Child-care environment and dietary intake of 2- and 3-year-old children
Child-care environment and dietary intake of 2- and 3-year-old children
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DOI：
10.1111/j.1365-277x.2009.01022.x
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发表时间：
2010-02-01
影响因子：
3.3
通讯作者：
Thijs, C.
中科院分区：
文献类型：
--
作者：
Gubbels, J. S.;Kremers, S. P. J.;Thijs, C.
背景：先前的研究表明，儿童保育不遵守饮食摄入建议（即超过或不符合建议），这可能是由于儿童保育环境的具体特点。本研究探讨了社会和物理的儿童保育（日托）环境和饮食摄入量的2- 3岁的孩子在荷兰child-care centres.Methods之间的关系：135名儿童，年龄2和3岁，谁是在儿童保育的饮食摄入量进行了评估，观察随机选择的儿童在三餐（上午小吃，午餐和下午小吃），以确定饮食摄入量（即饱和脂肪，膳食纤维和能量摄入量）。环境进行了观察，使用环境和政策评估和观察清单，结构化的工具，评估物理和社会environment.Results：儿童消耗的平均值为486千焦（116千卡）在上午点心，2043千焦（488千卡）在午餐和708千焦（169千卡）在下午点心。膳食摄入量存在一定的性别和年龄差异。几个环境因素（如服务风格和工作人员的模型饮食行为）显着相关的儿童的饮食intake.Conclusions：总体而言，能量摄入量的上限范围内的儿童在儿童保育的建议摄入量。几个环境因素与饮食摄入量的关联强调了儿童保育环境对儿童饮食行为的重要性。在这种情况下进行干预可能有助于全面预防儿童肥胖。
Background:Previous research has shown that children in child-care do not comply with dietary intake recommendations (i.e. either exceeding or not meeting recommendations), which may be attributable to specific features of the child-care environment. The present study explored the relationship between the social and physical child-care (day-care) environment and dietary intake of 2- and 3-year-olds in Dutch child-care centres.Methods:The dietary intake of 135 children, aged 2 and 3 years, who were in child-care was assessed by observing randomly selected children at three meals (morning snack, lunch and afternoon snack) to determine dietary intake (i.e. saturated fat, dietary fibre and energy intake). The environment was observed using the Environment and Policy Assessment and Observation checklist, a structured instrument assessing the physical and social environment.Results:Children consumed a mean of 486 kJ (116 kcal) during the morning snack, 2043 kJ (488 kcal) during lunch and 708 kJ (169 kcal) during the afternoon snack. There were some gender and age differences in dietary intake. Several environmental factors (e.g. serving style and staff's model dietary behaviour) were significantly associated with the children's dietary intake.Conclusions:Overall, energy intake was in the upper range of recommended intake for children in child-care. The associations of several environmental factors with dietary intake stress the importance of the child-care environment for children's dietary behaviour. Intervening in this setting could possibly contribute to the comprehensive prevention of childhood obesity.