García Silvia, Ródenas-Munar Marina, Argelich Emma, Mateos David, Ugarriza Lucía, Tur Josep A, Bouzas Cristina
Research Group on Community Nutrition & Oxidative Stress, University of the Balearic Islands-IUNICS, 07122 Palma de Mallorca, Spain.
CIBEROBN (Physiopathology of Obesity and Nutrition), Instituto de Salud Carlos III, 28029 Madrid, Spain.
Nutrients. 2025 Jan 29;17(3):494. doi: 10.3390/nu17030494.
Dietary lipids, sedentary habits, and eating behaviors influence childhood obesity, but their interrelations remain unclear.
To assess the relationships between young children's dietary lipid profile and children's eating behavior, as well as their sedentary habits, providing evidence-based insights that can help mitigate obesity risk in this vulnerable population.
A longitudinal randomized controlled trial conducted over 9 months, involving 90 children aged 2-6 years with overweight or obesity who were followed under a program that promoted healthy lifestyle habits for all participants and regularly monitored their parameters.
The dietary lipid profile, eating behavior, and sedentary habits were assessed at baseline and after 9 months using validated tools, including 24 h recalls, the child eating behavior questionnaire (CEBQ), and screen time questionnaires.
Reductions in screen/sedentary time were significantly associated with decreased total fat (-11.1 g/day) and saturated fat (-4.3 g/day) intake, compared to smaller reductions in unchanged screen hours and increases with prolonged screen use. A positive correlation was observed between changes in dietary fat and the CEBQ domain "Desire to drink" (r = 0.528, < 0.001), with regression analysis confirming a direct relationship.
Managing screen time and eating behavior is crucial for improving dietary lipid profile and reducing childhood obesity risk. Strategies should include reducing sedentary behaviors, limiting sugary drinks, and promoting water as the main beverage, alongside effective nutrition education for families.
膳食脂质、久坐习惯和饮食行为会影响儿童肥胖，但它们之间的相互关系仍不明确。
评估幼儿的膳食脂质状况与儿童饮食行为以及久坐习惯之间的关系，提供基于证据的见解，以帮助降低这一弱势群体的肥胖风险。
一项为期9个月的纵向随机对照试验，涉及90名2至6岁超重或肥胖儿童，他们参与了一项为所有参与者推广健康生活方式习惯并定期监测其参数的项目。
在基线和9个月后使用经过验证的工具评估膳食脂质状况、饮食行为和久坐习惯，包括24小时回顾法、儿童饮食行为问卷（CEBQ）和屏幕使用时间问卷。
与屏幕时间不变时较小的减少量以及随着屏幕使用时间延长而增加的情况相比，屏幕/久坐时间的减少与总脂肪摄入量（-11.1克/天）和饱和脂肪摄入量（-4.3克/天）的降低显著相关。在膳食脂肪变化与CEBQ领域“饮水欲望”之间观察到正相关（r = 0.528，<0.001），回归分析证实了直接关系。
管理屏幕时间和饮食行为对于改善膳食脂质状况和降低儿童肥胖风险至关重要。策略应包括减少久坐行为、限制含糖饮料、推广以水作为主要饮品，同时为家庭提供有效的营养教育。
