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2型糖尿病高危家庭中家庭聚餐频率与儿童超重/肥胖之间的横断面和纵向关联:“感受4糖尿病”研究

Cross-sectional and longitudinal associations between family meals frequency and children's overweight/obesity in families at high risk of type 2 diabetes: The Feel4Diabetes-study.

作者信息

Mahmood Lubna, Gonzalez-Gil Esther M, Makrilakis Konstantinos, Liatis Stavros, Schwarz Peter, Herrmann Sandra, Willems Ruben, Cardon Greet, Latomme Julie, Rurik Imre, Radó Sándorné, Iotova Violeta, Usheva Natalya, Tankova Tsvetalina, Karaglani Eva, Manios Yannis, Moreno Luis A

机构信息

Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, Zaragoza, Spain.

Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.

出版信息

Pediatr Obes. 2023 Apr;18(4):e13000. doi: 10.1111/ijpo.13000. Epub 2023 Jan 11.

DOI:10.1111/ijpo.13000
PMID:36632012
Abstract

BACKGROUND

The frequency of family meals has been suggested as a protective factor against obesity among children.

OBJECTIVE

This study aimed to investigate the cross-sectional and longitudinal associations between family meals frequency and children's overweight/obesity in families at high risk of type 2 diabetes (T2D) across six European countries.

METHODS

989 parent-child dyads (52% girls and 72% mothers) were included. Participants completed validated measures to assess the frequency of family meals and anthropometrics. Multivariable regression models were applied to examine the longitudinal associations between family meals frequency and overweight/obesity in children. Logistic regression was performed to predict the odds of having overweight/obesity depending on changes in family meals frequency over a two-year follow-up period. Analyses were stratified for children's sex.

RESULTS

High frequency of family breakfasts and/or dinners was inversely associated with children's BMI in boys and girls at T2. Results showed decreased odds of overweight/obesity at follow-up among both boys (OR = 0.65; 95% CI 0.41, 0.96) and girls (OR = 0.53; 95% CI 0.31, 0.87) who consumed minimum of three times family breakfasts and/or family dinners a week at baseline. An increase in family breakfasts and/or dinners frequency was associated with lower odds of overweight/obesity in both boys and girls at follow-up.

CONCLUSION

A high frequency of family breakfasts and/or dinners but not lunch during childhood is associated with lower odds of overweight/obesity development in children from families at high risk of T2D. The promotion of family meals could help in preventing the development of overweight/obesity among children.

摘要

背景

家庭聚餐的频率被认为是预防儿童肥胖的一个保护因素。

目的

本研究旨在调查六个欧洲国家中2型糖尿病(T2D)高风险家庭的家庭聚餐频率与儿童超重/肥胖之间的横断面和纵向关联。

方法

纳入了989对亲子二元组(女孩占52%,母亲占72%)。参与者完成了经过验证的测量方法,以评估家庭聚餐频率和人体测量学指标。应用多变量回归模型来检验家庭聚餐频率与儿童超重/肥胖之间的纵向关联。进行逻辑回归以预测在两年随访期内根据家庭聚餐频率变化出现超重/肥胖的几率。分析按儿童性别分层。

结果

T2期男孩和女孩中,家庭早餐和/或晚餐的高频率与儿童BMI呈负相关。结果显示,在基线时每周至少吃三次家庭早餐和/或家庭晚餐的男孩(OR = 0.65;95%CI 0.41,0.96)和女孩(OR = 0.53;95%CI 0.31,0.87)在随访时超重/肥胖的几率降低。家庭早餐和/或晚餐频率的增加与随访时男孩和女孩超重/肥胖的较低几率相关。

结论

儿童时期家庭早餐和/或晚餐的高频率而非午餐的高频率与T2D高风险家庭儿童超重/肥胖发展的较低几率相关。促进家庭聚餐有助于预防儿童超重/肥胖的发展。

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