Associations of parental control of feeding with eating in the absence of hunger and food sneaking, hiding, and hoarding.
Associations of parental control of feeding with eating in the absence of hunger and food sneaking, hiding, and hoarding.
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父母对喂养的控制与在没有饥饿的情况下进食以及偷偷、隐藏和囤积食物之间的联系。
DOI：
10.1089/chi.2012.0149
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Taveras,ElsieM
中科院分区：
文献类型：
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作者：
Sonneville,KendrinR;Rifas-Shiman,SherylL;Haines,Jess;Gortmaker,Steven;Mitchell,KathleenF;Gillman,MatthewW;Taveras,ElsieM
研究背景：5岁以下的超重儿童表现出饮食行为障碍。方法：采用High Five for Kids（一项针对超重儿童的随机对照试验）中419名参与者的随访数据，估计（1）在没有饥饿的情况下进食和（2）食物偷偷、隐藏和囤积的患病率，并使用协变量调整的logistic回归模型检查父母控制喂养和这些行为的横截面关联。结果：随访时，儿童的平均[标准差（SD）]年龄为7.1年龄为1.2岁; 49%为女性; 16%为健康体重，35%为超重，49%为肥胖。根据父母的报告，16.5%的儿童在没有饥饿的情况下进食，27.2%的儿童偷偷、隐藏或囤积食物; 57.5%的父母赞同父母控制喂养。在调整后的模型中，暴露于父母控制喂养的儿童更有可能在没有饥饿的情况下进食[比值比（OR）3.37，95%置信区间（CI）1.66，6.86]，但不偷，藏，或囤积食物（OR 1.43，95% CI 0.87，2.36）。未来的研究应该致力于确定使超重儿童饮食行为正常化和防止体重过度增加的策略。
Background:Overweight children as young as 5 years old exhibit disturbances in eating behaviors.Methods:Using follow-up data from 419 participants in High Five for Kids, a randomized controlled trial of overweight children, the prevalence of (1) eating in the absence of hunger and (2) food sneaking, hiding, and hoarding was estimated and cross-sectional associations of parental control of feeding and these behaviors were examined using covariate-adjusted logistic regression models.Results:At follow-up, mean [standard deviation (SD)] age of the children was 7.1 (1.2) years; 49% were female; 16% were healthy weight, 35% were overweight, and 49% were obese. On the basis of parental report, 16.5% of children were eating in the absence of hunger and 27.2% were sneaking, hiding, or hoarding food; 57.5% of parents endorsed parental control of feeding. In adjusted models, children exposed to parental control of feeding were more likely to eat in the absence of hunger [odds ratio (OR) 3.37, 95% confidence interval (CI) 1.66, 6.86], but not to sneak, hide, or hoard food (OR 1.43, 95% CI 0.87, 2.36).Conclusions:Disturbances in eating behaviors are common among overweight children. Future research should be dedicated to identifying strategies that normalize eating behaviors and prevent excess weight gain among overweight children.