Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.
Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.
Appetite. 2021 May 1;160:105068. doi: 10.1016/j.appet.2020.105068. Epub 2020 Dec 24.
Little is known about the association between parental perception of their child's weight as well as parent's current and future concerns regarding their child's weight and a broad range of food-related parenting practices. This study used the first wave of cross-sectional data from the longitudinal Family Matters study to examine the relationships between parental perception of child weight status, parent concern for child's current and future weight and parent use of different types of food-related practices. Parent/child dyads (n = 150) were recruited from primary care clinics. Multiple regression models were fit to examine cross-sectional relationships between parental perception and concern for their child's weight and food-related parenting practices (food restriction, pressure-to-eat, food control, food monitoring, nutrition education, and parent modeling). Parents who perceived their child to be underweight had lower scores for food restriction than parents who perceived their child to be overweight. Parents who reported concern about their child's current weight reported higher scores for food restriction and monitoring than parents who were not currently concerned. Parents who reported concern about their child's future weight status reported higher scores for pressure-to-eat and monitoring than parents who were not at all concerned about their child's future weight status. The relationship between parental perception of child's current weight status and parent use of food restriction, pressure-to-eat, and overall food control was modified by child sex. Overall, results suggest that parent's perceptions of and concerns about their child's current and future weight status were correlated with their feeding approaches. Health care providers may want to consider providing anticipatory guidance for parents that have concerns about their child's weight by teaching them about positive, evidence-based ways they can engage in healthy food-related parenting practices.
父母对孩子体重的感知，以及父母目前和未来对孩子体重的担忧，以及广泛的与食物相关的育儿实践，这方面的了解甚少。本研究使用纵向家庭事务研究的第一波横断面数据，研究了父母对孩子体重状况的感知、父母对孩子目前和未来体重的担忧以及父母使用不同类型的与食物相关的育儿实践之间的关系。从初级保健诊所招募了父母/孩子对子（n=150）。拟合多元回归模型以检验父母对孩子体重的感知和担忧与与食物相关的育儿实践（食物限制、进食压力、食物控制、食物监测、营养教育和父母榜样）之间的横断面关系。与认为孩子超重的父母相比，认为孩子体重不足的父母在食物限制方面的得分较低。报告对孩子当前体重担忧的父母在食物限制和监测方面的得分高于不担心的父母。报告对孩子未来体重状况担忧的父母在进食压力和监测方面的得分高于完全不担心孩子未来体重状况的父母。父母对孩子当前体重状况的感知与父母使用食物限制、进食压力和整体食物控制之间的关系，受到孩子性别的调节。总的来说，结果表明，父母对孩子当前和未来体重状况的看法和担忧与他们的喂养方法有关。医疗保健提供者可能希望考虑通过教授他们积极、基于证据的方法，为对孩子体重有担忧的父母提供预期指导，从而让他们参与健康的与食物相关的育儿实践。
