Improving healthy eating in families with a toddler at risk for overweight: a cluster randomized controlled trial.
Improving healthy eating in families with a toddler at risk for overweight: a cluster randomized controlled trial.
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DOI：
10.1097/dbp.0b013e3182618e1f
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发表时间：
2012-09
期刊：
影响因子：
--
通讯作者：
Danaher C
中科院分区：
文献类型：
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作者：
Agras WS;Hammer LD;Huffman LC;Mascola A;Bryson SW;Danaher C
为了确定是否Satter的喂养儿童（DOR）的责任分工的基础上的家长教育计划是有效的，以提高家长/儿童喂养的互动与超重/肥胖的父母。主要假设是，干预措施将减少父母的饮食压力。62个有2-4岁儿童的家庭，至少有一个超重/肥胖的父母，随机分配使用集群设计的DOR干预或对照组。对照组的重点是增加健康食品的家庭消费和活动水平，并增加儿童的睡眠时间。主要结果是父母对孩子的饮食压力。DOR干预在降低进食压力方面优于对照组上级。两个调解人的压力吃：解除抑制的饮食和饥饿。DOR组的父母，无论去抑制水平降低压力吃，而对照组的父母与低去抑制增加压力吃。在饥饿方面也有类似的发现。性别调节的限制性喂养与DOR父母降低限制比对照组的女孩。与对照组相比，DOR干预在减少父母进食压力和食物限制（仅限女孩）方面更有效。
To ascertain whether a parent education program based on Satter’s division of responsibility in feeding children (DOR) is effective in enhancing parent/child feeding interactions for children with an overweight/obese parent. The primary hypothesis was that the intervention would decrease parental pressure to eat. Sixty-two families with a child aged 2–4 years with at least one overweight/obese parent were randomly allocated using a cluster design to either the DOR intervention or a control group. The control group focused on increasing family consumption of healthy foods and activity levels, and enhancing child sleep duration. The primary outcome was parent pressure on their child to eat. The DOR intervention was superior to the control group in reducing pressure to eat. Two moderators of pressure to eat were found: disinhibition of eating and hunger. DOR group parents irrespective of disinhibition levels lowered pressure to eat whereas control group parents with low disinhibition increased pressure to eat. There were similar findings for hunger. Gender moderated restrictive feeding with DOR parents lowering restriction more than the control group in girls only. The DOR intervention was more effective in reducing parent pressure to eat and food restriction (in girls only) than the control group.