Department of Child Health Care, Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University, Nanjing, 210004, China.
Department of Child Health Care, Nanjing Maternal and Child Health Care Hospital, 123 Tianfei Road, Qinhuai, Nanjing, 210004, China.
Eur J Pediatr. 2017 Dec;176(12):1603-1612. doi: 10.1007/s00431-017-3007-8. Epub 2017 Sep 11.
The purposes of this study are to investigate the prevalence of nonresponsive feeding practice (NRFP) and child's eating behavior (CEB) and to explore the hypothetical association between child's weight status, NRFP and CEB for 1- to 6-year-old children. In this study, 2423 caregivers of 1- to 6-year-old children are from the Nanjing Maternal and Child Health Hospital who completed the self-report questionnaires about their NRFP and CEB as well as their children's sociodemographic data. Chi-square test and multiple regression analyses were used to examine the correlation between child's weight status and NRFP and CEB. The total prevalence of overweight and obesity was 15.2 and 7.3%, respectively. High prevalence of CEB problems and NRFP was detected at 2- and 5-year-old children. Moreover, maternal NRFP was significantly positively associated with CEB. The regression and correlation analysis revealed CEB and maternal NRFP are closely associated with BMI. For instance, refusing new food (OR = 3.57, 95%CI, 1.37-9.33, 1.5-year-old) and restriction (OR = 3.01, 95%CI, 1.34-6.76) are likely to be associated with underweight. Preferring junk food (OR = 4.892, 95%CI, 1.71-14.01, 1-year-old) and inattention (OR = 2.24, 95%CI, 1.16-4.35, 1-year-old) are prone to be overweight and obese, and pressure (OR = 0.23, 95%CI, 0.06-0.91, 1-year-old) is less likely to be associated with underweight.
The findings provide strong evidence for the correlation between NRFR and CEB, and this indicates that prevention and intervention of unhealthy weight should start in early life. However, further research is necessary to gain an understanding of the impact of NRFP on CEB and weight. What is known: • Responsive feeding practice is crucial to the formation of eating behavior, and poor practice is associated with the current epidemics of childhood obesity and underweight. What is new: • The findings provide a strong evidence for the correlation between NRFR and CEB. • This finding indicates that NRFR and CEB are associated with child's unhealthy weight.
本研究旨在调查非响应喂养行为（NRFP）和儿童饮食行为（CEB）的流行情况，并探讨 1 至 6 岁儿童的体重状况、NRFP 和 CEB 之间的假设关联。在这项研究中，2423 名 1 至 6 岁儿童的照顾者来自南京市妇幼保健院，他们完成了关于 NRFP 和 CEB 以及儿童社会人口统计学数据的自我报告问卷。采用卡方检验和多元回归分析来检验儿童体重状况与 NRFP 和 CEB 之间的相关性。超重和肥胖的总患病率分别为 15.2%和 7.3%。2 岁和 5 岁儿童的 CEB 问题和 NRFP 发生率较高。此外，母亲 NRFP 与 CEB 呈显著正相关。回归和相关分析表明，CEB 和母亲 NRFP 与 BMI 密切相关。例如，拒绝新食物（OR=3.57，95%CI，1.37-9.33，1.5 岁）和限制（OR=3.01，95%CI，1.34-6.76）可能与体重不足有关。偏爱垃圾食品（OR=4.892，95%CI，1.71-14.01，1 岁）和注意力不集中（OR=2.24，95%CI，1.16-4.35，1 岁）易超重和肥胖，而压力（OR=0.23，95%CI，0.06-0.91，1 岁）与体重不足的相关性较小。
研究结果为 NRFR 与 CEB 之间的相关性提供了有力证据，这表明预防和干预不健康的体重应从生命早期开始。然而，需要进一步的研究来了解 NRFP 对 CEB 和体重的影响。已知：• 响应式喂养行为对饮食行为的形成至关重要，不良的喂养行为与当前儿童肥胖和体重不足的流行有关。新发现：• 研究结果为 NRFR 与 CEB 之间的相关性提供了有力证据。• 这一发现表明，NRFR 和 CEB 与儿童的不健康体重有关。
