Department of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Nutr Health. 2024 Sep;30(3):479-487. doi: 10.1177/02601060221124734. Epub 2022 Sep 7.
Parents play a key role in constructing children' behaviours. We studies maternal-child overweight relationship and compared maternal perception of child weight status and feeding behaviours between groups of normal-weight and overweight children.
The cross-sectional study was conducted on 192 girls aged 10-13 years and their mothers. They were divided to two groups of overweight (n = 94) and normal-weight (n = 98) children. Anthropometric characteristics were measured for children and mothers. Logistic regression analysis was used to examine the association between child overweight and tertiles of maternal body mass index (BMI). Maternal perception of child's weight status and her engagement in promoting child's healthy behaviours was assessed.
BMI and waist circumference was significantly higher in children (P < 0.001) and mothers (P < 0.01) of overweight compared to normal-weight group. There was a significant relationship between children's overweight and tertiles of maternal BMI, which remained significant after adjusting for potential confounders. Mothers of overweight children were more concerned for their child's overeating and overweight, and for compelling the child to diet to maintain a desirable weight (P < 0.001). In contrast, mothers of normal-weight children restricted sugar-sweetened drinks (P = 0.008), offered fruit and vegetables (P = 0.035), and helped their children to get enough physical activity (P = 0.022) and night sleep (P = 0.001) more than mothers in other group.
This study showed a strong relationship between children and mothers' overweight. Despite being more concerned about their child weight status, mothers of overweight children reported behaviours which were less encouraging the children for healthy eating and lifestyle than mothers of normal-weight children.
父母在构建孩子行为方面起着关键作用。我们研究了母子超重关系，并比较了正常体重和超重儿童组之间母亲对孩子体重状况和喂养行为的感知。
这项横断面研究共纳入 192 名 10-13 岁女孩及其母亲。她们分为超重组（n=94）和正常体重组（n=98）。对儿童和母亲的人体测量特征进行了测量。使用逻辑回归分析来检查儿童超重与母亲体重指数（BMI）三分位的关联。评估了母亲对孩子体重状况的感知以及她对促进孩子健康行为的参与情况。
与正常体重组相比，超重儿童（P<0.001）和母亲（P<0.01）的 BMI 和腰围显著更高。儿童超重与母亲 BMI 三分位之间存在显著关系，在调整潜在混杂因素后仍然显著。超重儿童的母亲更担心孩子的暴饮暴食和超重，并迫使孩子节食以保持理想体重（P<0.001）。相比之下，正常体重儿童的母亲限制了含糖饮料（P=0.008），提供了水果和蔬菜（P=0.035），并帮助孩子获得足够的体力活动（P=0.022）和夜间睡眠（P=0.001），这些方面都比其他组的母亲做得更好。
这项研究表明，儿童和母亲超重之间存在很强的关系。尽管对孩子的体重状况更为关注，但超重儿童的母亲报告的行为并不像正常体重儿童的母亲那样鼓励孩子健康饮食和生活方式。
