Departamento de Nutrición, Diabetes y Metabolismo. Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Int J Behav Nutr Phys Act. 2009 Dec 29;6:93. doi: 10.1186/1479-5868-6-93.
A better understanding of the link between eating behavior and maternal feeding practices with childhood and maternal weight status is of great interest.
To assess the association between childhood anthropometric measures with mothers' Body Mass Index (BMI) and their feeding practices toward preschool children in Chile.
1029 children (504 boys, 4.3 +/- 0.3 years) and their mothers were selected from public nurseries located in low income neighborhoods in Santiago. Mothers' BMI, children's BMI and waist-to-height ratios were registered. Maternal feeding practices towards their children's nutritional habits were measured using an adapted version of the Child Feeding Questionnaire (CFQ).
We found a direct correlation (p < 0.001) between children's BMI z-score and their mothers' BMI, both in boys (Spearman rho = 0.26) and girls (rho = 0.30). A direct association was also found between children's BMI z-score with scores of the subscale "concern for child's weight" (Spearman rho = 0.26 in boys and rho = 0.37 in girls; p < 0.001) and "food restriction" (rho = 0.19 in boys and rho = 0.27 in girls; p < 0.001). A reverse significant association was found between children's BMI z-score with scores of "pressure to eat" (rho = -0.30 in boys and rho = -0.36 in girls; p < 0.001). Analyses of the combined categories of childhood obesity and/or maternal obesity showed an important influence of children's weight status on CFQ scores.
Mothers' BMI and children's BMI z-scores are highly correlated. We found significant associations between mothers' behaviour subscales and children's BMI z-score. It is not possible to establish a causal link between mother's CFQ scores and children's nutritional status, given the cross-sectional nature of this study and the bidirectional influences that exist between mothers and their children.
更好地理解饮食习惯与母亲喂养行为与儿童和母亲体重状况之间的联系非常重要。
评估智利学龄前儿童的儿童人体测量指标与母亲的身体质量指数(BMI)及其对儿童的喂养行为之间的关系。
从圣地亚哥低收入社区的公立托儿所中选择了 1029 名儿童(504 名男孩,4.3 +/- 0.3 岁)及其母亲。记录母亲的 BMI、儿童的 BMI 和腰高比。通过使用儿童喂养问卷(CFQ)的改编版本来测量母亲对孩子营养习惯的喂养行为。
我们发现,儿童的 BMI z 分数与母亲的 BMI 之间存在直接相关性(p < 0.001),无论是男孩(Spearman rho = 0.26)还是女孩(rho = 0.30)。儿童的 BMI z 分数与“关注孩子体重”分量表的分数之间也存在直接关联(男孩 Spearman rho = 0.26,女孩 rho = 0.37;p < 0.001)和“食物限制”(男孩 rho = 0.19,女孩 rho = 0.27;p < 0.001)。儿童的 BMI z 分数与“强迫进食”的分数之间存在显著的反向关联(男孩 rho = -0.30,女孩 rho = -0.36;p < 0.001)。对儿童肥胖和/或母亲肥胖的联合类别进行分析表明,儿童的体重状况对 CFQ 分数有重要影响。
母亲的 BMI 和儿童的 BMI z 分数高度相关。我们发现母亲行为分量表与儿童 BMI z 分数之间存在显著关联。由于这项研究的横断面性质以及母亲与子女之间存在的双向影响,因此不可能确定母亲 CFQ 分数与儿童营养状况之间的因果关系。