Reasons Low-Income Parents Offer Snacks to Children: How Feeding Rationale Influences Snack Frequency and Adherence to Dietary Recommendations
Reasons Low-Income Parents Offer Snacks to Children: How Feeding Rationale Influences Snack Frequency and Adherence to Dietary Recommendations
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DOI：
10.3390/nu7075265
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发表时间：
2015-07-01
期刊：
影响因子：
5.9
通讯作者：
Davison, Kirsten K.
中科院分区：
文献类型：
--
作者：
Blaine, Rachel E.;Fisher, Jennifer Orlet;Davison, Kirsten K.
虽然美国孩子吃零食比以往任何时候都多，但父母在促进吃零食方面的作用还没有得到很好的理解。在2012-2013年的基线干预研究中，以预防马萨诸塞州低收入社区的儿童肥胖症，n = 271名2-12岁儿童的父母完成了关于他们为儿童提供零食的营养和非营养原因，人口统计学和饮食因素的调查。方差分析表明，父母报告提供零食，（平均值/周;标准差（SD）），用于营养原因，如促进生长（x = 2.5; SD 2.2）或满足饥饿（x = 2.4; SD 2.1）几乎是非营养原因（如保持孩子安静）的两倍（x = 0.7; SD 1.5）或庆祝活动/节日（x = 0.8; SD 1.1）。父母报告说，与年龄较大的孩子（6-12岁）的父母相比，父母给年幼的孩子（2-5岁）更多的零食来奖励行为（1.9 vs. 1.1，p <0.001），保持安静（1.0 vs. 0.5，p <0.001）和庆祝成就（1.7 vs. 1.0，p < 0.001）。多变量逻辑回归模型被用来获得调整后的比值比，这表明当父母提供零食奖励行为时，儿童对饮食建议的依从性降低（比值比（OR）= 0.83; 95%置信区间（CI）0.70-0.99），庆祝活动/假期（OR = 0.72; 95%CI 0.52-0.99）或成就（OR = 0.82; 95%CI 0.68-0.98）。父母对孩子吃零食的意图可能是肥胖预防工作的重要目标。
Although American children snack more than ever before, the parental role in promoting snacking is not well understood. In 2012-2013 at baseline in an intervention study to prevent childhood obesity in low-income Massachusetts communities, n = 271 parents of children aged 2-12 years completed surveys regarding nutritive and non-nutritive reasons they offered children snacks, demographics, and dietary factors. An analysis of variance demonstrated that parents reported offering snacks (mean/week; standard deviation (SD)) for nutritive reasons like promoting growth (x = 2.5; SD 2.2) or satisfying hunger (x = 2.4; SD 2.1) almost twice as often as non-nutritive reasons like keeping a child quiet (x = 0.7; SD 1.5) or celebrating events/holidays (x = 0.8; SD 1.1). Parents reported giving young children (2-5 years) more snacks to reward behavior (1.9 vs. 1.1, p < 0.001), keep quiet (1.0 vs. 0.5, p < 0.001), and celebrate achievements (1.7 vs. 1.0, p < 0.001) than parents of older children (6-12 years). Multivariable logistic regression models were used to obtain adjusted odds ratios, which indicated reduced child adherence to dietary recommendations when parents offered snacks to reward behavior (Odds Ratio (OR) = 0.83; 95% Confidence Interval (CI) 0.70-0.99), celebrate events/holidays (OR = 0.72; 95% CI 0.52-0.99), or achievements (OR = 0.82; 95% CI 0.68-0.98). Parental intentions around child snacking are likely important targets for obesity prevention efforts.