Do children and their parents eat a similar diet? Resemblance in child and parental dietary intake: systematic review and meta-analysis.

Do children and their parents eat a similar diet? Resemblance in child and parental dietary intake: systematic review and meta-analysis.
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DOI:
10.1136/jech.2009.095901
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发表时间:
2011-02
影响因子:
6.3
通讯作者:
Moreno LA
Moreno LA
中科院分区:
医学2区
文献类型:
--
作者:
Wang Y;Beydoun MA;Li J;Liu Y;Moreno LA

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人们认为父母对孩子的饮食行为有很大影响。然而,之前关于儿童与父母饮食摄入相似性的研究结果好坏参半。我们根据已发表的研究系统地回顾和荟萃分析了这种关联(相关性)。我们检索了 1980 年以来发表的相关研究,发现 24 项符合纳入审查标准的研究,15 项符合荟萃回归分析的研究。我们通过饮食评估方法比较了亲子对、营养素之间的关联。大多数研究都是基于小样本。总体而言,他们认为存在中度或弱关联,但研究结果差异很大。我们的荟萃分析显示,脂肪(能量百分比)的平均 Fisher 变换相关性为 0.20(95% 置信区间 0.13-0.28);对于能源,0.21(0.18,0.24)。相关性因亲子配对、饮食评估和国家而异。 FFQ 或混合方法产生的相关性低于 24 小时召回或食品记录。儿童自我报告的摄入量显示出较弱的相关性,更好的方法质量表明脂肪摄入量(能量百分比)的相关性更强,并且随着时间的推移,这种相关性也变得更弱。总体而言,相似性很弱,并且在研究、营养、食物、亲子配对方面差异很大。
Parents are believed having strong influence on children’s eating behaviors. However, previous findings on child-parent resemblance in dietary intakes are mixed. We systematically reviewed and meta-analyzed the association (correlations) based on published studies. We searched related studies published since 1980 and found 24 studies meeting inclusion criteria for review and 15 for meta-regression analysis. We compared the associations between parent-child pairs, nutrients, over time, and by dietary assessment method. Most studies were based on small samples. Overall, they suggest a moderate or weak association, but findings varied remarkably. Our meta-analysis showed average Fisher’s transformed correlations were 0.20 (95% confidence interval 0.13–0.28) for fat (% energy); for energy, 0.21 (0.18, 0.24). The correlations varied by parent-child pairs, dietary assessment and countries. FFQ or mixed approaches yielded lower correlation than 24-hour recalls or food records. Child self-reported intakes showed weaker correlation, better methodology quality showed stronger correlation in fat intake (% energy), which also became weaker over time. Overall, the resemblance is weak and it varied considerably across studies, nutrients, foods, parent-child pairs.
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