Spence John C, Carson Valerie, Casey Linda, Boule Normand
University of Alberta, Edmonton, AB, Canada.
Int J Pediatr Obes. 2011 Jun;6(2-2):e501-7. doi: 10.3109/17477166.2010.512087. Epub 2010 Sep 13.
No study has examined a comprehensive set of approach and avoidance eating behaviours and their relationship with bodyweight among North American children. The purpose of this study was to test whether a variety of individual eating behaviours differed among weight status groups in a sample of Canadian pre-school children.
The sample included 4 and 5-year-old children (N=1 730), who attended a health center in and around Edmonton, Alberta, for a pre-school immunization shot between November 2005 and August 2007. A trained health assistant measured children's height and weight. Centers for Disease Control and Prevention (CDC) cut-off criteria were used to classify the children according to body weight status. Parents completed the Children's Eating Behaviour Questionnaire (CEBQ). A one-way between-groups multivariate analysis of variance was performed to investigate eating behaviour differences by weight status groups while adjusting for sex and neighbourhood socioeconomic status (SES).
Significant differences (p<0.01) were found between weight status groups for food responsiveness, emotional over-eating, enjoyment of food, satiety responsiveness, slowness in eating, and food fussiness. No significant differences were found for desire to drink or emotional under-eating. An inspection of mean scores showed graded positive linear patterns by weight for food responsiveness and enjoyment of food and graded negative linear patterns by weight for satiety responsiveness, slowness in eating, and food fussiness.
Future research should examine whether eating behaviours can be modified to reduce children's risk of becoming overweight or obese. In addition potential determinants of eating behaviours should be explored.
尚无研究全面考察北美儿童的一系列趋近和回避进食行为及其与体重的关系。本研究的目的是检验加拿大学龄前儿童样本中不同体重状况组之间各种个体进食行为是否存在差异。
样本包括2005年11月至2007年8月期间在艾伯塔省埃德蒙顿及其周边地区的健康中心接受学龄前免疫接种的4岁和5岁儿童(N = 1730)。一名训练有素的健康助理测量了儿童的身高和体重。采用疾病控制与预防中心(CDC)的截止标准根据体重状况对儿童进行分类。家长们完成了儿童进食行为问卷(CEBQ)。进行了组间单因素多变量方差分析,以调查体重状况组之间的进食行为差异,同时对性别和邻里社会经济地位(SES)进行了调整。
在食物反应性、情绪性暴饮暴食、对食物的喜爱、饱腹感反应性、进食缓慢和食物挑剔方面,体重状况组之间存在显著差异(p < 0.01)。在饮水欲望或情绪性进食不足方面未发现显著差异。对平均得分的检查显示,食物反应性和对食物的喜爱随体重呈分级正线性模式,而饱腹感反应性、进食缓慢和食物挑剔随体重呈分级负线性模式。
未来的研究应考察进食行为是否可以改变,以降低儿童超重或肥胖的风险。此外,应探索进食行为的潜在决定因素。