Park So Hyun, Kim Mi Ja, Park Chang Gi, McCreary Linda, Patil Crystal, Norr Kathleen F
College of Nursing, Florida State University, Tallahassee, FL.
College of Nursing, University of Illinois at Chicago, Chicago, IL.
J Pediatr Nurs. 2015 Nov-Dec;30(6):e101-11. doi: 10.1016/j.pedn.2015.06.006. Epub 2015 Jul 23.
The purpose of this study was to examine family factors related to BMI z-scores and overweight/obesity among Korean-American (KA) preschoolers.
A cross-sectional study was conducted with 104 KA preschoolers and their mothers in the Chicago metropolitan area. KA mothers completed questionnaires and their preschool-age children's weights and heights were measured. Hierarchical multiple linear regression and multiple logistic regression were performed.
Twenty-two percent of preschoolers were overweight or obese (BMI ≥85th percentile). Family factors explained 30% of the variance in the children's BMI z-scores, with parenting feeding style and family functioning contributing most. In logistic regression, children were more likely to be overweight/obese if: a family had more children, the mother perceived her child as overweight/obese, and the family had regular child routines.
Health care providers should consider the family as one unit of care and use that unit to implement culturally appropriate childhood overweight/obesity prevention for Korean-American preschool-aged children. Parental feeding style and parents' attitudes about child weight should be considered when advising Korean-Americans about reducing children's overweight/obesity.
本研究旨在探讨韩裔美国学龄前儿童中与BMI z评分及超重/肥胖相关的家庭因素。
对芝加哥大都市地区的104名韩裔美国学龄前儿童及其母亲进行了一项横断面研究。韩裔美国母亲完成问卷调查，并测量其学龄前儿童的体重和身高。进行了分层多元线性回归和多元逻辑回归分析。
22%的学龄前儿童超重或肥胖（BMI≥第85百分位数）。家庭因素解释了儿童BMI z评分中30%的变异，其中养育喂养方式和家庭功能的贡献最大。在逻辑回归分析中，如果家庭孩子更多、母亲认为自己的孩子超重/肥胖且家庭有规律的儿童日常活动，孩子超重/肥胖的可能性更大。
医疗保健提供者应将家庭视为一个护理单位，并利用该单位为韩裔美国学龄前儿童实施适合其文化背景的儿童超重/肥胖预防措施。在为韩裔美国人提供关于减少儿童超重/肥胖的建议时，应考虑父母的喂养方式和父母对孩子体重的态度。
