Volume 46 Issue 4
Apr.  2025
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YANG Yifan, LI Li, ZHANG Pingping, WANG Youxin, WANG Mingyue, YANG Shuhan, WU Yuying, WANG Hui. Associations between caregivers' nutrition literacy and pediatric nonalcoholic fatty liver disease of children aged 8- 10[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(4): 597-600. doi: 10.16835/j.cnki.1000-9817.2025102
Citation: YANG Yifan, LI Li, ZHANG Pingping, WANG Youxin, WANG Mingyue, YANG Shuhan, WU Yuying, WANG Hui. Associations between caregivers' nutrition literacy and pediatric nonalcoholic fatty liver disease of children aged 8- 10[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(4): 597-600. doi: 10.16835/j.cnki.1000-9817.2025102

Associations between caregivers' nutrition literacy and pediatric nonalcoholic fatty liver disease of children aged 8- 10

doi: 10.16835/j.cnki.1000-9817.2025102
  • Received Date: 2024-11-20
  • Rev Recd Date: 2025-02-17
  • Available Online: 2025-05-08
  • Publish Date: 2025-04-25
  •   Objective  To explore the associations between caregivers' nutrition literacy and pediatric nonalcoholic fatty liver disease (NAFLD), so as to provide scientific evidence for the key contents of family intervention measures.  Methods  In September 2022, a study involving 1 609 third-grade students and their caregivers from six schools in Yinzhou, Haishu, and Zhenhai Districts of Ningbo City, Zhejiang Province, was conducted. Venous blood samples were collected to measure lipid profiles and investigate the prevalence of nonalcoholic fatty liver disease (NAFLD) among the children. Family Food Environment Questionnaire was used to assess the nutrition literacy levels of the caregivers. Generalized linear regression analysis was employed to explore the correlation between caregivers' nutrition literacy levels and the prevalence of NAFLD in children.  Results  Among the surveyed students, 191 were in the NAFLD group, whereas 1 418 were in the non-NAFLD group. The median nutrition literacy score of caregivers in the NAFLD group and non-NAFLD group all were 11.00 (9.00, 12.00), which was not significantly different (Z=-0.40, P=0.71). The generalized linear regression results revealed that the level of nutrition literacy of caregivers had no significant effect on children's Triglyceride-glucose (TyG) index and Triglyceride-glucose-Waist-to-height ratio (TyG-WHtR) [β(95%CI) were 0.001(-0.005-0.006) and 0.000(-0.014-0.014), P>0.05].  Conclusions  The nutrition literacy level of caregivers has no significant correlation with the direct incidence of NAFLD in children. As for family intervention measures, it is necessary not only to improve the nutrition literacy level of caregivers but also to effectively apply nutritional knowledge in practice to optimize health management.
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