Center for Childhood Obesity Research (CF Ruggiero, AM Moore, and JS Savage), The Pennsylvania State University, University Park; Nutritional Sciences (CF Ruggiero and JS Savage), 110C Chandlee Laboratory, The Pennsylvania State University, University Park.
Center for Childhood Obesity Research (CF Ruggiero, AM Moore, and JS Savage), The Pennsylvania State University, University Park.
Acad Pediatr. 2024 Jan-Feb;24(1):119-123. doi: 10.1016/j.acap.2023.04.011. Epub 2023 May 5.
Despite the majority of US children having at least 1 sibling, little is known about how siblings influence eating behavior and obesity risk. This qualitative study explored mothers' perceptions of older siblings' influences on younger siblings' eating behavior in the context of mealtimes in early childhood.
A purposive subsample of mothers (n = 30) who participated in the Intervention Nurses Start Infants Growing on Healthy Trajectories and SIBSIGHT studies completed retrospective semi-structured interviews designed to explore the implications of sibling influences on maternal feeding practices during infancy and toddlerhood. Interviews were conducted by video conference with mothers between January and March 2021. All interviews were audio-recorded, transcribed, and a qualitative content analysis approach was used to code and identify themes.
Two main themes were identified related to the influence of older siblings on younger siblings during feeding interactions: 1) Older siblings as positive role models for younger siblings and 2) Older siblings acted as caregivers for younger siblings. Younger siblings received encouragement at mealtimes to try new foods. Older siblings assisted their mothers in caregiving and feeding tasks in developmentally appropriate ways.
Findings may help to elucidate the role of older siblings in shaping eating behavior and obesity risk of siblings in early childhood. Better understanding the role of siblings can aid in the development of novel interventions and anticipatory nutrition guidance in family-based clinical and community care.
尽管大多数美国儿童至少有 1 个兄弟姐妹，但对于兄弟姐妹如何影响儿童的饮食行为和肥胖风险知之甚少。本定性研究探讨了母亲对兄弟姐妹在幼儿时期进餐时对年幼兄弟姐妹饮食行为影响的看法。
参与干预护士启动婴儿健康轨迹和 SIBSIGHT 研究的母亲（n=30）的目的抽样个体完成了回顾性半结构化访谈，旨在探讨兄弟姐妹的影响对母婴喂养实践在婴儿期和幼儿期的影响。访谈于 2021 年 1 月至 3 月通过视频会议与母亲进行。所有访谈均进行了录音、转录，并采用定性内容分析方法对访谈内容进行编码和主题识别。
确定了与喂养互动中年龄较大的兄弟姐妹对年幼兄弟姐妹的影响有关的两个主要主题：1）年龄较大的兄弟姐妹是年幼兄弟姐妹的积极榜样，2）年龄较大的兄弟姐妹充当年幼兄弟姐妹的照顾者。年幼的兄弟姐妹在进餐时会受到鼓励尝试新食物。年龄较大的兄弟姐妹以符合其发展阶段的方式协助母亲完成照顾和喂养任务。
这些发现可能有助于阐明年龄较大的兄弟姐妹在塑造幼儿期兄弟姐妹饮食行为和肥胖风险方面的作用。更好地了解兄弟姐妹的作用可以帮助开发新的干预措施和家庭为基础的临床和社区护理中的预期营养指导。
