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Dietary quality in children and the role of the local food environment

机译:儿童的饮食质量和当地饮食环境的作用

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摘要

Diet is a modifiable contributor to many chronic diseases including childhood obesity. The local food environment may influence children's diet but this area of research is understudied. This study explores if distance to and the number of supermarkets and convenience stores in the local area around households are associated with dietary quality in nine year olds whilst controlling for household level socio-economic factors. This is a secondary analysis of Wave 1 (2007/2008) of the Growing Up in Ireland (GUI) Child Cohort Study, a sample of 8568 nine year olds from the Republic of Ireland. Dietary intake was assessed using a short, 20-item parent reported food frequency questionnaire and was used to create a dietary quality score (DQS) whereby a higher score indicated a higher diet quality. Socio-economic status was measured using household class, household income, and maternal education. Food availability was measured as road network distance to and the number of supermarkets and convenience stores around households. Separate fixed effects regression models assessed the association between local area food availability and dietary quality, stratified by sex. The DQS ranged from −5 to 25 (mean 9.4, SD 4.2). Mean DQS was higher in those who lived furthest (distance in quintiles) from their nearest supermarket (p<0.001), and in those who lived furthest from their nearest convenience store (p<0.001). After controlling for socio-economic characteristics of the household, there was insufficient evidence to suggest that distance to the nearest supermarket or convenience store was associated with dietary quality in girls or boys. The number of supermarkets or convenience stores within 1000 m of the household was not associated with dietary quality. Food availability had a limited effect on dietary quality in this study. Issues associated with conceptualising and measuring the food environment may explain the findings of the current study.
机译:饮食是许多慢性疾病(包括儿童肥胖)的可改变因素。当地的食物环境可能会影响儿童的饮食,但是对这一研究领域的研究还不够。这项研究探讨了在控制住户层面的社会经济因素的同时,到家庭周围区域的超市和便利店的距离和数量是否与9岁儿童的饮食质量有关。这是对爱尔兰成长(GUI)儿童队列研究的第一波(2007/2008)的二次分析,该研究来自爱尔兰共和国的8568名9岁儿童。使用一份简短的,由父母报告的食物项目频率为20的问卷来评估饮食摄入量,并用于创建饮食质量得分(DQS),其中得分越高表示饮食质量越高。社会经济地位是通过家庭阶级,家庭收入和孕产妇教育来衡量的。粮食供应量以到家庭的道路网络距离以及超市和便利店的数量来衡量。单独的固定效应回归模型评估了按性别分层的本地食物供应量与饮食质量之间的关联。 DQS介于-5到25之间(平均值9.4,标准差4.2)。距离最近的超市最远(五分位距)的人(p <0.001)和距离最近的便利店最远的人(p <0.001)的平均DQS较高。在控制了家庭的社会经济特征之后,没有足够的证据表明到最近的超市或便利店的距离与女孩或男孩的饮食质量有关。家庭中1000米以内的超级市场或便利店的数量与饮食质量无关。在这项研究中,食物供应对饮食质量的影响有限。与概念化和测量食物环境有关的问题可能解释了本研究的结果。

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