父母逼迫进食、学龄前儿童食欲特征和儿童体重间的作用路径

doi:10.11852/zgetbjzz2024-0017

中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (6): 619-624.DOI: 10.11852/zgetbjzz2024-0017

父母逼迫进食、学龄前儿童食欲特征和儿童体重间的作用路径

陈羽佳¹, 屈方格¹, 魏晓雪¹, 宋欣怡¹, 陈津津², 唐娴清³, 朱大乔¹

1.上海交通大学护理学院,上海 200025;
2.上海交通大学附属儿童医院儿童保健科;
3.上海市浦东新区金杨社区卫生服务中心儿童保健科

收稿日期:2024-01-05 修回日期:2024-02-05 发布日期:2024-06-03 出版日期:2024-06-10
通讯作者: 朱大乔,E-mail: zhudaqiao@aliyun.com
作者简介:陈羽佳(1998-),女,山东人,硕士在读,主要研究方向为社区慢病护理与管理。
基金资助:
国家社科基金年度项目(19BSH070)

Path analysis of the relationships among parental pressure to eat, preschoolers' appetitive traits and weight status

CHEN Yujia¹, QU Fangge¹, WEI Xiaoxue¹, SONG Xinyi¹, CHEN Jinjin², TANG Xianqing³, ZHU Daqiao¹

1. School of Nursing, Shanghai Jiao Tong University, Shanghai 200025, China;
2. Department of Child Healthcare, Children's Hospital of Shanghai Jiao Tong University;
3. Department of Child Healthcare, Jinyang Community Health Service Center

Received:2024-01-05 Revised:2024-02-05 Online:2024-06-10 Published:2024-06-03
Contact: ZHU Daqiao, E-mail: zhudaqiao@aliyun.com

摘要/Abstract

摘要： 目的分析父母逼迫进食、学龄前儿童食欲特征和儿童体重之间的作用关系。方法 2022年11月—2023年1月对上海市8所幼儿园1 086名学龄前儿童及其父母进行调查。采用学龄前儿童照护人喂养行为量表、学龄前儿童进食行为量表分别调查父母逼迫进食和学龄前儿童食欲特征(食物响应、过饱响应)。采用结构方程模型中的路径分析对变量间的作用关系进行检验。结果路径分析结果表明,父母逼迫进食正向预测儿童过饱响应(B=0.329, 95%CI: 0.278～0.380, P<0.001),过饱响应负向预测儿童年龄别体重指数Z评分(BAZ)(B=-0.176, 95%CI:-0.258～-0.094, P<0.001),儿童BAZ负向预测父母逼迫进食(B=-0.064, 95%CI:-0.115～-0.013, P=0.015);但父母逼迫进食与儿童食物响应缺乏统计学意义的关联(P>0.05)。结论父母逼迫进食、学龄前儿童食欲特征和儿童体重三者间存在“三角”复杂关系。社区儿童保健工作应指导学龄前儿童父母采用合理喂养行为,以减少对儿童食欲特征的干扰,维持儿童健康体重。

关键词: 学龄前儿童, 体重, 逼迫进食, 食欲特征

Abstract: Objective To analyze the relationships among parental pressure to eat, preschoolers' appetitive traits, and child weight status. Methods From December 2022 to January 2023, a total of 1 086 preschoolers and their parents from 8 kindergartens in Shanghai were included in the investigation. The Chinese Preschooler's Caregivers' Feeding Behavior Scale and the Chinese Preschoolers' Eating Behavior Questionnaire were utilized to assess parental pressure to eat and child appetitive traits, specifically food responsiveness and satiety responsiveness. The relationship between these variables was examined using path analysis within a structural equation model. Results The results of path analysis revealed that pressure to eat positively predicted child satiety responsiveness(B=0.329, 95%CI: 0.278 - 0.380, P<0.001), satiety responsiveness negatively predicted child BMI-for-age Z score(BAZ)(B=-0.176, 95%CI:-0.258 - -0.094, P<0.001), child BAZ negatively predicted parental pressure to eat(B=-0.064, 95%CI:-0.115 - -0.013, P=0.015). However, parental pressure to eat was not statistically associated with child food responsiveness(P>0.05). Conclusions There may be a complex "triangle" relationship among parental pressure to eat, preschoolers' appetitive traits and child weight. Community child health professionals should guide parents of preschoolers to adopt reasonable feeding practices to minimize the interference with child appetitive traits and maintain a healthy weight.

Key words: preschoolers, weight, pressure to eat, appetitive traits

中图分类号:

R179

陈羽佳, 屈方格, 魏晓雪, 宋欣怡, 陈津津, 唐娴清, 朱大乔. 父母逼迫进食、学龄前儿童食欲特征和儿童体重间的作用路径[J]. 中国儿童保健杂志, 2024, 32(6): 619-624.

CHEN Yujia, QU Fangge, WEI Xiaoxue, SONG Xinyi, CHEN Jinjin, TANG Xianqing, ZHU Daqiao. Path analysis of the relationships among parental pressure to eat, preschoolers' appetitive traits and weight status[J]. Chinese Journal of Child Health Care, 2024, 32(6): 619-624.

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父母逼迫进食、学龄前儿童食欲特征和儿童体重间的作用路径

Path analysis of the relationships among parental pressure to eat, preschoolers' appetitive traits and weight status

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