照护人喂养行为和儿童饮食行为对儿童体重的影响

Effect of caregivers′ feeding behavior and preschooler′s eating behavior on children′s weight

目的探讨学龄前儿童照护人喂养行为、儿童饮食行为对儿童体重的综合影响,为儿童肥胖的预防及早期干预措施的制定提供参考依据。方法 2016年4-7月,使用《学龄前儿童照护人喂养行为量表》(CPCFBS)和《学龄前儿童饮食行为量表》(CPEBQ)对912名学龄前儿童照护人进行调查,采用多元线性回归和Logisitic回归分析方法,分析在控制了家庭人口学特征后,照护人喂养行为和儿童饮食行为对儿童BMI及超重/肥胖的影响。结果多元逐步回归分析表明,在控制了家庭人口学特征后,喂养行为中的体重担忧和饮食行为中的食物响应与BMI呈正相关关系(P<0.05);照护人喂养行为中的责任喂养及儿童饮食行为中的外因性进食与BMI呈负相关关系(P<0.05)。Logistic回归分析结果表明,在控制了家庭人口学特征后,喂养行为中的体重担忧、饮食行为中的食物响应、情绪性进食是超重/肥胖的危险因素(P<0.05);饮食行为中的饮食行为限制、过饱响应是超重/肥胖是超重/肥胖的保护因素(P<0.05)。结论学龄前儿童体重受饮食行为和喂养行为综合影响,可通过培养健康的照护人喂养行为和儿童饮食行为进行学龄前期儿童肥胖的预防。

Objective To explore the comprehensive effects of caregivers′ feeding behavior and children′s eating behavior on children′s body weight,in order to provide reference for the prevention of childhood obesity and the formulation of early intervention measures. Methods A cross-sectional survey on caregivers′ feeding behaviors and preschool children′s eating behaviors was carried out among 912 preschoolers′ caregivers from April to July 2016.The Chinese Preschooler′s Caregiver Feeding Behavior Scale(CPCFBS) and Chinese Preschooler′s Eating Behavior Questionnaire(CPEBQ) were used to assess caregivers′ feeding behaviors and children′s eating behaviors respectively.Multiple linear regression and Logistic regression analysis were performed to analyze the effects of caregiver feeding behavior and children′s eating behavior on children′s BMI and overweight/obesity after controlling demographic characteristics of the family. Results After controlling the demographic characteristics of the family,multiple stepwise regression analysis showed that weight concerns in the feeding behaviors and food response in the eating behavior were positively correlated with BMI(P<0.05).While responsibility feeding in the feeding behavior of the caregivers and external eating in the children′s eating behavior were negatively correlated with BMI(P<0.05).Logistic regression analysis showed that after controlling the demographic characteristics of the family,weight concerns,food responsiveness in the eating behavior and emotional eating were risk factors for overweight/obesity,while behavior restricted feeding and satiety responsiveness,were protectire factors for overweight/obesity(P<0.05). Conclusions Preschool children′s body weight is influenced by diet behavior and feeding behavior.Preschool children′s obesity can be prevented by cultivating healthy caregiver feeding behavior and children′s eating behavior.