Hunter New England Population Health, Wallsend, NSW 2287, Australia.
School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia.
Nutrients. 2021 Mar 30;13(4):1139. doi: 10.3390/nu13041139.
The association between healthy eating practices and child dietary intake in childcare centres where parents pack foods from home has received little attention. This study aimed to: (1) Describe the nutritional content of foods and beverages consumed by children in care; and (2) Assess the association between centre healthy eating practices and child intake of fruit and vegetable servings, added sugar(grams), saturated fat(grams) and sodium(milligrams) in care. A cross-sectional study amongst 448 children attending 22 childcare centres in New South Wales, Australia, was conducted. Child dietary intake was measured via weighed lunchbox measurements, photographs and researcher observation, and centre healthy eating practices were assessed via researcher observation of centre nutrition environments. Children attending lunchbox centres consumed, on average 0.80 servings (standard deviation 0.69) of fruit and 0.27 servings (standard deviation 0.51) of vegetables in care. The availability of foods within children's lunchboxes was associated with intake of such foods ( < 0.01). Centre provision of intentional healthy eating learning experiences (estimate -0.56; = 0.01) and the use of feeding practices that support children's healthy eating (estimate -2.02; = 0.04) were significantly associated with reduced child intake of saturated fat. Interventions to improve child nutrition in centres should focus on a range of healthy eating practices, including the availability of foods packed within lunchboxes.
在家中为孩子准备食物并带到托育中心的家长，其关注的重点通常是孩子的健康饮食行为与儿童在托育中心的饮食摄入之间的关系。本研究旨在：(1)描述在托育中心食用的儿童食物和饮料的营养成分；(2)评估托育中心的健康饮食实践与儿童在托育中心摄入水果和蔬菜份量、添加糖（克）、饱和脂肪（克）和钠（毫克）的关联。在澳大利亚新南威尔士州的 22 家托育中心中进行了一项横断面研究，共有 448 名儿童参与。通过称重午餐盒测量、照片和研究人员观察来测量儿童的饮食摄入情况，通过研究人员观察托育中心的营养环境来评估托育中心的健康饮食实践情况。在托育中心吃午餐的孩子平均摄入 0.80 份（标准差 0.69）水果和 0.27 份（标准差 0.51）蔬菜。儿童午餐盒中食物的供应情况与这些食物的摄入量有关（<0.01）。中心提供有目的的健康饮食学习体验（估计值-0.56；=0.01）和使用支持儿童健康饮食的喂养实践（估计值-2.02；=0.04）与儿童摄入的饱和脂肪减少显著相关。在中心改善儿童营养的干预措施应侧重于一系列健康饮食实践，包括在午餐盒中提供食物。
