Chang Lucy Y, Mendelsohn Alan L, Fierman Arthur H, Au Loretta Y, Messito Mary Jo
Department of Pediatrics, New York University School of Medicine, New York, NY, USA.
Department of Pediatrics, Charles B. Wang Community Health Center, New York, NY, USA.
J Immigr Minor Health. 2017 Apr;19(2):302-308. doi: 10.1007/s10903-016-0541-9.
Parent perception of weight and feeding styles are associated with obesity in other racial groups but have not been explored in-depth in Chinese-American preschoolers. Cross-sectional survey of 253 Chinese-American parents with preschoolers was performed in a community clinic. Regression analysis was used to assess relationships between parental perception of weight and feeding styles. Parent under-perception of weight was common but more likely in boys than girls (χ = 4.91, p = 0.03). Pressuring was also greater in boys [adjusted mean difference (95% CI) 0.24 (0.004, 0.49)]. In girls, pressuring was lower for children perceived as overweight [adjusted mean difference in CFQ scores -0.75 (-1.27, -0.23)]; in boys, pressuring was high regardless of perceived child weight. Weight perceptions and feeding styles related to childhood obesity in other groups were identified in Chinese-American families. Parent under-perception of child weight and pressure to eat were more common in boys. These factors should be addressed in Chinese-American preschooler obesity prevention programs.
在其他种族群体中，父母对体重的认知和喂养方式与肥胖有关，但尚未对美籍华裔学龄前儿童进行深入研究。在一家社区诊所对253名有学龄前儿童的美籍华裔父母进行了横断面调查。采用回归分析来评估父母对体重的认知与喂养方式之间的关系。父母对体重的认知不足很常见，但男孩比女孩更常见（χ=4.91，p=0.03）。对男孩施压的情况也更严重[调整后平均差异（95%CI）0.24（0.004，0.49）]。在女孩中，对于被认为超重的孩子，施压程度较低[CFQ分数的调整后平均差异为-0.75（-1.27，-0.23）]；在男孩中，无论孩子的体重如何，施压程度都很高。在美籍华裔家庭中也发现了与其他群体中儿童肥胖相关的体重认知和喂养方式。父母对孩子体重的认知不足以及强迫进食在男孩中更为常见。在美籍华裔学龄前儿童肥胖预防项目中应解决这些因素。
