Sørensen Kathrine Kold, Andersen Mikkel Porsborg, Møller Frederik Trier, Wiingreen Rikke, Broccia Marcella, Fosbøl Emil L, Zareini Bochra, Gerds Thomas Alexander, Torp-Pedersen Christian
Department of Cardiology, Nordsjællands Hospital, Hillerød, Denmark.
Division of Infectious Disease Preparedness, Statens Serum Institut, Copenhagen, Denmark.
PLoS One. 2024 Mar 12;19(3):e0297386. doi: 10.1371/journal.pone.0297386. eCollection 2024.
Prevention and management of childhood overweight involves the entire family. We aimed to investigate purchase patterns in households with at least one member with overweight in childhood by describing expenditure on different food groups.
This Danish register-based cohort study included households where at least one member donated receipts concerning consumers purchases in 2019-2021 and at least one member had their Body mass index (BMI) measured in childhood within ten years prior to first purchase. A probability index model was used to evaluate differences in proportion expenditure spent on specific food groups.
We identified 737 households that included a member who had a BMI measurement in childhood, 220 with overweight and 517 with underweight or normal weight (reference households). Adjusting for education, income, family type, and urbanization, households with a member who had a BMI classified as overweight in childhood had statistically significant higher probability of spending a larger proportion of expenditure on ready meals 56.29% (95% CI: 51.70;60.78) and sugary drinks 55.98% (95% CI: 51.63;60.23). Conversely, they had a statistically significant lower probability of spending a larger proportion expenditure on vegetables 38.44% (95% CI: 34.09;42.99), compared to the reference households.
Households with a member with BMI classified as overweight in childhood spent more on unhealthy foods and less on vegetables, compared to the reference households. This study highlights the need for household/family-oriented nutrition education and intervention.
儿童超重的预防与管理涉及整个家庭。我们旨在通过描述不同食物组的支出情况，调查至少有一名家庭成员在儿童期超重的家庭的购买模式。
这项基于丹麦登记册的队列研究纳入了这样的家庭：至少有一名成员捐赠了2019年至2021年消费者购买收据，且至少有一名成员在首次购买前十年内儿童期测量过体重指数（BMI）。使用概率指数模型评估特定食物组支出比例的差异。
我们确定了737户家庭，其中包括一名在儿童期测量过BMI的成员，220户家庭有超重成员，517户家庭有体重过轻或正常体重成员（参照家庭）。在对教育程度、收入、家庭类型和城市化程度进行调整后，有成员在儿童期BMI被归类为超重的家庭，在即食食品上支出比例更高的概率具有统计学显著意义，为56.29%（95%置信区间：51.70；60.78），在含糖饮料上支出比例更高的概率也具有统计学显著意义，为55.98%（95%置信区间：51.63；60.23）。相反，与参照家庭相比，他们在蔬菜上支出比例更高的概率具有统计学显著更低，为38.44%（95%置信区间：34.09；42.99）。
与参照家庭相比，有成员在儿童期BMI被归类为超重的家庭在不健康食品上花费更多，在蔬菜上花费更少。本研究强调了以家庭为导向的营养教育和干预的必要性。
