Maternal Feeding Practices Become More Controlling After and Not Before Excessive Rates of Weight Gain
Maternal Feeding Practices Become More Controlling After and Not Before Excessive Rates of Weight Gain
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DOI：
10.1038/oby.2009.54
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发表时间：
2009-09-01
期刊：
影响因子：
6.9
通讯作者：
Lumeng, Julie C.
中科院分区：
文献类型：
--
作者：
Rhee, Kyung E.;Coleman, Sharon M.;Lumeng, Julie C.
目前尚不清楚控制母亲喂养方式（CMFP）是否会导致儿童体重指数增加，或者是对儿童体重指数增加的反应。我们的目标是确定这种关系的方向。数据来自国家儿童健康和人类发展研究所的早期儿童保育和青少年发展研究。儿童 BMI z 分数 (zBMI) 根据测量的体重和身高计算得出。 CMFP 的定义是“你让你的孩子吃他/她想吃的东西吗？”。计算4-7岁和7-9岁儿童zBMI的变化，并分为“增加”与“无变化或减少”。 CMFP 的变化是在同一时间段内计算的，并分为“更多控制”与“无变化或更少控制”。使用按性别分层并控制种族、母亲教育、母亲体重状况和基线儿童体重状况的多元逻辑回归进行分析。共有 789 名儿童被纳入其中。从 4 岁到 9 岁，平均 zBMI 增加（P = 0.02），母亲的控制能力更强（P < 0.001）。男孩 4 至 7 岁时 CMFP 的增加与 7 至 9 岁时 zBMI 增加的几率降低相关（优势比 = 0.52，95% 置信区间 = 0.27-1.00）。女孩之间没有关系。女孩 4 至 7 岁时 zBMI 的增加与 7 至 9 岁时 CMFP 的增加相关（优势比 = 1.72，95% 置信区间 = 1.08-2.74），但男孩则不然。对于男孩或女孩来说，早期 CMFP 的增加与后来 zBMI 的增加无关。然而，女孩中 zBMI 的早期增加与 CMFP 的后期增加相关。澄清母亲喂养方式与儿童体重之间的关系将为未来的建议提供信息。
It is unclear whether controlling maternal feeding practices (CMFPs) lead to or are a response to increases in a child's BMI. Our goal was to determine the direction of this relationship. Data were obtained from National Institute of Child Health and Human Development's Study of Early Child Care and Youth Development. Child BMI z-score (zBMI) was calculated from measured weight and height. CMFP was defined by, "Do you let your child eat what he/she feels like eating?". Change in child zBMI was calculated between 4-7 years and 7-9 years, and dichotomized into "increasing" vs. "no change or decreasing". Change in CMFP was calculated over the same time periods, and dichotomized into "more controlling" vs. "no change or less controlling." Multiple logistic regression, stratified by gender and controlling for race, maternal education, maternal weight status, and baseline child weight status, was used for analysis. A total of 789 children were included. From 4 to 9 years, mean zBMI increased (P = 0.02) and mothers became more controlling (P < 0.001). Increasing CMFP between 4 and 7 years was associated with decreased odds of increasing zBMI between 7 and 9 years in boys (odds ratio = 0.52, 95% confidence interval = 0.27-1.00). There was no relationship in girls. Increasing zBMI between 4 and 7 years was associated with increasing CMFPs between 7 and 9 years in girls (odds ratio = 1.72, 95% confidence interval = 1.08-2.74), but not boys. Early increases in CMFP were not associated with later increases in zBMI for boys or girls. However, early increases in zBMI among girls were associated with later increases in CMFP. Clarifying the relationship between maternal feeding practices and child weight will inform future recommendations.