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一项为期8年的个性化生活方式干预对儿童期至青春期食物消费和营养摄入的影响:恐慌研究。

The effects of an 8-year individualised lifestyle intervention on food consumption and nutrient intake from childhood to adolescence: the PANIC Study.

作者信息

Sallinen Taisa, Viitasalo Anna, Lintu Niina, Väistö Juuso, Soininen Sonja, Jalkanen Henna, Haapala Eero A, Mikkonen Santtu, Schwab Ursula, Lakka Timo A, Eloranta Aino-Maija

机构信息

University of Eastern Finland Library Kuopio, Kuopio, Finland.

Institute of Public Health and Clinical Nutrition, School of Medicine, University of Eastern Finland, Kuopio, Finland.

出版信息

J Nutr Sci. 2022 Jun 2;11:e40. doi: 10.1017/jns.2022.13. eCollection 2022.

Abstract

We aimed to investigate the effects of a long-term, individualised, family-based lifestyle intervention on food consumption and nutrient intake from childhood to adolescence. We conducted an 8-year diet and physical activity intervention study in a population sample of children aged 7-9 years at baseline in 2007-2009. We allocated the participants to the intervention group ( 306) and the control group ( 198). We assessed diet by 4-d food records at baseline, 2-year follow-up and 8-year follow-up. We analysed the data using linear mixed-effects models adjusted for age at baseline and sex. The consumption of vegetables and vegetable oil-based spreads (fat ≥60 %) increased in the intervention group but did not change in the control group ( < 0⋅001 for time×group interaction). The consumption of fruits and berries increased in the intervention group but decreased in the control group ( = 0⋅036). The consumption of high-fat cheese ( = 0⋅029), butter-based spreads ( = 0⋅001) and salty snacks ( = 0⋅028) increased less, and the consumption of low-fat cheese ( = 0⋅004) increased more in the intervention group than in the control group. Saturated fat intake ( = 0⋅001) increased less, and the intakes of dietary fibre ( = 0⋅003), vitamin D ( = 0⋅042) and vitamin E ( = 0⋅027) increased more in the intervention group than in the control group. The intakes of vitamin C ( < 0⋅001) and folate ( = 0⋅001) increased in the intervention group but decreased in the control group. To conclude, individualised, family-based lifestyle intervention altered food choices towards more recommended diet and resulted in enhanced diet quality from childhood to adolescence.

摘要

我们旨在研究长期、个性化、基于家庭的生活方式干预对儿童期至青春期食物消费和营养摄入的影响。2007 - 2009年,我们对基线年龄为7 - 9岁的儿童人群样本进行了一项为期8年的饮食和身体活动干预研究。我们将参与者分为干预组(306人)和对照组(198人)。我们在基线、2年随访和8年随访时通过4天食物记录评估饮食情况。我们使用针对基线年龄和性别的线性混合效应模型分析数据。干预组蔬菜和植物油基涂抹酱(脂肪≥60%)的消费量增加,而对照组未发生变化(时间×组间交互作用,P<0.001)。干预组水果和浆果的消费量增加,而对照组减少(P = 0.036)。干预组高脂奶酪(P = 0.029)、黄油基涂抹酱(P = 0.001)和咸味零食(P = 0.028)的消费量增加较少,低脂奶酪的消费量增加较多(P = 0.004)。干预组饱和脂肪摄入量增加较少(P = 0.001),膳食纤维(P = 0.003)、维生素D(P = 0.042)和维生素E(P = 0.027)的摄入量增加较多。干预组维生素C摄入量增加(P<0.001),对照组减少,干预组叶酸摄入量增加(P = 0.001),对照组减少。总之,个性化、基于家庭的生活方式干预改变了食物选择,使其更倾向于推荐饮食,并从儿童期到青春期提高了饮食质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e7b/9171599/43a3485352c4/S2048679022000131_fig1.jpg

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