School of Health Sciences, Wuhan University, Wuhan, China.
Shenzhen Second People's Hospital, Shenzhen, China.
Appetite. 2022 Jan 1;168:105756. doi: 10.1016/j.appet.2021.105756. Epub 2021 Oct 11.
Child neglect (CN) has been associated with eating disorders, but little is known about its prospective association with the eating habits (EHs) of children. This study aimed to assess the cross-sectional and prospective associations of baseline CN with six common EHs in Chinese primary schoolchildren. We analyzed two-wave data of 1102 children (aged 9.1 ± 0.5 years) in Wuhan, China. Baseline CN was investigated by the Child Neglect Scale. Baseline and follow-up EHs, including fruit, vegetables, milk, sugar-sweetened beverages, and high-calorie snack and breakfast consumption frequency, were assessed by the Food Frequency Questionnaires. The association of baseline CN with baseline/follow-up EHs was analyzed by the generalized linear model (GLM). The association of baseline CN with the change of EHs from baseline to follow-up was examined by the Generalized estimating equation (GEE) model. After adjusting for demographic characteristics, pubertal stage, and body mass index, GLM indicated that higher baseline CN was associated with lower frequency of consuming fruit/vegetables/milk/breakfast and higher frequency of consuming sugar-sweetened beverages and high-calorie snacks at baseline, while it was only associated with lower frequency of vegetables/breakfast consumption and higher frequency of sugar-sweetened beverages consumption at follow-up. GEE results indicated that children with higher CN had a more rapid increase for the frequency of fruit/milk/breakfast consumption and a steeper decrease for the frequency of sugar-sweetened beverages consumption. In conclusion, higher CN was associated with unhealthy EHs. Yet simultaneously, children with higher CN have more scope to promote the health of their EHs. Targeting and reducing CN may be a promising approach for future interventions to improve subsequent EHs.
儿童忽视与饮食失调有关，但对于其与儿童饮食习惯的前瞻性关联知之甚少。本研究旨在评估基线儿童忽视与中国小学生六种常见饮食习惯的横断面和前瞻性关联。我们分析了中国武汉 1102 名儿童（年龄 9.1±0.5 岁）的两波数据。基线儿童忽视采用儿童忽视量表进行调查。基线和随访饮食习惯，包括水果、蔬菜、牛奶、含糖饮料以及高热量零食和早餐的消费频率，采用食物频率问卷进行评估。采用广义线性模型（GLM）分析基线儿童忽视与基线/随访饮食习惯的关联。采用广义估计方程（GEE）模型检验基线儿童忽视与基线到随访期间饮食习惯变化的关联。在调整人口统计学特征、青春期阶段和体重指数后，GLM 表明基线儿童忽视程度越高，基线时水果/蔬菜/牛奶/早餐的消费频率越低，而含糖饮料和高热量零食的消费频率越高，而在随访时仅与蔬菜/早餐的消费频率较低和含糖饮料的消费频率较高有关。GEE 结果表明，儿童忽视程度较高者水果/牛奶/早餐的消费频率增长更快，而含糖饮料的消费频率下降更快。总之，较高的儿童忽视程度与不健康的饮食习惯有关。然而，同时，儿童忽视程度较高者更有机会促进其饮食习惯的健康。针对和减少儿童忽视程度可能是未来改善后续饮食习惯的干预措施的一种有前途的方法。
