Department of Nutrition, Dietetics, and Hospitality Management, Auburn University, Auburn, AL 36849, USA.
Boshell Metabolic Diseases and Diabetes Program, Auburn University, Auburn, AL 36849, USA.
Nutrients. 2020 Apr 9;12(4):1033. doi: 10.3390/nu12041033.
Parental beliefs, attitudes, and feeding practices play a vital role in childhood obesity. This study aimed to assess parental perceptions, concerns about weight, feeding practices using the Child Feeding Questionnaire (CFQ), and its association with body mass index (BMI) and maternal education in elementary school children. Participants aged 6-10 years ( = 169) were recruited and anthropometric measurements were obtained. Pearson's correlation and hierarchical linear regression analysis were used to examine the association between BMI -score and the seven factors of the CFQ. The BMI -score was significantly associated with parental perceived child weight and concern about child weight. The BMI -score had a significant negative association with parents pressuring children to eat. Parents of obese children reported significantly higher ( < 0.001) levels of perceived child weight (β = 0.312) and concern (β = 0.320) about their child's weight compared to the normal weight and overweight groups. Parents of overweight children showed considerably less (β = -0.224; < 0.005) pressuring towards their children to eat as compared to parents of normal weight children. Additionally, we found that the parental feeding practice (pressure to eat) was only dependent upon maternal education. The path analysis indicates that maternal education has a mediating effect on BMI -score and pressure to eat is related to BMI -score through maternal education. The findings demonstrate the association between the parents' perceptions, concerns, and pressure to eat with BMI -score of elementary school-aged children. Only the parental feeding practice pressure to eat was dependent upon the maternal education.
父母的信念、态度和喂养方式在儿童肥胖中起着至关重要的作用。本研究旨在评估父母对体重的看法、担忧，使用儿童喂养问卷（CFQ）评估喂养方式，并将其与小学生的体重指数（BMI）和母亲教育程度相关联。招募了年龄在 6-10 岁的参与者（n=169），并进行了人体测量学测量。使用 Pearson 相关和分层线性回归分析来检验 BMI 得分与 CFQ 的七个因素之间的关联。BMI 得分与父母感知的孩子体重和对孩子体重的担忧呈显著相关。BMI 得分与父母迫使孩子进食的压力呈显著负相关。肥胖儿童的父母报告的孩子体重感知（β=0.312）和对孩子体重的担忧（β=0.320）显著高于正常体重和超重组（均<0.001）。超重儿童的父母对孩子进食的压力明显较小（β=-0.224；<0.005），与正常体重儿童的父母相比。此外，我们发现父母的喂养方式（进食压力）仅取决于母亲的教育程度。路径分析表明，母亲教育对 BMI 得分有中介作用，而进食压力通过母亲教育与 BMI 得分相关。研究结果表明，父母的认知、关注和进食压力与小学生的 BMI 得分之间存在关联。只有父母的喂养方式——进食压力取决于母亲的教育程度。
