancy were used to assess the frequency of intake of 11 dietary items according to frequency of participating in the respective family meals. Dietary differences according to seldom (0-3 times/week) or often (4-7 times/week) participating in each respective meal category were assessed in linear regression models. Potential dose-response associations with frequency of participation in all family meal categories combined were also estimated. Models were adjusted for maternal randomization status, education, and child sex.
RESULTS
The sample comprised 408 children. A total of 74, 53 and 74% had breakfast, lunch, and dinner with family ≥4 times/week, respectively, while 39% had supper and 27% between-meal snacks with family ≥4 times/week. Having family dinner ≥4 times/week was associated with more frequent intake of vegetables, homemade infant cereal, milk, and water, and less frequent intake of commercial infant foods while the other family meal categories were associated with fewer dietary outcomes. For each additional meal category eaten with family ≥4 times/week, frequency of vegetable intake (β = 0.45), water (β = 0.17), and milk (β = 0.09) per day increased, while commercial infant cereal was eaten less frequently (β = - 0.18). The inverse association between family meals and commercial infant cereal was only evident in children born to mothers in the intervention group. Several associations with diet were stronger and only significant among boys.
CONCLUSIONS
Being fed in the context of family meals at 12 months of age was associated with a more favorable diet. Including the infant in family meals has potential in the promotion of early nutritional health.
背景
家庭用餐参与与儿童和青少年更健康的饮食习惯有关。然而，对于婴儿和幼儿的家庭用餐参与情况，我们知之甚少。本研究的目的是探讨 12 个月大的婴儿参与家庭用餐是否与饮食摄入有关，以及这种潜在的关系是否因母亲的教育程度或孩子的性别而异。
方法
利用参与挪威分娩健康（NFFD）试验的母亲在怀孕期间的随访数据，根据参与各自家庭餐的频率，评估 11 种饮食项目的摄入频率。通过线性回归模型评估了根据很少（每周 0-3 次）或经常（每周 4-7 次）参与各餐类别的饮食差异。还估计了与所有家庭用餐类别参与频率的潜在剂量反应关系。模型调整了母亲的随机分组状态、教育程度和孩子的性别。
结果
样本包括 408 名儿童。分别有 74%、53%和 74%的儿童每周至少 4 次与家人一起吃早餐、午餐和晚餐，而 39%的儿童每周至少 4 次与家人一起吃晚餐和零食，27%的儿童每周至少 4 次与家人一起吃零食。每周至少 4 次与家人一起吃晚餐与更频繁地摄入蔬菜、自制婴儿麦片、牛奶和水有关，而与更频繁地摄入商业婴儿食品有关，而其他家庭用餐类别与较少的饮食结果有关。对于每周至少 4 次与家人一起食用的每一个额外的餐类，蔬菜摄入量（β=0.45）、水摄入量（β=0.17）和牛奶摄入量（β=0.09）每天增加，而商业婴儿麦片的摄入量减少（β=−0.18）。只有在干预组的母亲所生的儿童中，家庭餐与商业婴儿麦片之间的负相关关系才明显。一些与饮食有关的关联在男孩中更强，且仅具有统计学意义。
结论
12 个月大时在家庭用餐中进食与更健康的饮食有关。让婴儿参与家庭用餐可能有助于促进早期营养健康。
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