Dietary Intake and Eating Behaviours of Obese New Zealand Children and Adolescents Enrolled in a Community-Based Intervention Programme

被引:21
作者
Anderson, Yvonne C. [1 ,2 ]
Wynter, Lisa E. [1 ]
Butler, Michelle S. [1 ]
Grant, Cameron C. [3 ,4 ,5 ]
Stewart, Joanna M. [6 ]
Cave, Tami L. [2 ]
Wild, Cervantee E. K. [2 ]
Derraik, Jose A. G. B. [2 ]
Cutfield, Wayne S. [2 ,4 ]
Hofman, Paul L. [2 ,4 ]
机构
[1] Taranaki Dist Hlth Board, Dept Paediat, New Plymouth, New Zealand
[2] Univ Auckland, Liggins Inst, Auckland, New Zealand
[3] Univ Auckland, Dept Paediat, Auckland, New Zealand
[4] Auckland Dist Hlth Board, Starship Childrens Hlth, Auckland, New Zealand
[5] Univ Auckland, Ctr Longitudinal Res He Ara ki Mua, Auckland, New Zealand
[6] Univ Auckland, Dept Epidemiol & Biostat, Auckland, New Zealand
关键词
SUGAR-SWEETENED BEVERAGES; BODY-MASS INDEX; CHILDHOOD OBESITY; WEIGHT; ASSOCIATIONS; HEALTH; FOOD;
D O I
10.1371/journal.pone.0166996
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Objectives The aim of this study was to describe dietary intake and eating behaviours of obese children and adolescents, and also to determine how these differ in Indigenous versus non-Indigenous children at enrolment in an obesity programme. Methods Baseline dietary intake and eating behaviour records were assessed from those enrolled in a clinical unblinded randomised controlled trial of a multi-disciplinary intervention. The setting was a community-based obesity programme in Taranaki, New Zealand. Children or adolescents who were enrolled from January 2012 to August 2014, with a BMI >= 98th percentile or >91st centile with weight-related comorbidities were eligible. Results 239 participants (45% Maori, 45% NZ Europeans, 10% other ethnicities), aged 5-17 years were assessed. Two-thirds of participants experienced hyperphagia and half were not satiated after a meal. Comfort eating was reported by 62% of participants, and daily energy intake was above the recommended guidelines for 54%. Fruit and vegetable intake was suboptimal compared with the recommended 5 servings per day (mean 3.5 [SD = 1.9] servings per day), and the mean weekly breakfasts were less than the national average (5.9 vs 6.5; p<0.0001). Median sweet drink intake amongst Maori was twice that of NZ Europeans (250 vs 125 ml per day; p = 0.0002). Conclusions There was a concerning prevalence of abnormal eating behaviours and significant differences in dietary intake between obese participants and their national counterparts. Ethnic differences between Indigenous and non-Indigenous participants were also present, especially in relation to sweet drink consumption. Eating behaviours, especially sweet drink consumption and fruit/vegetable intake need to be addressed.
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页数:12
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