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最佳养育方式是否有助于后代保持健康体重到中年?

Does optimal parenting style help offspring maintain healthy weight into mid-life?

机构信息

Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, United States of America; Department of Epidemiology, Harvard T.H. Chan School of Public Health, United States of America.

Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, United States of America.

出版信息

Prev Med. 2019 Jun;123:84-90. doi: 10.1016/j.ypmed.2019.03.001. Epub 2019 Mar 4.

Abstract

An authoritative parenting style is generally associated with healthier body weight in children and adolescents. However, whether the protective effect of an authoritative style on offspring body weight may persist into adulthood has seldom been investigated. In this study we examined the longitudinal association between parenting style and body mass index (BMI) change in mid-life. Longitudinal data from the Midlife in the United States Study (N = 3929) were analyzed using generalized estimating equations, adjusting for a range of relevant covariates. Parenting styles were assessed at phase I (1995-1996) using items measuring parental warmth and control, while BMI was assessed at phases I and II (2004-2006). Four parenting styles were derived following prior research: authoritative, authoritarian, permissive, and uninvolved styles. Compared to an authoritative style, an authoritarian style was associated with 14% higher increase in the standardized BMI change score (β = 0.14, 95% confidence interval: 0.03, 0.26). While there was suggestive evidence that an uninvolved versus authoritative style might also be associated with greater BMI increase, we found no differences between a permissive and authoritative style. This study suggested that the protective effect of an authoritative parenting style on offspring body weight may persist well into mid-life, particularly as compared to the authoritarian style and possibly the uninvolved style. Such work may reinforce the importance of a public health focus on improving parenting practices and suggest the value of implementing parenting programs, as one strategy for increasing the likelihood that individuals can maintain healthy weight well into adulthood.

摘要

权威型教养方式通常与儿童和青少年更健康的体重有关。然而,权威型教养方式对后代体重的保护作用是否会持续到成年期,很少有研究调查过。在这项研究中,我们研究了中年期教养方式与体重指数(BMI)变化的纵向关联。使用广义估计方程分析了来自美国中年研究(N=3929)的纵向数据,调整了一系列相关协变量。教养方式在第一阶段(1995-1996 年)使用衡量父母温暖和控制的项目进行评估,而 BMI 在第一阶段和第二阶段(2004-2006 年)进行评估。根据先前的研究得出了四种教养方式:权威型、专制型、放任型和不参与型。与权威型风格相比,专制型风格与标准化 BMI 变化评分增加 14%有关(β=0.14,95%置信区间:0.03,0.26)。虽然有迹象表明,不参与型与权威型风格相比也可能与更大的 BMI 增加有关,但我们发现放任型与权威型风格之间没有差异。这项研究表明,权威型教养方式对后代体重的保护作用可能会持续到中年,尤其是与专制型风格有关,可能与不参与型风格有关。这样的工作可能会强调改善养育实践的公共卫生重点的重要性,并表明实施养育计划的价值,作为增加个人在成年后保持健康体重的可能性的一种策略。

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