Janicke David M, Mitchell Tarrah B, Pinto Stefania, Wolock Elizabeth R, Ding Ke, Moorman Erin L, Gonzalez-Louis Rachel, Lim Crystal S
Department of Clinical and Health Psychology, University of Florida, USA.
Department of Psychiatry, Texas Tech University Health Science Center, USA.
Appetite. 2022 Apr 1;171:105911. doi: 10.1016/j.appet.2022.105911. Epub 2022 Jan 7.
Previous research has shown that food parenting practices, which vary within the context of sociocultural factors, are associated with child weight, eating behaviors, and body dissatisfaction. While parents typically engage in multiple food parenting practices, few studies have examined what subgroups or combinations of food parenting practices are associated with child health outcomes and sociocultural factors. The current study examined profiles of food parenting practices among school-age children with overweight/obesity (OW/OB) from rural communities and examined how they may be associated with sociocultural factors, child-eating habits, and health outcomes. The study included 270 children with OW/OB aged 8-12 (M = 10.36 years) and their caregivers. Caregivers completed a measure assessing perceptions of their feeding practices and sociocultural questionnaires. Children completed measures assessing disordered eating habits, weight control behaviors, and body dissatisfaction. Weight status was measured for caregivers and children with height and weight measurements. Latent variable mixture modeling (LVMM) was conducted. Three profiles emerged: (a) Lower Parental Involvement, (b) Higher Parental Involvement, and (c) Mixed Parental Involvement. Lower family income and non-White child race were related to membership in the "Higher Parental Involvement" profile. After controlling for income and child race, children in the "Mixed Parental Involvement" profile reported significantly higher body dissatisfaction than children in the "Lower Parental Involvement" profile. There are subgroups of caregivers of rural children with OW/OB that demonstrate various patterns of parent feeding practices, and these subgroups differ by income, race, and child body dissatisfaction. Future research should consider how caregiver-specific feeding practices may impact child eating behaviors and their body image development, as well as the impact cultural factors may have on parent feeding practices.
先前的研究表明，在社会文化因素背景下各不相同的食物养育方式与儿童体重、饮食行为及身体不满情绪有关。虽然父母通常会采用多种食物养育方式，但很少有研究探讨食物养育方式的哪些亚组或组合与儿童健康结果及社会文化因素相关。本研究调查了农村社区超重/肥胖（OW/OB）学龄儿童的食物养育方式概况，并研究了这些方式如何与社会文化因素、儿童饮食习惯及健康结果相关联。该研究纳入了270名8至12岁（平均年龄M = 10.36岁）的超重/肥胖儿童及其照料者。照料者完成了一项评估其喂养方式认知的量表以及社会文化调查问卷。儿童完成了评估饮食紊乱习惯、体重控制行为及身体不满情绪的量表。通过测量照料者和儿童的身高和体重来确定体重状况。进行了潜在变量混合建模（LVMM）。出现了三种概况：（a）较低的父母参与度，（b）较高的父母参与度，以及（c）混合的父母参与度。较低的家庭收入和非白人儿童种族与“较高的父母参与度 ”概况中的成员身份有关。在控制了收入和儿童种族后，“混合的父母参与度 ”概况中的儿童报告的身体不满情绪明显高于“较低的父母参与度 ”概况中的儿童。农村超重/肥胖儿童的照料者存在亚组差异，这些亚组展现出不同的父母喂养方式模式，且在收入、种族和儿童身体不满情绪方面存在差异。未来的研究应考虑照料者特定的喂养方式如何影响儿童的饮食行为及其身体形象发展，以及文化因素可能对父母喂养方式产生的影响。
