Cross Matthew B, Hallett Allen M, Ledoux Tracey A, O'Connor Daniel P, Hughes Sheryl O
Department of Health and Human Performance, Texas Obesity Research Center, University of Houston, 3855 Holman Street, Susanna Garrison Gym Room 104, Houston, TX 77204-6015, USA.
Department of Health and Human Performance, Texas Obesity Research Center, University of Houston, 3855 Holman Street, Susanna Garrison Gym Room 104, Houston, TX 77204-6015, USA.
Appetite. 2014 Oct;81:76-83. doi: 10.1016/j.appet.2014.06.014. Epub 2014 Jun 12.
The purpose of this study was to determine whether self-regulation of eating in minority preschool-aged children mediates the relationship between parent feeding practices and child weight. Participants were 299 low-income African American and Hispanic parents and their preschool-aged children who participated in Head Start. Parents completed questionnaires about controlling feeding practices (pressure to eat, restriction) and children's appetitive characteristics (enjoyment of food, food responsiveness, satiety responsiveness). Path analyses were used to determine whether children's self-regulation of eating mediated the relationship between feeding practices and child weight. Greater satiety responsiveness in African American preschool-age children partially mediated the inverse association between pressure to eat and children's weight, B (SE) = -0.073 (0.036), P < .05. Enjoyment of food and food responsiveness did not mediate the relationship between pressure to eat and weight in the African American sample, ps > .05, nor did appetitive characteristics mediate the relationship between restriction and child weight, ps > .05. Appetitive characteristics did not mediate the relationship between controlling feeding practices and child weight in the Hispanic sample, ps > .05. Implications include the need for culturally sensitive self-report measures and for researchers to account for the possible effects of racial/ethnic differences when designing interventions.
本研究的目的是确定少数族裔学龄前儿童的饮食自我调节是否能调节父母喂养方式与儿童体重之间的关系。研究参与者为299名低收入非裔美国人和西班牙裔父母及其参加“启智计划”的学龄前儿童。父母完成了关于控制性喂养方式(强迫进食、限制进食)和儿童食欲特征(对食物的喜爱、食物反应性、饱腹感反应性)的问卷调查。采用路径分析来确定儿童的饮食自我调节是否能调节喂养方式与儿童体重之间的关系。非裔美国学龄前儿童更强的饱腹感反应性部分调节了强迫进食与儿童体重之间的负相关关系,B(标准误)=-0.073(0.036),P<0.05。在非裔美国样本中,对食物的喜爱和食物反应性并未调节强迫进食与体重之间的关系,P>0.05,食欲特征也未调节限制进食与儿童体重之间的关系,P>0.05。在西班牙裔样本中,食欲特征也未调节控制性喂养方式与儿童体重之间的关系,P>0.05。研究启示包括需要采用具有文化敏感性的自我报告测量方法,以及研究人员在设计干预措施时需要考虑种族/民族差异可能产生的影响。