Maternal anxiety and diet quality among mothers and toddlers from low-income households.
Maternal anxiety and diet quality among mothers and toddlers from low-income households.
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DOI：
10.1111/mcn.12992
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发表时间：
2020-10
影响因子：
3.4
通讯作者：
Wang Y
中科院分区：
文献类型：
--
作者：
Trude ACB;Black MM;Surkan PJ;Hurley KM;Wang Y
我们评估了低收入家庭中母亲和幼儿随着时间的推移母亲焦虑评分和饮食质量之间的关联。在一项肥胖预防试验中，纵向数据收集自267对母婴。参与者是从2007年至2010年期间的妇女、婴儿和儿童特别补充营养方案和儿科诊所招募的。在研究入组（时间点1）、6个月（时间点2）和12个月随访（时间点3）时评估了二元组。基于1天24小时的饮食回忆，我们使用2015年健康饮食指数估计了母亲和幼儿的饮食质量。焦虑是一个随时间变化的变量，通过状态-特质焦虑量表进行评估。在调整后的混合模型中评估了母亲焦虑评分与母亲和幼儿饮食质量随时间的关系。母亲和幼儿的饮食质量呈正相关（r = 0.48，p <0.001）。母亲焦虑评分越高，幼儿健康饮食指数评分越低（B =-0.51，95%置信区间，CI [-0.87，-0.15]），随着时间的推移没有显著变化。母亲饮食质量和焦虑评分之间的关系随时间而变化（B = 0.28，p = 0.03，时间-焦虑相互作用）。在时间1（B = −0.71，95% CI [−1.09，0.34]）和时间2（B = −0.51，95% CI [−0.97，−0.05]），母亲焦虑评分较高与母亲饮食质量较低相关，但在时间3（B = −0.14，95% CI [−0.54，0.26]）则不相关。研究结果表明，母亲和幼儿表现出类似的低质量饮食模式，较低的饮食质量与较高的母亲焦虑评分相关。提高饮食质量的方法可以考虑将减少焦虑的策略纳入母婴护理和喂养行为指南。
We evaluated the association between maternal anxiety score and diet quality over time among mothers and toddlers in low‐income families. Longitudinal data were collected from 267 mother–toddler dyads in an obesity prevention trial. Participants were recruited from the Special Supplemental Nutrition Program for Women, Infants and Children and paediatric clinics between 2007 and 2010. Dyads were assessed at study enrolment (Time 1), 6‐month (Time 2), and 12‐month follow‐up (Time 3). On the basis of a 1‐day 24‐hr dietary recall, we estimated maternal and toddler diet quality using the Healthy Eating Index 2015. Anxiety, a time‐varying variable, was assessed via the State–Trait Anxiety Inventory. Associations between maternal anxiety score and maternal and toddler diet quality over time were assessed in adjusted mixed models. Maternal and toddler diet quality were positively correlated (r = .48, p < .001). Higher maternal anxiety scores were related to lower toddler Healthy Eating Index scores (b = −0.51, 95% confidence interval, CI [−0.87, −0.15]) with no significant variation over time. The relation between maternal diet quality and anxiety score varied over time (b = 0.28, p = .03, for time–anxiety interaction). Higher maternal anxiety scores were associated with lower maternal diet quality at Time 1 (b = −0.71, 95% CI [−1.09, 0.34]) and at Time 2 (b = −0.51, 95% CI [−0.97, −0.05]), but not at Time 3 (b = −0.14, 95% CI [−0.54, 0.26]). Findings suggest that mothers and toddlers exhibited similar low‐quality dietary patterns and that lower diet quality was associated with higher maternal anxiety scores. Approaches to enhance diet quality may consider incorporating anxiety‐reducing strategies into maternal and toddler care and feeding behaviour guidelines.
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