Division of Developmental and Behavioral Pediatrics, Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, MI, USA.
Center for Human Growth and Development, University of Michigan, Ann Arbor, MI, USA.
Eat Behav. 2016 Apr;21:220-7. doi: 10.1016/j.eatbeh.2016.03.017. Epub 2016 Mar 15.
Addressing overeating is essential to obesity treatment and prevention. The objectives of this study were to investigate maternal concern for child overeating, to identify associated participant characteristics and to determine if concern for child overeating is associated with maternal feeding practices. Low-income mothers (N=289) of children (mean age 70.8months) participated in a semi-structured interview. Themes of maternal concern for child overeating were identified and a coding scheme was reliably applied. Maternal feeding practices were measured by questionnaire and videotaped eating interactions. Logistic regressions were used to test the associations of participant characteristics with the presence of each theme, and bivariate analyses were used to test the associations of the presence of each theme with feeding practices. Three themes were identified: 1) mothers worry that their child does overeat, 2) mothers acknowledge that their child may overeat but indicate that it is not problematic because they manage their child's eating behavior, and 3) mothers acknowledge that their child may overeat but indicate that it is not problematic because of characteristics inherent to the child. Child obesity predicted the themes; mothers of obese and overweight children are more likely to be concerned about overeating. Themes were associated with lower levels of observed pressure to eat. Only Theme 2 was associated with greater restrictive feeding practices. Interventions that provide parents' practical, healthy ways to prevent child overeating may be helpful.
解决暴饮暴食问题对于肥胖症的治疗和预防至关重要。本研究的目的是调查母亲对孩子暴饮暴食的关注程度，确定相关参与者的特征，并确定对孩子暴饮暴食的关注是否与母亲的喂养行为有关。研究纳入了 289 名低收入母亲（孩子的平均年龄为 70.8 个月），并对其进行了半结构化访谈。本研究确定了母亲对孩子暴饮暴食的关注主题，并制定了可靠的编码方案。通过问卷调查和视频记录的进食互动评估了母亲的喂养行为。采用逻辑回归检验参与者特征与每个主题存在的关联，采用双变量分析检验每个主题与喂养行为的关联。确定了三个主题：1）母亲担心孩子暴饮暴食；2）母亲承认孩子可能会暴饮暴食，但表示这不是问题，因为他们可以控制孩子的饮食行为；3）母亲承认孩子可能会暴饮暴食，但表示这不是问题，因为孩子具有某些固有特征。儿童肥胖预测了这些主题；肥胖和超重儿童的母亲更有可能担心孩子暴饮暴食。主题与观察到的进食压力降低有关。只有主题 2 与更严格的喂养行为有关。提供家长实用、健康的预防孩子暴饮暴食方法的干预措施可能会有所帮助。
