Rhee Kyung E, Appugliese Danielle P, Prisco Alicia, Kaciroti Niko A, Corwyn Robert F, Bradley Robert H, Lumeng Julie C
Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
J Am Diet Assoc. 2010 Apr;110(4):619-23. doi: 10.1016/j.jada.2009.12.018.
Controlling maternal feeding practices have been linked to increased caloric intake, disinhibited eating, and obesity in children. Its relationship to child dieting behavior, however, is unknown. Using the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development, this study examined whether controlling feeding practices are associated with increased or decreased dieting behavior in children. Controlling maternal feeding practices were assessed in third grade with the question, "Do you let your child eat what he/she feels like eating?" Answers ranged from 1 to 4; higher scores were reverse-coded to indicate greater control. Child dieting behavior was assessed in sixth grade and dichotomized into "any dieting behaviors" vs "none." Multiple logistic regression was used to investigate the relationship between controlling maternal feeding practices and dieting behavior and included the covariates of sex, race, maternal education, maternal weight status, child weight status in third grade, and change in body mass index z score between third and sixth grade. In sixth grade (n=776), 41.5% of children engaged in dieting behavior. In the multivariate analysis, greater maternal control over child eating predicted lower odds of child dieting in sixth grade (odds ratio=0.79; 95% confidence interval: 0.64 to 0.97). There was no interaction between controlling maternal feeding practices and child's sex or baseline obesity status. Exerting more control over what a child eats in third grade may protect against future dieting behavior in children, independent of child's weight status or rate of weight gain. Further work is needed to better define which controlling feeding practices are beneficial for the child.
控制型的母亲喂养方式与儿童热量摄入增加、饮食无节制及肥胖有关。然而，其与儿童节食行为的关系尚不清楚。本研究利用美国国立儿童健康与人类发展研究所的早期儿童保育与青少年发展研究，探讨控制型喂养方式是否与儿童节食行为的增加或减少有关。在三年级时通过询问“你是否让孩子想吃什么就吃什么？”来评估母亲的控制型喂养方式。答案从1到4分；分数越高，经反向编码后表示控制程度越高。在六年级时评估儿童的节食行为，并将其分为“有任何节食行为”和“没有节食行为”两类。采用多元逻辑回归分析来研究母亲控制型喂养方式与节食行为之间的关系，并纳入了性别、种族、母亲教育程度、母亲体重状况、三年级时儿童的体重状况以及三年级至六年级期间体重指数z评分的变化等协变量。在六年级（n = 776）时，41.5%的儿童有节食行为。在多变量分析中，母亲对孩子饮食的控制程度越高，预测六年级时孩子节食的几率越低（优势比 = 0.79；95%置信区间：0.64至0.97）。母亲控制型喂养方式与孩子的性别或基线肥胖状况之间没有相互作用。在三年级时对孩子吃什么施加更多控制，可能会预防孩子未来出现节食行为，这与孩子的体重状况或体重增加速度无关。需要进一步开展工作，以更好地确定哪些控制型喂养方式对孩子有益。
