School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hubei Key Laboratory of Food Nutrition and Safety, MOE Key Laboratory of Environment and Health, Department of Nutrition and Food Hygiene, School of Public Health, Tongji Medical, College, Huazhong University of Science and Technology, Wuhan, China.
Matern Child Nutr. 2024 Jan;20(1):e13563. doi: 10.1111/mcn.13563. Epub 2023 Sep 21.
The relative research on investigating the association between dietary diversity scores and anthropometric status among young children is few and inconsistent. Since understanding this association is quite essential to give more detailed advice about diet to ensure young children's healthy growth, we sought to determine the association between dietary diversity levels and anthropometric status among young children under 24 months. The study included 1408 mother-child pairs from the Tongji Maternal and Child Health Cohort, whose children range in age from 12 to 24 months. Multivariable logistic regressions were used to examine the effect of dietary diversity on children's anthropometric failure and obesity. All obese children aged 12 and 24 months had low-medium diverse diets in their first year of life. Risks of anthropometric failure for 12-month young children consumed low-medium diverse diets in their first year and 24-month young children consumed low-medium diverse diets in their second year are, respectively, 1.27 (odds ratio [OR], 95% confidence interval [CI] = [1.06-1.53]) and 1.19 (OR, 95% CI = [1.02-1.40]) times of those who consumed high diverse diets in corresponding year. The risk of anthropometric failure for 24-month-old children who consumed low-medium diverse diets during their first year of life is 4.70 (OR, 95% CI = [1.62-19.91]) times that of young children who consumed highly diverse diets during their first year of life. Introducing more diverse diets to young children under 24 months of age may be an effective strategy to prevent anthropometric failure and obesity in young children in later life.
关于调查儿童饮食多样性评分与人体测量学状态之间关联的相关研究较少且结果不一致。由于了解这种关联对于提供更详细的饮食建议以确保儿童健康成长非常重要，我们旨在确定 24 个月以下儿童的饮食多样性水平与人体测量学状态之间的关联。该研究纳入了来自同济母婴队列的 1408 对母婴，其子女年龄在 12 至 24 个月之间。多变量逻辑回归用于检验饮食多样性对儿童人体测量失败和肥胖的影响。所有 12 个月和 24 个月的肥胖儿童在其生命的第一年都采用中低等多样化饮食。在第一年食用低中等多样化饮食的 12 个月大的儿童和在第二年食用低中等多样化饮食的 24 个月大的儿童，其人体测量失败的风险分别为 1.27（比值比 [OR]，95%置信区间 [CI] = [1.06-1.53]）和 1.19（OR，95% CI = [1.02-1.40]）倍。在第一年食用低等和中等多样化饮食的 24 个月大的儿童的人体测量失败风险是在第一年食用高多样化饮食的儿童的 4.70 倍（OR，95% CI = [1.62-19.91]）。向 24 个月以下的儿童引入更多样化的饮食可能是预防儿童后期人体测量失败和肥胖的有效策略。
