Snack food intake does not predict weight change among children and adolescents

被引:135
作者
Field, AE
Austin, SB
Gillman, MW
Rosner, B
Rockett, HR
Colditz, GA
机构
[1] Childrens Hosp, Dept Med, Div Adolescent Med, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Dept Ambulatory Care & Prevent, Cambridge, MA 02138 USA
[3] Childrens Hosp, Dept Psychiat, Boston, MA 02115 USA
[4] Brigham & Womens Hosp, Dept Med, Channing Lab, Boston, MA 02115 USA
[5] Harvard Pilgrim Hlth Care, Wellesley, MA USA
[6] Harvard Univ, Sch Publ Hlth, Dept Nutr, Cambridge, MA 02138 USA
[7] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Cambridge, MA 02138 USA
关键词
diet; adolescents; body mass index (BMI); snack foods; weight gain;
D O I
10.1038/sj.ijo.0802762
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE: To assess whether intake of snack foods was associated with weight change among children and adolescents. METHODS: Prospective study of 8203 girls and 6774 boys, 9-14 y of age in 1996, in an ongoing cohort study who completed at least two questionnaires between 1996 and 1999. Intake of snack foods was assessed in 1996-1998 with a validated food frequency questionnaire designed specifically for children and adolescents. The outcome measure was change in age- and gender-specific z-score of body mass index (BMI). RESULTS: Boys consumed more snack foods than girls during the entire study period. After controlling for Tanner stage of development, age, height change, activity, and inactivity, there was no relation between intake of snack foods and subsequent changes in BMI z-score among the boys (beta= -0.004), but snack foods had a weak inverse association (beta= -0.007, P<0.05) with weight change among the girls. However, the results were confounded by dieting status, which had a significant positive independent association with BMI change. After controlling for dieting status and whether the mother was overweight, the association between servings per day of snack foods and subsequent changes in BMI z-score were not significant in either gender. DISCUSSION: Our results suggest that although snack foods may have low nutritional value, they were not an important independent determinant of weight gain among children and adolescents.
引用
收藏
页码:1210 / 1216
页数:7
相关论文
共 20 条
[1]   Activity, dietary intake, and weight changes in a longitudinal study of preadolescent and adolescent boys and girls [J].
Berkey, CS ;
Rockett, HRH ;
Field, AE ;
Gillman, MW ;
Frazier, AL ;
Camargo, CA ;
Colditz, GA .
PEDIATRICS, 2000, 105 (04) :E56
[2]  
*CDC, 2000, CDC GROWTH CHARTS
[3]   Peer, parent, and media influences on the development of weight concerns and frequent dieting among preadolescent and adolescent girls and boys [J].
Field, AE ;
Camargo, CA ;
Taylor, CB ;
Berkey, CS ;
Roberts, SB ;
Colditz, GA .
PEDIATRICS, 2001, 107 (01) :54-60
[4]   Parental weight status and girls' television viewing, snacking, and body mass indexes [J].
Francis, LA ;
Lee, Y ;
Birch, LL .
OBESITY RESEARCH, 2003, 11 (01) :143-151
[5]   Food environment in secondary schools: A la carte, vending machines, and food policies and practices [J].
French, SA ;
Story, M ;
Fulkerson, JA ;
Gerlach, AF .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2003, 93 (07) :1161-1167
[6]   Accuracy of teen and parental reports of obesity and body mass index [J].
Goodman, E ;
Hinden, BR ;
Khandelwal, S .
PEDIATRICS, 2000, 106 (01) :52-58
[7]   The increasing prevalence of snacking among US children from 1977 to 1996 [J].
Jahns, L ;
Siega-Riz, AM ;
Popkin, BM .
JOURNAL OF PEDIATRICS, 2001, 138 (04) :493-498
[8]  
Kann L, 2016, MMWR SURVEILL SUMM, V65, P1, DOI [10.15585/mmwr.ss6708a1, 10.15585/mmwr.ss6506a1]
[9]   Seven-year trends in body weight and associations with lifestyle and behavioral characteristics in black and white young adults: The CARDIA study [J].
Lewis, CE ;
Smith, DE ;
Wallace, DD ;
Williams, OD ;
Bild, DE ;
Jacobs, DR .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1997, 87 (04) :635-642
[10]   Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis [J].
Ludwig, DS ;
Peterson, KE ;
Gortmaker, SL .
LANCET, 2001, 357 (9255) :505-508