Associations between multiple measures of parental feeding and children's adiposity in United Kingdom preschoolers

Associations between multiple measures of parental feeding and children's adiposity in United Kingdom preschoolers
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DOI:
10.1038/oby.2007.513
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发表时间:
2007-01-01
期刊:
影响因子:
6.9
通讯作者:
Wardle, Jane
Wardle, Jane
中科院分区:
医学2区
文献类型:
--
作者:
Carnell, Susan;Wardle, Jane

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目的:父母对喂养的控制与儿童肥胖之间的关系的研究尚未得出定论。一些研究发现,父母的控制与不健康的食物选择和摄取调节紊乱有关,而另一些研究则发现,控制与肥胖之间存在有利或无效的联系。这项研究假设,父母喂养的衡量标准的可变性可能会导致这些差异。研究方法和程序:三份已发表的父母喂养问卷[儿童喂养问卷(CFQ)、学龄前儿童喂养问卷(PFQ)、儿童喂养问卷(PFQ);[和父母喂养方式问卷(PFSQ)]]和根据测量的身高和体重计算出的儿童BMI z得分在不同社会经济背景的439名父母及其3-5岁的孩子中进行了检验。结果:CFQ进食压力和PFQ强迫儿童进食得分较高与较低的BMI Z得分显著相关,而PFSQ提示进食、CFQ限制、PFSQ器性喂养和PFSQ情绪性喂养与BMI Z得分无关。在这个阶段,其他喂养策略似乎与儿童的BMI z得分关系微乎其微。需要纵向和基因知情的设计来阐明父母喂养和儿童肥胖之间的因果关系。
Objective: Research into the association between parental control over feeding and children's adiposity has produced inconclusive results. Some studies have found parental control to be associated with unhealthy food choices and disordered intake regulation, whereas others have found favorable or null associations between control and adiposity. This study hypothesized that variability in measures of parental feeding could contribute to these discrepancies. Scales from a range of existing parental feeding questionnaires were used together, in the same large sample of children, to examine associations with adiposity.Research Methods and Procedures: Associations between scores on scales from three published parental feeding questionnaires [Child Feeding Questionnaire (CFQ); Preschooler Feeding Questionnaire (PFQ); and Parental Feeding Style Questionnaire (PFSQ)] and children's BMI z-scores, calculated from measured heights and weights, were examined in a socioeconomically diverse sample of 439 parents and their 3- to 5-year-old children.Results: Higher scores on CFQ Pressure to Eat and PFQ Pushing the Child to Eat More were significantly associated with lower BMI z-score, while PFSQ Prompting to Eat, CFQ Restriction, PFSQ Instrumental Feeding, and PFSQ Emotional Feeding were unassociated with BMI z-score.Discussion: These results suggest that parents of leaner children are more likely to encourage their children to eat. Other feeding strategies seemed to have negligible relationships with children's BMI z-scores at this stage. Longitudinal and genetically informed designs are needed to clarify the causal pathways between parental feeding and children's adiposity.