Perceived Produce Availability and Child Fruit and Vegetable Intake: The Healthy Communities Study.

Perceived Produce Availability and Child Fruit and Vegetable Intake: The Healthy Communities Study.
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DOI:
10.3390/nu13113681
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发表时间:
2021-10-20
期刊:
影响因子:
5.9
通讯作者:
Au LE
Au LE
中科院分区:
医学2区
文献类型:
--
作者:
Moffat LF;Ritchie LD;Gosliner W;Plank KR;Au LE

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当家里有更多的水果和蔬菜时,孩子们会吃更多的水果和蔬菜,但人们对社区食物环境与孩子的饮食和体重结果之间的关系知之甚少。本研究的目的是确定父母对食物环境(邻里和家庭)的感知是否与儿童的水果和蔬菜(F&V)摄入量和体重结果相关,并评估家庭食品安全状况和家庭收入的差异。2013-2015年美国健康社区研究的横断面数据包括来自130个美国社区的5138名4至15岁儿童。邻里和家庭食物环境评估与家长报告,感知的F&V可用性得分。用多级线性回归模型检验相关性。父母对农产品可获得性的感知与家庭食品和食品可获得性评级相关(β = 0.09分,p < 0.001)。家庭食物和酒精摄入量与儿童食物和酒精摄入量相关(β = 0.32杯/天或25.6克/天,p < 0.001)。较高的儿童F&V摄入量与较低的儿童BMI z-score相关(β = - 0.05, p = 0.002)。生活在粮食不安全家庭或低收入家庭的儿童的关系较弱。优化社区和家庭获得食品和饮料的途径可能有助于儿童改善饮食质量,但对生活在粮食不安全或低收入家庭的儿童可能没有那么有效。
Children eat more fruits and vegetables when more are available at home, but less is known about how the neighborhood food environment relates to children’s diet and weight outcomes. The goal of this study was to determine whether parental perception of the food environment (neighborhood and home) is associated with children’s fruit and vegetable (F&V) intake and weight outcomes, and to assess differences by household food security status and household income. Cross-sectional data from the 2013–2015 U.S. Healthy Communities Study included 5138 children, aged 4 to 15 years old, from 130 U.S. communities. Neighborhood and home food environments were assessed with parent-reported, perceived F&V availability scores. Associations were tested with multi-level linear regression models. Parents’ perception of produce availability was associated with household F&V availability ratings (β = 0.09 points, p < 0.001). Household F&V availability was associated with child F&V intake (β = 0.32 cups/day or 25.6 g/day, p < 0.001). A higher child F&V intake was associated with a lower child BMI z-score (β = −0.05, p = 0.002). Weaker relationships were seen for children living in food insecure or low-income households. Optimizing neighborhood and home access to F&V may help children improve diet quality, but may not be as effective for children living in food insecure or low-income households.
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