Buchanan Gretchen J R, Tate Allan D, Loth Katie A, Trofholz Amanda C, Berge Jerica M
From the Department of Family Social Science, University of Minnesota, Saint Paul, MN (GJRB); Department of Epidemiology & Biostatistics, University of Georgia, Athens, GA (ADT); Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (KAL, JMB).
J Am Board Fam Med. 2021 Nov-Dec;34(6):1163-1173. doi: 10.3122/jabfm.2021.06.210157.
Biopsychosocial approaches to health care are critical to addressing childhood obesity. This study aimed to examine how multiple indicators of the home environment related to child weight-related outcomes. We hypothesized that families with home environments of higher chaos and stress, and lower quality parent-child interactions, would have children with a higher body mass index (BMI), less healthy dietary intake, and less healthy eating behaviors.
Data were drawn from the cross-sectional Phase I of the Family Matters study. Participants were 150 racially/ethnically diverse families with a child between 5 to 7 (mean, 6.4) years old. We used a latent profile analysis approach. A 4-class solution fit the data well, and we used predicted class posterior probabilities to assign families to classes. We then regressed the results onto the distal outcomes of child BMI, healthy dietary intake, and healthy eating behaviors.
Families were classified as Collaborative-Chill (n = 38), Busy Bees (n = 37), Engaged (n = 61), and Inconsistent-Distant (n = 14). Collaborative-Chill was used as the reference class. Inconsistent-Distant families had children with higher BMI ( < ) that were more food responsive ( < ). Busy Bees families had children who were more food responsive ( = ) and more satiety responsive ( = ). Engaged families had children who were marginally more food responsive ( = ).
Household chaos, parent stress, and parent-child interactions are important components of the home environment implicated in children's weight-related outcomes. Health care providers should consider these indicators with child patients who struggle with obesity.
生物心理社会医疗方法对于解决儿童肥胖问题至关重要。本研究旨在探讨家庭环境的多个指标如何与儿童体重相关结果相关联。我们假设，家庭环境混乱和压力较大、亲子互动质量较低的家庭，其孩子的体重指数（BMI）较高、饮食摄入不健康、饮食行为不健康。
数据来自“家庭事务”研究的横断面第一阶段。参与者为150个种族/民族多样化的家庭，家中有一名5至7岁（平均6.4岁）的儿童。我们采用了潜在剖面分析方法。一个四类解决方案与数据拟合良好，我们使用预测的类别后验概率将家庭分配到各个类别。然后，我们将结果回归到儿童BMI、健康饮食摄入和健康饮食行为的远端结果上。
家庭被分为协作放松型（n = 38）、忙碌型（n = 37）、投入型（n = 61）和不一致疏远型（n = 14）。协作放松型被用作参考类别。不一致疏远型家庭的孩子BMI较高（<），对食物更敏感（<）。忙碌型家庭的孩子对食物更敏感（=），对饱腹感更敏感（=）。投入型家庭的孩子对食物的敏感度略高（=）。
家庭混乱、父母压力和亲子互动是家庭环境的重要组成部分，与儿童体重相关结果有关。医疗保健提供者应考虑这些指标，以帮助患有肥胖症的儿童患者。
