Ra Jin Suk, Yun Hyun Jung
College of Nursing, Chungnam National University, Daejeon, Korea.
Department of Nursing, Cheongju University, Cheongju, Korea.
Osong Public Health Res Perspect. 2020 Feb;11(1):15-26. doi: 10.24171/j.phrp.2020.11.1.04.
The present study addressed the risk factors in early life for Korean preschool children that are associated with being overweight or obese.
A descriptive cross-sectional design was used to conduct this study, which included 507 mothers with preschool children aged 3-5 years, who attended daycare centers. Data were acquired via a self-administered questionnaire completed by the mothers. Of the 650 questionnaires that were distributed, 507 (78%) were completed and sent back. Multivariate logistic regression analyses were used to identify risk factors in early life, which may contribute to being overweight or obese in preschool children.
Fifty-eight (11.4%) preschool children were overweight and 41 (8.1%) were obese. Multivariate logistic regression analysis with adjustment for covariates, revealed a significant association with the introduction of solid foods before 4 months of age [adjusted odds ratio (aOR) = 9.49, = 0.029] and a nonresponsive feeding style (aOR = 2.80, = 0.043) with being overweight or obese in preschool children.
The findings of this study highlighted the need for parenting education programs on feeding practices to increase their understanding of hunger and satiety cues in infants, and appropriate timing for the introduction of solid foods.
本研究探讨了韩国学龄前儿童早期生活中与超重或肥胖相关的危险因素。
采用描述性横断面设计进行本研究，纳入了507名有3至5岁学龄前儿童且在日托中心托管的母亲。数据通过母亲自行填写的问卷收集。在分发的650份问卷中，507份（78%）填写并返还。采用多因素逻辑回归分析来确定早期生活中可能导致学龄前儿童超重或肥胖的危险因素。
58名（11.4%）学龄前儿童超重，41名（8.1%）肥胖。对协变量进行调整后的多因素逻辑回归分析显示，4个月前添加固体食物（调整后的优势比[aOR]=9.49，P=0.029）和无反应性喂养方式（aOR=2.80，P=0.043）与学龄前儿童超重或肥胖显著相关。
本研究结果强调了开展关于喂养实践的育儿教育项目的必要性，以增强他们对婴儿饥饿和饱腹感信号的理解，以及引入固体食物的合适时机。
