Associations of parental food-choice control and use with adiposity in childhood and adolescence

Associations of parental food-choice control and use with adiposity in childhood and adolescence
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DOI:
10.1016/j.appet.2017.02.018
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发表时间:
2017-06-01
期刊:
影响因子:
5.4
通讯作者:
Smithers, Lisa G.
Smithers, Lisa G.
中科院分区:
医学2区
文献类型:
--
作者:
Chong, Shiau Y.;Chittleborough, Catherine R.;Smithers, Lisa G.

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背景:父母喂养技术与肥胖的关系是混合的,很大程度上依赖于横断面研究。我们研究了父母食物选择控制与7岁和15岁时使用食物来缓解肥胖之间的关系。方法:参与者来自Avon父母与儿童纵向研究(n = 7312)。食物选择控制是通过“你允许他/她有多少选择来决定他在用餐时吃什么食物?”这个项目来评估的。母亲们在“你多久用一次甜食或其他食物来让他/她停止哭泣或吵闹?”这个问题上报告了用食物来安抚孩子的情况。7岁和15岁时的BMI被转换成性别和年龄调整后的z分数。15年时使用双能x线吸收仪评估脂肪量。结果:在完全调整模型中,与选择最多的儿童相比,选择最少的儿童7岁时BMI z-score低0.08,15岁时BMI z-score低0.12,脂肪量低1.46 kg。没有证据表明用食物来舒缓和肥胖之间存在联系。结论:与一些研究相反,父母对食物选择的高度控制与较低的肥胖有关,但在7岁和15岁时,使用食物来安抚与肥胖无关。(C) 2017 Elsevier Ltd.版权所有。
Background: Associations of parental feeding techniques with adiposity are mixed and largely rely on cross-sectional studies. We examined associations between parental food-choice control and using food to soothe at 3.5 years on adiposity at 7 and 15 years.Methods: Participants were from the Avon Longitudinal Study of Parents and Children (n = 7312). Food choice control was assessed using the item 'how much choice do you allow him/her in deciding what foods he eats at meals?'. Use of food to soothe was reported by mothers on the item 'how often do you use sweets or other foods to stop his/her crying or fussing?'. BMI at 7 and 15 years was converted to sex and age-adjusted z-scores. Fat mass was assessed at 15 years using dual energy X-ray absorptiometry.Results: In fully-adjusted models, children given the least choice had 0.08 lower BMI z-score at age 7 years and 0.12 lower BMI z-score,1.46 kg lower fat mass at 15 years than children with the most choices.There was no evidence of an association between using food to soothe and adiposity. Conclusions: Contrary to some studies, higher parental control over food choice was associated with lower adiposity, but use of food to soothe was not associated with adiposity at ages 7 and 15. (C) 2017 Elsevier Ltd. All rights reserved.