父母应该让孩子爱吃水果，而不是爱喝果汁。
近日，国际期刊Pediatric Obesity刊登了一项最新的研究表明，三分之一的儿童喝掉过多果汁，尤其是低收入家庭的儿童，这已经影响到儿童的健康，让他们更容易肥胖，以及得蛀牙。
美国儿科协会规定，6岁以下儿童每天不得饮用超过1杯果汁。但美国密歇根大学一项调查表明，606对1—5岁儿童的父母中，有3分之1表示他们的孩子每天喝掉超过2杯果汁；一半以上收入低于3万美元的父母表示，他们的孩子每天喝超过2杯果汁；而那些年升入超过10万美元的家庭中，只有23%的父母表示他们的孩子每天喝超过1杯果汁。
研究人员表示，许多父母给孩子喝果汁是为了补充维生素，但果汁中加入了更多糖分，会影响儿童体重，并会导致牙齿疾病。因此，父母应该培养孩子直接吃水果的习惯，而不是喝果汁。(生物谷 Bioon.com)
doi:10.1111/j.2047-6310.2011.00001.x
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PMID:
Study design and baseline description of the BMI2 trial: reducing paediatric obesity in primary care practices
K. Resnicow, F. McMaster, S. Woolford, E. Slora, A. Bocian, D. Harris, J. Drehmer, R. Wasserman, R. Schwartz, E. Myers, J. Foster, L. Snetselaar, D. Hollinger, K. Smith
Objectives
This study will test the efficacy of motivational interviewing (MI) conducted by primary care providers and dieticians among children ages 2-8 years old with a body mass index (BMI) ≥85th and ≤97th percentile.
Methods
Forty-two practices from the American Academy of Pediatrics, Pediatric Research in Office Settings Network were assigned to one of three groups. Group 1 (usual care) measures BMI percentile at baseline, and at 1- and 2-year follow-ups and receives standard health education materials. Group 2 providers deliver three proactive MI counselling sessions with a parent of the index child in Year 1 and one additional ‘booster’ visit in Year 2. Group 3 adds six MI counselling sessions from a trained dietician. The primary outcome is the child's BMI percentile at 2-year follow-up. Secondary outcomes include parent report of the child's screen time, physical activity, intake of fruits and vegetables, and sugar-sweetened beverages.
Results
We enrolled 633 eligible children whose mean BMI percentile was 92.0 and mean age of 5.1. The cohort was 57% female. Almost 70% of parents reported a household income of ≥$40 000 per year, and 39% had at least a college education. The cohort was 63% White, 23% Hispanic, 7% Black and 7% Asian. Parent self-reported confidence that their child will achieve a healthy weight was on average an 8 (out of 10).
Conclusion
To date, several aspects of the study can inform similar efforts including our ability to use volunteer clinicians to recruit participants and their willingness to dedicate their time, without pay, to receive training in MI.
