Daily Snacking Occasions and Weight Status Among US Children Aged 1 to 5 Years.

Daily Snacking Occasions and Weight Status Among US Children Aged 1 to 5 Years.
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DOI:
10.1002/oby.22172
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发表时间:
2018-06
期刊:
Obesity (Silver Spring, Md.)
影响因子:
--
通讯作者:
Fisher JO
Fisher JO
中科院分区:
其他
文献类型:
--
作者:
Kachurak A;Davey A;Bailey RL;Fisher JO

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研究美国1-5岁儿童的零食频率与体重状况之间的关系。参与者是2005年至2014年国民健康和营养检查调查中1至5岁的儿童(n = 4,669)。对零食的评估是通过两次24小时的饮食召回来进行的,这些召回使用的定义包括“零食”场合以及在两餐之间消费的其他食物/饮料。超重/肥胖(OW/OB)的定义使用百分位数界值:≥ 97.7体重/长度(< 2年)界值和 ≥ 第85 BMI年龄界值(≥ 2年)。线性/逻辑回归根据日常场合和当前推荐的零食(每天两到三种零食)对零食进行评估。从2005年到2014年,1到5岁的美国儿童平均每天吃两到三份零食。两个年龄组中体重正常的儿童在考虑两餐之间吃的所有食物/饮料时,倾向于比OW/OB儿童更少吃零食(P < 0.01-0.12)。在大多数零食定义中, < 2岁儿童零食频率超过推荐标准的儿童患OW/OB的几率更高(P < 为0.01%-0.12%),每天摄入零食能量也更高(均为P < 0.01)。建议没有明确描述2至5岁儿童的体重状况。在1至5岁的美国儿童中,零食频率和体重呈正相关,其中最一致的关联出现在2岁的 < 儿童中,当考虑到两餐之间消费的所有食物/饮料时。
To characterize associations of snacking frequency with weight status among US children aged 1 to 5 years. Participants were children (n = 4,669) aged 1 to 5 years in the 2005 to 2014 National Health and Nutrition Examination Survey (NHANES). Snacking was assessed by two 24‐hour dietary recalls using definitions that considered “snack” occasions as well as other foods/beverages consumed between meals. Overweight/obesity (OW/OB) was defined using percentile cutoffs: ≥ 97.7th weight‐for‐length (< 2 years) cutoff and the ≥ 85th BMI‐for‐age (≥ 2 years) cutoff. Linear/logistic regressions evaluated snacking based on daily occasions and relative to current recommendations (two to three snacks per day). During 2005 to 2014, US children aged 1 to 5 years consumed, on average, two to three snacks daily. Children with normal weight in both age groups tended to snack less frequently than children with OW/OB when considering all foods/beverages eaten between meals (P < 0.01‐0.12). Across most snacking definitions, children < 2 years who snacked more frequently than recommended had greater odds of having OW/OB (P < 0.01‐0.12) and consumed greater daily snack energy than those who snacked within recommendations (all P < 0.01). Recommendations did not clearly delineate weight status among children aged 2 to 5 years. Snacking frequency and weight are positively associated among US children 1 to 5 years old, with most consistent associations seen among children < 2 years old and when considering all foods/beverages consumed between meals.
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