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乌鲁木齐市家长喂养行为现状及其与儿童体重指数的相关性
林素兰, 杨静, 王丹, 吴萍萍, 咸亚静
中国当代儿科杂志 ›› 2018, Vol. 20 ›› Issue (12) : 1044-1049.
PDF(1394 KB)
PDF(1394 KB)
乌鲁木齐市家长喂养行为现状及其与儿童体重指数的相关性
Current status of parental feeding behaviors in Urumqi, China, and its association with body mass index of children
目的 探讨家长喂养行为与儿童体重指数（BMI）间的相关性，为预防和干预儿童超重、肥胖提供科学依据。方法 采用分层随机整群抽样的方法，抽取乌鲁木齐市新市区7所幼儿园976名儿童，通过问卷调查和体格测量获得相关数据。结果 共发放调查问卷976份，收回有效问卷924份（94.7%）。儿童体重不足、超重、肥胖总检出率分别为3.1%（29例）、9.2%（85例）、6.7%（62例）。家长喂养行为以监督饮食水平最高，其次为限制饮食，逼迫进食水平最低。其中汉族儿童家长采用限制饮食及逼迫进食的水平高于维吾尔族儿童家长（P < 0.01）。家长喂养行为中，限制饮食与汉族及维吾尔族男童BMI均呈正相关（P < 0.01）；逼迫进食与汉族男童及女童BMI均呈负相关（P < 0.01），与维吾尔族男童及女童BMI均呈正相关（P < 0.01）；监督饮食与维吾尔族和汉族男童及女童BMI均呈负相关（P < 0.05）。汉族及维吾尔族男童中超重/肥胖儿童其父母限制饮食得分高于正常体重儿童家长（P < 0.05）；维吾尔族男童及女童中，超重/肥胖儿童其父母逼迫进食得分高于正常体重儿童其家长（P < 0.01）；汉族、维吾尔族男童及女童中超重及肥胖儿童其父母监督饮食得分低于正常体重儿童家长（P < 0.01）。结论 乌鲁木齐市家长喂养行为状况总体较好，其中维吾尔族儿童家长喂养行为略优于汉族儿童家长。家长喂养行为与儿童BMI密切相关，其相关性在不同民族及性别间存在差异。高水平的监督饮食及低水平的限制饮食、逼迫进食可能有利于预防和控制儿童超重、肥胖的发生与发展。
Objective To investigate the association between parental feeding behaviors and body mass index (BMI) of children, and to provide a scientific basis for the prevention and intervention of overweight and obesity in children.Methods Stratified random cluster sampling was used to select 976 children from 7 kindergartens in Xinshi District of Urumqi, and a questionnaire survey and physical measurement were performed to obtain related data.Results A total of 976 questionnaires were distributed and 924 (94.7%) usable questionnaires were collected. The overall detection rates of underweight, overweight, and obesity in children were 3.1% (29 children), 9.2% (85 children), and 6.7% (62 children), respectively. The highest level of parental feeding behavior was monitoring, followed by restriction and pressure to eat. The parents of the Han children had significantly higher levels of restriction and pressure to eat than those of the Uygur children (P < 0.01). As for parental feeding behaviors, restriction to eat was positively correlated with BMI of the Han and Uygur boys (P < 0.01); pressure to eat was negatively correlated with BMI of the Han boys and girls (P < 0.01) and was positively correlated with BMI of the Uygur boys and girls (P < 0.01); monitoring was negatively correlated with BMI of the Han and Uygur boys and girls (P < 0.05). Among the parents of the Han and Uygur boys, the parents of the overweight/obese children had significantly higher scores of restriction to eat than those of the children with normal weight (P < 0.05); among the parents of the Uygur boys and girls, the parents of the overweight/obese children had significantly higher scores of pressure to eat than those of the children with normal weight (P < 0.01); among the parents of the Uygur and Han boys and girls, the parents of the overweight/obese children had significantly lower scores of monitoring than those of the children with normal weight (P < 0.01).Conclusions The parental feeding behavior is good in Urumqi, and the parental feeding behavior of the Uygur children is a little better than that of the Han children. Parental feeding behavior is closely correlated with BMI of children, and such correlation differs across ethnic groups and sexes. A high level of monitoring and low levels of restriction and pressure to eat may help to prevent and control the development of overweight and obesity in children.
[1] 邵泽东. 学龄前儿童营养状况对生长发育影响的探析[J]. 中国保健营养(下旬刊), 2012, 22(10):4186.
[2] World Health Organization. Obesity and overweight[EB/OL]. (16 February, 2018). http://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
[3] 于敏杰. 儿童肥胖的危害及预防[J]. 中国医疗前沿, 2009, 4(10):4-5.
[4] Tschann JM, Martinez SM, Penilla C, et al. Parental feeding practices and child weight status in Mexican American families:a longitudinal analysis[J]. Int J Behav Nutr Phys Act, 2015, 12:66.
[5] Jansen PW, Tharner A, van der Ende J, et al. Feeding practices and child weight:is the association bidirectional in preschool children?[J]. Am J Clin Nutr, 2014, 100(5):1329-1336.
[6] Blissett J, Bennett C. Cultural differences in parental feeding practices and children's eating behaviours and their relationships with child BMI:a comparison of Black Afro-Caribbean, White British and White German samples[J]. Eur J Clin Nutr, 2013, 67(2):180-184.
[7] Gu C, Warkentin S, Mais LA, et al. Ethnic differences in parental feeding behaviors in UK parents of preschoolers[J]. Appetite, 2017, 113:398-404.
[8] 杨玉凤. 儿童发育行为心理评定量表[M]. 北京:人民卫生出版社, 2016:542-545.
[9] World Health Organization. Child growth standards[EB/OL].[January 20, 2018]. http://www.who.int/childgrowth/training/en/.
[10] Birch LL, Fisher JO, Grimm-Thomas K, et al. Confirmatory factor analysis of the Child Feeding Questionnaire:a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness[J]. Appetite, 2001, 36(3):201-210.
[11] 全国儿童期单纯肥胖症研究协作组, 中国疾病预防控制中心妇幼保健中心. 全国0~6岁儿童单纯性肥胖流行病学研究[J]. 中华儿科杂志, 2008, 46(3):179-184.
[12] 王宏萍. 学龄前儿童营养状况对儿童生长发育的影响研究[J]. 中国妇幼保健, 2017, 32(24):6206-6207.
[13] 刘早玲, 张乐, 阿达力·别克. 2015年乌鲁木齐市7岁以下维吾尔族和汉族儿童体格发育及脂肪重聚年龄[J]. 卫生研究, 2018, 47(1):41-45.
[14] Ventura AK, Birch LL. Does parenting affect children's eating and weight status?[J]. Int J Behav Nutr Phys Act, 2008, 5(1):1-12.
[15] Costa FS, Pino DL, Friedman R. Caregivers' attitudes and practices:influence on childhood body weight[J]. J Biosoc Sci, 2011, 43(3):369-378.
[16] Carnell S, Benson L, Driggin E, et al. Parent feeding behavior and child appetite:associations depend on feeding style[J]. Int J Eat Disord, 2014, 47(7):705-709.
[17] Vandeweghe L, Vervoort L, Verbeken S, et al. Food approach and food avoidance in young children:relation with reward sensitivity and punishment sensitivity[J]. Front Psychol, 2016, 7:928.
[18] 郭思玉, 陆红艳, 张建端. 学龄前儿童饮食行为与体质量指数相关性研究[J]. 中国预防医学杂志, 2018, 19(2):81-85.
[19] Faith MS, Kerns J. Infant and child feeding practices and childhood overweight:the role of restriction[J]. Matern Child Nutr, 2005, 1(3):164-168.
[20] 刘红花, 陈津津. 父母喂养行为对1~3岁幼儿饮食行为的影响[J]. 中国当代儿科杂志, 2014, 16(6):643-647.
[21] Eneli IU, Crum PA, Tylka TL. The trust model:a different feeding paradigm for managing childhood obesity[J]. Obesity (Silver Spring), 2008, 16(10):2197-2204.
[22] Patrick H, Nicklas TA, Hughes SO, et al. The benefits of authoritative feeding style:caregiver feeding styles and children's food consumption patterns[J]. Appetite, 2005, 44(2):243-249.
[23] Farrow CV. Do parental feeding practices moderate the relationships between impulsivity and eating in children?[J]. Eat Behav, 2012, 13(2):150-153.
[24] Carnell S, Kim Y, Pryor K. Fat brains, greedy genes, and parent power:a biobehavioural risk model of child and adult obesity[J]. Int Rev Psychiatry, 2012, 24(3):189-199.
[25] Melbye EL, Øgaard T, Øverby NC. Associations between parental feeding practices and child vegetable consumption. Mediation by child cognitions?[J]. Appetite, 2013, 69:23-30.
[26] Jansen PW, Roza SJ, Jaddoe VW, et al. Children's eating behavior, feeding practices of parents and weight problems in early childhood:results from the population-based Generation R Study[J]. Int J Behav Nutr Phys Act, 2012, 9:130.
