Sabelli Rachael A, Hajinazarian Grace, Skeer Margie R, Rancaño Katherine M, Folta Sara C, Eliasziw Misha, Sonneville Kendrin R
Department of Public Health and Community Medicine, School of Medicine, Tufts University, Boston, Massachusetts.
Department of Public Health and Community Medicine, School of Medicine, Tufts University, Boston, Massachusetts.
J Acad Nutr Diet. 2025 Jul 24. doi: 10.1016/j.jand.2025.07.007.
Although a higher frequency of family meals is associated with lower levels of disordered eating in adolescents, the quality of family meal interactions and weight-related discourse during mealtimes may play a role in the level of protection.
To examine, based on a priori hypotheses, the protective associations between family dinner frequency and quality (referring to the quality of experiences and not the nutritional or dietary quality of foods served) and disordered eating, and whether the associations are lower or absent when self-directed parental weight talk during meals (weight talk) is present.
This was a cross-sectional study using online surveys in the United States with data collected between October 2021 and February 2022.
Parents and adolescents were eligible if adolescents were aged 12 to 17 years and parents and adolescents lived together at least 50% of the time (n = 2090).
Adolescents reported disordered eating behaviors (eg, fasting, binge eating, purging, and diet medications; "yes"/"no") and parents reported weight talk ("never to rarely"/"sometimes to always") during the past 6 months.
Primary associations were examined between the Family Dinner Index-Parent version (0 = very low to 6 = very high) and weekly family dinner frequency (0-7) and disordered eating. Generalized linear models were used and adjusted for adolescents' age, gender, race, and ethnicity. A cross-product term between Family Dinner Index-Parent version and weight talk was added to test for moderation.
A higher mean family dinner frequency was associated with 7% lower prevalence of binge eating (95% CI, 2% to 12%; P = .01). A higher Family Dinner Index-parent version score was associated with 29% lower prevalence of fasting (95% CI, 22% to 36%; P < .001), 18% lower prevalence of binge eating (95% CI, 11% to 25%; P < .001), 34% lower prevalence of purging (95% CI, 25% to 43%; P < .001), and 35% lower prevalence of using diet medications (95% CI, 26% to 42%; P < .001). As hypothesized, higher family dinner quality was associated with lower disordered eating when weight talk was absent compared with when it was present.
Higher family dinner quality and no weight talk during mealtimes are associated with lower adolescent disordered eating. These protective associations should be examined longitudinally.
虽然家庭聚餐频率较高与青少年饮食失调水平较低有关，但用餐时家庭聚餐互动的质量以及与体重相关的谈话可能在保护水平方面发挥作用。
基于先验假设，研究家庭晚餐频率和质量（指体验质量而非所提供食物的营养或饮食质量）与饮食失调之间的保护关联，以及当用餐期间存在父母自我导向的体重谈话（体重谈话）时，这种关联是否较低或不存在。
这是一项横断面研究，在美国使用在线调查，数据收集于2021年10月至2022年2月之间。
如果青少年年龄在12至17岁之间，且父母与青少年至少50%的时间生活在一起，则父母和青少年符合条件（n = 2090）。
青少年报告过去6个月内的饮食失调行为（如禁食、暴饮暴食、催吐和节食药物使用情况；“是”/ “否”），父母报告体重谈话情况（“从不至很少”/“有时至总是”）。
检查家庭晚餐指数-父母版（0 = 非常低至6 = 非常高）与每周家庭晚餐频率（0 - 7）和饮食失调之间的主要关联。使用广义线性模型，并对青少年的年龄、性别、种族和民族进行调整。添加家庭晚餐指数-父母版与体重谈话之间的交叉项以检验调节作用。
家庭晚餐平均频率较高与暴饮暴食患病率降低7%相关（95%CI，2%至12%；P = 0.01）。家庭晚餐指数-父母版得分较高与禁食患病率降低29%相关（95%CI，22%至36%；P < 0.001），暴饮暴食患病率降低18%（95%CI，11%至25%；P < 0.001），催吐患病率降低34%（95%CI，25%至43%；P < 0.001），以及使用节食药物患病率降低35%（95%CI，26%至42%；P < 0.001）。如假设的那样，与存在体重谈话时相比，当不存在体重谈话时，较高的家庭晚餐质量与较低的饮食失调相关。
较高的家庭晚餐质量和用餐时无体重谈话与青少年较低的饮食失调相关。这些保护关联应进行纵向研究。
