Study on associations between eating behaviors and overweight/obesity among preschoolers.

Abstract

Abstract: Objective To explore the associations between eating behavior and overweight/obesity,so as to provide some references for early intervention of overweight/obesity among preschoolers. Methods Eating behaviors of 387 children aged 3~6 years old were assessed by using Preschooler's Eating Behavior Scale (PEBS).Children's height and weight were measured,and BMI was calculated,and all the subjects were classified into normal weight,overweight and obesity groups according to the percentile reference of BMI for children and adolescent.One-way ANOVA was performed to investigate the differences in mean score of eating behavior between weight groups.Hierarchical Regression Analysis was used to examine the associations between eating behaviors and BMI-Z. Results Significant differences in the mean score of unhealthy eating habit,external eating,food fussiness,emotional eating,satiety responsiveness,food responsiveness were found between different weight groups (P<0.01).No significant differences were found in the dimensions of enjoyment of food or initiative eating between different weight groups.After controlling for gender,age and mother's educational levels,BMI z-scores were positively associated with the food tendency dimensions of the PEBS (β:0.09~0.21) and negatively associated with food escape dimensions (β:-0.47~-0.36). Conclusions Preschooler's eating behavior might be associated with overweight/obesity,and the risk of becoming overweight or obesity could be decreased through modified children's eating behaviors.

Key words: preschooler, eating behavior, overweight, obesity, body mass index

摘要： 目的探讨学龄前儿童饮食行为与超重/肥胖间的关系,为学龄前儿童超重/肥胖防治措施的制订提供参考依据。方法采用学龄前儿童饮食行为试用量表对387名3~6岁儿童的饮食行为进行调查,同时,测量儿童的身高、体重,并计算体质指数(body mass index,BMI);依据BMI将儿童分为正常体重、超重和肥胖组。运用单因素方差分析比较不同体重组间饮食行为的差异;采用阶层线性回归分析检验学龄前儿童饮食行为与BMI间的相关性。结果单因素分析结果显示,不良进食习惯、外因性进食、挑食、情绪性进食、过饱响应和食物响应6个维度得分在不同体重组间差异具有统计学意义(P<0.01),食物喜好和主动进食维度得分在不同体重组间差异无统计学意义(P>0.05)。阶层回归分析显示,当排除性别、年龄、母亲文化程度影响后,量表6个维度得分与儿童BMI具有相关性(P<0.01)。反映食物趋向的各维度得分与BMI呈正相关(β:0.09~0.21),反映食物逃避各维度得分与BMI呈负相关(β:-0.47~-0.36)。结论学龄前儿童饮食行为与超重/肥胖密切相关,通过干预儿童饮食行为可降低学龄前儿童超重/肥胖的风险。

关键词: 学龄前儿童, 饮食行为, 超重, 肥胖, 体质指数

CLC Number:

R723.14

YANG Xian-jun,JIANG Xun,ZHANG Yu-hai,SUN Li-jun,WANG Chang-jun,SHANG Lei.. Study on associations between eating behaviors and overweight/obesity among preschoolers.[J]. journal1, 2013, 21(3): 259-261.

杨显君,江逊,张玉海,孙丽君,王长军,尚磊. 学龄前儿童饮食行为与超重/肥胖的相关性研究[J]. 中国儿童保健杂志, 2013, 21(3): 259-261.

References

[1] Ogden CL,Flegal KM,Carroll MD,et al.Prevalence and trends in overweight among US children and adolescents,1999-2000[J].JAMA,2002,288:1728-1732. [2] 唐晴,陈少科,罗静思,等.儿童青少年超重、肥胖现状及其影响因素研究[J].中国儿童保健杂志,2011,19(11):1014-1016.
[3] 王如文.肥胖儿童的家庭膳食调查[J].中国儿童保健杂志,2001,9(2):109-111.
[4] Carnell S,Wardle J.Measuring behavioural susceptibility to obesity:validation of the child eating behaviour questionnaire[J].Appetite,2007,48:104-113.
[5] Carnell S,Wardle J.Appetite and adiposity in children:evidence for a behavioral susceptibility theory of obesity[J].Am J Clin Nutr,2008,88:22-29.
[6] 李斐,周迎春.上海市 3城区1~6岁儿童饮食行为问题交互式干预的随机对照研究[J].中国循证儿科杂志,2010,5(5):320-333.
[7] Stunkard A,Messick S.The Three-Factor Eating Questionnaire to measure restraint,disinhibition and hunger[J].J Psychosom Res,1985,29:71-83.
[8] Wardle J,Guthrie CA,Sanderson S,et al.Development of the Children's Eating Behaviour Questionnaire[J].J Child Psychol Psyc,2001,42:963-970.
[9] Sleddens EFC,Kremers SPJ,Thijs C.The Children's Eating Behaviour Questionnaire:factorial validity and association with Body Mass Index in Dutch children aged 6~7[J].International Journal of Behavioral Nutrition and Physical Activity,2008,5:49-55.
[10] Johanc S,Valerie C.Examining behavioural susceptibility to obesity among Canadian preschool children:The role of eating behaviours[J].International Journal of Pediatric Obesity,2011,6:e501-507.
[11] 邵象清.人体测量手册[M].上海:上海辞书出版社.1985:264-300.
[12] 李辉,季成叶,宗心南,等.中国0~18岁儿童、青少年体块指数的生长曲线[J].中华儿科杂志,2009,47(5):493-498.
[13] 吴明隆.问卷统计分析实务-SPSS操作与应用[J].重庆:重庆大学出版社,2010:398-404.
[14] Silvia S,Chiara A,Fiammetta V,et al.Determinants of children's eating behavior[J].Am J Clin Nutr,2011;94(S):2006-2011.
[15] Webber L,Hill C,Saxton L,et al.Eating behaviour and weight in children[J].International Journal of Obesity,2009,33:21-28.
[16] 陈玉.2008年珠海市部分托幼儿童饮食行为及其影响因素的典型相关分析[J].预防医学论坛,2010,16(5):395-397.
[17] Ashcroft J,Semmler C,Carnell S,et al.Continuity and stability of eating behaviour traits in children[J].Eur J Clin Nutr,2007,62:985-990.
[18] Viana V,Sinde S,Saxton JC.Children's eating behaviour questionnaire:associations with BMI in portuguese children[J].Br J Nutr,2008,100:445-450.
[19] Webber L,Hill C,Saxton J,et al.Eating behaviour and weight in children[J].Int J Obes (Lond),2009,33(1):21-28.
[20] Parkinson KN,Drewett RF,Le Couteur AS,et al.Do maternal ratings of appetite in infants predict later Child Eating Behaviour Questionnaire scores and body mass index?[J].Appetite,2010,54:186-190.
[21] Dubois L,Farmer AP,Girard M,et al.Preschool children's eating behaviours are related to dietary adequacy and body weight[J].Eur J Clin Nutr,2007,61:846-855.
[22] Braet C,van Strien T.Assessment of emotional,externally induced and restrained eating behaviour in nine to twelve-year-old obese and non-obese children[J].Behav Res Ther,1997,35:863-873.