Associations between family food behaviors, maternal depression, and child weight among low-income children.
Associations between family food behaviors, maternal depression, and child weight among low-income children.
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DOI：
10.1016/j.appet.2014.04.015
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发表时间：
2014-08
期刊：
影响因子：
5.4
通讯作者：
Metallinos-Katsaras, Elizabeth
中科院分区：
文献类型：
--
作者：
McCurdy, Karen;Gorman, Kathleen S.;Kisler, Tiffani;Metallinos-Katsaras, Elizabeth
虽然低收入家庭的儿童比高收入家庭的儿童有更大的超重和肥胖风险，但大多数贫困儿童并不超重。目前的研究调查了为什么贫困家庭的不同幼儿之间存在这种差异。横断面数据收集了居住在罗德岛两个城市的164名低收入学龄前儿童及其母亲。超过一半的样本是西班牙裔（55%）。母亲们完成了家庭饮食行为和抑郁症的测量，而训练有素的助手则从七个日托中心和补充营养援助计划的外展项目中收集儿童的人体测量数据。多因素协方差分析显示，母亲抑郁得分越高，儿童进食时母亲在场（P < 0.05）、母亲对儿童饮食习惯的控制（P < 0.05）和食物资源管理技能得分越低（P < 0.01），儿童对零食的控制（P < 0.05）和消极的用餐习惯得分越高（P < 0.05）。多元回归结果显示，当孩子吃饭时，母亲越多，孩子的BMI z评分越低（β = 0.166, P < 0.05）。Logistic回归分析表明，食物资源管理技能得分越高，儿童超重的几率越低（优势比= 0.72 -）。95, p < 0.01)。母亲抑郁不影响家庭饮食行为与儿童体重的关系。总的来说，无论孩子何时吃饭，而不仅仅是吃饭时，照顾者的存在，以及父母更好的食物资源管理技能，都可能促进低收入学龄前儿童更健康的体重。需要进一步的研究来确定将照顾者的存在和食物资源管理技能与该年龄组的健康体重联系起来的机制。
Although low-income children are at greater risk for overweight and obesity than their higher income counterparts, the majority of poor children are not overweight. The current study examined why such variation exists among diverse young children in poor families. Cross-sectional data were collected on 164 low-income, preschool aged children and their mothers living in two Rhode Island cities. Over half of the sample was Hispanic (55%). Mothers completed measures of family food behaviors and depression while trained assistants collected anthropometric data from children at seven day care centers and a Supplemental Nutrition Assistance Program outreach project. Multivariate analysis of covariance revealed that higher maternal depression scores were associated with lower scores on maternal presence when child eats (P < .05), maternal control of child’s eating routines (P < .03), and food resource management skills (P < .01), and with higher scores on child control of snacking (P < .03) and negative mealtime practices (P < .05). Multiple regression results revealed that greater maternal presence whenever the child ate was significantly associated with lower child BMI z scores (β = .166, P < .05). Logistic regression analyses indicated that higher scores on food resource management skills reduced the odds of child overweight (odds ratios = .72 – .95, P < .01). Maternal depression did not modify the relationship between family food behaviors and child weight. Overall, caregiver presence whenever a child eats, not just at meals, and better parental food resource management skills may promote healthier weights in low-income preschoolers. Further research is needed to identify the mechanisms that connect caregiver presence and food resource management skills to healthier weights for this age group.
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