Chong Shiau Y, Chittleborough Catherine R, Gregory Tess, Lynch John W, Mittinty Murthy N, Smithers Lisa G
School of Public Health, University of Adelaide, Adelaide, Australia.
School of Public Health, University of Adelaide, Adelaide, Australia.
Appetite. 2017 Jun 1;113:71-77. doi: 10.1016/j.appet.2017.02.018. Epub 2017 Feb 16.
Associations of parental feeding techniques with adiposity are mixed and largely rely on cross-sectional studies. We examined associations between parental food-choice control and using food to soothe at 3.5 years on adiposity at 7 and 15 years.
Participants were from the Avon Longitudinal Study of Parents and Children (n = 7312). Food-choice control was assessed using the item 'how much choice do you allow him/her in deciding what foods he eats at meals?'. Use of food to soothe was reported by mothers on the item 'how often do you use sweets or other foods to stop his/her crying or fussing?'. BMI at 7 and 15 years was converted to sex- and age-adjusted z-scores. Fat mass was assessed at 15 years using dual energy X-ray absorptiometry.
In fully-adjusted models, children given the least choice had 0.08 lower BMI z-score at age 7 years and 0.12 lower BMI z-score,1.46 kg lower fat mass at 15 years than children with the most choices. There was no evidence of an association between using food to soothe and adiposity.
Contrary to some studies, higher parental control over food choice was associated with lower adiposity, but use of food to soothe was not associated with adiposity at ages 7 and 15.
父母喂养方式与肥胖之间的关联存在差异，且很大程度上依赖于横断面研究。我们研究了父母在孩子3.5岁时对食物选择的控制以及用食物安抚孩子的行为与孩子7岁和15岁时肥胖情况之间的关联。
参与者来自雅芳亲子纵向研究（n = 7312）。食物选择控制通过“在决定他/她每餐吃什么食物时，你给他/她多少选择？”这一项目进行评估。母亲通过“你多久会用糖果或其他食物来让他/她停止哭闹？”这一项目报告用食物安抚孩子的情况。7岁和15岁时的体重指数（BMI）转换为按性别和年龄调整的z分数。15岁时使用双能X线吸收法评估脂肪量。
在完全调整模型中，与选择最多的孩子相比，选择最少的孩子在7岁时的BMI z分数低0.08，在15岁时的BMI z分数低0.12，脂肪量低1.46千克。没有证据表明用食物安抚孩子与肥胖之间存在关联。
与一些研究相反，父母对食物选择的更高控制与更低的肥胖率相关，但在7岁和15岁时，用食物安抚孩子与肥胖并无关联。
