Family Resiliency Center, Department of Human and Community Development, University of Illinois at Urbana Champaign, 904 W. Nevada, MC-081, Urbana, IL 61801, USA.
Nutrients. 2013 Sep 23;5(9):3713-29. doi: 10.3390/nu5093713.
Childhood obesity and asthma are on the rise in the U.S. Clinical and epidemiological data suggest a link between the two, in which overweight and obese children are at higher risk for asthma. Prevention of childhood obesity is preferred over treatment, however, in order to be receptive to messages, parents must perceive that their child is overweight. Many parents do not accurately assess their child's weight status. Herein, the relation between parental perceptions of child weight status, observed body mass index (BMI) percentiles, and a measure of child feeding practices were explored in the context of asthma, food allergy, or both. Out of the children with asthma or food allergy that were classified as overweight/obese by BMI percentiles, 93% were not perceived as overweight/obese by the parent. Mean scores for concern about child weight were higher in children with both asthma and food allergy than either condition alone, yet there were no significant differences among the groups in terms of pressure to eat and restrictive feeding practices. In summary, parents of children with asthma or food allergy were less likely to recognize their child's overweight/obese status and their feeding practices did not differ from those without asthma and food allergy.
美国儿童肥胖和哮喘的发病率呈上升趋势。临床和流行病学数据表明两者之间存在关联，超重和肥胖儿童患哮喘的风险更高。预防儿童肥胖优于治疗，然而，为了接受信息，父母必须认为他们的孩子超重。许多父母不能准确评估孩子的体重状况。在此，在哮喘、食物过敏或两者并存的情况下，探讨了父母对孩子体重状况的认知、观察到的体重指数（BMI）百分位数与儿童喂养行为的关系。在 BMI 百分位数被归类为超重/肥胖的哮喘或食物过敏儿童中，93%的儿童未被父母认为超重/肥胖。患有哮喘和食物过敏的儿童对孩子体重的担忧平均得分高于仅患有其中一种疾病的儿童，但在压力进食和限制喂养行为方面，各组之间没有显著差异。总之，患有哮喘或食物过敏的儿童的父母不太可能认识到他们孩子的超重/肥胖状况，而且他们的喂养行为与没有哮喘和食物过敏的儿童没有区别。
