Ghosh Sonali, Das Semanti, Palepu Sarika, Ahamed Farhad
Department of Paediatrics, JMN Medical College, Chakdah, West Bengal, India.
Department of Community Medicine and Family Medicine, AIIMS, Kalyani, West Bengal, India.
J Family Med Prim Care. 2024 Oct;13(10):4363-4370. doi: 10.4103/jfmpc.jfmpc_172_24. Epub 2024 Oct 18.
Childhood and adolescence are crucial developmental stages during the life course. They develop and establish lifelong dietary and lifestyle habits. Unhealthy food environments that influence the risk of obesity and other nutrition-related NCDs by affecting the dietary patterns. Assessment of dietary patterns and factors affecting them will help to provide targeted interventions to improve the same.
A community-based cross-sectional study was conducted among children aged more than 6 months and adolescents by interviewing their mothers regarding the dietary patterns. A two-stage sampling method was followed for selection of the participants.
A total of 325 participants were interviewed. Dietary diversity (DD) was present in 55.4% of the participants. Children of mothers who were educated beyond middle school (aOR = 3.81 (1.87-7.73), = 0.000) and children who stayed in a joint family (aOR = 1.73 (1.11-2.72) < 0.05) had higher odds of having dietary diversity in their diet, after adjusting for age and sex. Fast food shop location (aOR = 0.14 (0.05-0.38), value = 0.000) was found to have a significant association with fast food intake among participants.
Children and adolescents residing in the study area have a distinct dietary pattern compared to prevalent dietary practices in India. To improve dietary diversity of children and adolescents, maternal education, family dynamics, and community food environment, which include fast food and market locations, can be points of targeted interventions.
儿童期和青少年期是人生历程中至关重要的发育阶段。他们在此期间养成并确立终身的饮食和生活方式习惯。不健康的食物环境会通过影响饮食模式来影响肥胖及其他与营养相关的非传染性疾病的风险。评估饮食模式及其影响因素将有助于提供针对性干预措施以改善这些情况。
通过就饮食模式对6个月以上儿童及其母亲进行访谈,开展了一项基于社区的横断面研究。采用两阶段抽样方法选取参与者。
共访谈了325名参与者。55.4%的参与者存在饮食多样性。在调整年龄和性别后,母亲受过中学以上教育的儿童(调整后比值比[aOR]=3.81[1.87 - 7.73],P值=0.000)以及生活在联合家庭中的儿童(aOR = 1.73[1.11 - 2.72],P<0.05)饮食具有多样性的几率更高。发现快餐店位置(aOR = 0.14[0.05 - 0.38],P值=0.000)与参与者快餐摄入量之间存在显著关联。
与印度普遍的饮食习惯相比,研究区域内的儿童和青少年具有独特的饮食模式。为改善儿童和青少年的饮食多样性,母亲教育、家庭动态以及包括快餐店和市场位置在内的社区食物环境可作为针对性干预的要点。