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参加 WIC 计划的时间长短和早期喂养方式与 3 岁时达到添加糖推荐摄入量有关。

Duration of WIC Participation and Early Feeding Practices Are Associated With Meeting the Added Sugars Recommendation at Age 3 Years.

机构信息

Westat, Rockville, MD.

Office of Policy Support, Food and Nutrition Service, US Department of Agriculture, Alexandria, VA.

出版信息

J Nutr Educ Behav. 2022 Jul;54(7):670-676. doi: 10.1016/j.jneb.2022.02.012. Epub 2022 May 12.

DOI:10.1016/j.jneb.2022.02.012
PMID:35568685
Abstract

OBJECTIVE

To examine whether duration of participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and early feeding practices are associated with the likelihood of meeting the Dietary Guidelines for Americans (DGA) recommendation for added sugars (AS) at age 3 years.

METHODS

Using data from the WIC Infant and Toddler Feeding Practices Study-2 (WIC ITFPS-2), logistic regression assessed associations between WIC participation patterns, early feeding practices, and whether 3-year-olds met the AS recommendation.

RESULTS

Children introduced to sugar-sweetened beverages (SSBs) in their first year were about half (adjusted odds ratio, 0.65; P < 0.01) as likely to meet the recommendation as those not exposed in their first 2 years. First-year-only WIC participation (adjusted odds ratio, 0.61; P < 0.04) also increased the risk of excessive consumption compared with children who participated in their third year.

CONCLUSIONS AND IMPLICATIONS

Duration of WIC participation is inversely associated with young children's AS intakes. Public health efforts to reduce WIC attrition and enhance education efforts focused on delaying sugar-sweetened beverage introduction are supported.

摘要

目的

研究妇女、婴儿和儿童特别补充营养计划(WIC)的参与时间长短和早期喂养方式是否与 3 岁时满足美国人膳食指南(DGA)对添加糖(AS)的推荐有关。

方法

利用 WIC 婴幼儿喂养实践研究-2(WIC ITFPS-2)的数据,采用逻辑回归评估了 WIC 参与模式、早期喂养方式与 3 岁儿童是否符合 AS 推荐之间的关系。

结果

在第一年就接触含糖饮料(SSB)的儿童,符合推荐摄入量的可能性比在前 2 年未接触的儿童低一半(调整后的优势比,0.65;P<0.01)。与在第三年参加 WIC 的儿童相比,只参加第一年 WIC 的儿童(调整后的优势比,0.61;P<0.04)也增加了过度摄入的风险。

结论和意义

WIC 参与时间的长短与幼儿 AS 摄入量呈反比。支持减少 WIC 流失和加强教育努力的公共卫生工作,重点是延迟含糖饮料的引入。

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