Maternal-child feeding patterns and child body weight - Findings from a population-based sample
Maternal-child feeding patterns and child body weight - Findings from a population-based sample
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DOI：
10.1001/archpedi.157.9.926
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发表时间：
2003-09-01
影响因子：
--
通讯作者：
Allison, DB
中科院分区：
文献类型：
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作者：
Faith, MS;Heshka, S;Allison, DB
背景资料：某些母婴喂养模式（MCFP）可能会促进儿童肥胖和/或饮食失调。目的：评估MCFP的人口统计学相关性，并测试MCFP的差异是否与儿童体重指数相关（BMI;计算方法为体重（千克）除以身高（米）的平方）z评分。设计：对1000多名3至6岁的西班牙裔、非裔美国人和非西班牙裔/非裔美国人儿童进行了国家青年主要和儿童队列纵向调查的二次分析。MCFPs的测量通过3个面试问题探测母亲分配的儿童食物选择，儿童在吃饭时的依从性，和儿童在进餐时的服从性。结果：母亲的非西班牙裔/非非洲裔美国儿童分配更大的食物选择比母亲的非洲裔美国人或西班牙裔儿童。产妇BMI和其他人口统计指标与MCFP无关。最低水平的母亲分配的儿童食物选择和儿童饮食依从性与儿童BMI降低相关，平均BMI z评分分别为-0.36和-0.41。然而，效应量很小，MCFP并没有区分超重或有超重风险的儿童与非超重儿童（P> 0.05）。结论：提供最少儿童食物选择的喂养策略与儿童BMI降低相关。然而，MCFP与儿童超重状况无关。
Background: Certain mother-child feeding patterns (MCFPs) may promote childhood obesity and/or disordered eating.Objectives: To assess the demographic correlates of MCFPs and to test whether differences in MCFPs are associated with child body mass index (BMI; calculated as weight in kilograms divided by the square of height in meters) z scores in a population-based study.Design: A secondary analysis of the National Longitudinal Survey of Youth main and child cohorts was conducted on more than 1000 Hispanic, African American, and non-Hispanic/non-African American children, aged 3 to 6 years. The MCFPs were measured by means of 3 interview questions probing mother-allotted child food choice, child compliance during meals, and child obedience during meals.Results: Mothers of non-Hispanic/non-African American children allotted greater food choice than mothers of African American or Hispanic children. Maternal BMI and other demographic measures were unrelated to MCFPs. The lowest levels of mother-allotted child food choice and child eating compliance were associated with reduced child BMI, with mean BMI z scores of -0.36 and -0.41, respectively. Effect sizes were small, however, and MCFPs did not discriminate children who were overweight or at risk for being overweight from children who were not (P>.05).Conclusions: Feeding strategies providing the least child food choice were associated with reduced child BMI. However, MCFPs did not relate to child overweight status.