Maternal prompts to eat, child compliance, and mother and child weight status

Maternal prompts to eat, child compliance, and mother and child weight status
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DOI:
10.1016/j.jpeds.2006.04.009
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发表时间:
2006-09-01
影响因子:
5.1
通讯作者:
Burke, Lori M.
Burke, Lori M.
中科院分区:
医学2区
文献类型:
--
作者:
Lumeng, Julie C.;Burke, Lori M.

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目的探讨母亲进食提示、儿童依从性与母婴体重之间的关系。71名3到6岁的孩子和他们的母亲一起品尝了四种食物(两种熟悉的,两种新奇的)。对母亲的进食提示和孩子对这些提示的依从性进行编码。多元逻辑回归评估了人口统计学、人体测量学和食物特征,预测了提示和依从性;以及人口统计学、行为和食物特征预测肥胖和非肥胖母亲的孩子的体重指数Z分数(BMIz)。结果肥胖母亲与非肥胖母亲相比,没有更多的提示,但肥胖母亲的孩子更服从(70.2% +/- 19.4 vs 59.6% +/- 21.2, P = 0.04)。较低的母亲教育水平、新颖的食物和较低的儿童年龄预测提示。母亲肥胖,熟悉的食物和较大的儿童年龄预测依从性。在母亲肥胖的儿童中,母亲受教育程度低、提示吃新食物多、提示吃熟悉食物少、孩子咬熟悉食物少可预测儿童bmi (R-2 = 64%)。在非肥胖母亲的孩子中,没有任何协变量预测孩子的bmi。结论肥胖母亲的孩子可能对环境因素更敏感。
Objective To determine if there is a relationship between maternal prompting to eat, child compliance, and mother and child weight.Study design Seventy-one 3- to 6-year-old children and their mothers were videotaped tasting four foods (two familiar, two novel). Maternal prompts to eat and the child's compliance with the prompts were coded. Multiple logistic regression evaluated demographic, anthropometric, and food characteristics that predicted prompting and compliance; and demographic, behavioral, and food characteristics that predicted child body mass index Z score (BMIz) in the children of obese and non-obese mothers.Results Obese mothers did not prompt more than non-obese mothers, but children of obese mothers were more compliant (70.2% +/- 19.4 v 59.6% +/- 21.2, P =.04). Low maternal education, a novel food, and younger child age predicted prompting. Maternal obesity, a familiar food, and older child age predicted compliance. In children of obese mothers, low maternal education, more prompts to eat novel foods, fewer prompts to eat familiar foods, and fewer child bites of familiar foods predicted child BMIz (R-2 = 64%). In children of non-obese mothers, none of the covariates predicted child BMIz.Conclusions Children of obese mothers maybe more responsive to environmental cues to eat.