El-Behadli Ana F, Sharp Carla, Hughes Sheryl O, Obasi Ezemenari M, Nicklas Theresa A
Eliot-Pearson Department of Child Study and Human Development, Tufts University,105 College Avenue,Medford,MA02155,USA.
Department of Psychology,University of Houston,126 Heyne Building,Houston,TX77204,USA.
Br J Nutr. 2015 Jan;113 Suppl:S55-71. doi: 10.1017/S000711451400333X.
Against the background of rising rates of obesity in children and adults in the USA, and modest effect sizes for obesity interventions, the aim of the present narrative review paper is to extend the UNICEF care model to focus on childhood obesity and its associated risks with an emphasis on the emotional climate of the parent-child relationship within the family. Specifically, we extended the UNICEF model by applying the systems approach to childhood obesity and by combining previously unintegrated sets of literature across multiple disciplines including developmental psychology, clinical psychology and nutrition. Specifically, we modified the extended care model by explicitly integrating new linkages (i.e. parental feeding styles, stress, depression and mother's own eating behaviour) that have been found to be associated with the development of children's eating behaviours and risk of childhood obesity. These new linkages are based on studies that were not incorporated into the original UNICEF model, but suggest important implications for childhood obesity. In all, this narrative review offers important advancements to the scientific understanding of familial influences on children's eating behaviours and childhood obesity.
在美国儿童和成人肥胖率不断上升以及肥胖干预效果有限的背景下，本叙述性综述文章的目的是扩展联合国儿童基金会的关爱模式，以关注儿童肥胖及其相关风险，重点是家庭中亲子关系的情感氛围。具体而言，我们通过将系统方法应用于儿童肥胖问题，并整合包括发展心理学、临床心理学和营养学等多学科中先前未整合的文献集，对联合国儿童基金会模式进行了扩展。具体来说，我们通过明确纳入已发现与儿童饮食行为发展及儿童肥胖风险相关的新联系（即父母的喂养方式、压力、抑郁和母亲自身的饮食行为），对扩展后的关爱模式进行了修改。这些新联系基于未纳入原始联合国儿童基金会模式的研究，但对儿童肥胖具有重要意义。总之，本叙述性综述为科学理解家庭对儿童饮食行为和儿童肥胖的影响提供了重要进展。
