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观察 3-5 岁儿童的母亲对食物的限制:与气质和后期体重指数(BMI)的关系。

Observing Maternal Restriction of Food with 3⁻5-Year-Old Children: Relationships with Temperament and Later Body Mass Index (BMI).

机构信息

Department of Psychology, School of Life and Health Sciences, Aston University, Aston Triangle, Birmingham B4 7ET, UK.

School of Sport, Exercise & Health Sciences, Loughborough University, Loughborough LE11 3TU, UK.

出版信息

Int J Environ Res Public Health. 2018 Jun 15;15(6):1273. doi: 10.3390/ijerph15061273.

DOI:10.3390/ijerph15061273
PMID:29914137
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6025183/
Abstract

Overt parental restriction of food has previously been associated with child weight; however, most research has relied on self-reported feeding behaviour, or observations which give little opportunity to observe restriction of food. Using a novel lab-based observational technique to increase the opportunity to observe maternal feeding restriction, we explored the relationships between maternal restriction, child responses to restriction and child temperament with child body mass index (BMI) Z-scores over time. Sixty-two mother child dyads were recruited to the study when their children were aged 3⁻5 years and were followed up 2 years later ( = 39 dyads). Families were observed during a feeding interaction in the laboratory where cookies were offered with the main meal to increase the opportunity for maternal restriction of food. Feeding observations were coded and child temperament and BMI were measured. Controlling for current child BMI Z-scores, greater maternal verbal and physical restriction of food at 3⁻5 years was related to higher child BMI Z-scores at 5⁻7 years. More emotional children were less likely to experience restriction and less likely to accept attempts to restrict their food intake. Further research should consider children’s reactions to parental feeding behaviours in greater depth and explore how feeding practices interact with child temperament in the prediction of changes in child weight.

摘要

以往的研究表明,父母过度限制孩子进食与儿童体重有关;然而,大多数研究都依赖于自我报告的喂养行为,或者只能提供很少观察限制食物机会的观察结果。本研究采用一种新颖的基于实验室的观察技术来增加观察母亲喂养限制的机会,探索了母亲限制、儿童对限制的反应以及儿童气质与儿童体重指数(BMI)随时间变化的关系。当孩子 3-5 岁时,招募了 62 对母婴对子参与研究,并在 2 年后进行了随访(=39 对)。在实验室的喂养互动中观察家庭,在正餐中提供饼干以增加母亲对食物的限制机会。对喂养观察进行编码,并测量儿童气质和 BMI。控制当前儿童 BMI Z 分数,3-5 岁时母亲言语和身体对食物的限制越多,5-7 岁时儿童 BMI Z 分数越高。情绪更易波动的儿童不太可能受到限制,也不太可能接受限制其食物摄入的尝试。进一步的研究应该更深入地考虑儿童对父母喂养行为的反应,并探索喂养方式如何与儿童气质相互作用,从而预测儿童体重的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f049/6025183/8cdc2efdbc88/ijerph-15-01273-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f049/6025183/197097aa6ae0/ijerph-15-01273-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f049/6025183/c64ff54087b7/ijerph-15-01273-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f049/6025183/8cdc2efdbc88/ijerph-15-01273-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f049/6025183/197097aa6ae0/ijerph-15-01273-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f049/6025183/c64ff54087b7/ijerph-15-01273-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f049/6025183/8cdc2efdbc88/ijerph-15-01273-g003.jpg

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Child and parent predictors of picky eating from preschool to school age.从学龄前到学龄期挑食的儿童及家长预测因素
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Investigating the role of parent and child characteristics in healthy eating intervention outcomes.
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Observations of Maternal Feeding Practices and Styles and Young Children's Obesity Risk: A Longitudinal Study of Hispanic Mothers with Low Incomes.观察母亲的喂养行为和方式与幼儿肥胖风险:一项针对低收入西班牙裔母亲的纵向研究。
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