Maternal perceptions of her child's body weight in infancy and early childhood and their relation to body weight status at age 7
Maternal perceptions of her child's body weight in infancy and early childhood and their relation to body weight status at age 7
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DOI：
10.1007/s00431-006-0191-3
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发表时间：
2006-12-01
影响因子：
3.6
通讯作者：
Guenther, Anke L. B.
中科院分区：
文献类型：
--
作者：
Kroke, Anja;Strathmann, Stephanie;Guenther, Anke L. B.
前言母亲对孩子体重状况的感知被认为会影响孩子的体重发育。本研究的目的是确定母亲对孩子不同年龄体重的感知与其未来体重状态之间的关系。材料与方法使用多特蒙德营养与人体测量学纵向设计的体重、身高和皮褶的纵向数据来确定7岁时超重的风险。253名儿童获得了关于人体测量、母亲体重感知和混淆变量的完整数据。结果和讨论母亲在6个月、12个月、2岁和4岁与体重状况以及评估时至7岁之间的体重指数标准差分数(BMI-SDS)和皮褶SDS的变化有关。关于7岁时超重的风险，未发现母亲知觉的独立影响。当考虑人体测量的变化时，可以观察到，与体重被认为恰到好处的儿童相比，体重被认为太低的儿童在7岁之前增加了更多的体重，而那些被认为太重的儿童减掉了更多的体重。在6个月大的婴儿中，超过第85个百分位数的母亲的误解似乎促进了不利的体重发育。后一种结果支持母亲的体重感知可能影响孩子体重发育的假设。结论正如我们的数据显示的那样，这种影响可能在婴儿时期就开始起作用了。
Introduction Maternal perception of her child's weight status has been hypothesised to affect a child's weight development.Objective The aim of this analysis was to determine in how far the maternal weight perception of her child's weight at different ages is related to its future body weight status.Materials and methods Longitudinal data on body weight, height and skinfolds from the Dortmund Nutritional and Anthropometric Longitudinally Designed Study were used to determine the risk of being overweight at age 7. Complete data on anthropometry, maternal weight perception and confounding variables were available for 253 children.Results and discussion Maternal weight perception assessments at age 6 months, 12 months, 2 years and 4 years of age were related to body weight status as well as changes in body mass index standard deviation score (BMI-SDS) and skinfold SDS between age at assessment and age 7. With respect to the risk of being overweight at age 7, no independent effect of maternal perception was found. When changes in anthropometric measures were considered, it could be observed that children whose weight was considered too low gained more weight until age 7, and those who were considered to be too heavy lost more weight as compared to the children whose weight was considered to be just right. Among infants aged 6 months who were above the 85th percentile, maternal misperception appeared to promote an unfavourable weight development. These latter results support the hypothesis that maternal weight perception might affect a child's weight development.Conclusion As our data suggest, this effect might begin to operate already in infancy.