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地中海饮食预防高血压的神经退行性延迟干预的社会流行病学研究(MIND 饮食)在青少年中的应用:青少年大脑认知发育研究。

Social epidemiology of the Mediterranean-dietary approaches to stop hypertension intervention for neurodegenerative delay (MIND) diet among early adolescents: the Adolescent Brain Cognitive Development Study.

机构信息

Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA.

Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.

出版信息

Pediatr Res. 2024 Jul;96(1):230-236. doi: 10.1038/s41390-023-02959-7. Epub 2023 Dec 15.

DOI:10.1038/s41390-023-02959-7
PMID:38102419
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11178675/
Abstract

BACKGROUND

The purpose of our study was to understand the relationship between sociodemographic factors and adherence to the MIND (Mediterranean-DASH [Dietary Approaches to Stop Hypertension] Intervention for Neurodegenerative Delay) diet in a demographically diverse national population-based sample of 9-12-year-olds in the US.

METHODS

We analyzed data from the Adolescent Brain and Cognitive Development (ABCD) Study (Year 1, N = 8333). Multivariable linear regression analysis was used to identify associations between MIND diet score and sociodemographic factors, including race/ethnicity, household income, parent education level, age, sex, and sexual minority status.

RESULTS

Compared to White adolescents, Latino adolescents showed the greatest adherence to the MIND diet. Boys had lower adherence to the MIND diet than girls. Lower household income was associated with lower adherence to the MIND diet. Older age was associated with lower adherence to the MIND diet. Sexual minorities had a lower adherence to the MIND diet when compared to their heterosexual counterparts.

DISCUSSION

Female sex, Latino ethnicity, Asian and Black race, high household income, heterosexual sexual orientation, and younger age were associated with higher adherence to the MIND diet. These sociodemographic differences can inform targeted screening and counseling for clinicians and public health organizations among diverse adolescent populations.

IMPACT STATEMENT

Sociodemographic disparities in diet quality have been documented, but none have explored adherence to the MIND (Mediterranean-DASH [Dietary Approaches to Stop Hypertension] Intervention for Neurodegenerative Delay) diet in early adolescence. In this demographically diverse sample of 9-12-year-old early adolescents in the U.S., we found notable and nuanced sociodemographic disparities in adherence to the MIND diet. Sociodemographic factors associated with higher adherence to the MIND diet included female sex, Latino ethnicity, high household income, heterosexual sexual orientation, and younger age.

摘要

背景

本研究旨在了解社会人口因素与坚持 MIND(地中海-DASH[高血压饮食防治]干预以延缓神经退行性疾病)饮食之间的关系,研究对象为美国具有不同人口统计学特征的 9-12 岁儿童。

方法

我们分析了青少年大脑与认知发展研究(ABCD 研究)(第 1 年,N=8333)的数据。多变量线性回归分析用于确定 MIND 饮食评分与社会人口因素(包括种族/民族、家庭收入、父母教育水平、年龄、性别和性少数群体状况)之间的关联。

结果

与白人青少年相比,拉丁裔青少年对 MIND 饮食的依从性最高。男孩比女孩对 MIND 饮食的依从性低。家庭收入较低与 MIND 饮食的依从性较低相关。年龄较大与 MIND 饮食的依从性较低相关。与异性恋者相比,性少数群体对 MIND 饮食的依从性较低。

讨论

女性性别、拉丁裔民族、亚洲和黑人种族、高家庭收入、异性恋性取向和年轻年龄与 MIND 饮食的依从性较高相关。这些社会人口差异可以为不同青少年群体的临床医生和公共卫生组织提供有针对性的筛查和咨询。

重要性说明

已经记录了饮食质量方面的社会人口差异,但没有研究探索过在青少年早期坚持 MIND(地中海-DASH[高血压饮食防治]干预以延缓神经退行性疾病)饮食。在这个具有不同人口统计学特征的美国 9-12 岁青少年早期样本中,我们发现坚持 MIND 饮食的显著而细微的社会人口差异。与 MIND 饮食依从性较高相关的社会人口因素包括女性性别、拉丁裔民族、高家庭收入、异性恋性取向和年轻年龄。

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