Hunger in the household: Food insecurity and associations with maternal eating and toddler feeding.

Hunger in the household: Food insecurity and associations with maternal eating and toddler feeding.
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DOI:
10.1111/ijpo.12637
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发表时间:
2020-10
期刊:
影响因子:
3.8
通讯作者:
Black, Maureen M.
Black, Maureen M.
中科院分区:
医学3区
文献类型:
--
作者:
Armstrong, Bridget;Hepworth, Allison D.;Black, Maureen M.

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需要进行研究,以确定粮食不安全如何影响母亲的饮食行为和儿童的喂养做法,这些因素可能会构成肥胖的代际风险。这项纵向研究调查了母亲节制饮食是否中介了家庭食物不安全和喂养做法之间的联系。参与者包括277名符合WIC标准的母亲(69%低于贫困线,70%是非裔美国人)及其蹒跚学步的孩子(MAGE=20.11个月,SD=5.50),他们参加了一项儿童肥胖预防试验。在基线、6个月和12个月收集了关于家庭粮食不安全、限制进食和儿童喂养做法(限制性和响应性)的产妇报告,并使用多级调解进行了分析。40%的母亲报告说,在过去的12个月里,家庭食物有不同程度的不安全。内部分析表明,家庭粮食不安全的相对增加与限制喂养做法的增加和儿童喂养习惯的减少间接相关,这是通过增加母亲自己的限制进食来实现的。家庭粮食不安全的相对变化(而不是总体严重程度)似乎通过母亲自己的饮食对幼儿喂养做法产生间接影响。稳定的家庭粮食安全,而不是短暂的粮食不安全,可能会改善母亲和儿童的健康和福祉。
Research is needed to identify how food insecurity affects maternal eating behavior and child feeding practices, factors that may pose intergenerational risks for obesity. This longitudinal study investigated whether maternal restrained eating mediated the association between household food insecurity and feeding practices. Participants included 277 WIC-eligible mothers (69% below the poverty line, 70% African American) and their toddlers (Mage = 20.11 months, SD = 5.50) participating in a childhood obesity prevention trial. Maternal reports of household food insecurity, restrained eating, and child feeding practices (restrictive and responsive) were collected at baseline, 6 and 12 months and analyzed using multilevel mediation. Forty percent of mothers reported some degree of household food insecurity over 12 months. Within-person analyses showed that relative increases in household food insecurity were indirectly related to increases in restrictive and decreases in responsive child feeding practices, mediated through increases in mothers’ own restrained eating. Relative change in household food insecurity (rather than overall severity) appears to have indirect effects on toddler feeding practices, through mothers’ own eating. Stable household food security without transient food insecurity may improve health and wellbeing for both mothers and children.
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