School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, China.
School Research Center for Woman and Child Health, Wuhan University of Science and Technology, Wuhan 430065, China.
Nutrients. 2021 Dec 28;14(1):125. doi: 10.3390/nu14010125.
This study aimed at assessing the correctness of a caregiver's perception of their child's diet status and to determine the factors which may influence their judgment. 815 child-caregiver pairs were recruited from two primary schools. 3-day 24-h recall was used to evaluate children's dietary intake, Chinese Children Dietary Index (CCDI) was used to evaluate the dietary quality. Multivariate logistic regression models were used to explore the factors that could influence the correctness of caregiver's perception. In the current study, 371 (62.1%) children with "high diet quality" and 35 (16.1%) children with "poor diet quality" were correctly perceived by their caregivers. Children who were correctly perceived as having "poor diet quality" consumed less fruits and more snacks and beverages than those who were not correctly perceived ( < 0.05). Obese children were more likely to be correctly identified as having "poor diet quality" (OR = 3.532, = 0.040), and less likely to be perceived as having "high diet quality", even when they had a balanced diet (OR = 0.318, = 0.020). Caregivers with a high level of education were more likely to correctly perceive children's diet quality (OR = 3.532, = 0.042). Caregivers in this study were shown to lack the ability to correctly identify their children's diet quality, especially amongst children with a "poor diet quality". Obesity, significantly low consumption of fruits or high consumption of snacks can raise caregivers' awareness of "poor diet quality".
本研究旨在评估照料者对其子女饮食状况的感知准确性，并确定可能影响其判断的因素。从两所小学招募了 815 对儿童-照料者。采用 3 天 24 小时回顾法评估儿童的饮食摄入，采用中国儿童膳食指数（CCDI）评估饮食质量。采用多变量逻辑回归模型探讨可能影响照料者感知准确性的因素。在本研究中，有 371（62.1%）名饮食质量“高”的儿童和 35（16.1%）名饮食质量“差”的儿童被其照料者正确感知。被正确感知为饮食质量“差”的儿童比未被正确感知的儿童摄入的水果较少，而零食和饮料较多（<0.05）。肥胖儿童更有可能被正确识别为饮食质量“差”（OR=3.532，=0.040），即使他们饮食均衡，也不太可能被认为饮食质量“高”（OR=0.318，=0.020）。受教育程度较高的照料者更有可能正确感知儿童的饮食质量（OR=3.532，=0.042）。研究中的照料者被证明缺乏正确识别其子女饮食质量的能力，尤其是在饮食质量“差”的儿童中。肥胖、水果摄入量显著较低或零食摄入量较高，可能会提高照料者对“差饮食质量”的意识。
