亲子功能失调性互动对儿童早期体重的影响:通过情绪性喂养和儿童食欲特征的系列中介模型。

The effects of parent-child dysfunctional interactions on early childhood weight: A serial mediation model through emotional feeding and child appetite traits.

机构信息

New York University Grossman School of Medicine, USA.

New York University Grossman School of Medicine, USA.

出版信息

Appetite. 2024 Sep 1;200:107564. doi: 10.1016/j.appet.2024.107564. Epub 2024 Jun 17.

Abstract

Parent-child dysfunctional interactions (PCDI) are known to contribute to children's weight status. However, the underlying mechanisms in how dysfunctional interactions between parent and child influence child weight are not clear. This study investigates the impact of PCDI on toddlers' weight, focusing on the potential serial mediation by maternal emotional feeding and child appetite traits. We conducted a secondary analysis of longitudinal data from a larger intervention trial to prevent childhood obesity in low-income Hispanic families. A total of 241 mother-child dyads were included in these analyses. Measurements were taken at various stages: PCDI at child age 19 months, maternal emotional feeding at 28 months, and both child appetite traits and weight-for-age z-score (WFAz) at 36 months. Serial mediation analyses revealed a significant indirect effect of early PCDI on later child WFAz through maternal emotional feeding and two child food approach traits (food responsiveness, emotional overeating) out of the eight child appetite traits assessed. PCDI at 19 months was associated with increased use of emotional feeding in mothers at 28 months, which was associated with heightened food responsiveness and emotional overeating in children at 36 months, which in turn was linked to greater child WFAz at 36 months. The findings of this study expand the understanding of the mechanisms underlying PCDI and child weight, emphasizing the interplay between maternal feeding practices and child appetite in the context of adverse parent-child interactions during early childhood.

摘要

父母与子女的功能失调性互动(PCDI)已知会影响儿童的体重状况。然而,父母与子女之间功能失调的互动如何影响儿童体重的潜在机制尚不清楚。本研究调查了 PCDI 对幼儿体重的影响,重点关注母亲情感喂养和儿童食欲特征的潜在连续中介作用。我们对一项旨在预防低收入西班牙裔家庭儿童肥胖的大型干预试验的纵向数据进行了二次分析。共有 241 对母婴对子参与了这些分析。在不同阶段进行了测量:儿童 19 个月时的 PCDI、28 个月时的母亲情感喂养以及 36 个月时的儿童食欲特征和体重年龄 z 分数(WFAz)。序列中介分析显示,早期 PCDI 通过母亲情感喂养和评估的八个儿童食欲特征中的两个儿童食物接近特征(食物反应性、情绪性暴食)对后期儿童 WFAz 存在显著的间接影响。19 个月时的 PCDI 与 28 个月时母亲情感喂养的增加有关,而 28 个月时母亲情感喂养的增加与儿童食物反应性和情绪性暴食的增加有关,而 36 个月时儿童食物反应性和情绪性暴食的增加又与 36 个月时儿童 WFAz 的增加有关。这项研究的结果扩展了对 PCDI 和儿童体重背后机制的理解,强调了在幼儿期不良父母-子女互动背景下,母亲喂养行为和儿童食欲之间的相互作用。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索