背景:反对专家建议,含糖饮料,尤其是水果饮料,被幼儿消费。对饮料成分和健康的误解可能有助于护理人员的供应。
目的:评估护理人员为年幼的孩子(1-5岁)提供甜味水果味饮料和不加糖果汁的原因,以及对产品健康和饮料成分的看法。
方法:一项横断面在线调查评估了参与者(n=1614)对过去一个月提供给孩子的甜味水果味饮料(水果饮料和调味水)和不加糖果汁(100%果汁和水/果汁混合物)的看法,包括产品健康,提供的理由,和产品成分的知识[添加糖,非营养性甜味剂(NNS),果汁百分比]。单因素方差分析比较了饮料类别和糖和NNS类型的健康感知,以及能够与无法准确识别饮料成分的参与者进行比较的参与者之间的差异。
结果:参与者提供甜味饮料的主要原因包括孩子喜欢它,便宜,孩子要求它,作为一种特殊的款待。参与者认为100%果汁是最健康的,其次是果汁/水混合物,调味水,and,最后,水果饮料(P<0.05)。许多参与者不准确地认为他们最经常为孩子提供的水果饮料或调味水不含NNS(59.0%和64.9%)和/或添加糖(20.1%和42.2%)。事实上他们做到了,81.3-91.1%高估了饮料中果汁的百分比。水果饮料的健康感与护理人员认为饮料含有添加的糖有关(P<0.05),但不相信它含有NNS;提高的准确性与感知健康度下降相关(P<0.05)。
结论:对添加糖的理解不准确,NNSs,为幼儿提供的饮料中果汁的百分比很常见,可能有助于提供含糖饮料。公共卫生工作应寻求改善标签做法并修订营养教育信息。
BACKGROUND: Against expert recommendations, sugar-sweetened beverages, especially fruit drinks, are consumed by young children. Misperceptions about drink ingredients and healthfulness can contribute to caregivers\' provision.
OBJECTIVE: To assess caregivers\' reasons for serving sweetened fruit-flavored drinks and unsweetened juices to their young children (1-5 y) and perceptions of product healthfulness and drink ingredients.
METHODS: A cross-sectional online survey assessed participants\' (n = 1614) perceptions of sweetened fruit-flavored drinks (fruit drinks and flavored water) and unsweetened juices (100% juice and water/juice blends) provided to their child in the past month, including product healthfulness, reasons for providing, and knowledge of product ingredients [added sugar, nonnutritive sweeteners (NNSs), percentage juice]. One-factor ANOVA compared perceived healthfulness of drink categories and types of sugar and NNSs, and differences between participants who could compared with those who could not accurately identify drink ingredients.
RESULTS: Participants\' top reasons for providing sweetened drinks included child liking it, being inexpensive, child asking for it, and being a special treat. Participants perceived 100% juice as healthiest, followed by juice/water blends, flavored waters, and, lastly, fruit drinks (P < 0.05). Many participants inaccurately believed the fruit drink or flavored water they served their child most often did not contain NNSs (59.0% and 64.9%) and/or added sugars (20.1% and 42.2%), when in fact they did, and 81.3-91.1% overestimated the percentage juice in the drink. Perceived healthfulness of fruit drinks was associated with caregivers\' belief that the drink contained added sugar (P < 0.05), but not with their belief that it contained NNS; increased accuracy was associated with decreased perceived healthfulness (P < 0.05).
CONCLUSIONS: Inaccurate understanding of added sugar, NNSs, and percentage juice in drinks served to young children was common and could contribute to sugary drink provision. Public health efforts should seek to improve labeling practices and revise nutrition education messages.