Norton Lyza, Parkinson Joy, Harris Neil, Darcy Morgan, Hart Laura
Griffith University, Southport, Queensland, Australia.
University of Melbourne, Melbourne, Victoria, Australia.
Health Promot J Austr. 2023 Apr;34(2):366-378. doi: 10.1002/hpja.604. Epub 2022 Apr 6.
To review current evidence for parental food communication practices and their association with child eating behaviours.
The PRISMA framework guided the reporting of the review; registered with Prospero in July 2020. Eligible studies were critically appraised using the Joanna Briggs Institute tools. Only quantitative studies that included a parental measure of food communication and a child measure of eating behaviour were included.
From 11 063 articles 23 were eligible for synthesis. The vast majority (82%) of studies used observational cross-sectional designs. Three involved observing parent-child dyads, with the remainder using questionnaires. Two quasi-experimental designs tested interventions and two randomised control trial were reported. The majority of measures assessing parental food communication were subscales of larger questionnaires. The Caregiver's Feeding Style Questionnaire (CFSQ) was the most direct and relevant measure of parental food communication. Findings of reviewed studies highlighted that "how" parents communicate about food appears to impact child eating behaviours. Using child-centred communication provided promising outcomes for positive child eating behaviours, while parental "diet" communication was found to be associated with poorer dietary outcomes in children.
Food communication research is in its infancy. However, evidence for the importance of parents' child-focused food communication is emerging, providing a focus for future research and interventions. SO WHAT?: Given the gaps in our understanding about prevention of disordered eating, there is a significant opportunity to explore what food communication strategies may assist parents to communicate about food in a positive way.
回顾有关父母食物沟通行为及其与儿童饮食行为关联的现有证据。
本综述的报告遵循PRISMA框架；于2020年7月在国际系统评价注册库（Prospero）注册。使用乔安娜·布里格斯循证卫生保健中心（Joanna Briggs Institute）的工具对符合条件的研究进行严格评价。仅纳入那些包含父母食物沟通测量指标和儿童饮食行为测量指标的定量研究。
从11063篇文章中筛选出23篇符合综合分析条件。绝大多数研究（82%）采用观察性横断面设计。三项研究涉及观察亲子二元组，其余研究使用问卷调查。两项准实验设计测试了干预措施，另有两项随机对照试验被报道。评估父母食物沟通的大多数指标是较大问卷中的子量表。照顾者喂养方式问卷（Caregiver's Feeding Style Questionnaire, CFSQ）是父母食物沟通最直接且相关的测量指标。综述研究结果强调，父母“如何”沟通食物似乎会影响儿童的饮食行为。采用以儿童为中心的沟通方式对儿童积极的饮食行为产生了有前景的结果，而父母的“节食”沟通则被发现与儿童较差的饮食结果相关。
食物沟通研究尚处于起步阶段。然而，父母以儿童为中心的食物沟通的重要性的证据正在显现，为未来的研究和干预提供了重点。那又如何？鉴于我们在预防饮食失调的理解方面存在差距，有很大机会去探索哪些食物沟通策略可以帮助父母以积极的方式沟通食物。
