母亲的喂养方式及其与儿童肥胖的关联：伊朗的一项横断面研究。
Maternal feeding practices and its association with obesity in children: a cross-sectional study in Iran.
作者信息
Askari Aida, Hassanzadeh-Rostami Zahra, Zolfaghari Nazanin, Faghih Shiva
机构信息
Department of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
J Health Popul Nutr. 2025 Jun 20;44(1):213. doi: 10.1186/s41043-025-00956-6.
INTRODUCTION
Children's eating behaviors and their nutritional status could be affected by caregiver feeding practices. Thereby, this study aimed to assess the association between maternal feeding practices and body mass index (BMI) and waist circumference (WC) among 6 years old children in Shiraz, Iran.
METHODS
In this cross-sectional study, 333 children aged 6 years were randomly selected from Shiraz healthcare centers by using a multi-stage stratified sampling method. Socio-demographic data gathering sheet, physical activity questionnaires, and comprehensive Feeding Practices Questionnaire were completed by their mothers online. Moreover, dietary intakes and anthropometric parameters of the children were obtained through a call interview with mothers. Maternal feeding patterns were identified using a factor analysis approach. Then, association of maternal feeding patterns with children's BMI and WC, were assessed using multivariate linear regressions.
RESULTS
Healthy and unhealthy maternal feeding patterns were extracted as two main feeding patterns. Unhealthy maternal feeding pattern was positively associated with BMI in unadjusted model (β = 0.35; 95%CI: 0.04-0.67), however it was faded away after controlling for confounders. No significant association was found between healthy maternal feeding patterns and children's BMI. Both healthy and unhealthy maternal feeding patterns were not significantly associated with children's WC.
CONCLUSION
Our results showed that children's BMI or WC was not related to maternal feeding patterns. However, further studies with larger sample sizes and longitudinal design are needed to confirm it.
引言
儿童的饮食行为及其营养状况可能会受到照料者喂养方式的影响。因此，本研究旨在评估伊朗设拉子6岁儿童的母亲喂养方式与体重指数（BMI）和腰围（WC）之间的关联。
方法
在这项横断面研究中，采用多阶段分层抽样方法从设拉子医疗中心随机选取了333名6岁儿童。其母亲通过在线方式完成社会人口统计学数据收集表、身体活动问卷和综合喂养方式问卷。此外，通过与母亲的电话访谈获取儿童的饮食摄入量和人体测量参数。采用因子分析方法确定母亲的喂养模式。然后，使用多元线性回归评估母亲喂养模式与儿童BMI和WC之间的关联。
结果
提取出健康和不健康两种主要的母亲喂养模式。在未调整模型中，不健康的母亲喂养模式与BMI呈正相关（β = 0.35；95%置信区间：0.04 - 0.67），但在控制混杂因素后这种相关性消失。未发现健康的母亲喂养模式与儿童BMI之间存在显著关联。健康和不健康的母亲喂养模式与儿童WC均无显著关联。
结论
我们的结果表明，儿童的BMI或WC与母亲喂养模式无关。然而，需要进一步开展更大样本量和纵向设计的研究来证实这一点。
Zotero 插件