Xu Jianlin
School of Geography, University of Leeds, Leeds LS2 9JT, UK.
Children (Basel). 2022 Feb 25;9(3):315. doi: 10.3390/children9030315.
This review explores the influences of family and school members on children in China, in order to promote healthy eating behaviours among children and prevent childhood malnutrition in the Global South. Family members and school members are defined as parents, guardians (such as grandparents and other relatives), siblings, peers, and teachers. A search of four databases returned 94 articles, 18 of which met the eligibility criteria. Most of the included studies were from mainland China; a few were from Hong Kong and Taiwan. More quantitative than qualitative studies were found, among which, cross-sectional studies were dominant. The 18 papers included in the study explored the influences of family members and school members on the eating behaviours of children, based on seven themes: (1) social-demographic characteristics, (2) food intake of parents, (3) nutritional knowledge and health awareness of family or school members, (4) parents' perceptions of their children's body weight, (5) feeding strategies of family members, (6) family relationships, and (7) intergenerational differences of caregivers. In the current analysis, parental education levels, mother's occupation, health awareness of parents and teachers, and positive feeding styles, such as encouraging healthy eating and controlling overeating, were positively correlated with the healthy eating behaviours of children. Meanwhile, healthy eating behaviours of children were negatively associated with caregivers' lack of nutritional knowledge, misperception of weight, instrumental and/or emotional feeding, and working on nonstandard shifts. More related research using cross-disciplinary approaches is needed and there should be more discussions about how teachers, siblings, and peers affect the dietary behaviours of children.
本综述探讨了中国家庭和学校成员对儿童的影响,以促进儿童养成健康的饮食行为,并预防全球南方地区的儿童营养不良问题。家庭成员和学校成员的定义包括父母、监护人(如祖父母和其他亲属)、兄弟姐妹、同龄人及教师。对四个数据库进行检索后得到94篇文章,其中18篇符合纳入标准。纳入的研究大多来自中国大陆,少数来自香港和台湾。定量研究多于定性研究,其中横断面研究占主导地位。本研究纳入的18篇论文基于七个主题探讨了家庭成员和学校成员对儿童饮食行为的影响:(1)社会人口学特征;(2)父母的食物摄入量;(3)家庭或学校成员的营养知识和健康意识;(4)父母对其子女体重的看法;(5)家庭成员的喂养策略;(6)家庭关系;(7)照顾者的代际差异。在当前的分析中,父母的教育水平、母亲的职业、父母和教师的健康意识以及积极的喂养方式,如鼓励健康饮食和控制暴饮暴食,与儿童的健康饮食行为呈正相关。同时,儿童的健康饮食行为与照顾者缺乏营养知识、对体重的错误认知、工具性和/或情感性喂养以及非标准轮班工作呈负相关。需要更多采用跨学科方法的相关研究,并且应该更多地讨论教师、兄弟姐妹和同龄人如何影响儿童的饮食行为。