Family functioning mediates the relationship between child behavior problems and parent feeding practices in youth with overweight or obesity.
Family functioning mediates the relationship between child behavior problems and parent feeding practices in youth with overweight or obesity.
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家庭功能调节超重或肥胖青少年的儿童行为问题与父母喂养方式之间的关系。
DOI：
10.1093/tbm/ibz050
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发表时间：
2019
影响因子：
3.6
通讯作者：
Janicke,DavidM
中科院分区：
文献类型：
--
作者：
Warnick,JenniferL;Stromberg,SarahE;Krietsch,KendraM;Janicke,DavidM
父母的喂养方式对儿童的健康行为起着重要作用。鉴于儿童肥胖症的患病率很高，检查可能影响父母喂养方式的因素非常重要。这项研究探讨了家庭功能对儿童行为问题与父母喂养习惯之间关系的作用。我们假设，问题较多的儿童行为与父母对健康父母喂养方式的参与度较低相关，而更大的家庭功能障碍则调节了这种关系。参与者（n = 220）是超重或肥胖学龄儿童的农村家长。参与者在基线时完成了麦克马斯特家庭评估装置、儿童行为检查表 (CBCL) 和儿童喂养问卷。使用中介模型，以青少年行为问题（CBCL）作为自变量，父母喂养方式作为因变量，家庭功能作为中介。两个重要的中介模型揭示了（a）家庭功能介导了儿童行为问题与父母对儿童饮食承担责任的看法之间的关系，以及（b）家庭功能介导了儿童行为问题与父母对孩子饮食的监督之间的关系。更多的儿童行为问题与不健康的家庭功能有关，这与父母对儿童不健康食物摄入的监控较少以及对孩子的喂养和膳食计划的责任减少有关。这些发现表明，儿童行为问题与家庭功能较差的协同效应可能是超重或肥胖儿童的父母不健康喂养行为的危险因素。如果这些关系得到纵向研究的支持，那么对肥胖儿童的行为干预应将不良的家庭功能和儿童行为视为父母监督和儿童喂养责任的潜在障碍。
Parental feeding practices play a significant role in children’s health behaviors. Given the high prevalence of childhood obesity, it is important to examine factors that may influence parental feeding practices. This study examined the role of family functioning on the relationship between child behavior problems and parent feeding practices. We hypothesized that higher problematic child behavior would correlate with lower parental engagement in healthy parent feeding practices, with greater family dysfunction mediating that relationship. Participants (n= 220) were rural-dwelling parents of school-aged children with overweight or obesity. Participants completed the McMaster Family Assessment Device, Child Behavior Checklist (CBCL), and Child Feeding Questionnaire at baseline. Mediation models were used with youth behavioral problems (CBCL) as the independent variable, parental feeding practices as the dependent variable, and family functioning as the mediator. Two significant mediation models revealed (a) family functioning mediated the relationship between child behavior problems and parental perception of responsibility taking for child eating, and (b) family functioning mediated the relationship between child behavior problems and parental monitoring of their child’s eating. More child behavior problems were associated with unhealthier family functioning, which was associated with less parental monitoring of children’s unhealthy food intake and reduced responsibility taking for feeding and meal planning of their children. These findings suggest the synergistic effect of child behavior problems with poorer family functioning may be a risk factor for unhealthy parent feeding practices in children with overweight or obesity. If these relationships are supported by longitudinal research, behavior interventions for children with obesity should consider poor family functioning and child behavior as potential barriers to parental monitoring and responsibility of children’s feeding practices.
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影响因子：
7.6
作者：
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通讯作者：
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