Predicting preschool children's eating in the absence of hunger from maternal pressure to eat: A longitudinal study of low-income, Latina mothers.

Predicting preschool children's eating in the absence of hunger from maternal pressure to eat: A longitudinal study of low-income, Latina mothers.
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DOI:
10.1016/j.appet.2017.09.007
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发表时间:
2018-01-01
期刊:
影响因子:
5.4
通讯作者:
Hughes SO
Hughes SO
中科院分区:
医学2区
文献类型:
--
作者:
Galindo L;Power TG;Beck AD;Fisher JO;O'Connor TM;Hughes SO

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早期的研究表明,经常催促孩子吃饭的母亲,孩子患肥胖症的风险更大。这与控制喂养行为凌驾于儿童对其内部饱腹感线索的反应之上的假设是一致的,从而增加了暴饮暴食和肥胖的风险(例如)。然而,随后关于饮食压力的横断面研究却不一致。大多数研究表明,母亲自我报告的进食压力与儿童肥胖呈负相关,观察性研究表明与儿童体重状况的关系不一致。在本研究中,我们使用自我报告和喂养实践的观察措施,研究了低收入拉丁裔母亲的进食压力与其学龄前儿童在没有饥饿的情况下进食之间的关联。一项纵向设计考察了 18 个月内没有饥饿的情况下的饮食情况;对儿童初始时间点的体重指数进行统计控制,以解决体重不足儿童的母亲强迫孩子进食的倾向。在每个时间点,母亲们都完成了儿童喂养问卷,并在实验室环境中观察了他们给孩子喂饭的情况。在两个时间点也评估了在没有饥饿的情况下的饮食。交叉滞后面板模型显示,观察到的母亲在第一个时间点吃不同食物的提示预测了第二个时间点在没有饥饿的情况下消耗的千卡(控制第一个时间点在没有饥饿的情况下消耗的千卡:beta = .20,p < .05)。结果表明,独自吃饭的压力可能并不是在没有饥饿的情况下进食的原因,但这种压力的性质可能更重要。
Early work by suggested that mothers who frequently prompt their children to eat have children at greater risk for obesity. This is consistent with the hypothesis that controlling feeding practices override children's responsiveness to their internal fullness cues, increasing the risk of overeating and obesity (e.g.,). Subsequent cross-sectional research on pressure to eat, however, has been inconsistent. Most studies have shown that maternal self-reports of pressure to eat are negatively associated with childhood obesity, and observational studies showed inconsistent relationships with child weight status. In the present study we examined the association between low-income, Latina mothers' pressure to eat and their preschool children's eating in the absence of hunger using both self-report and observational measures of feeding practices. A longitudinal design examined eating in the absence of hunger over 18 months; children's BMI at the initial timepoint was statistically controlled to address the tendency of mothers of underweight children to pressure their children to eat. At each timepoint, mothers completed the Child Feeding Questionnaire and were observed feeding their child a meal in a laboratory setting. Eating in the absence of hunger was assessed at both timepoints as well. A cross-lagged panel model showed that observed maternal prompts to eat a different food at time one predicted kcal consumed in the absence of hunger at time two (controlling for kcal consumed in the absence of hunger at first timepoint: beta=.20, p < .05). Results suggest that pressure to eat alone may not be what contributes to eating in the absence of hunger, but that the nature of that pressure may be more important.
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期刊: JAMA
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