Division of Adolescent Medicine, Children's Hospital Boston, Boston, MA, USA.
Obesity (Silver Spring). 2012 Jul;20(7):1449-54. doi: 10.1038/oby.2012.43. Epub 2012 Feb 21.
Relatively little research has assessed the association between obesogenic behaviors in parents and their children. The objective of the present analysis was to examine cross-sectional associations in television (TV)/video viewing, sugar-sweetened beverage intake, and fast food intake between mothers and their preschool aged children. We studied baseline data among 428 participants in High Five for Kids, a randomized controlled trial of behavior change among overweight and obese children of ages 2-6.9 years. The main exposures were whether mothers viewed TV/videos <1 h/day, drank <1 serving/day of sugar-sweetened beverages, and ate fast food <1 time/week. The main outcomes were whether children met these goals for the same behaviors. Using multivariate logistic regression adjusted for maternal and child characteristics, we estimated odds ratios of children meeting the behavioral goals. The majority of mothers ate fast food <1 time/week (73%) and drank <1 serving/day of sugar-sweetened beverages (73%), while few mothers viewed <1 h/day of TV/videos (31%). Most children met the fast food goal (68%), but not the goals for sugar-sweetened beverages (31%) or TV/video viewing (13%). In adjusted models, the odds ratios for a child meeting the goal were 3.2 (95% confidence interval (CI) 1.7, 6.2) for TV/video viewing, 5.8 (95% CI 2.8, 12.0) for sugar-sweetened beverage intake, and 17.5 (95% CI 9.8, 31.2) for fast food intake if their mothers met the goal for the same behavior. Obesogenic behaviors of mothers and preschool aged children were strongly associated. Our findings lend support to obesity prevention strategies that target parental behavior and the family environment.
父母的肥胖行为及其与子女的关联研究相对较少。本分析旨在研究母亲与其学龄前儿童之间在看电视/视频、含糖饮料摄入和快餐摄入方面的行为的横断面关联。我们研究了超重和肥胖的 2-6.9 岁儿童的行为改变随机对照试验 High Five for Kids 中的 428 名参与者的基线数据。主要暴露因素是母亲每天看电视/视频时间是否<1 小时，每天是否饮用<1 份含糖饮料，每周是否食用快餐<1 次。主要结果是儿童是否达到了相同行为的目标。采用多元逻辑回归调整了母亲和儿童的特征，我们估计了儿童达到行为目标的优势比。大多数母亲每周食用快餐<1 次（73%），饮用<1 份含糖饮料（73%），而很少有母亲每天看电视/视频时间<1 小时（31%）。大多数儿童达到了快餐目标（68%），但未达到含糖饮料（31%）或电视/视频观看（13%）的目标。在调整后的模型中，儿童达到目标的优势比为：对于看电视/视频，为 3.2（95%置信区间 1.7，6.2）；对于含糖饮料摄入，为 5.8（95%置信区间 2.8，12.0）；对于快餐摄入，为 17.5（95%置信区间 9.8，31.2），如果他们的母亲达到了相同行为的目标。母亲和学龄前儿童的肥胖行为密切相关。我们的研究结果支持针对父母行为和家庭环境的肥胖预防策略。
