School of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Callaghan, NSW 2308, Australia; Division of Nutrition and Dietetics, School of Health Sciences, Faculty of Medicine and Health, International Medical University, 57000 Kuala Lumpur, Malaysia; Priority Research Centre in Physical Activity and Nutrition, The University of Newcastle, Callaghan, NSW 2308, Australia.
School of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Callaghan, NSW 2308, Australia; Priority Research Centre in Physical Activity and Nutrition, The University of Newcastle, Callaghan, NSW 2308, Australia.
Appetite. 2018 Jun 1;125:90-97. doi: 10.1016/j.appet.2018.01.037. Epub 2018 Feb 3.
Given the increasing prevalence of childhood obesity in Malaysia, examination of family environmental factors is warranted. Reviews from developed countries report inconsistent findings on the relationship between parental-child feeding practices and child weight-related health outcomes. The current study aimed to examine parent-child feeding practices by familial-child characteristics in Malaysia.
The Family Diet Study was conducted with urban Malay families and included a child aged 8-12 years and their main carer(s). Seven domains of parent-child feeding practices were assessed using the child feeding questionnaire and familial demographics, including socio-economic status, child anthropometry and dietary intake were collected. Inferential statistics were used to explore the relationships between variables.
Of the 315 families enrolled, 236 completed all measures, with the majority of parent-reporters being mothers (n = 182). One-third of the children were classified as overweight/obese. Three domains of parent-child feeding practices had median scores of 4.0 out of 5.0 [concern about child overweight (CCO) (Interquartile range (IQR): 3.3, 4.7); pressure-to-eat (PTE) (IQR: 3.3, 4.5) and food monitoring (IQR: 3.0, 5.0)]. The domain of 'perceived child overweight' was positively associated with child age (r = 0.45, p < 0.001). Children who were overweight (F = 37.4; p < 0.001) and under-reported energy intake (F = 13.1; p = 0.001) had higher median scores for the parental perception of risk of child being overweight. Median scores for the CCO and PTE domains were significantly higher in low-income families (F = 7.87; F = 9.75; p < 0.05, respectively).
Malay parents in this present study are concerned about their child's weight, particularly for those overweight. Family size, household income, and child weight status significantly influence parent-child feeding practices. Further research examining the cultural context of family environmental factors related to childhood obesity is warranted within Malaysia.
鉴于马来西亚儿童肥胖症的患病率不断上升，有必要对家庭环境因素进行研究。来自发达国家的综述报告显示，父母与子女的喂养方式与儿童体重相关健康结果之间的关系存在不一致的发现。本研究旨在探讨马来西亚家庭中，按家族-儿童特征的父母与子女喂养方式。
采用城市马来家庭进行家庭饮食研究，纳入年龄 8-12 岁的儿童及其主要照顾者。使用儿童喂养问卷评估 7 个领域的父母与子女喂养方式，还收集了家庭人口统计学资料，包括社会经济地位、儿童人体测量学和饮食摄入量。采用推断统计学来探讨变量之间的关系。
315 个家庭中，236 个家庭完成了所有测量，其中大多数报告者为母亲（n=182）。三分之一的儿童超重/肥胖。父母与子女喂养方式的 3 个领域的中位数评分为 5 分制的 4.0 分[关注儿童超重（CCO）（四分位距（IQR）：3.3，4.7）；强迫进食（PTE）（IQR：3.3，4.5）和食物监测（IQR：3.0，5.0）]。“感知儿童超重”的领域与儿童年龄呈正相关（r=0.45，p<0.001）。超重的儿童（F=37.4；p<0.001）和低能量摄入报告的儿童（F=13.1；p=0.001）的父母感知超重风险的评分中位数更高。在低收入家庭中，CCO 和 PTE 领域的评分中位数明显更高（F=7.87；F=9.75；p<0.05，分别）。
本研究中的马来父母对孩子的体重感到担忧，尤其是超重的孩子。家庭规模、家庭收入和儿童体重状况显著影响父母与子女的喂养方式。在马来西亚，需要进一步研究与儿童肥胖有关的家庭环境因素的文化背景。
