Longitudinal associations between family meal quality and quantity: Does one matter more for child, parent, and family health and well-being or are they synergistic?
Longitudinal associations between family meal quality and quantity: Does one matter more for child, parent, and family health and well-being or are they synergistic?
复制标题
DOI：
10.1016/j.appet.2023.107080
复制
发表时间：
2023-10-18
期刊：
影响因子：
5.4
通讯作者：
Neumark-Sztainer，Dianne
中科院分区：
文献类型：
--
作者：
Berge，Jerica M.;Hazzard，Vivienne M.;Neumark-Sztainer，Dianne
不知道家庭膳食数量（即，频率）和质量（即，膳食健康和人际关系质量）与儿童、父母和家庭的健康和幸福感相关。本研究旨在探讨家庭膳食数量和质量与儿童、父母和家庭健康和幸福之间的纵向关联，以及家庭膳食数量和质量之间是否存在协同效应。来自六个种族/民族的5-9岁儿童及其父母参加了这项纵向队列研究。根据社会人口统计学特征调整的回归模型检查了基线时家庭膳食数量、人际关系质量和营养质量，以及数量和质量之间的相互作用，以及从基线到18个月随访期间儿童、父母和家庭健康结果的变化。较高的家庭膳食量可降低肥胖患病率，改善饮食质量，减少食物过敏、食物反应和随访儿童的行为问题。较高的家庭膳食质量预示着饮食质量的改善，情绪问题的减少，食物反应的减少，儿童之间的同伴关系问题的减少，饮食质量的改善，父母心理压力的减少，以及随访时家庭混乱的减少。在儿童同伴关系问题中，发现家庭膳食数量和质量之间存在交互作用。总体而言，家庭膳食的数量和质量对儿童健康和福祉以及某些父母和家庭健康结果独立重要。与家庭合作的临床医生可能要强调家庭膳食数量和质量的重要性，因为这些纵向研究结果表明对整个家庭的潜在益处。
It is unknown how family meal quantity (i.e., frequency) and quality (i.e., meal healthfulness and interpersonal quality) are associated with child, parent, and family health and well-being over time. This study aimed to examine longitudinal associations between family mealquantityandqualityand child, parent, and family health and well-being and whether there was a synergistic effect between family meal quantity and quality. Children ages 5-9 and their parents from six racial/ethnic groups participated in this longitudinal cohort study. Regression models adjusted for socio-demographic characteristics examined family meal quantity, interpersonal quality, and nutritional quality at baseline and interactions between quantity and quality, in relation to changes in child, parent, and family health outcomes from baseline to 18-month follow-up. Higher family mealquantitypredicted reduced obesity prevalence, improved diet quality and less food fussiness, food responsiveness, and conduct problems among children at follow-up. Higher family mealqualitypredicted improved diet quality, lower emotional problems, less food responsiveness, and fewer peer relationship problems among children, improved diet quality and reduced psychological distress for parents, and less family chaos at follow-up. One interaction between family meal quantity and quality was found for child peer relationship problems. Overall, family meal quantity and quality were independently important for child health and well-being and for some parent and family health outcomes. Clinicians working with families may want to emphasize the importance of both family meal quantity and quality, as these longitudinal findings suggest potential benefits for the entire family.