The Association Between Birth Weight and Fat, Sugar, and Vegetable Consumption in a National Sample of U.S. Preschool Age Children.

The Association Between Birth Weight and Fat, Sugar, and Vegetable Consumption in a National Sample of U.S. Preschool Age Children.
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DOI:
10.1007/s10995-021-03126-2
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发表时间:
2021-07
影响因子:
2.3
通讯作者:
Boone-Heinonen J
Boone-Heinonen J
中科院分区:
医学4区
文献类型:
--
作者:
Potis K;Youngers EH;Tandy TK;Takemoto E;Boone-Heinonen J

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不良的产前发育是儿童肥胖易感性的一个因素。饮食行为是不良的产前发育可能促进肥胖的一种机制,但产前营养过剩在幼儿饮食摄入中的作用的证据很少。我们使用的数据来自2009-2014年全国健康与营养检查调查。我们的研究样本包括1782名2-5岁的美国儿童,他们的出生体重和两次24小时的饮食回顾。我们使用线性和泊松回归来检验出生体重(LBW<2500g, HBW>4100g)与饮食变量2天平均摄入量的关系。我们测试了出生体重和母乳喂养之间的相互作用(母乳喂养0-5个月vs.非母乳喂养或母乳喂养0-5个月),并在相互作用显著时报告了母乳喂养的特定结果(p<0.1)。在多变量回归分析中,在男孩中,低体重与2.4 (95% CI: - 4.3, - 0.5)较低的固体脂肪卡路里百分比、较低的糖摄入量、较低的饱和脂肪和总脂肪摄入量以及0.6杯(95% CI: 0.1, 1.0)较多的蔬菜摄入量相关;HBW与低脂肪有轻微的相关性。女孩的出生体重与饮食无关。母乳喂养改变了出生体重和饮食摄入之间的关系,但改变的方向是混合的。我们的研究结果不支持低体重或高体重与美国学龄前儿童不良饮食有关的假设。为了更好地理解早期生活发展对饮食行为的作用,需要进一步研究食欲特征的发展以及家庭和学龄前食物环境的作用。
Adverse prenatal development is a contributor to obesity susceptibility in children. Dietary behavior is one mechanism through which adverse prenatal development may promote obesity, but evidence for the role of prenatal overnutrition in dietary intake in young children is scant. We used data from the National Health and Nutrition Examination Survey 2009–2014. Our study sample included 1,782 U.S. children 2–5 years old with available birth weight and two 24-hour dietary recalls. We used linear and Poisson regression to examine the association of birth weight (LBW<2500g, HBW>4100g) and 2-day average intake of dietary variables. We tested interactions between birthweight and breastfeeding (breastfed>5 months vs. not breastfed or breastfed 0–5 months), and report breastfeeding-specific results when interactions were significant (p<0.1). In multivariable regression analysis, in boys, LBW was associated with 2.4 (95% CI: −4.3, −0.5) lower percent of kcal from solid fat, lower sugar intake, marginally lower saturated and total fat intake, and 0.6 cup (95% CI: 0.1, 1.0) greater vegetable consumption; HBW was marginally associated with lower fat. Birth weight was unrelated to diet in girls. Breastfeeding modified associations between birth weight and dietary intake, but the direction of modification was mixed. Our findings do not support the hypothesis that LBW or HBW are associated with adverse diet consumption in preschool age U.S. children. Improved understanding of the role of early life development of dietary behavior requires further research on the development of appetitive traits and the role of the family and preschool food environments.
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