Nowicka Paulina, Keres Johan, Ek Anna, Nordin Karin, Sandvik Pernilla
Department of Food Studies Nutrition and Dietetics, Uppsala University, 752 37 Uppsala, Sweden.
Division of Pediatrics, Department of Clinical Science, Intervention and Technology, Karolinska Institute, 141 57 Huddinge, Sweden.
Int J Environ Res Public Health. 2021 Oct 27;18(21):11293. doi: 10.3390/ijerph182111293.
Changing the home food environment is key to childhood obesity treatment. However, new challenges arise as the child grows older. This study investigates parents' views on the longer-term management of the home food environment, 4 years after starting obesity treatment for their preschool-aged child. Semi-structured interviews were conducted with 33 parents (85% mothers, 48% with a university degree) of 33 children (mean age 9.3 (SD 0.7), 46% girls) from Sweden. The interviews were analyzed using thematic analysis. Two main themes were developed. illustrates the types of changes families make over time in relation to child development. It consists of three subthemes: covert changes, overt changes and child-directed changes. The second theme, , captures parents' experiences of managing the home food environment as a continuous process of balancing and recalibrating in relation to present challenges and concerns about the future. It includes three subthemes: concern and care, two steps forward one back and maintaining everyday balance. Managing the home food environment is a constant process affected by everyday life, parents' strategies and the child's development. Our findings can strengthen childhood obesity treatment and help prepare parents for challenges that lie ahead.
改变家庭饮食环境是儿童肥胖症治疗的关键。然而，随着孩子年龄的增长，新的挑战也随之出现。本研究调查了在为学龄前儿童开始肥胖症治疗4年后，家长们对家庭饮食环境长期管理的看法。对来自瑞典的33名儿童（平均年龄9.3岁（标准差0.7），46%为女孩）的33名家长（85%为母亲，48%拥有大学学位）进行了半结构化访谈。采用主题分析法对访谈进行分析。形成了两个主要主题。第一个主题说明了随着时间推移，家庭与儿童发展相关的变化类型。它包括三个子主题：隐性变化、显性变化和以儿童为导向的变化。第二个主题“平衡与调整”，体现了家长们将管理家庭饮食环境视为一个持续的平衡和重新校准过程，这一过程与当前的挑战以及对未来的担忧有关。它包括三个子主题：关心与呵护、进两步退一步和维持日常平衡。管理家庭饮食环境是一个受日常生活、家长策略和孩子发展影响的持续过程。我们的研究结果可以加强儿童肥胖症治疗，并帮助家长为未来的挑战做好准备。
