Sibling eating behaviours and parental feeding practices with siblings: similar or different?
Sibling eating behaviours and parental feeding practices with siblings: similar or different?
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DOI：
10.1017/s1368980016000860
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发表时间：
2016-09
影响因子：
3.2
通讯作者：
Neumark-Sztainer D
中科院分区：
文献类型：
--
作者：
Berge JM;Tate AD;Trofholz A;Conger K;Neumark-Sztainer D
关于兄弟姐妹是否有相似或不同的饮食行为，或者父母是否为不同的兄弟姐妹量身定制喂养方法，人们知之甚少。本研究的主要目的是检查儿童饮食行为和父母喂养方式与兄弟姐妹之间的异同，并检查儿童饮食行为或父母喂养方式的差异是否取决于兄弟姐妹的和谐（即兄弟姐妹都超重或健康体重）或不和谐（即一个兄弟姐妹超重和一个兄弟姐妹健康体重）的体重状况。横断面、混合方法研究。研究人员进行了家访。对父母进行调查，并收集父母和兄弟姐妹的人体测量数据。来自不同种族/民族和低收入家庭的6-12岁儿童（n=88）（平均=9;sd=2）、他们的父母（平均年龄=34;sd=7）和年龄相近的兄弟姐妹（平均年龄=9;sd=4）参与了本研究。结果表明，与体重指数较低的兄弟姐妹相比，体重指数较高的兄弟姐妹更容易情绪化进食。此外，研究结果表明，当家庭中兄弟姐妹的体重状况不一致时，超重的兄弟姐妹有更高的食物享受和更低的食物饱腹感。此外，在体重状况不一致的兄弟姐妹中，父母更有可能对超重的兄弟姐妹使用限制性喂养方法，对体重健康的兄弟姐妹使用压力进食和鼓励进食的喂养方法。以家庭为基础的儿童肥胖干预可能需要在研究家庭环境时评估兄弟姐妹的体重状况，并与父母进行干预，以避免在兄弟姐妹体重状况不一致时使用限制或强迫进食的喂养方法。
Little is known about whether siblings have similar or different eating behaviors or whether parents tailor their feeding practices to different siblings. The main objectives of this study were to examine similarities and differences in child eating behaviors and parental feeding practices with siblings and to examine whether child eating behaviors or parental feeding practices differ depending on sibling concordant (i.e., both siblings overweight or healthy weight) or discordant (i.e., one sibling overweight and one sibling healthy weight) weight status. Cross-sectional, mixed-methods study. In-home visits were conducted by research staff. Surveys were conducted with parents and anthropometry was collected on parents and siblings. Children (n=88) ages 6–12 years (mean=9; sd=2), their parents (mean age=34; sd=7), and near-age siblings (mean age=9; sd=4) from diverse racial/ethnic and low-income households participated in the current study. Results indicated that siblings with higher body mass index engaged in higher levels of emotional eating compared to siblings with lower BMI. Additionally, results indicated that when families had sibling dyads who were discordant on weight status, the sibling who was overweight had higher food enjoyment and lower levels of food satiety. Additionally, within discordant weight status siblings, parents were more likely to use restrictive feeding practices with siblings who were overweight and pressure-to-eat and encouragement-to-eat feeding practices with siblings who were healthy weight. Family-based childhood obesity interventions may need to assess for sibling weight status when researching the home environment and intervene with parents to avoid using restriction or pressure-to-eat feeding practices when siblings are discordant on weight status.