母亲喂养方式、婴幼儿饮食行为及气质对儿童超重肥胖的影响

doi:10.11852/zgetbjzz2024-0085

中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (8): 850-855.DOI: 10.11852/zgetbjzz2024-0085

母亲喂养方式、婴幼儿饮食行为及气质对儿童超重肥胖的影响

周琼^1,2, 刘海波¹, 胡必梅¹, 郭玉清³

1.连云港中医药高等职业技术学校护理系,江苏连云港 222007;
2.徐州医科大学护理学院,江苏徐州 221004;
3.连云港市第一人民医院神经内科

收稿日期:2024-01-23 修回日期:2024-04-19 发布日期:2024-07-31 出版日期:2024-08-10
通讯作者: 郭玉清,E-mail:yuqingguo0528@163.com
作者简介:周琼(1995-),女,硕士,助教,主要研究方向为妇女与儿童健康。
基金资助:
中国职业技术教育学会第五届理事会2022年度科研规划课题(ZJ2022B99);江苏省职业教育教学改革研究课题(ZYB39)

Influence of maternal feeding practice, eating behaviors and temperament of infants and toddlers on childhood overweight and obesity

ZHOU Qiong^1,2, LIU Haibo¹, HU Bimei¹, GUO Yuqing³

1. Department of Nursing, Lianyungang Higher Vocational Technical College of Traditional Chinese Medicine, Lianyungang, Jiangsu 222007, China;
2. School of Nursing, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China;
3. Department of Neurology, The First People's Hospital of Lianyungang

Received:2024-01-23 Revised:2024-04-19 Online:2024-08-10 Published:2024-07-31
Contact: GUO Yuqing, E-mail: yuqingguo0528@163.com

摘要/Abstract

摘要： 目的探讨母亲喂养方式、婴幼儿饮食行为及气质对儿童超重肥胖的影响,为早期预防和控制儿童超重肥胖提供参考。方法采用目的抽样法选取徐州市2所医院及2个社区卫生中心的956名6~24月龄婴幼儿及其母亲为研究对象,母亲完成喂养方式、婴幼儿饮食行为和气质问卷。根据体重和身长计算年龄别体质量指数Z值(BMIZ),BMIZ>+2为儿童超重肥胖。采用二分类Logistic回归分析母亲喂养方式、婴幼儿饮食行为及气质对儿童超重肥胖的影响。结果儿童超重肥胖发生率为15.06%(144/956)。二分类Logistic回归分析结果表明,限制和纵容性喂养(OR=2.257、1.760)、食物反应的饮食行为(OR=2.936)、消极情绪(OR=1.907)和外向性气质(OR=1.859)是儿童超重肥胖的危险因素;敏感性喂养(OR=0.289)、饱腹反应(OR=0.476)、进食减慢的饮食行为(OR=0.654),努力控制气质(OR=0.548)是儿童超重肥胖的保护因素(P<0.05)。结论母亲喂养方式、婴幼儿饮食行为及气质影响儿童超重肥胖的发生风险。儿童保健工作者应指导母亲调整喂养方式,改善婴幼儿饮食行为和气质,促进儿童体重的健康发展。

关键词: 喂养方式, 婴幼儿, 饮食行为, 气质, 超重肥胖

Abstract: Objective To examine the influence of maternal feeding practice, eating behaviors and temperament of infants and toddlers on childhood overweight and obesity, in order to provide insights for early prevention and control of childhood overweight and obesity. Methods A purposive sampling method was used to recruit 956 mothers and their children aged 6 to 24 months from two hospitals and two healthcare centers in Xuzhou. Mothers completed the Infant Feeding Style Questionnaire, the Child Eating Behavior Questionnaire for Toddlers, the Infant Behavior Questionnaire-Revised and the Early Childhood Behavior Questionnaire. Body mass index-for age Z-score (BMIZ) was calculated based on recumbent length and weight to determine overweight and obesity (BMIZ >+2). Binary Logistic regression was used to analyze the influence of maternal feeding practice, eating behaviors and temperament of infants and toddlers on childhood overweight and obesity. Results The prevalence of overweight and obesity was 15.06%(144/956). Binary Logistic regression showed that restrictive feeding (OR=2.257), indulgent feeding (OR=1.760), food responsiveness (OR=2.936), negative emotions (OR=1.907) and extraversion temperament (OR=1.859) were risk factors for childhood overweight and obesity; while responsive feeding (OR=0.289), satiety responsiveness (OR=0.476), slowness in eating(OR=0.654), and effortful control(OR=0.548) were protective factors for childhood overweight and obesity (P<0.05). Conclusions Childhood overweight and obesity are influenced by maternal feeding practice, eating behaviors and temperament of infants and toddlers. Child healthcare providers should guide mothers to adjust feeding practices, improve eating behaviors and temperament of infants and toddlers, which may promote the healthy weight development of children.

Key words: feeding practice, infants and toddlers, eating behaviors, temperament, overweight and obesity

中图分类号:

R179

周琼, 刘海波, 胡必梅, 郭玉清. 母亲喂养方式、婴幼儿饮食行为及气质对儿童超重肥胖的影响[J]. 中国儿童保健杂志, 2024, 32(8): 850-855.

ZHOU Qiong, LIU Haibo, HU Bimei, GUO Yuqing. Influence of maternal feeding practice, eating behaviors and temperament of infants and toddlers on childhood overweight and obesity[J]. Chinese Journal of Child Health Care, 2024, 32(8): 850-855.

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母亲喂养方式、婴幼儿饮食行为及气质对儿童超重肥胖的影响

Influence of maternal feeding practice, eating behaviors and temperament of infants and toddlers on childhood overweight and obesity

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