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Appetite. 2018 Jun 1;125:57-62. doi: 10.1016/j.appet.2018.01.021. Epub 2018 Jan 31.
Children with obesity experience stigma stemming from stereotypes, one such stereotype is that people with obesity are "sloppy" or have poor manners. Teaching children "proper table manners" has been proposed as an obesity prevention strategy. Little is known about the association between children's weight status and table manners.
To examine correlates of child table manners and to examine the association of child table manners with child obese weight status and prospective change in child body mass index z-score (BMIz).
Mother-child dyads (N = 228) participated in a videotaped laboratory eating task with cupcakes. Coding schemes to capture child table manners (making crumbs, chewing with mouth open, getting food on face, shoving food in mouth, slouching, and getting out of seat), and maternal attentiveness to child table manners, were reliably applied. Anthropometrics were measured at baseline and at follow-up two years later. Regression analyses examined the association of participant characteristics with child table manners, as well as the associations of child table manners with child obese weight status, and prospective change in BMIz/year.
Predictors of poorer child table manners were younger child age, greater cupcake consumption, and greater maternal attentiveness to child table manners. Poorer child table manners were not associated with child obese (vs. not) weight status, but were associated with a prospective decrease in BMIz/year in children with overweight/obesity.
Obesity interventions to improve table manners may be perpetuating unfavorable stereotypes and stigma. Future work investigating these associations is warranted to inform childhood obesity guidelines around table manners.
肥胖儿童会受到刻板印象的歧视，其中一种刻板印象是肥胖的人“邋遢”或缺乏礼貌。教授儿童“适当的餐桌礼仪”已被提议作为一种预防肥胖的策略。关于儿童体重状况与餐桌礼仪之间的关系知之甚少。
研究儿童餐桌礼仪的相关因素，并探讨儿童餐桌礼仪与儿童肥胖体重状况以及儿童体重指数 z 分数（BMIz）的前瞻性变化之间的关系。
母亲-儿童二人组（N=228）参与了带有蛋糕的视频记录实验室进食任务。可靠地应用了捕捉儿童餐桌礼仪的编码方案（制造面包屑、张嘴咀嚼、食物沾到脸上、将食物塞进嘴里、懒散和离开座位）和母亲对儿童餐桌礼仪的关注度。在基线和两年后的随访时测量了人体测量学数据。回归分析研究了参与者特征与儿童餐桌礼仪之间的关系，以及儿童餐桌礼仪与儿童肥胖体重状况以及 BMIz/年的前瞻性变化之间的关系。
儿童餐桌礼仪较差的预测因素是儿童年龄较小、蛋糕消耗量较大以及母亲对儿童餐桌礼仪的关注度较高。较差的儿童餐桌礼仪与儿童肥胖（与不肥胖）体重状况无关，但与超重/肥胖儿童 BMIz/年的前瞻性下降有关。
改善餐桌礼仪的肥胖干预措施可能会延续不利的刻板印象和耻辱感。需要进一步研究这些关联，以为儿童肥胖指南中有关餐桌礼仪的内容提供信息。
