粮食不安全和饮食质量变化和体质指数z-分数在小学学生中的变化
Jiwoo Lee1, Erika Helgeson2, Melissa L Horning1
1School of Nursing, University of Minnesota, Minneapolis, MN, USA.
Childhood obesity (Print)
|March 28, 2024
概括
儿童的粮食不安全与增加的BMIz分数和随着时间的推移改善的饮食质量有关. 这凸显了面临粮食不安全的小学龄儿童的潜在体重差异.
科学领域:
- 儿童营养学 儿童营养学
- 公共卫生 公共卫生
- 儿童肥胖症 儿童肥胖症
背景情况:
- 粮食不安全是肥胖的一个已知的危险因素,主要研究成人和幼儿.
- 关于粮食不安全与儿童饮食质量随时间变化的联系的研究有限.
- 现有研究经常使用横截面设计,缺乏儿童健康结果的纵向数据.
研究的目的:
- 评估家庭粮食不安全与7至12岁儿童饮食质量的后续变化之间的关系.
- 为了检查粮食不安全和身体质量指数 (BMI) z-分数在2年时间内的变化之间的关系.
- 调查小学龄儿童与粮食安全状况有关的纵向饮食质量和BMI变化.
主要方法:
- 利用了来自明尼苏达州 (2011-2019) 三项随机对照试验的404名儿童 (7-12岁) 的二次数据.
- 在基线使用美国家庭粮食安全调查模块评估粮食不安全.
- 通过健康饮食指数 (HEI) -2015测量饮食质量,从24小时的回忆和计算的BMI z-score,使用基线测量身高和体重,10-12个月和15-24个月.
主要成果:
- 来自粮食不安全家庭的儿童从基线到2岁的BMIz分数显著增加 (0.13分),与粮食安全家庭的儿童相比 (95%CI:0.04到0.21).
- 粮食不安全的儿童从基线到1年 (95%CI:0.99至8.01) 的HEI-2015分数 (4.5分) 显著增加.
- 这些发现表明,与家庭粮食不安全相关的体重和饮食质量的明显轨迹.
结论:
- 家庭粮食不安全可能导致小学龄儿童体重差异加剧.
- 饮食质量在经历粮食不安全的儿童的体重变化中发挥着潜在的作用.
- 进一步的纵向研究对于阐明粮食不安全,饮食质量和儿童体重管理之间的复杂相互作用至关重要.
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