Pesch Megan H, Meixner Kaitlin A, Appugliese Danielle P, Rosenblum Katherine L, Miller Alison L, Lumeng Julie C
Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, Mich.
Medical School, University of Michigan, Ann Arbor, Mich.
Acad Pediatr. 2016 Aug;16(6):565-70. doi: 10.1016/j.acap.2016.03.008. Epub 2016 Apr 1.
To identify changes in maternal beliefs, concerns, and perspectives about overweight and obesity in their children over a 2-year period.
A total of 37 low-income English-speaking mothers of overweight or obese children participated in 2 semistructured interviews, separated by about 2 years. Mean child age was 5.9 years at baseline and 8.2 years at follow-up. Mother and child anthropometric data were obtained, and mothers completed demographic questionnaires at both time points. Mothers' interviews were analyzed using the constant comparative method for longitudinal patterns of change in their perspectives on childhood obesity across the 2 time points.
Six longitudinal patterns of change in mothers' perspectives and beliefs were identified: 1) mothers' identification of a weight problem in their child emerges gradually, 2) mothers' level of concern about their child overeating increases, 3) mothers' concerns about consequences of obesity intensify and change over time, 4) mothers feel less control over their child's eating and weight, 5) mothers' efforts to manage eating and weight become more intentional, and 6) mothers are more likely to initiate conversations about weight as their child gets older.
Mothers' concerns about children's weight and eating habits increased, and reported weight management strategies became more intentional over a 2-year period. Further research should consider attending to maternal perspectives on child weight and eating and their evolution in the development of family-based interventions for childhood obesity.
确定母亲在两年时间里对其子女超重和肥胖问题的信念、担忧及看法的变化。
共有37名低收入、说英语且子女超重或肥胖的母亲参与了两次半结构化访谈，两次访谈间隔约两年。基线时儿童平均年龄为5.9岁，随访时为8.2岁。获取了母亲和孩子的人体测量数据，母亲在两个时间点均完成了人口统计学调查问卷。采用持续比较法对母亲的访谈进行分析，以了解她们在这两个时间点对儿童肥胖问题看法的纵向变化模式。
确定了母亲看法和信念变化的六种纵向模式：1）母亲对其子女体重问题的认知逐渐显现；2）母亲对孩子暴饮暴食的担忧程度增加；3）母亲对肥胖后果的担忧随着时间推移而加剧并发生变化；4）母亲感觉对孩子饮食和体重的控制减弱；5）母亲管理饮食和体重的努力变得更具目的性；6）随着孩子长大，母亲更有可能发起关于体重的对话。
在两年时间里，母亲对孩子体重和饮食习惯的担忧增加，且报告的体重管理策略变得更具目的性。进一步的研究应考虑关注母亲对孩子体重和饮食的看法及其在儿童肥胖家庭干预措施发展过程中的演变。
