Philippe Kaat, Chabanet Claire, Issanchou Sylvie, Monnery-Patris Sandrine
Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRAE, Université Bourgogne Franche-Comté, Dijon, France.
Front Psychol. 2021 Nov 16;12:653408. doi: 10.3389/fpsyg.2021.653408. eCollection 2021.
This study aimed to gain a better understanding of the associations between young children's eating in the absence of hunger (EAH), inhibitory control, body mass index (BMI) and several maternal controlling feeding practices (food as reward, restriction for health, restriction for weight control). In addition, to more properly assess the relationship between children's and maternal variables, the link between EAH and restriction was explored separately in two directionalities: "child to parent" or "parent to child." To do this, mothers of 621 children aged 2.00-6.97years (51% boys, =4.11years, =1.34) filled in a questionnaire with items from validated questionnaires. Structural equation modeling (SEM) was used to analyze the data. The results showed, whatever the directionality considered, a positive association between children's eating in the absence of hunger and their BMI z-scores. Restriction for health and restriction for weight control were differently linked to EAH and to children's BMI z-scores. Namely, low child inhibitory control, food as reward and restriction for health were identified as risk factors for EAH. Restriction for weight control was not linked to EAH, but was predicted by child BMI z-scores. Interventions aiming to improve children's abilities to self-regulate food intake could consider training children's general self-regulation, their self-regulation of intake, and/or promoting adaptive parental feeding practices.
本研究旨在更好地理解幼儿在不饥饿时进食(EAH)、抑制控制、体重指数(BMI)与几种母亲控制性喂养行为(将食物作为奖励、出于健康原因限制、出于控制体重原因限制)之间的关联。此外,为了更恰当地评估儿童与母亲变量之间的关系,分别从“儿童对父母”和“父母对儿童”两个方向探讨了EAH与限制之间的联系。为此,621名年龄在2.00 - 6.97岁的儿童(51%为男孩,平均年龄 = 4.11岁,标准差 = 1.34)的母亲填写了一份包含经过验证的问卷项目的问卷。采用结构方程模型(SEM)对数据进行分析。结果显示,无论考虑哪个方向,儿童在不饥饿时进食与他们的BMI z评分之间都存在正相关。出于健康原因的限制和出于控制体重原因的限制与EAH以及儿童的BMI z评分的关联有所不同。具体而言,儿童抑制控制能力低、将食物作为奖励以及出于健康原因的限制被确定为EAH的风险因素。出于控制体重原因的限制与EAH没有关联,但可由儿童的BMI z评分预测。旨在提高儿童自我调节食物摄入量能力的干预措施可以考虑训练儿童的一般自我调节能力、他们的摄入量自我调节能力,和/或促进适应性的父母喂养行为。