Objective To analyze the correlation of family feeding style and negative emotion of parents with childhood malnutrition, in order to guide family scientific feeding and to prevent the occurrence of malnutrition in children. Methods A total of 75 malnourished children in Maternal Child Health Hospital of Guangxi Autonomous Region from April to October 2020 were enrolled in this study. And 77 healthy children during the same period were selected into the control group. The parents of children in two groups were investigated by questionnaire. The difference in children's eating behavior was compared, and the correlation of family feeding pattern and negative emotions of parents with childhood malnutrition was analyzed. Results In terms of eating behavior, the scores of oversatiation response (t=2.104), food response (t=4.206), food preference (t=9.099) and craving for drinks (t=4.435) of malnourished children were lower than those of children in the control group (P<0.05). There were statistically significant differences between the malnutrition group and control group in the parents'perception of children's weight (t=3.167), forced eating (t=3.354) and supervised eating (t=3.726) in terms of family feeding pattern (P<0.05). In the emotion of parents, the incidence of anxiety in the malnutrition group was higher than that in the control group (χ2=8.660, P=0.003). Parents'perception of their children's weight (rs=0.246), worry (rs=0.213), forced eating (rs=0.254), supervised eating (rs=0.284), anxiety of parents (rs =0.218), depression (rs =0.334) were positively correlated with the occurrence of malnutrition (P<0.05). After adjusting for confounding factors, parents'perception of children's weight, forced eating, supervised eating and depression were independently influencing factors for the occurrence of malnutrition (P<0.05). ROC curve analysis showed that the AUC values of parents'perception of children's weight, forced eating, supervised eating and depression in predicting the occurrence of child malnutrition were 0.639, 0.645, 0.669 and 0.692, respectively(P<0.05). Conclusions Family feeding patterns and anxiety of parents are associated with malnutrition of children. It is supposed to adjust family feeding patterns, relieve negative emotions of parents, and assist children to correct their bad diet behavior, thereby reducing the risk of malnutrition.
Key words
malnutrition /
family feeding style /
anxiety /
depression /
dietary behavior
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Houngbe F, Tonguet-Papucci A, Altare C, et al. Unconditional cash transfers do not prevent children's undernutrition in the moderate acute malnutrition out (MAM'Out) cluster-randomized controlled trial in rural Burkina Faso[J]. J Nutr, 2017, 147(7):1410-1417.
[2] 农雪艳,邵紫贤,朱锦渊,等.佛山市顺德区营养不良儿童饮食行为现状及其影响因素研究[J].中国实用医药,2018,13(25):188-190.
[3] 谢丽惠, 陈藜, 张延峰. 婴幼儿饮食行为及家长喂养方式量表的研究现状[J]. 中国妇幼保健, 2016, 31(19):4089-4093.
[4] 熊祯, 张传杰, 王仕琼,等. 儿童饮食行为问题与家庭饮食环境的相关性研究[J]. 中国儿童保健杂志, 2017, 25(12):1259-1262.
[5] 刘湘云, 陈荣华. 儿童保健学[M]. 南京:江苏科技出版社, 2011:18-19.
[6] 杨玉凤.儿童发育行为心理评定量表[D].北京:人民卫生出版社,2016.
[7] Dunstan DA, Scott N. Norms for Zung's Self-rating Anxiety Scale[J]. BMC Psychiatry, 2020, 20(1):90.
[8] Sepehry AA. Self-Rating Depression Scale (SDS)[M]// Encyclopedia of quality of life and well-being research. Springer New York, 2014.
[9] 王洪晶,周艳.国内外儿童饮食行为问题的研究进展[J].国际护理学杂志,2014,33(11):2974-2977.
[10] 于梦雪, 高文玉, 热依拉·阿不拉,等. 乌鲁木齐市2~7岁孤独症儿童饮食行为问题[J]. 中国学校卫生, 2019, 40(1):61-63,67.
[11] 吴晓晨, 洪华英, 李珍,等. 学龄前儿童营养状况与监护人自评儿童体型和儿童饮食行为关系[J]. 中国公共卫生, 2018, 34(8):1087-1091.
[12] 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.
[13] Ek A, Sorjonen K, Eli K, et al. Associations between parental concerns about preschoolers' weight and eating and parental feeding practices:Results from analyses of the child eating behavior questionnaire, the child feeding questionnaire, and the lifestyle behavior checklist[J]. PLoS One, 2016, 11(1):e0147257.
[14] 刘慧娟. 家长营养知识、态度和喂养行为对儿童膳食的影响[J]. 中国保健营养, 2017, 27(11):8-9.