PDF(Pubmed)
Abstract：
UNASSIGNED: Childhood eating behaviors and temperament may have important implication for constructing the pathways from maternal feeding practices to childhood overweight and obesity (OW/OB). Examining multiple feeding styles simultaneously to childhood OW/OB is critical through the mediators of early childhood temperament and eating behaviors.
UNASSIGNED: This cross-sectional study recruited mothers mainly responsible for child care from two hospitals and two healthcare centers in eastern China. Sociodemographic characteristics, and data from the Infant Feeding Style Questionnaire (IFSQ), the short form of Children Behavior Questionnaire [Revised (IBQ-RSF)], and the Child Eating Behavior Questionnaire for toddler (CEBQ-T) were collected. Weight and recumbent length were measured to calculate the age- and sex-specific body mass index (BMI) z-scores (BMIz). The structural equation modeling (SEM) approach was used to examine direct and indirect pathways from five maternal feeding styles to childhood OW/OB through temperament and eating behaviors.
UNASSIGNED: A total of 486 children were recruited, 73 (15.02%) children were OW/OB; the age of the children was 14.55 (SD = 5.14) months, and the age of the mothers was 29.90 (SD = 3.63) years. The responsive feeding exerted significant direct (β = -0.098), indirect (β = -0.136) and total (β = -0.234) effects on childhood OW/OB. Restrictive feeding had significant direct (β = 0.222), indirect (β = 0.102) and total (β = 0.324) effects on childhood OW/OB. Indulgent feeding had significant direct (β = 0.220), indirect (β = 0.063), and total (β = 0.283) effects on childhood OW/OB. Pressuring feeding had significant direct (β = -0.116), indirect (β = -0.096) and total (β = -0.212) effects on childhood OW/OB.
UNASSIGNED: There was a direct effect of feeding practices on childhood OW/OB; feeding practices indirectly predicted childhood OW/OB through temperament and eating behaviors in children aged 6-23 months. This study could help governments agencies, policymakers, and healthcare workers to establish optimal intervention programs targeting feeding practices through childhood eating behaviors and temperament to prevent childhood OW/OB.
UNASSIGNED: This cross-sectional study recruited mothers mainly responsible for child care from two hospitals and two healthcare centers in eastern China. Sociodemographic characteristics, and data from the Infant Feeding Style Questionnaire (IFSQ), the short form of Children Behavior Questionnaire [Revised (IBQ-RSF)], and the Child Eating Behavior Questionnaire for toddler (CEBQ-T) were collected. Weight and recumbent length were measured to calculate the age- and sex-specific body mass index (BMI) z-scores (BMIz). The structural equation modeling (SEM) approach was used to examine direct and indirect pathways from five maternal feeding styles to childhood OW/OB through temperament and eating behaviors.
UNASSIGNED: A total of 486 children were recruited, 73 (15.02%) children were OW/OB; the age of the children was 14.55 (SD = 5.14) months, and the age of the mothers was 29.90 (SD = 3.63) years. The responsive feeding exerted significant direct (β = -0.098), indirect (β = -0.136) and total (β = -0.234) effects on childhood OW/OB. Restrictive feeding had significant direct (β = 0.222), indirect (β = 0.102) and total (β = 0.324) effects on childhood OW/OB. Indulgent feeding had significant direct (β = 0.220), indirect (β = 0.063), and total (β = 0.283) effects on childhood OW/OB. Pressuring feeding had significant direct (β = -0.116), indirect (β = -0.096) and total (β = -0.212) effects on childhood OW/OB.
UNASSIGNED: There was a direct effect of feeding practices on childhood OW/OB; feeding practices indirectly predicted childhood OW/OB through temperament and eating behaviors in children aged 6-23 months. This study could help governments agencies, policymakers, and healthcare workers to establish optimal intervention programs targeting feeding practices through childhood eating behaviors and temperament to prevent childhood OW/OB.
摘要：
■儿童饮食行为和气质可能对构建从母亲喂养行为到儿童超重和肥胖（OW/OB）的途径具有重要意义。通过儿童早期气质和饮食行为的中介，同时检查儿童OW/OB的多种喂养方式至关重要。
■这项横断面研究从中国东部的两家医院和两家医疗中心招募了主要负责儿童保育的母亲。社会人口统计学特征，和来自婴儿喂养方式问卷(IFSQ)的数据，儿童行为问卷简表[修订本(IBQ-RSF)]，收集幼儿饮食行为问卷（CEBQ-T）。测量体重和卧位长度以计算年龄和性别特定的体重指数（BMI）z评分（BMIz）。结构方程模型（SEM）方法用于通过气质和饮食行为检查从五种母亲喂养方式到儿童OW/OB的直接和间接途径。
■共招募了486名儿童，73例(15.02%)儿童为OW/OB；儿童年龄为14.55(SD=5.14)个月，母亲的年龄为29.90岁（SD=3.63）。响应性进食发挥了显著的直接作用(β=-0.098)，对儿童OW/OB的间接影响(β=-0.136)和总影响(β=-0.234)。限制性饲喂有显著的直接效应(β=0.222)，对儿童OW/OB的间接影响(β=0.102)和总影响(β=0.324)。摄食有显著的直接(β=0.220)，间接(β=0.063)，对儿童OW/OB的总影响(β=0.283)。加压喂养有显著的直接(β=-0.116)，对儿童OW/OB的间接影响(β=-0.096)和总影响(β=-0.212)。
■喂养方式对儿童OW/OB有直接影响；喂养方式通过6-23个月儿童的气质和饮食行为间接预测儿童OW/OB。这项研究可以帮助政府机构，政策制定者，和医护人员通过儿童饮食行为和气质建立针对喂养实践的最佳干预计划，以防止儿童OW/OB。
■这项横断面研究从中国东部的两家医院和两家医疗中心招募了主要负责儿童保育的母亲。社会人口统计学特征，和来自婴儿喂养方式问卷(IFSQ)的数据，儿童行为问卷简表[修订本(IBQ-RSF)]，收集幼儿饮食行为问卷（CEBQ-T）。测量体重和卧位长度以计算年龄和性别特定的体重指数（BMI）z评分（BMIz）。结构方程模型（SEM）方法用于通过气质和饮食行为检查从五种母亲喂养方式到儿童OW/OB的直接和间接途径。
■共招募了486名儿童，73例(15.02%)儿童为OW/OB；儿童年龄为14.55(SD=5.14)个月，母亲的年龄为29.90岁（SD=3.63）。响应性进食发挥了显著的直接作用(β=-0.098)，对儿童OW/OB的间接影响(β=-0.136)和总影响(β=-0.234)。限制性饲喂有显著的直接效应(β=0.222)，对儿童OW/OB的间接影响(β=0.102)和总影响(β=0.324)。摄食有显著的直接(β=0.220)，间接(β=0.063)，对儿童OW/OB的总影响(β=0.283)。加压喂养有显著的直接(β=-0.116)，对儿童OW/OB的间接影响(β=-0.096)和总影响(β=-0.212)。
■喂养方式对儿童OW/OB有直接影响；喂养方式通过6-23个月儿童的气质和饮食行为间接预测儿童OW/OB。这项研究可以帮助政府机构，政策制定者，和医护人员通过儿童饮食行为和气质建立针对喂养实践的最佳干预计划，以防止儿童OW/OB。
