Resemblance of Diet Quality in Families of Youth with Type 1 Diabetes Participating in a Randomized Controlled Behavioral Nutrition Intervention Trial in Boston, MA (2010-2013): A Secondary Data Analysis.

Resemblance of Diet Quality in Families of Youth with Type 1 Diabetes Participating in a Randomized Controlled Behavioral Nutrition Intervention Trial in Boston, MA (2010-2013): A Secondary Data Analysis.
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DOI:
10.1016/j.jand.2018.07.025
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发表时间:
2019-01
影响因子:
4.8
通讯作者:
Nansel TR
Nansel TR
中科院分区:
医学2区
文献类型:
--
作者:
Lipsky LM;Haynie DL;Liu A;Nansel TR

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在1型糖尿病青少年家庭中,亲子饮食质量的相似性尚不清楚,对他们来说,营养是疾病管理的核心。检查参与行为营养干预试验的1型糖尿病青年家庭的饮食质量相似性,并调查治疗分配或家庭用餐频率是否会改变相似性。这是2010年8月至2013年5月进行的一项为期18个月的随机对照试验的二次数据分析。本研究从美国东北部一家糖尿病中心招募了136对父母-青少年夫妇(N=136,儿童年龄=12.3±2.5岁)。根据每6个月收集的3天食物记录计算2005年家长和儿童健康饮食指数(HEI-2005,反映对2005年美国人膳食指南的遵守情况)和全植物食物密度(WPFD,反映干预目标食物)。调整人口统计学和疾病特征的线性随机效应模型调查了亲子饮食质量相似性。单独的模型检验了治疗分配或家庭用餐频率是否会改变相似性。三方相互作用项考察了相似性是否会随着时间的推移而改变。随时间变化的父母和孩子的HEI-2005和WPFD呈正相关(p<0.001),与家庭膳食没有相互作用。各治疗组亲子间HEI-2005相似性相似;干预家庭的WPFD相似度(β±SE = 0.30±0.06)高于对照组(β±SE = 0.12±0.05)。干预组家庭的亲子HEI-2005相似性随着时间的推移而增加(三向相互作用项β±SE=0.03±0.01)。青少年1型糖尿病家庭中,父母与青少年饮食质量呈正相关。干预组在目标食物方面的相似性更强,但在饮食质量的一般衡量标准上却不是这样。家庭用餐频率的影响变化不足表明家庭饮食质量的相似性并不取决于共同用餐。
Parent-child diet quality resemblance is unknown in families of youth with type 1 diabetes, for whom nutrition is central to disease management. Examine diet quality resemblance in families of youth with type 1 diabetes participating in a behavioral nutrition intervention trial and investigate whether treatment assignment or family meal frequency modifies resemblance. This is a secondary data analysis from an 18-month randomized controlled trial conducted August 2010 – May 2013. Parent-youth dyads (N=136, child age=12.3±2.5y) were recruited from a northeast U.S. diabetes center. Parent and child Healthy Eating Index-2005 (HEI-2005, reflecting adherence to 2005 Dietary Guidelines for Americans) and whole plant food density (WPFD, reflecting intervention target foods) were calculated from 3-day food records collected every 6 months. Linear random effects models adjusting for demographics and disease characteristics investigated parent-child diet quality resemblance. Separate models examined whether treatment assignment or family meal frequency modified resemblance. Three-way interaction terms examined whether resemblance changed over time by treatment assignment. Time-varying parent and child HEI-2005 and WPFD were positively associated (p<0.001), and there were no interactions with family meals. Parent-child HEI-2005 resemblance was similar across treatment groups; however, parent-child WPFD resemblance was stronger in the intervention (β ± SE = 0.30±0.06) versus control families (β ± SE = 0.12±0.05). Parent-child HEI-2005 resemblance was similar over time by treatment assignment, whereas parent-child WPFD resemblance increased over time for families in the intervention group (three-way interaction term β ± SE=0.03 ± 0.01). Parent and youth diet quality were positively correlated in families of youth with type 1 diabetes. Resemblance was stronger in the intervention group for target foods, but not for a general measure of diet quality. The lack of effect modification by family meal frequency suggests that family diet quality resemblance is not contingent on shared meals.
DOI: 10.1001/archfami.9.3.235
发表时间: 2000-03-01
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