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居住地点与儿童和青少年的饮食摄入和 BMI-SDS 有关:来自 DONALD 队列研究的结果。

Place of Residence Is Associated with Dietary Intake and BMI-SDS in Children and Adolescents: Findings from the DONALD Cohort Study.

机构信息

Center for Development Research (ZEF), University of Bonn, Genscherallee 3, 53113 Bonn, Germany.

Institute of Nutrition and Food Sciences (IEL), Nutritional Epidemiology, University of Bonn, Friedrich-Hirzebruch-Allee 7, 53115 Bonn, Germany.

出版信息

Int J Environ Res Public Health. 2023 Dec 28;21(1):46. doi: 10.3390/ijerph21010046.

Abstract

We aimed to determine whether place of residence in the German urban food environment is associated with habitual dietary intake (energy, macronutrients, and food groups) and body mass index (standard deviation score of BMI and BMI-SDS). Our hypothesis was that place of residence may explain some variation in dietary intake and nutritional outcomes. For the cross-sectional analyses of DONALD study data, we grouped participants according to their geocoded residence in the north or south of Dortmund. We applied robust multi-level mixed effects regression models using residence as a predictor and (1) BMI-SDS or (2) dietary data (daily intake of energy (kcal), macronutrients (energy percentage), or food groups (g/1000 kcal)) as the outcome. Models were adjusted for age, sex, and household socio-economic status. An analysis was carried out on 1267 anthropometric measurements collected annually from 360 participants aged 6-18 years (935 3-day weighed dietary records from 292 participants) between 2014 and 2019. In the fully adjusted models, residence in the south was associated with a lower BMI-SDS (β = -0.42, = 0.02), lower intake of sugar-sweetened beverages (β = -47.00, = 0.04), and higher intake of vegetables (β = 11.13, = 0.04). Findings suggest that the place of residence, beyond individuals' socio-economic statuses, may be a contributing factor to dietary quality.

摘要

我们旨在确定德国城市食品环境中的居住地点是否与习惯性饮食摄入(能量、宏量营养素和食物组)和体重指数(BMI 的标准差评分和 BMI-SDS)有关。我们的假设是,居住地点可能会解释饮食摄入和营养结果的一些变化。对于 DONALD 研究数据的横断面分析,我们根据参与者在多特蒙德北部或南部的地理编码居住地对其进行分组。我们应用稳健的多水平混合效应回归模型,将居住地作为预测因子,并将(1)BMI-SDS 或(2)饮食数据(每日能量摄入(千卡)、宏量营养素(能量百分比)或食物组(每 1000 千卡的克数)作为结果。模型调整了年龄、性别和家庭社会经济地位。对 2014 年至 2019 年间,360 名 6-18 岁参与者每年收集的 1267 项人体测量学测量值进行了分析(292 名参与者中有 935 项为期 3 天的称重饮食记录)。在完全调整的模型中,居住在南部与 BMI-SDS 较低(β=-0.42, =0.02)、含糖饮料摄入量较低(β=-47.00, =0.04)和蔬菜摄入量较高(β=11.13, =0.04)相关。研究结果表明,居住地点(超出个人的社会经济地位)可能是饮食质量的一个促成因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed0/10815849/4a647fcf2da3/ijerph-21-00046-g001.jpg

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