Pandey Shrijana, Rai Suja, Paudel Narayani, Shrestha Anu, Gautam Saroj
Department of Nursing, Kathmandu Medical College, Kathmandu University, Kathmandu, Nepal.
Department of Orthopedics, Kathmandu Medical College, Kathmandu University, Kathmandu, Nepal.
J Multidiscip Healthc. 2019 Apr 30;12:325-333. doi: 10.2147/JMDH.S195106. eCollection 2019.
Small children have less control over their dietary intake and parents have a major role to play in it. The aim of our study was to determine parental child feeding practices and their association with the weight status and dietary intake of the child. A cross-sectional study was conducted among 138 parents and preschool children attending two private schools in Kathmandu Valley, Nepal using a structured questionnaire. Parents filled in a self-report questionnaire to assess child feeding practices, perceived activity level of the child, and dietary intake at home. Child's height and weight was measured using a standard height scale and a digital weighing scale. A digital food scale was used for measuring dietary intake. Eight percent of the children were overweight and another 8% were obese. On bivariate analysis, the BMI of parents had weak, positive, and significant correlation (=0.206, =0.016 for fathers; =0.307, ≤0.001 for mothers) with child's weight status. Similarly, concern about child's overweight had a significant, positive correlation (=0.232, =0.006) with the weight status of the child. Furthermore, these three independent variables were found to be significant predictors of a child's weight status on multivariate analysis. None of the studied independent variables was associated with dietary intake. The study concludes that parental BMI and parental concern about the child being overweight is significantly associated with the weight status of the child.
幼儿对其饮食摄入的控制能力较弱，而父母在这方面起着主要作用。我们研究的目的是确定父母的儿童喂养方式及其与儿童体重状况和饮食摄入的关联。在尼泊尔加德满都谷地的两所私立学校，对138名家长和学龄前儿童进行了一项横断面研究，采用结构化问卷。家长填写一份自我报告问卷，以评估儿童喂养方式、儿童的感知活动水平以及在家中的饮食摄入情况。使用标准身高测量仪和数字体重秤测量儿童的身高和体重。使用数字食物秤测量饮食摄入量。8%的儿童超重，另有8%的儿童肥胖。在双变量分析中，父母的BMI与儿童的体重状况呈弱的、正的且显著的相关性（父亲：=0.206，=0.016；母亲：=0.307，≤0.001）。同样，对儿童超重的担忧与儿童的体重状况呈显著的正相关（=0.232，=0.006）。此外，在多变量分析中，发现这三个独立变量是儿童体重状况的显著预测因素。所研究的独立变量均与饮食摄入无关。该研究得出结论，父母的BMI以及父母对儿童超重的担忧与儿童的体重状况显著相关。
