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积极的育儿方法及其与儿童饮食和体重的关系:从婴儿期到青春期的叙述性综述。

Positive parenting approaches and their association with child eating and weight: A narrative review from infancy to adolescence.

机构信息

Department of Exercise and Nutrition Sciences, School of Public Health and Health Professions, University at Buffalo, Buffalo, New York, USA.

Center for Ingestive Behavior Research, University at Buffalo, Buffalo, New York, USA.

出版信息

Pediatr Obes. 2020 Oct;15(10):e12722. doi: 10.1111/ijpo.12722. Epub 2020 Sep 3.

Abstract

Parents play a critical role in the development of children's eating behaviours and weight status, serving as providers, models and regulators of the food environment. Many research reviews have focused on the robust body of evidence on coercive control in feeding: how parenting practices such as restriction and pressure to eat increase children's risk for developing undesirable eating behaviours and unhealthy weight outcomes. Fewer reviews adopt a strengths-based perspective focusing on the ways that parents can actively support the development of healthy eating behaviours and weight trajectories. Emerging research on such positive parenting styles and practices offers solutions beyond the avoidance of coercive control, as well as opportunities to highlight parallels between research on food parenting and the broader, well-established developmental literature on positive parenting. The focus of this review is to summarize what is known regarding benefits of positive parenting styles and practices for child eating and weight outcomes and discuss recommendations for future research. Current evidence supports starting with responsive feeding and parenting during infancy and incorporating structure and limit setting in early childhood, with monitoring and mealtime structure remaining important during middle childhood and adolescence. Areas for future research include: (1) further examination of the implications of identified food parenting practices and styles among diverse groups and caregivers; (2) increased consideration of child factors (eg, temperament) as moderators or mediators; and (3) further clarification of the relationship between general parenting and food parenting.

摘要

父母在儿童饮食行为和体重状况的发展中起着至关重要的作用,他们是食物环境的提供者、榜样和管理者。许多研究综述都集中在有关喂养中强制性控制的大量证据上:父母的行为,如限制和强迫进食,会增加孩子养成不良饮食行为和不健康体重的风险。较少的综述采用基于优势的观点,重点关注父母如何积极支持健康饮食行为和体重轨迹的发展。关于这种积极的育儿方式和做法的新兴研究提供了超越避免强制性控制的解决方案,同时也有机会强调食品育儿研究与关于积极育儿的更广泛、成熟的发展文献之间的相似之处。本综述的重点是总结积极育儿方式和做法对儿童饮食和体重结果的已知益处,并讨论未来研究的建议。目前的证据支持从婴儿期的反应性喂养和育儿开始,并在幼儿期纳入结构和限制设置,在儿童中期和青春期仍要注意监测和用餐结构。未来研究的领域包括:(1)进一步研究在不同群体和照顾者中确定的食品养育实践和风格的影响;(2)更多地考虑儿童因素(如气质)作为调节因素或中介因素;(3)进一步澄清一般育儿和食品育儿之间的关系。

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