Parental stress, food parenting practices and child snack intake during the COVID-19 pandemic.

Parental stress, food parenting practices and child snack intake during the COVID-19 pandemic.
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DOI:
10.1016/j.appet.2021.105119
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发表时间:
2021-06-01
期刊:
影响因子:
5.4
通讯作者:
Carnell S
Carnell S
中科院分区:
医学2区
文献类型:
--
作者:
Jansen E;Thapaliya G;Aghababian A;Sadler J;Smith K;Carnell S

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2019冠状病毒病(COVID-19)大流行对家庭生活造成前所未有的干扰。本研究旨在调查流行病相关压力对食物养育行为的影响,包括零食周围的互动和儿童饮食。2-12岁儿童的父母(N = 318)完成了一项横断面在线调查,评估了当前COVID-19特有的压力、COVID-19前的压力、经济压力(例如食物不安全)、食物养育实践和儿童零食摄入频率。结构方程模型被用来模拟关系的同时路径,并测试直接和间接的影响。与危机前相比,包括财务困难在内的压力更大。大多数儿童有规律的进餐时间和不规律的零食时间。更高的COVID-19特异性压力与更多的非营养性食物和零食使用(例如情绪和工具喂养)有关,但也与更多的结构和积极互动(例如在用餐时间与孩子一起吃饭或与孩子互动)有关。更高的COVID-19特异性压力也与儿童更频繁地摄入甜味和咸味零食有关,有证据表明零食育儿实践起到了中介作用。我们的研究结果表明,与COVID-19大流行相关的压力可能与儿童零食摄入有关,对儿童肥胖风险有潜在影响,并提出了家庭背景下几个可修改的干预点。
The coronavirus disease 2019 (COVID-19) pandemic has caused unprecedented disruptions to the lives of families. This study aimed to investigate the impact of pandemic-associated stress on food parenting practices including interactions surrounding snacks, and child diet. Parents (N = 318) of 2–12-year old children completed a cross-sectional online survey assessing current COVID-19-specific stress, pre-COVID-19 stress, financial stress (e.g. food insecurity), food parenting practices, and child snack intake frequency. Structural Equation Modeling was used to model simultaneous paths of relationships and test direct and indirect effects. Stress, including financial hardship, was higher compared with before the crisis. The majority of children had regular mealtimes and irregular snack times. Higher COVID-19-specific stress was associated with more non-nutritive use of food and snacks (e.g. emotional and instrumental feeding), but also more structure and positive interactions (e.g. eating with or engaging with child around mealtimes). Higher COVID-19-specific stress was also associated with greater child intake frequency of sweet and savory snacks, with some evidence for mediation by snack parenting practices. Our findings indicate that stress associated with the COVID-19 pandemic may be linked to child snack intake with potential impacts on child obesity risk, and suggest several modifiable points of intervention within the family context.
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