Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis MN, 55454, USA.
School of Nursing, University of Minnesota, Minneapolis MN, 55455, USA.
Appetite. 2022 Jul 1;174:106007. doi: 10.1016/j.appet.2022.106007. Epub 2022 Mar 21.
These analyses examined associations of parent dietary role modeling with diet quality among school-age children in a rural community. Past research has found protective associations between parent role modeling and children's dietary intake; however, there is a gap in understanding these associations for families in rural communities. Baseline data (2017 -2018) were drawn from the New Ulm at Home (NU-HOME) randomized controlled trial, conducted in the United States. The trial recruited 114 children (7-10 years old) and parents. Parents self-reported dietary intake [fruit and vegetable (FV), sugar-sweetened beverage (SSB), fast food (FF)] and frequency of sitting and eating with their child. Children reported parent role modeling of healthful eating (FV and salad at the evening meal; FV as snacks). Two 24-h dietary recalls assessed child diet quality indicators [Healthy Eating Index-2015 (HEI-2015) total scores, FV intake, SSB intake]. General linear models (GLM) and logistic regression analyzed associations of child diet quality (HEI score, FV intake, SSB intake) with parent dietary intake, parent sitting and eating the evening meal with their child, and child perceptions of parent role modeling healthful eating, adjusted for highest level of education in the home. Higher child HEI-2015 scores were positively associated with more frequent parent role modeling of fruit intake at meals, and inversely associated with more frequent parent role modeling of fruit as a snack; no significant associations of child FV intake with parent role modeling were observed. Higher child SSB intake was positively associated with parent FF intake. In this rural community, parents play significant roles in shaping children's dietary quality and intake, though more work needs to be done to address optimal intervention strategies to promote parent role modeling of healthful eating.
这些分析考察了在农村社区中，父母饮食榜样对学龄儿童饮食质量的影响。过去的研究发现，父母榜样与儿童饮食摄入之间存在保护关联；然而，对于农村社区的家庭，人们对这些关联的理解还存在差距。本研究的数据来自于美国的纽厄尔姆在家（NU-HOME）随机对照试验。该试验招募了 114 名儿童（7-10 岁）及其父母。父母自我报告了饮食摄入（水果和蔬菜（FV）、含糖饮料（SSB）、快餐（FF））和与孩子一起坐着吃饭的频率。孩子们报告了父母健康饮食的榜样作用（晚餐时的 FV 和沙拉；零食中的 FV）。两次 24 小时膳食回忆评估了儿童饮食质量指标（2015 年健康饮食指数（HEI-2015）总分、FV 摄入量、SSB 摄入量）。一般线性模型（GLM）和逻辑回归分析了儿童饮食质量（HEI 评分、FV 摄入量、SSB 摄入量）与父母饮食摄入、父母与孩子共进晚餐和吃饭的频率以及孩子对父母健康饮食榜样作用的感知之间的关联，调整了家庭中最高教育水平。儿童 HEI-2015 得分越高，与父母更多地在餐中榜样作用水果摄入呈正相关，与父母更多地在零食中榜样作用水果摄入呈负相关；与父母榜样作用 FV 摄入无显著关联。儿童 SSB 摄入量越高，与父母 FF 摄入量呈正相关。在这个农村社区，父母在塑造儿童饮食质量和摄入方面发挥着重要作用，但需要做更多的工作来制定最佳的干预策略，以促进父母健康饮食的榜样作用。
