不同体重母亲喂养方式及学龄前儿童饮食行为比较  

Association of maternal body weight with feeding practice and preschoolers' eating behavior:a comparison study

作　　者：周雪阳 华乐 张萌[1] 王小合[1] 汪胜[1] 张皓 秦上人 黄仙红[1] ZHOU Xue-yang;HUA Le;ZHANG Meng(Department of Social Medicine and Health Service Management, Medical Col leg_e_, Hangzhou Normal Un!v_ersity, Hangzhou, Zhejiang Province 310036, China)

机构地区：[1]杭州师范大学医学院社会医学与卫生事业管理系,浙江杭州310036

出　　处：《中国公共卫生》2018年第7期987-989,共3页Chinese Journal of Public Health

基　　金：浙江省自然科学青年基金(LQ14H260001)

摘　　要：目的比较正常体重与超重/肥胖2种类型母亲的喂养方式和学龄前饮食行为各维度的差异,为制定有效促进学龄前儿童健康饮食行为形成的健康教育策略提供参考依据。方法于2016年10月采用综合性喂养行为问卷和学龄前儿童饮食行为问卷对浙江省杭州市1 157名母亲进行调查,评估母亲喂养方式及学龄前儿童的饮食行为,并对不同体重母亲的喂养方式及其子女的饮食行为进行比较。结果超重/肥胖母亲控制进食得分(2.69±0.53)明显高于健康体重母亲得分(2.21±0.42),而建立良好的家庭进食环境(3.81±0.72)、鼓励均衡和多样化饮食(4.01±0.45)、家长模范榜样(2.91±0.65)得分均低于健康体重母亲的得分;学龄前儿童饮食行为比较结果表明,与健康体重母亲比较,超重/肥胖母亲自报其孩子爱喝饮料(3.44±0.58)、食物喜好(3.91±0.64)得分更高,饱腹响应得分(1.97±0.63)偏低。结论超重或肥胖母亲更倾向采取不健康的喂养方式,且其孩子更可能养成喜欢喝饮料、食物喜好等不良的饮食习惯。Objective To compare differences in feeding practice and the preschool children＇s eating behavior between the mothers with normal body weight and overweight/obesity and to provide evidences for conducting efficient health education on healthy eating behavior among preschool children.Methods With stratified random sampling, we conducted a cross-sectional survey among 1 157 mothers of children aged 3-6 years in Hangzhou city of Zhejiang province in October 2016. Comprehensive Feeding Practices Questionnaire and Eating Behavior Questionnaire for Small Children were adopted to assess the mothers＇ feeding pattern and their children＇s eating behaviors and to analyze the differences in the two variables by different maternal body weight.Results Compared to the mothers with healthy weight, the mothers with overweight/obesity were graded with an obviously higher score for control on eating of their children （2.69±0.53 vs. 2.21±0.42）, but lower scores for establishing good dietary environment at home （3.81±0.72）, promoting balanced and diversified diet （4.01±0.45）, and making a good model of healthy eating for their children （2.91±0.65）. Based on the reporting of their mothers, the preschool children with overweight or obesity were assessed with higher scores of preference for beverages （3.44±0.58） and preference for some food （3.91±0.64） but with a lower score for response to satiety （1.97±0.63） compared to the children with healthly weight.Conclusion The mothers with overweight/obesity tend to adopt less healthy feeding behavior than the mothers with healthy weight and the preschool children with maternal overweight/obesity are more likely to have unhealthy eating behavior such as preferences for beverages or some food.

关 键 词：喂养行为 饮食行为 超重/肥胖母亲 学龄前儿童 

分 类 号：R174.4[医药卫生—妇幼卫生保健]