Dietary diversity status and influencing factors among children aged 3-7 in China

Bingbing Guo1, Lan Jiang1, Xinye Jiang1

  • 1Wuxi Maternity and Child Health Hospital, Affiliated Women's Hospital of Jiangnan University, Wuxi, Jiangsu, China.

Insights

Over one-third of Wuxi preschool children exhibit low dietary diversity. Factors like increased screen time and maternal overweight/obesity are linked to poor dietary diversity, necessitating targeted interventions.

Area of Science:

  • Nutrition Science
  • Public Health
  • Pediatrics

Background:

  • Dietary diversity is crucial for preschool children's growth and development.
  • Low dietary diversity is a growing concern in urban populations, impacting child health outcomes.
  • Understanding influencing factors is key to developing effective public health strategies.

Purpose of the Study:

  • To assess the dietary diversity status of preschool children (3-7 years) in Wuxi City.
  • To identify factors associated with dietary diversity in this population.
  • To provide evidence for targeted interventions to improve children's nutrition.

Main Methods:

  • A stratified cluster random sampling method included 3,727 preschool children from 18 kindergartens in Wuxi.
  • Questionnaires collected data on child demographics, dietary habits, family conditions, and parental factors.
  • Multivariate logistic regression analyzed associations between various factors and dietary diversity scores.

Main Results:

  • The average dietary diversity score (DDS) was 5.07 ± 1.94, with 36.79% of children showing low dietary diversity (DDS ≤ 4).
  • Factors associated with low dietary diversity included prolonged daily screen time (>1 hour) and maternal overweight/obesity (BMI ≥ 24).
  • Positive associations with normal dietary diversity were observed with specific income levels, outdoor activity durations, sleep duration, appetite, and fixed dining seats.

Conclusions:

  • A significant proportion of Wuxi's preschool children suffer from low dietary diversity, warranting immediate attention.
  • Elevated screen time and maternal overweight/obesity are significant risk factors for low dietary diversity.
  • Targeted interventions focusing on screen time, maternal health, family environment, and government support are recommended, with stratified approaches for vulnerable groups.
Abstract

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