Campos Ana Paola, Robles Julian, Matthes Katherine E, Alexander Ramine C, Goode Rachel W
UNC Nutrition Research Institute, University of North Carolina at Chapel Hill, Kannapolis, North Carolina, USA.
School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Child Obes. 2025 Mar;21(2):113-128. doi: 10.1089/chi.2024.0311. Epub 2024 Oct 24.
Childhood obesity disproportionately affects Hispanic families and remains an unresolved public health concern. Interventions to enhance health-related parenting practices may be a promising strategy to lower the risk for childhood obesity. However, there are scarce data on which parenting practices would be culturally relevant and contribute to lower the risk for childhood obesity among Hispanic families in the United States. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. An electronic database search of records was carried out in PubMed, CINAHL, PsycINFO, and Scopus to synthesize studies assessing associations or intervention effects of parenting practices on child BMI or other anthropometric measure among Hispanic parent-child dyads aged ≥18 and 2-12 years, respectively. Of 1055 unique records identified, 17 studies were included. Most of these studies used a cross-sectional design ( = 10) and child BMI z-scores or BMI-for-age-sex percentiles as the outcome variable. Parenting practices to lower the risk for child overweight/obesity among Hispanic families included setting limits and providing routines (e.g., limited screentime), supporting a healthy lifestyle and physical activity (e.g., providing transportation to places for children's physical activities), and parenting feeding or diet-related practices (e.g., control the foods that children eat). Parenting practices that support healthy behaviors may be components of interventions to lower the risk for childhood obesity among Hispanic families.
儿童肥胖对西班牙裔家庭的影响尤为严重，仍是一个尚未解决的公共卫生问题。加强与健康相关的育儿方式的干预措施可能是降低儿童肥胖风险的一个有前景的策略。然而，关于哪些育儿方式在文化上具有相关性，并有助于降低美国西班牙裔家庭中儿童肥胖风险的数据却很匮乏。本研究遵循了系统评价和荟萃分析的首选报告项目指南。通过在PubMed、CINAHL、PsycINFO和Scopus中对记录进行电子数据库搜索，以综合评估育儿方式对年龄≥18岁的西班牙裔亲子二元组中儿童BMI或其他人体测量指标的关联或干预效果的研究，其中儿童年龄在2至12岁之间。在识别出的1055条独特记录中，纳入了17项研究。这些研究大多采用横断面设计（n = 10），并将儿童BMI z评分或年龄别性别BMI百分位数作为结果变量。降低西班牙裔家庭中儿童超重/肥胖风险的育儿方式包括设定限制和提供日常安排（如限制屏幕时间）、支持健康的生活方式和体育活动（如提供前往儿童进行体育活动场所的交通）以及与喂养或饮食相关的育儿方式（如控制儿童吃的食物）。支持健康行为的育儿方式可能是降低西班牙裔家庭中儿童肥胖风险干预措施的组成部分。
