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超重和肥胖儿童的家长控制与零食过度消费

Parental control and overconsumption of snack foods in overweight and obese children.

作者信息

Liang June, Matheson Brittany E, Rhee Kyung E, Peterson Carol B, Rydell Sarah, Boutelle Kerri N

机构信息

Department of Pediatrics, University of California, San Diego, San Diego, CA, USA; Department of Psychiatry, University of California, San Diego, San Diego, CA, USA.

Department of Pediatrics, University of California, San Diego, San Diego, CA, USA; San Diego State University / University of California, San Diego, Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.

出版信息

Appetite. 2016 May 1;100:181-8. doi: 10.1016/j.appet.2016.02.030. Epub 2016 Feb 18.

Abstract

The associations between snack food consumption, parent feeding practices and general parenting in overweight in obese children are largely unknown. Therefore, we examined these relationships in 117 treatment-seeking overweight and obese children (10.40 ± 1.35 years; 53% female; 52% Caucasian; BMI-z: 2.06 ± .39). Children consumed a dinner meal, completed an Eating in the Absence of Hunger (EAH) free access paradigm (total EAH intake = EAH%-total; sweet food intake = EAH%-sweet), and completed the Child Report of Parent Behavior Inventory. Parents completed the Child Feeding Questionnaire. Child EAH%-total and EAH%-sweet were positively associated with dinner consumption (p's < .01). Girls had significantly higher EAH%-total compared to boys (p < .05). In separate models, higher EAH%-total was associated with greater use of maternal psychological control (p < .05) and EAH%-sweet was positively associated with parent monitoring (p < .05). In analyses examining factors associated with the consumption of specific foods, EAH snack food, parent restriction, pressure to eat, monitoring, and maternal psychological control were positively correlated with intake of Hershey's(®) chocolate bars (p's < .05). In summary, parental monitoring is associated with child sweet snack food intake and maternal psychological control is associated with child total snack food consumption. Future research should evaluate the complex relationship between child eating and parenting, especially with regard to subgroups of foods.

摘要

零食消费、父母喂养方式与肥胖儿童超重之间的关联在很大程度上尚不清楚。因此,我们对117名寻求治疗的超重和肥胖儿童(10.40±1.35岁;53%为女性;52%为白种人;BMI-z:2.06±0.39)进行了这些关系的研究。儿童食用了一顿晚餐,完成了“无饥饿进食”(EAH)自由进食范式(EAH总摄入量=EAH%-总量;甜食摄入量=EAH%-甜食),并完成了《父母行为量表儿童报告》。父母完成了《儿童喂养问卷》。儿童EAH%-总量和EAH%-甜食与晚餐摄入量呈正相关(p值<0.01)。女孩的EAH%-总量显著高于男孩(p<0.05)。在单独的模型中,较高的EAH%-总量与母亲更多地使用心理控制有关(p<0.05),而EAH%-甜食与父母的监督呈正相关(p<0.05)。在分析与特定食物消费相关的因素时,EAH零食、父母限制、进食压力、监督和母亲心理控制与好时(®)巧克力棒的摄入量呈正相关(p值<0.05)。总之,父母的监督与儿童甜食零食摄入量有关,母亲的心理控制与儿童总零食消费有关。未来的研究应评估儿童饮食与养育方式之间的复杂关系,尤其是在食物亚组方面。

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