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超重、正常体重和体重不足的中国学龄前儿童的母亲喂养模式。

Mothers' feeding profiles among overweight, normal weight and underweight Chinese preschoolers.

机构信息

Department of Early Childhood Education, Capital Normal University, #5, North 3rd Street, Fu Cheng Rd., Haidian District, Beijing, 100048, China.

Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD, 21250, USA.

出版信息

Appetite. 2020 Sep 1;152:104726. doi: 10.1016/j.appet.2020.104726. Epub 2020 May 1.

Abstract

We adopted a person-centered approach to identify maternal feeding profiles among urban Chinese mothers of preschoolers, including two previously unexamined culturally-emphasized practices, and examine the associations between these feeding profiles and child and parent characteristics. Participants included 167 mothers and their preschoolers residing in Shanghai, China. Mothers reported on their feeding beliefs and practices, perceptions of child's body shapes, child dietary intake, and family demographic information. The hierarchical clustering method revealed 3 feeding clusters: uninvolved feeding (35.3%), concerned and restrictive feeding (21.6%), and high-pressure feeding (43.1%). Child BMI, weight status, maternal length of staying in Shanghai, maternal perceptions of child actual body shape and ideal body shape, and child unhealthy dietary intake were significantly different across the three clusters. The person-centered approach allowed for the examination of various feeding beliefs and practices simultaneously and revealed patterns of maternal feeding in Chinese families with preschoolers. Our oversampling of underweight and overweight groups of children in the present study allowed for the derivation of feeding profiles across children in all weight status groups. Moreover, the examination of whether demographic, maternal body shape perceptions, and child dietary intake differed across the clusters of mothers provided a more complete picture of family context and processes that may underlie and contribute to mothers' feeding practices, and ultimately their children's weight.

摘要

我们采用以人为主的方法,确定了城市中国幼儿母亲的喂养模式,包括两个以前未被检验的文化强调实践,并研究这些喂养模式与儿童和家长特征之间的关系。参与者包括 167 名居住在中国上海的母亲及其学龄前儿童。母亲报告了她们的喂养信念和实践、对孩子体型的看法、孩子的饮食摄入以及家庭人口统计信息。分层聚类方法揭示了 3 种喂养模式:不参与喂养(35.3%)、关注和限制喂养(21.6%)和高压喂养(43.1%)。儿童 BMI、体重状况、母亲在上海停留的时间长短、母亲对孩子实际体型和理想体型的看法以及孩子不健康的饮食摄入在这三个聚类中存在显著差异。以人为中心的方法可以同时检查各种喂养信念和实践,并揭示中国有学龄前儿童的家庭中的母亲喂养模式。本研究对体重过轻和超重儿童进行了过度抽样,因此可以在所有体重组的儿童中得出喂养模式。此外,检查人口统计学、母亲体型感知和儿童饮食摄入是否在母亲的聚类中存在差异,提供了更完整的家庭背景和可能导致和促进母亲喂养实践的过程的画面,最终影响他们孩子的体重。

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