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儿童 4 岁时的早期家庭用餐参与情况与人体测量指标。

Early-life family meal participation and anthropometric measures at 4 years of age.

机构信息

Department of Nutrition and Public Health, University of Agder, Kristiansand, Norway.

Department of Obstetrics and Gynecology/Department of Research, Sørlandet Hospital, Kristiansand, Norway.

出版信息

J Dev Orig Health Dis. 2024 Sep 9;15:e13. doi: 10.1017/S2040174424000217.

Abstract

Early-life family meal participation has been associated with several aspects of nutritional health, but longitudinal associations with linear growth have not yet been investigated. The aim of this study was to investigate whether family meal participation at 12 months of age associates with anthropometric measures 3 years later. We used follow-up data from children born to mothers in the Norwegian Fit for Delivery trial (NFFD) and included 368 first-borns with dietary and anthropometric data at 12 months and 4 years of age. We treated the sample as a cohort and conducted subgroup analyses by randomization status. A family meal participation score was used as exposure, and weight, height, and body mass index (BMI) as outcomes in crude and multivariable linear regression models adjusted for maternal education, randomization status, and child sex.Higher family meal participation score at 12 months was positively associated with length at 12 months ( = 0.198, 95% CI 0.028, 0.367, = 0.022) and 4 years ( = 0.283, 95% CI 0.011, 0.555, = 0.042) in multivariable models. After additional adjustment for maternal height the associations attenuated and were no longer significant. An inverse association with BMI at 4 years of age was observed in children born to mothers that had been exposed to the NFFD intervention ( = -0.144, 95% CI -0.275, -0.014, = 0.030), but attenuated after adjustment for maternal BMI.The longitudinal association observed between early family meal participation and child height was largely explained by maternal height. The relationship with BMI differed according to maternal participation in a lifestyle intervention trial during pregnancy.

摘要

生命早期家庭用餐参与度与营养健康的多个方面有关,但尚未研究其与线性生长的纵向关联。本研究旨在探讨 12 月龄时的家庭用餐参与度是否与 3 年后的人体测量指标相关。我们使用了来自挪威分娩适能试验(NFFD)中母亲的随访数据,纳入了在 12 个月和 4 岁时具有饮食和人体测量数据的 368 名首胎婴儿。我们将样本视为队列,并根据随机分组状态进行亚组分析。家庭用餐参与度评分作为暴露因素,体重、身高和体重指数(BMI)作为结局,在调整了母亲教育、随机分组状态和儿童性别后,采用了未调整和多变量线性回归模型。12 个月时家庭用餐参与度评分较高与 12 个月时的身高( = 0.198,95%CI 0.028,0.367, = 0.022)和 4 岁时的身高( = 0.283,95%CI 0.011,0.555, = 0.042)呈正相关。在进一步调整了母亲身高后,这些关联减弱且不再显著。对于母亲接受过 NFFD 干预的儿童,与 4 岁时 BMI 呈负相关( = -0.144,95%CI -0.275,-0.014, = 0.030),但在调整了母亲 BMI 后,这种关联减弱了。早期家庭用餐参与度与儿童身高之间的纵向关联在很大程度上可以用母亲身高来解释。与 BMI 的关系因母亲在怀孕期间参与生活方式干预试验而有所不同。

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