Miller Alison L, Rosenblum Katherine L, Retzloff Lauren B, Lumeng Julie C
Center for Human Growth and Development, University of Michigan, 300 North Ingalls Street, 1023NW, Ann Arbor, MI 48109-0406, USA; Department of Health Behavior and Health Education, University of Michigan School of Public Health, USA.
Center for Human Growth and Development, University of Michigan, 300 North Ingalls Street, 1023NW, Ann Arbor, MI 48109-0406, USA; Department of Psychiatry, University of Michigan Medical School, USA.
Appetite. 2016 Oct 1;105:705-12. doi: 10.1016/j.appet.2016.07.007. Epub 2016 Jul 7.
Obesity emerges in early childhood and tracks across development. Self-regulation develops rapidly during the toddler years, yet few studies have examined toddlers' self-regulation in relation to concurrent child weight. Further, few studies compare child responses in food and non-food-related tasks. Our goal was to examine toddlers' observed behavioral and emotional self-regulation in food and non-food tasks in relation to their body mass index z-score (BMIz) and weight status (overweight/obese vs. not). Observational measures were used to assess self-regulation (SR) in four standardized tasks in 133 low-income children (M age = 33.1 months; SD = 0.6). Behavioral SR was measured by assessing how well the child could delay gratification for a snack (food-related task) and a gift (non-food-related task). Emotional SR was measured by assessing child intensity of negative affect in two tasks designed to elicit frustration: being shown, then denied a cookie (food-related) or a toy (non-food-related). Task order was counterbalanced. BMIz was measured. Bivariate correlations and regression analyses adjusting for child sex, child race/ethnicity, and maternal education were conducted to examine associations of SR with weight. Results were that better behavioral SR in the snack delay task associated with lower BMIz (β = -0.27, p < 0.05) and lower odds of overweight/obesity (OR = 0.66, 95% CI 0.45, 0.96), but behavioral SR in the gift task did not associate with BMIz or weight status. Better emotional SR in the non-food task associated with lower BMIz (β = -0.27, p < 0.05), and better emotional SR in food and non-food tasks associated with lower odds of overweight/obesity (OR = 0.65, 95% CI 0.45, 0.96 and OR = 0.56, 95% CI 0.37, 0.87, respectively). Results are discussed regarding how behavioral SR for food and overall emotional SR relate to weight during toddlerhood, and regarding early childhood obesity prevention implications.
肥胖在儿童早期出现并贯穿整个发育过程。自我调节能力在幼儿期迅速发展,但很少有研究探讨幼儿的自我调节能力与同时期儿童体重的关系。此外,很少有研究比较儿童在食物相关任务和非食物相关任务中的反应。我们的目标是研究幼儿在食物和非食物任务中观察到的行为和情绪自我调节能力与他们的体重指数z评分(BMIz)和体重状况(超重/肥胖与非超重/肥胖)之间的关系。采用观察性测量方法,在133名低收入儿童(平均年龄=33.1个月;标准差=0.6)的四项标准化任务中评估自我调节(SR)能力。行为自我调节能力通过评估儿童在等待零食(食物相关任务)和礼物(非食物相关任务)时延迟满足的能力来衡量。情绪自我调节能力通过评估儿童在两项旨在引发挫折感的任务中的负面情绪强度来衡量:先展示一块饼干(食物相关)或一个玩具(非食物相关),然后拒绝给他们。任务顺序进行了平衡。测量了BMIz。进行了双变量相关性分析和回归分析,并对儿童性别、儿童种族/族裔和母亲教育程度进行了调整,以检验自我调节能力与体重之间的关联。结果表明,在零食延迟任务中更好的行为自我调节能力与较低的BMIz(β=-0.27,p<0.05)和较低的超重/肥胖几率(OR=0.66,95%CI 0.45,0.96)相关,但在礼物任务中的行为自我调节能力与BMIz或体重状况无关。在非食物任务中更好的情绪自我调节能力与较低的BMIz(β=-0.27,p<0.05)相关,在食物和非食物任务中更好的情绪自我调节能力与较低的超重/肥胖几率相关(分别为OR=0.65,95%CI 0.45,0.96和OR=0.56,95%CI 0.37,0.87)。讨论了关于幼儿期食物行为自我调节能力和整体情绪自我调节能力与体重的关系,以及对幼儿肥胖预防的启示。