Maternal educational level and children's healthy eating behaviour: role of the home food environment (cross-sectional results from the INPACT study)

Maternal educational level and children's healthy eating behaviour: role of the home food environment (cross-sectional results from the INPACT study)
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DOI:
10.1186/s12966-014-0113-0
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发表时间:
2014-09-12
影响因子:
8.7
通讯作者:
van de Mheen, Dike
van de Mheen, Dike
中科院分区:
医学1区
文献类型:
--
作者:
van Ansem, Wilke J. C.;Schrijvers, Carola T. M.;van de Mheen, Dike

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背景资料:本研究的目的是:(1)探讨母亲文化程度与11岁儿童健康饮食行为的关系(水果、蔬菜和早餐的消耗量),以及2)检查家庭饮食环境中的因素是否(父母摄入的水果、蔬菜和早餐;关于水果和蔬菜的规则以及水果和蔬菜的家庭可用性)介导这些关联。数据来自荷兰INPACT研究。本研究共纳入1318对亲子对。采用多水平回归模型研究了家庭饮食环境因素对母亲教育水平和儿童健康饮食行为之间的影响。结果:母亲教育水平高的儿童每天吃水果的数量多(B = 0.13,95% CI:0.04-0.22),每天蔬菜克数更多(B = 23.81,95%CI = 14.93-32.69),且较低文化程度母亲的子女更可能每天吃早餐(OR = 2.97,95%CI:1.38-6.39)。家庭可用性、食物消费规则和父母消费介导了母亲教育水平与儿童水果和蔬菜消费之间的关联。父母的早餐消费介导的母亲的教育水平和儿童的早餐consumption.Conclusions:家庭食品环境中的因素发挥了重要作用,在儿童的健康饮食行为的社会经济差异的解释,可能是有前途的干预目标。
Background: The aims of this study are 1) to investigate the association between maternal educational level and healthy eating behaviour of 11-year-old children (fruit, vegetables and breakfast consumption), and 2) to examine whether factors in the home food environment (parental intake of fruit, vegetables and breakfast; rules about fruit and vegetables and home availability of fruit and vegetables) mediate these associations.Methods: Data were obtained from the Dutch INPACT study. In total, 1318 parent-child dyads were included in this study. Multilevel regression models were used to investigate whether factors of the home food environment mediated the association between maternal educational level and children's healthy eating behaviour.Results: Children of mothers with a high educational level consumed more pieces of fruit per day (B = 0.13, 95% CI: 0.04-0.22), more grams of vegetables per day (B = 23.81, 95% CI = 14.93-32.69) and were more likely to have breakfast on a daily basis (OR = 2.97, 95% CI: 1.38-6.39) than children of mothers with a low educational level. Home availability, food consumption rules and parental consumption mediated the association between maternal education level and children's fruit and vegetable consumption. Parental breakfast consumption mediated the association between maternal education level and children's breakfast consumption.Conclusions: Factors in the home food environment play an important role in the explanation of socio-economic disparities in children's healthy eating behaviour and may be promising targets for interventions.