Association between childhood socioeconomic status and fruit and vegetable intake among older Japanese: The JAGES 2010 study
Association between childhood socioeconomic status and fruit and vegetable intake among older Japanese: The JAGES 2010 study
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日本老年人儿童社会经济地位与水果和蔬菜摄入量之间的关联：JAGES 2010 研究
DOI：
10.1016/j.ypmed.2017.10.027
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发表时间：
2018
影响因子：
5.1
通讯作者：
Fujiwara Takeo
中科院分区：
文献类型：
--
作者：
Yanagi Natsuyo;Hata Akira;Kondo Katsunori;Fujiwara Takeo
摄入水果和蔬菜有助于预防非传染性疾病。虽然食物偏好被认为是在生命早期决定的，但很少有研究调查儿童社会经济地位（SES）与老年FVI之间的关系。由于日本在第二次世界大战后启动了一项学校午餐计划，因此我们能够在这项研究中检查日本老年人的这种联系。我们使用的数据来自日本老年学评估研究2010项目（2010年8月至2012年1月）从27个城市招募的身体和认知独立的65岁或以上的成年人，他们独立生活在社区中。通过自我报告问卷对儿童SES（低、中、高）和当前FVI进行评估。用泊松回归分析了19920例儿童SES与FVI的关系。在调整了年龄和性别后，儿童期社会经济地位低的老年人的FVI较差的可能性是儿童期社会经济地位高的老年人的1.36倍（95% CI 1.23-1.52）。在完全调整后的模型中，显著相关性消失。进一步的年龄分层分析显示，在部分接受学校午餐计划的70-76岁人群中，儿童SES和FVI之间存在正相关，但在完全接受学校午餐计划的65-69岁人群中则没有。综上所述，针对低社会经济地位儿童的学校午餐等社会政策有助于改善老年时的FVI。
Fruit and vegetable intake (FVI) contributes to the prevention of non-communicable diseases. Although food preference is considered to be determined early in life, few studies have investigated the association between childhood socioeconomic status (SES) and FVI in older age. Because a school lunch program was initiated in Japan after World War II, we were able in this study to examine this association in an older Japanese population. We used data from a population of physically and cognitively independent adults aged 65 years or older who were living independently in the community and were recruited from 27 municipalities in the Japan Gerontological Evaluation Study 2010 project (August 2010–January 2012). Three categories of childhood SES (low, middle, and high) and current FVI were evaluated via a self-reported questionnaire. Poisson regression was used to investigate the association between childhood SES and FVI in 19,920 individuals. After adjustment for age and sex, older people with low childhood SES were 1.36 times more likely (95% CI 1.23–1.52) to have poor FVI than those with high childhood SES. In the fully adjusted model, the significant association disappeared. Further age-stratified analysis revealed a positive association between childhood SES and FVI among people aged 70–76 years who were partially exposed to the school lunch program, but not among people aged 65–69 years old who were fully exposed to the program. In conclusion, social policy such as school lunches targeting children with low SES could help improve FVI in old age.