母亲对孩子体重的担忧及其相关行为与母亲与体重相关的育儿行为之间的关联：一项横断面研究。
Associations between maternal concern about child's weight and related behaviours and maternal weight-related parenting practices: a cross-sectional study.
机构信息
Department of Family Relations and Applied Nutrition, University of Guelph, 50 Stone Rd E, Guelph, ON, N1H 2W1, Canada.
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Science, Deakin University, Geelong, Australia.
出版信息
Int J Behav Nutr Phys Act. 2018 Oct 24;15(1):104. doi: 10.1186/s12966-018-0738-5.
BACKGROUND
Parents influence their children's weight-related behaviours through their parenting practices, which are often a focal point of obesity prevention interventions. This study examined associations of maternal concern about their child's weight, dietary intake, physical activity, and media use with maternal food, physical activity, and media parenting practices.
METHODS
Mothers (n = 310) reported their level of concern regarding their child's weight and related behaviours and their weight-related parenting practices when their child was 5 years of age as part of the Melbourne Infant Feeding Activity and Nutrition Trial (InFANT) Program. We used linear regression analyses with estimation by generalized estimating equations to examine associations of maternal concern and maternal parenting practices.
RESULTS
Slightly more than 60% of mothers reported at least one concern related to their children's weight or related behaviours. Excessive media use was the most commonly endorsed concern among mothers (45.2%). Compared to mothers who were unconcerned about their child's weight, mothers who were concerned about their child weighing too much reported higher levels of controlling feeding practices, i.e., restrictive feeding, lower levels of co-participation of physical activity, and higher levels of using media to control child behaviour. Mothers who were concerned their child weighed too little reported higher levels of controlling feeding practices, i.e., restrictive feeding, pressure to eat. Similarly, mothers who were concerned about their child's eating (eating too much or too little) reported higher levels of controlling feeding practices. Mothers who were concerned about their child using too much media reported higher levels of using media to regulate their child's behaviour and providing opportunities for their child to use media.
CONCLUSION
Mothers who were concerned about their child's weight, dietary intake, physical activity and media use reported higher levels of controlling parenting practices, i.e., pressure to eat, and lower levels of health promoting parenting practices, i.e., co-participation in physical activity. Longitudinal research is needed to elucidate temporal order and specific mechanisms of these associations.
背景
父母通过育儿实践影响孩子的与体重相关的行为，而育儿实践往往是肥胖预防干预的重点。本研究考察了母亲对孩子体重、饮食摄入、身体活动和媒体使用的关注程度与母亲的食物、身体活动和媒体育儿实践之间的关联。
方法
作为墨尔本婴儿喂养活动和营养试验（InFANT）计划的一部分，310 名母亲报告了她们在孩子 5 岁时对孩子体重和相关行为的关注程度以及与体重相关的育儿实践。我们使用广义估计方程的线性回归分析来检查母亲关注和母亲育儿实践之间的关联。
结果
略多于 60%的母亲报告了至少一项与孩子体重或相关行为有关的担忧。过度使用媒体是母亲中最常被认可的担忧（45.2%）。与对孩子体重不关注的母亲相比，对孩子体重过重感到担忧的母亲更倾向于采用控制喂养的做法，例如限制喂养，较少参与身体活动，更多地使用媒体来控制孩子的行为。对孩子体重过轻感到担忧的母亲则报告了更高水平的控制喂养做法，例如限制喂养、强迫进食。同样，对孩子饮食（吃得过多或过少）感到担忧的母亲也报告了更高水平的控制喂养做法。对孩子使用过多媒体感到担忧的母亲报告了更多地使用媒体来调节孩子的行为和为孩子提供使用媒体的机会。
结论
对孩子体重、饮食摄入、身体活动和媒体使用感到担忧的母亲报告了更高水平的控制型育儿实践，例如强迫进食，以及更低水平的促进健康的育儿实践，例如共同参与身体活动。需要进行纵向研究来阐明这些关联的时间顺序和具体机制。
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