The University of Queensland, Brisbane, QLD, Australia.
Queensland University of Technology, Brisbane, QLD, Australia.
Appetite. 2018 Jan 1;120:482-490. doi: 10.1016/j.appet.2017.10.012. Epub 2017 Oct 9.
Despite ongoing investigation of children's eating behaviors to better understand the etiology of childhood obesity, few studies have aimed to determine differences in eating behavior based on psycho-social variables reflective of 'stressful' life circumstance. Cross-sectional data collected from parents of 977 Australian children (2.0-5.0 years) in an online survey was used to determine associations between parent-reported Children's Eating Behavior Questionnaire [CEBQ] sub-scales, child BMI z-scores and psycho-social variables. When examined individually, all CEBQ sub-scales, except Slowness in Eating, were associated with BMI z-score (Food Responsiveness B = 0.226, p = 0.003, Enjoyment of Food B = 0.169, p = 0.035, Food Fussiness B = -0.139, p = 0.024, Satiety Responsiveness B = -0.318, p = 0.001). On examining CEBQ sub-scales along with psycho-social demographic variables, only Food Responsiveness and Satiety Responsiveness were retained, along with being a boy, child age, and parent BMI. Food Responsiveness was positively associated with parental stress and child age and negatively with parent BMI, while Enjoyment of Food was positively associated with child sleep duration, single parent status, and negatively with breastfeeding less than 6 months and parental depression. Satiety Responsiveness was positively associated with parent BMI and child age, and negatively with child sleep duration, while Food Fussiness was positively associated with child age and breastfeeding less than 6 months, and negatively with sleep duration, parental depression and single parent status. Attention to eating behaviors and associated psycho-social variables may provide opportunity for targeted obesity prevention initiatives.
尽管人们一直在研究儿童的饮食行为，以更好地了解儿童肥胖症的病因，但很少有研究旨在根据反映“压力”生活环境的心理社会变量来确定饮食行为的差异。本研究使用在线调查收集了 977 名澳大利亚儿童（2.0-5.0 岁）父母的横断面数据，以确定父母报告的儿童饮食行为问卷（CEBQ）子量表、儿童 BMI z 评分和心理社会变量之间的关联。当单独检查时，CEBQ 的所有子量表，除了进食缓慢外，都与 BMI z 评分相关（食物反应性 B=0.226，p=0.003，食物享受 B=0.169，p=0.035，食物挑剔 B=-0.139，p=0.024，饱感反应性 B=-0.318，p=0.001）。在检查 CEBQ 子量表以及心理社会人口统计学变量时，只有食物反应性和饱感反应性以及男孩、儿童年龄和父母 BMI 被保留下来。食物反应性与父母压力和儿童年龄呈正相关，与父母 BMI 呈负相关，而享受食物与儿童睡眠时间、单亲状况呈正相关，与母乳喂养少于 6 个月和父母抑郁呈负相关。饱感反应性与父母 BMI 和儿童年龄呈正相关，与儿童睡眠时间呈负相关，而食物挑剔与儿童年龄和母乳喂养少于 6 个月呈正相关，与睡眠时间、父母抑郁和单亲状况呈负相关。关注饮食行为和相关的心理社会变量可能为有针对性的肥胖预防措施提供机会。
