Salty-Snack Eating, Television or Video-Game Viewing, and Asthma Symptoms among 10- to 12-Year-Old Children: The PANACEA Study
Salty-Snack Eating, Television or Video-Game Viewing, and Asthma Symptoms among 10- to 12-Year-Old Children: The PANACEA Study
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DOI：
10.1016/j.jada.2010.10.051
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发表时间：
2011-02-01
影响因子：
--
通讯作者：
Panagiotakos, Demosthenes B.
中科院分区：
文献类型：
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作者：
Arvaniti, Fotini;Priftis, Kostas N.;Panagiotakos, Demosthenes B.
研究背景：儿童吃咸零食以及看电视或玩电子游戏的时间与哮喘的发生有关;目的本研究的目的是评估吃咸零食和看电视/视频游戏与儿童哮喘症状的关系。设计横断面研究。来自雅典大区18所学校的10至12岁学生（323名男性）入学。孩子们和他们的父母完成了问卷调查，其中包括评估饮食习惯。采用KIDMED（儿童和青少年地中海饮食质量指数）评分评估对地中海饮食的坚持程度。统计分析通过计算优势比和相应的95%置信区间，进行儿童特征与哮喘症状的关联。P=0.03）。48%的儿童报告食用咸零食（>= 1次/周）。咸零食的摄入量与看电视/视频游戏的时间呈正相关（P=0.04），与KIDMED评分呈负相关（P=0.02）。无论潜在的混杂因素如何，食用咸味零食（>3次/周vs从不/罕见）与哮喘症状的可能性增加4.8倍相关（95%置信区间：1.50至15.8）。在每天看电视或玩电子游戏超过2小时的儿童中，吃咸零食和哮喘症状的关系更为突出。此外，坚持地中海饮食与哮喘symptoms.Conclusions的可能性呈负相关的不健康的生活方式行为，如吃咸零食和电视/视频游戏观看与哮喘症状的存在密切相关。未来的干预措施和公共卫生信息应侧重于从生命的早期阶段改变这些行为。美国饮食协会杂志2011;111：251-257。
Background Salty-snack consumption, as well as the amount of time children spend watching television or playing video games, have been implicated in the development of asthma; however, results are still conflicting.Objective The aim of this work was to evaluate the association of salty-snack eating and television/video-game viewing with childhood asthma symptoms.Design Cross-sectional study.Settings Seven hundred children (323 male), 10 to 12 years old, from 18 schools located in the greater area of Athens were enrolled. Children and their parents completed questionnaires, which evaluated, among other things, dietary habits. Adherence to the Mediterranean diet was evaluated using the KIDMED (Mediterranean Diet Quality Index for Children and Adolescents) score.Statistical analysis The association of children's characteristics with asthma symptoms was performed by calculating the odds ratios and corresponding 95% confidence intervals.Results Overall lifetime prevalence of asthma symptoms was 23.7% (27.6% boys, 20.4% girls;. P=0.03). Forty-eight percent of children reported salty-snack consumption (>= 1 times/week). Salty-snack consumption was positively associated with the hours of television/video-game viewing (P=0.04) and inversely with the KIDMED score (P=0.02). Consumption of salty snacks (>3 times/week vs never/rare) was associated with a 4.8-times higher likelihood of having asthma symptoms (95% confidence interval: 1.50 to 15.8), irrespective of potential confounders. The associations of salty-snack eating and asthma symptoms were more prominent in children who watched television or played video games >2 hours/day. In addition, adherence to the Mediterranean diet was inversely associated with the likelihood of asthma symptoms.Conclusions Unhealthy lifestyle behaviors, such as salty-snack eating and television/video-game viewing were strongly associated with the presence of asthma symptoms. Future interventions and public health messages should be focused on changing these behaviors from the early stages of life. J Am Diet Assoc. 2011;111:251-257.