OBJECTIVE:To examine the direction and magnitude of the relation between family meal frequency and dietary and family functioning outcomes in children (aged 2-18 years). DESIGN:Systematic literature review with meta-analysis. METHODS:Independent electronic searches, 1 for each outcome of interest, were conducted across 5 databases: PubMed, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Scopus, and PsycINFO. Studies were included if they were peer-reviewed and published in English in the US through December 2018. MAIN OUTCOME MEASURES:Diet and family functioning. RESULTS:Dietary outcomes showed some evidence of a positive association between family meal frequency and fruits, vegetables, fruits and vegetables, sugar-sweetened beverages, and the Healthy Eating Index. There was less clear evidence of this relation in snacks, fast food, and desserts. A positive association was found between family meal frequency or dinner family meal frequency and family functioning outcomes. All studies included had cross-sectional and longitudinal study designs. CONCLUSIONS AND IMPLICATIONS:There is some evidence to show a positive relation between family meal frequency and dietary outcomes. There is stronger evidence for the relation with family functioning outcomes. Most articles included in the systematic reviews were excluded from meta-analysis owing to inadequate data and high methodological diversity across exposure and outcome variables.

译文

目的:探讨儿童(2-18岁)家庭进餐频率与饮食和家庭功能结局之间关系的方向和大小。
设计:系统的文献回顾与荟萃分析。
方法:在5个数据库中进行了独立的电子搜索,每个感兴趣的结果1项:PubMed,护理和相关健康文献的累积索引,Web of Science,Scopus和PsycINFO。如果研究在2018年12月之前在美国进行同行评审并以英文发表,则将其包括在内。
主要观察指标:饮食和家庭功能。
结果:饮食结果表明家庭进餐频率与水果,蔬菜,水果和蔬菜,加糖饮料和健康饮食指数之间呈正相关。零食,快餐和甜点中没有这种关系的明确证据。在家庭进餐频率或晚餐家庭进餐频率与家庭功能结局之间发现正相关。纳入的所有研究均具有横断面和纵向研究设计。
结论和意义:有一些证据表明家庭进餐频率与饮食结局之间呈正相关。有更充分的证据表明其与家庭功能结局之间的关系。由于资料不足以及暴露和结果变量之间的方法学差异很大,因此纳入系统评价的大多数文章都被排除在荟萃分析之外。

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