Drivers of overweight mothers' food choice behaviors depend on child gender

Drivers of overweight mothers' food choice behaviors depend on child gender
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DOI:
10.1016/j.appet.2014.09.024
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发表时间:
2015-01-01
期刊:
影响因子:
5.4
通讯作者:
Persky, Susan
Persky, Susan
中科院分区:
医学2区
文献类型:
--
作者:
Bouhlal, Sofia;McBride, Colleen M.;Persky, Susan

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背景:国家数据显示,男孩中肥胖的患病率更高。一个可能的原因是父母代表他们的孩子做出的食物选择。目的:本研究旨在确定母亲对孩子的食物选择是否以及如何因儿童性别而不同,并了解这些差异的驱动因素。设计:数据分析来自一个基于虚拟现实的自助餐厅进行的随机对照试验。超重的母亲填写了问卷,并收到了一个信息模块。然后,他们沉浸在一个虚拟的自助餐厅中,为他们4到5岁的孩子选择午餐。结果:在221名被招募的超重母亲中,55%的人认为她们会为女儿选择食物。男孩膳食的热量含量比女孩高43卡路里(p = 0.015)。这一差异是由于来自不健康食品类别的额外卡路里(p = 0.04)。多变量分析发现,与儿子相比,女儿饮食中卡路里选择的预测因素更多。女孩所选择的卡路里的预测因子包括:亲生父母都超重(β = 0.26; p = 0.003),母亲的体重(β = 0.17; p = 0.05),母亲的教育程度(β =-0.28; p = 0.001),她对孩子食物摄入的限制(β = -0.20; p = 0.02),以及她对基因在导致肥胖中的重要性的看法(β = 0.19; p = 0.03)。母亲的体重是男孩膳食热量的唯一预测因子(β = 0.20; p = 0.04)。结论:年轻女孩和男孩饮食选择的差异可能会导致终生饮食模式的性别差异。更好地了解女孩和男孩在喂养选择上的差异,可以改进儿童肥胖预防干预措施的设计。Elsevier Ltd.出版。
Background: National data suggest a higher prevalence of obesity among boys. One possible cause could be the food choices made by parents on behalf of their children. Objectives: This study sought to determine whether and how mothers' food choices for their children differ by child gender and to understand the drivers of these differences. Design: Data were analyzed from a randomized controlled trial conducted using a virtual reality-based buffet restaurant. Overweight mothers filled out questionnaires and received an information module. They were then immersed in a virtual buffet restaurant to select a lunch for their 4- to 5-year-old child. Results: Of the 221 overweight mothers recruited, 55% identified their daughters as the child for whom they would be choosing the food. The caloric content of boys' meals was 43 calories higher than girls' (p =.015). This difference was due to extra calories from the less healthy food category (p =.04). Multivariate analyses identified more predictors of calorie choices for daughters' than sons' meals. Predictors of calories chosen for girls included: baying both biological parents overweight (beta = 0.26; p =.003), mother's weight (beta = 0.17; p =.05), mother's education (beta =-0.28; p =.001), her restriction of her child's food intake (beta = -0.20; p =.02), and her beliefs about the importance of genetics in causing obesity (beta = 0.19; p =.03). Mother's weight was the sole predictor of boys' meal calories (beta = 0.20; p =.04). Conclusions: Differences in dietary choices made for young girls and boys may contribute to lifelong gender differences in eating patterns. A better understanding of differences in feeding choices made for girls versus boys could improve the design of childhood obesity prevention interventions. Published by Elsevier Ltd.