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

CHEN Yujia, QU Fangge, WEI Xiaoxue, SONG Xinyi, CHEN Jinjin, TANG Xianqing, ZHU Daqiao

Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (6) : 619-624.

PDF(740 KB)
PDF(740 KB)
Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (6) : 619-624. DOI: 10.11852/zgetbjzz2024-0017
Original Articles

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
Author information +
History +

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

Cite this article

Download Citations
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 https://doi.org/10.11852/zgetbjzz2024-0017

References

[1] 国家卫生健康委疾病预防控制局.中国居民营养与慢性病状况报告(2020年)[M]. 北京:人民卫生出版社,2022:1-50.
[2] 国家卫生健康委办公厅. 关于印发儿童青少年肥胖防控实施方案的通知[EB/OL].(2020-10-16)[2024-01-02]. https://www.gov.cn/zhengce/zhengceku/2020-10/24/content_5553848.htm.
[3] 王健,朱大乔,李芳芳.父母喂养行为与其学龄前子女进食行为的作用关系[J].中国儿童保健杂志, 2020,28(6):645-648.
Wang J, Zhu DQ, Li FF. Review on the correlations between parental feeding practices and their preschool children's eating behaviors[J]. Chin J Child Health Care, 2020,28(6):645-648.(in Chinese)
[4] Melis Yavuz H, Selcuk B. Predictors of obesity and overweight in preschoolers: The role of parenting styles and feeding practices[J]. Appetite, 2018, 120: 491-499.
[5] Gregory JE, Paxton SJ, Brozovic AM. Pressure to eat and restriction are associated with child eating behaviors and maternal concern about child weight, but not child body mass index, in 2-to 4-year-old children[J]. Appetite, 2010, 54(3):550-556.
[6] de Souza RP, Bellotto DMD, Mais LA, et al. Maternal pressure to eat: Associations with maternal and child characteristics among 2-to 8-year-olds in Brazil[J]. Appetite, 2019, 133:40-46.
[7] 谢庆斌,胡芳,苏宏英,等.学前儿童母亲喂养行为现状及影响因素分析[J].中国学校卫生, 2018,39(11): 1628-1631.
Xie QB, Hu F, Su HY, et al. Analysis of the current situation and influencing factors of feeding behavior of mothers of preschool children[J]. School Health in China, 2018,39(11): 1628-1631.(in Chinese)
[8] 袁静,张昊,徐通,等.照护人喂养行为和儿童饮食行为对儿童体重的影响[J].中国儿童保健杂志, 2020,28(6): 627-632.
Yuan J, Zhang H, Xu T, et al. Effect of caregiver feeding behavior and child eating behavior on child weight[J]. Chin J Child Health Care, 2020,28(6): 627-632.(in Chinese)
[9] Wang J, Zhu D, Cheng X, et al. Maternal perception of child weight and concern about child overweight mediates the relationship between child weight and feeding practices[J]. Public Health Nutr, 2022, 25(7):1-10.
[10] Russell A, Russell CG. Appetite self-regulation declines across childhood while general self-regulation improves: A narrative review of the origins and development of appetite self-regulation[J]. Appetite, 2021, 162:105178.
[11] Ma L, Yan N, Shi Z, et al. A 3-year longitudinal study of effects of parental feeding practices on child weight status: The childhood obesity study in China mega-Cities[J]. Nutrients, 2022, 14(14):2797.
[12] Jansen E, Williams KE, Mallan KM, et al. Bidirectional associations between mothers' feeding practices and child eating behaviors[J]. Int J Behav Nutr Phys Act, 2018, 15(1):3.
[13] Bowen M. The use of family theory in clinical practice[J]. Compr Psychiatry, 1966, 7(5):345-374.
[14] Grammer AC, Balantekin KN, Barch DM, et al. Parent-Child influences on child eating self-regulation and weight in early childhood: A systematic review[J]. Appetite, 2022, 168:105733.
[15] 中国居民肥胖防治专家共识[J].西安交通大学学报(医学版),2022,43(4): 619-631.
Expert consensus on obesity prevention and treatment among Chinese residents[J]. Journal of Xian Jiao Tong University(Medical edition), 2022,43(4): 619-631.(in Chinese)
[16] WHO Child Growth Standards based on length/height, weight and age[J]. Acta Paediatrica, 2007, 95(450):76-85.
[17] 袁静,张昊,徐通,等.学龄前儿童父母喂养行为量表的编制与评价[J].中国儿童保健杂志, 2018,26(5): 483-487.
Yuan J, Zhang H, Xu T, et al. Preparation and evaluation of the Parent Feeding Behavior Scale of Preschool Children[J]. Chin J Child Health Care, 2018,26(5): 483-487.(in Chinese)
[18] 张昊,杨显君,江逊,等.基于多维项目反应理论的学龄前儿童饮食行为量表的再评价[J].中国儿童保健杂志,2019,27(3): 236-240.
Zhang H, Yang XJ, Jiang X, et al. Reevaluation of the preschool child eating behavior scale based on the multidimensional item response theory[J].Chin J Child Health Care, 2019,27(3): 236-240.(in Chinese)
[19] 汤丹丹,温忠麟.共同方法偏差检验:问题与建议[J].心理科学,2020,43(1): 215-223.
Tang DD, Wen ZL. Statistical approaches for testing common method bias: Problems and suggestions[J]. Journal of Psychological Science, 2020,43(1): 215-223.(in Chinese)
[20] 上海市卫生健康委员会.2022年上海市卫生健康统计数据[EB/OL].(2023-07-10)[2024-01-02]https://wsjkw.sh.gov.cn/tjsj2/20230710/af03f208cc304151a07aa9c679e5aae6.html.
[21] Kranjac AW, Wagmiller RL. Association between age and obesity over time[J]. Pediatrics, 2016, 137(5):e20152096.
[22] 蔡正杰,鲜金利,李婷婷,等.祖辈带养对学龄前儿童饮食行为、身体活动和超重肥胖的影响[J].现代预防医学,2020,47(18): 3326-3329.
Cai ZJ, Xian JL, Li TT, et al. Effect of ancestral care on dietary behavior, physical activity, and overweight and obesity in preschool children[J]. Modern Preventive Medicine, 2020,47(18): 3326-3329.(in Chinese)
[23] 黄佳,刘文兵,邬清.学龄前期儿童756例家长喂养现状分析[J].广东医学,2023,44(5): 640-644.
Huang J, Liu WB, Wu Q. Analysis of parental feeding status of 756 preschool children[J]. Guangdong Medical Science, 2023,44(5): 640-644.(in Chinese)
[24] Gao L, Ma L, Xue H, et al. A 3-year longitudinal study of effects of parental perception of children's ideal body image on child weight change: The Childhood Obesity Study in China mega-cities[J]. Prev Med, 2020, 132:105971.
[25] Zhou N, Cheah CS, Van Hook J, et al. A cultural understanding of Chinese immigrant mothers' feeding practices. A qualitative study[J]. Appetite, 2015, 87:160-167.
[26] 章志红,朱小康,廖承红,等.学龄前儿童家长喂养行为及其影响因素分析[J].中国妇幼保健, 2015,30(17): 2784-2787.
Zhang ZH, Zhu XK, Liao CH, et al. Analysis of feeding behavior and its influencing factors among parents of preschool children[J]. Maternal and Child Health in China, 2015,30(17): 2784-2787.(in Chinese)
[27] Cross MB, Hallett AM, Ledoux TA, et al. Effects of children's self-regulation of eating on parental feeding practices and child weight[J]. Appetite, 2014, 81:76-83.
[28] Carnell S, Benson L,Driggin E, et al. Parent feeding behavior and child appetite: Associations depend on feeding style[J]. Int J Eat Disord, 2014, 47(7):705-709.
[29] 冯海霞,万燕萍,周一泉,等.儿童单纯性肥胖相关危险因素的性别差异[J].中华实用儿科临床杂志,2014,29(19): 1471-1475.
Feng HX, Wan YP, Zhou YQ, et al. Gender differences in risk factors associated with simple obesity in children[J]. Chin J Prac Clin Pediatr, 2014,29(19): 1471-1475.(in Chinese)
[30] Zhou Y, Yu P, Zhang Y, et al. Distinct patterns of urban-rural and sex disparities in children's BMI trajectories from 2013 to 2018[J]. Front Public Health, 2021, 9:689021.
PDF(740 KB)

Accesses

Citation

Detail

Sections
Recommended

/