Children in food-insufficient, low-income families - Prevalence, health, and nutrition status
Children in food-insufficient, low-income families - Prevalence, health, and nutrition status
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DOI：
10.1001/archpedi.155.4.508
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发表时间：
2001-04-01
影响因子：
--
通讯作者：
Weber, J
中科院分区：
文献类型：
--
作者：
Casey, PH;Szeto, K;Weber, J
目的：研究美国儿童生活在食物不足的家庭的特点，并比较食物和营养摄入量，身体活动，超重和体重不足的儿童在食物不足的家庭与那些在food-sufficienthouseholds.Design：横断面，全国代表性样本的儿童和家庭从持续调查的食物摄入量的个人，从1994年至1996年。参与者：由3790个家庭组成，其中包括5669名儿童（0-17岁）。主要结果指标（B）：儿童食物不足的估计是基于家庭报告的充足性，描述为“经常没有足够的食物”或“有时没有足够的食物”。营养素摄入量是基于两次24小时的饮食回忆，从亲自采访。结果：3%的家庭有孩子，7.5%的低收入家庭有孩子经历食物不足。在粮食充足和粮食不足的低收入群体之间观察到一些人口和特征差异。低收入家庭的儿童，无论是食物充足或食物不足，有类似的常量营养素和微量营养素摄入量，报告的运动，看电视，超重和体重不足的百分比。与高收入食物充足家庭相比，低收入食物不足家庭的儿童消耗的卡路里（P=.05）和总碳水化合物（P=.004）较少，但胆固醇摄入量较高（P=.02）。低收入的食物不足组包括更多的超重儿童（P=.04），消耗较少的水果（P=.04），花更多的时间看电视（P=.02）。结论：虽然没有不同的低收入家庭谁不报告食物不足，低收入家庭食物不足的儿童谁不同于高收入家庭在几个营养和人体测量。临床医生应该意识到贫困和缺乏食物对儿童健康和营养状况的可能影响。这些的长期影响尚不清楚。
Objective: To examine characteristics of US children living in food-insufficient households and to compare food and nutrient intakes, physical inactivity, and overweight and underweight status of children in food-insufficient households with those in food-sufficient households.Design: Cross-sectional, nationally representative sample of children and households from the Continuing Survey of Food Intakes by Individuals, from 1994 to 1996.Participants: a group of 3790 households, including 5669 children (ages 0-17 years).Main Outcome Measure(b): Estimates of food insufficiency for children were based on the reported adequacy of their households, described as "often don't have enough to eat" or "sometimes don't have enough to eat." Nutrient consumption was based on two 24-hour dietary recalls from in-person interviews.Results: Three percent of all households with children, and 7.5% of low-income families with children experienced food insufficiency. Several demographic and characteristic differences were observed between the food-sufficient and food-insufficient low-income groups. Children of low-income families, either food-sufficient or food-insufficient, had similar macrconutrient and micronutrient intake, reported exercise, television watching, and percentage of overweight and underweight. When compared with the higher-income food-sufficient households, children in the low-income food-insufficient households consumed fewer calories (P=.05) and total carbohydrates (P=.004), but had a higher cholesterol intake (P=.02). The low-income food-insufficient group included more overweight children (P=.04), consumed less fruits (P=.04), and spent more time watching television (P=.02).Conclusions: While not different from low-income families who do not report food insufficiency, low-income families with food insufficiency had children who differed from high-income families in several nutrition and anthropometric measures. Clinicians should be aware of the possible effects of poverty and lack of access to food on child health and nutrition status. The long-term effects of these are not vet known.