欧洲儿童的家庭饮食环境与按体重指数(BMI)计算的普通软饮料和减肥软饮料每日摄入量之间的关系:Feel4Diabetes 研究。

IF 2.7 4区 医学 Q3 NUTRITION & DIETETICS Nutrition Bulletin Pub Date : 2024-03-01 Epub Date: 2024-01-30 DOI:10.1111/nbu.12659
Kyriakos Reppas, Maria Michelle Papamichael, Natalya Usheva, Violeta Iotova, Nevena Chakarova, Greet Cardon, Imre Rurik, Emese Antal, Päivi Valve, Stavros Liatis, Konstantinos Makrilakis, Luis Moreno, Yannis Manios, George Moschonis
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引用次数: 0

摘要

本研究的目的是调查家庭环境中食物的可获得性与欧洲儿童每天摄入普通软饮料和减肥软饮料的关系,同时考虑体重指数(BMI)状况。这项横断面研究利用了 12 211 名参加 Feel4Diabetes 欧洲生活方式调整干预项目的学龄儿童的基线数据。通过由家长填写的调查问卷收集了社会人口统计学、软饮料摄入量和家庭食物供应情况的数据。此外,还记录了儿童的人体测量数据,并根据国际肥胖问题工作组(International Obesity Task Force)的分界线将儿童分为不同的体重指数(BMI)类别。在控制了儿童性别、母亲体重指数和教育水平的多变量逻辑回归分析中,与不太经常获得果汁(加糖)、普通软饮料和咸味零食相比,经常获得果汁(加糖)、普通软饮料和咸味零食与儿童每日普通软饮料摄入量呈正相关,与体重指数组别无关(ORs范围为1.59-6.69)。相反,在两个体重指数组中,果汁(无添加糖)的经常供应量与软饮料的经常摄入量成反比,在超重/肥胖组中,新鲜水果的供应量与软饮料的经常摄入量成反比,在体重不足/正常体重组中,减肥软饮料的供应量与软饮料的经常摄入量成反比(ORs 范围为 0.31-0.54)。总之,在欧洲儿童中,无论体重指数状况如何,家庭中是否常备精选高能量食品/饮料与每天摄入常规软饮料呈正相关。与此相反,新鲜水果、果汁(无添加糖)和减肥软饮料的家庭供应量与经常性软饮料的摄入量成反比。旨在减少儿童软饮料摄入量的计划应考虑减少家庭食品环境中加糖饮料的供应量,并鼓励饮用白开水,以此作为一种实用、更健康的替代建议。
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Associations between household food environment and daily intake of regular and diet soft drinks per BMI status of European children: Feel4Diabetes Study.

The objective of this study was to investigate how the availability of food in the household environment is associated with a daily intake of regular and diet soft drinks in European children, considering BMI status. This cross-sectional study utilised baseline data from 12 211 schoolchildren participating in the Feel4Diabetes European lifestyle modification intervention. Sociodemographics, soft drink intake and household food availability data were collected using parent-completed questionnaires. Anthropometry was recorded, and children were classified into BMI categories according to the International Obesity Task Force cut-offs. In the multivariate logistic regression analysis controlled for children's sex, mother's BMI, and educational level, frequent household availability of fruit juice (sugar added), regular soft drinks and salty snacks compared to less frequent were positively associated with daily regular soft drink intake in children, regardless of BMI group (ORs range 1.59-6.69). Conversely, frequent availability of fruit juice (no added sugar) was inversely related to regular soft drink intake in both BMI groups, as was the availability of fresh fruit in the overweight/obesity group, and the availability of diet soft drinks in the underweight/normal-weight (ORs range 0.31-0.54). In conclusion, habitual household availability of selected energy-dense foods/beverages was positively associated with a daily intake of regular soft drinks in European children, regardless of BMI status. Contrastingly, household availability of fresh fruit, fruit juice (no added sugar) and diet soft drinks were inversely associated with regular soft drink intake. Programmes focusing on reducing children's soft drink intake should consider reducing the availability of sugar-added beverages in the household food environment and encouraging water consumption, as a practical, healthier alternative suggestion.

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来源期刊
Nutrition Bulletin
Nutrition Bulletin NUTRITION & DIETETICS-
CiteScore
4.50
自引率
12.10%
发文量
58
期刊介绍: The Nutrition Bulletin provides accessible reviews at the cutting edge of research. Read by researchers and nutritionists working in universities and research institutes; public health nutritionists, dieticians and other health professionals; nutritionists, technologists and others in the food industry; those engaged in higher education including students; and journalists with an interest in nutrition.
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