Social and Behavioral Research Branch, NIH/NHGRI, Bethesda, MD, USA.
NIH/NIAAA DICBR and NIDA IRP, Bethesda, MD, USA.
Eur J Clin Nutr. 2018 Nov;72(11):1583-1591. doi: 10.1038/s41430-017-0071-0. Epub 2018 Feb 6.
BACKGROUND/OBJECTIVES: To explore whether mothers' lifetime experiences with their own weight status and related cognitive and affective factors influence child feeding behavior.
SUBJECTS/METHODS: Overweight mothers (N = 221) of 4-5 year olds recalled their weight at four time points, and were grouped into weight history trajectories: recently overweight, always overweight, and steady-gain-obese. Objective food choice behavior was assessed in a virtual reality buffet and subjective food restriction for the index child was assessed using a psychometric measure.
Mothers' observed food choice was not associated with weight trajectory, but mothers who spent more time being overweight and who weighed more at present were more restrictive of their child's eating. Mothers' concern about child weight increased with more time spent being overweight. Concern for child weight and mothers' body guilt differentially mediated the relationships between weight trajectories and perceived feeding restriction.
Considering mothers' lifetime weight experiences may suggest that parental influences on child feeding are amenable to intervention that would otherwise be obscured by static weight measures.
背景/目的：探讨母亲一生的体重状况及其相关认知和情感因素是否会影响儿童喂养行为。
研究对象/方法：超重母亲（N=221）回忆了她们在四个时间点的体重，并根据体重史轨迹进行分组：最近超重、一直超重和稳定增重肥胖。在虚拟现实自助餐中评估了母亲的客观食物选择行为，并使用心理测量评估了母亲对其子女的主观食物限制。
母亲的观察食物选择与体重轨迹无关，但体重超重时间较长和目前体重较重的母亲对子女的饮食限制更多。母亲对孩子体重的担忧随着超重时间的增加而增加。对孩子体重的担忧和母亲的身体罪恶感不同程度地介导了体重轨迹与感知喂养限制之间的关系。
考虑母亲一生的体重经历可能表明，对儿童喂养的父母影响是可以干预的，否则这些影响会被静态体重测量所掩盖。
