Neal Davis R, Ashba Jacqueline, Appugliese Danielle P, Kaciroti Niko, Corwyn Robert F, Bradley Robert H, Lumeng Julie C
Division of General Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Int J Pediatr Obes. 2011 Jun;6(2-2):e457-63. doi: 10.3109/17477166.2010.549490. Epub 2011 Jan 25.
To determine if adolescent obesity is associated with parenting characterized by lower sensitivity and lower monitoring of adolescent activities.
We used data from 744 adolescents in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development. Height and weight were measured at age 15½ years and obesity defined as body mass index ≥ 95th percentile for age and sex. Maternal and paternal sensitivity were assessed by direct observation of a parent-adolescent interaction task. Maternal and paternal monitoring were assessed by parent report. Lower sensitivity and lower monitoring were each defined as the lowest quartiles. Two separate multivariate logistic regression models were created to evaluate, individually for mothers and fathers, associations of sensitivity and monitoring with adolescent obesity, controlling for adolescent sex and race, family income-to-needs ratio, and parental obesity.
Fourteen percent of the adolescents were obese. Lower sensitivity was associated with adolescent obesity in the maternal parenting model (adjusted odds ratio [AOR] 2.36, 95% confidence interval [CI] 1.44-3.86, n = 709), but not paternal parenting model (AOR = 0.79, 95% CI 0.38-1.63, n = 460). Neither maternal nor paternal monitoring was associated with adolescent obesity (AOR = 1.03, 95% CI 0.63-1.68; AOR = 1.07, 95% CI 0.52-2.22, respectively).
Lower maternal sensitivity, measured by direct observation of parent-adolescent interactions, was associated with adolescent obesity. Efforts to prevent and treat childhood obesity, both at the practitioner level and the community level, may be enhanced by educating parents that their reactions to their children's behaviors may have consequences related to obesity.
确定青少年肥胖是否与以对青少年活动的较低敏感性和较低监督为特征的养育方式相关。
我们使用了来自国家儿童健康与人类发展研究所早期儿童保育与青少年发展研究中744名青少年的数据。在15.5岁时测量身高和体重，肥胖定义为按年龄和性别计算的体重指数≥第95百分位数。通过直接观察亲子互动任务评估母亲和父亲的敏感性。通过父母报告评估母亲和父亲的监督情况。较低敏感性和较低监督均定义为最低四分位数。创建了两个单独的多变量逻辑回归模型，分别针对母亲和父亲，评估敏感性和监督与青少年肥胖之间的关联，并控制青少年性别和种族、家庭收入需求比以及父母肥胖情况。
14%的青少年肥胖。在母亲养育模式中，较低敏感性与青少年肥胖相关（调整后的优势比[AOR]为2.36，95%置信区间[CI]为1.44 - 3.86，n = 709），但在父亲养育模式中不相关（AOR = 0.79，95% CI为0.38 - 1.63，n = 460）。母亲和父亲的监督均与青少年肥胖无关（AOR分别为1.03，95% CI为0.63 - 1.68；AOR为1.07，95% CI为0.52 - 2.22）。
通过直接观察亲子互动测量的较低母亲敏感性与青少年肥胖相关。在从业者层面和社区层面预防和治疗儿童肥胖的努力，可能会通过教育父母使其认识到他们对孩子行为的反应可能与肥胖有关而得到加强。
