父母喂养方式与儿童肥胖的定性循证研究

Qualitative evidence-based evaluation on parental feeding patterns and childhood obesity

目的分析喂养方式与儿童期肥胖的关系。方法检索1998年至2018年在重庆维普、万方、中国期刊全文数据库、百度学术、PubMed、Cochrane公开发表的相关研究文献,语言限定为中文和英文。结果共检索文献1 739篇,纳入21篇文献作为本次研究的主要证据,其中6篇系统性综述和15篇观察性研究,采用问卷调查评估父母喂养方式。前瞻性研究均未发现父母喂养方式与儿童肥胖存在直接相关性。父母的压力性喂养及支配性喂养对儿童体重影响结果不一。非顺应性喂养方式可能通过影响儿童不良饮食行为,间接影响儿童体重,长期影响情况不确定。家庭环境、父母的认知和信念等都会影响研究结论。目前中国人群研究较少,缺乏足够证据支持父母喂养方式与中国儿童肥胖存在直接相关性。结论顺应性喂养有助于改善儿童饮食偏好及饮食行为,但需要更多针对中国儿童相关社会背景的研究。

Objective To analyze the relationship between feeding patterns and childhood obesity.Methods The relevant research published with Chinese and English from 1998 to 2018 in Chongqing Weipu, Wanfang, CNKI,Baidu scholar, PubMed and Cochrane were retrieved.Results A total of 1739 researches were searched, and 21 researches were finally screen for evidence-based evaluation, including 6 systematic reviews and 15 observational studies used questionnaires to evaluate parental feeding patterns.Prospective studies did not find a direct correlation between parental feeding patterns and childhood obesity.Parents′ stressful feeding and dominant feeding had different effects on children′s weight.Non-responsible feeding may indirectly affect children′s weight by affecting children′s unhealthy eating behaviors, and the long-term effect was uncertain.Family environment, parents′ cognition and beliefs, etc.can affect the conclusions of the study.At present, there were few studies of the Chinese population, and there was insufficient evidence to support the direct association between parental feeding patterns and Chinese childhood obesity.Conclusion Responsible feeding was beneficial to improve children′s eating behavior and preference.Additional research is needed to explore the relevant social background of Chinese children.