Father

父亲
  • 文章类型: Journal Article
    这项研究探讨了自闭症谱系中有孩子的父亲的心理健康之旅。对于这些父亲来说,随着时间的推移,人们对心理健康知之甚少。这项研究跨越了从4岁到14岁儿童的六个时间点,跟踪父亲的心理健康。这项研究有三个目的:(1)报告在10年儿童发展过程中父亲的心理困扰的估计;(2)随着时间的推移确定心理困扰的单独过程;(3)确定与这些课程相关的早期风险因素。这项研究使用了281名自闭症儿童父亲的数据,他们参加了澳大利亚儿童的纵向研究。使用统计方法,根据父亲在10年儿童发育过程中的心理困扰得分对父亲进行分组,结果显示,两组最好地解释了这些数据;这包括一组父亲,他们在儿童发育的10年里经历了低水平的心理困扰(84%),和另一组父亲在这段时间内经历了更高的心理困扰(16%)。进一步的分析表明,患有持续医疗状况且与伴侣的父母间冲突程度较高的父亲更有可能处于心理困扰加剧的人群中。这些发现表明,几乎六分之一的父亲在整个孩子的幼儿期和青春期早期处理持续的心理困扰。这项研究主张采取干预措施,重点是改善父亲的身体健康和夫妻关系,从长远来看可以积极影响父亲的心理健康。
    UNASSIGNED: This study explores the mental health journey of fathers with children on the autism spectrum. Little is known about mental health over time for these fathers. This research spans six-timepoints from when children were aged 4 to 14 years, to track fathers\' mental health. This study had three aims: (1) report estimates of fathers\' psychological distress across 10 years of child development; (2) identify separate courses of psychological distress over time; and (3) identify early risk factors associated with these courses. This study used data from 281 fathers of children on the autism spectrum who took part in the Longitudinal Study of Australian Children. Using a statistical method to group fathers based on their psychological distress scores over 10 years of child development, the results showed that two groups best explained the data; this included a group of fathers who experienced low levels of psychological distress over the 10 years of child development (84%), and another group of fathers who experienced heightened psychological distress across this time (16%). Further analysis showed that fathers who had an ongoing medical condition and higher levels of interparental conflict with their partners were more likely to be in the heightened psychological distress group. These findings show that almost one in six fathers deal with persistent psychological distress throughout their child\'s early childhood and into early adolescence. This study advocates for interventions focusing on improving fathers\' physical health and the couple relationship as ways to positively impact fathers\' mental health in the long run.
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  • 文章类型: Journal Article
    已经发现,支持性的母亲和父亲照顾与儿童的努力控制能力有关。然而,许多研究没有在相同的分析模型中评估母亲和父亲的养育方式,这使得很难解析出母亲与父亲的独特贡献。因此,我们的目的是同时评估父母性别在学龄前儿童支持性护理观察和早期学龄儿童努力控制能力观察之间的关联中的作用。大约3岁时,儿童(N=113)参加了录像的父子和母子互动,以及努力控制任务的电池。大约6岁时,孩子们参加了另一系列努力控制的任务。协变量包括父母教育,儿童年龄,学龄前儿童努力控制,和孩子的性别。结构方程模型显示,学龄前的母亲和父亲的支持性护理行为与儿童的学龄期努力控制能力独立相关。总之,我们发现,学龄前的支持性护理与儿童的早期学龄期努力控制能力有关,无论父母的性别。研究结果对旨在通过改善父亲和母亲育儿来提高儿童努力控制能力的干预措施的发展具有意义。
    Supportive maternal and paternal caregiving have been found to be associated with children\'s effortful control abilities. However, many studies did not assess both maternal and paternal parenting in the same analytic model, making it difficult to parse out the unique contributions of mothers versus fathers. Thus, we aimed to simultaneously assess the role of parent gender in associations between observations of supportive caregiving in the preschool years and observations of children\'s effortful control abilities in the early school-age years. At approximately age 3, children (N = 113) participated in videotaped father-child and mother-child interactions, as well as a battery of effortful control tasks. At approximately age 6, children participated in another battery of effortful control tasks. Covariates included parental education, child age, child preschool-age effortful control, and child gender. Structural equation modeling revealed that maternal and paternal supportive caregiving behaviors in the preschool years were independently associated with children\'s school-age effortful control abilities. In sum, we found that supportive caregiving in the preschool years was associated with children\'s early school-age effortful control abilities, regardless of parent gender. Findings have implications for the development of interventions aimed at improving children\'s effortful control abilities through improvements in both paternal and maternal parenting.
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  • 文章类型: Journal Article
    背景:新生儿重症监护病房(NICU)护士在提供婴儿护理方面发挥着至关重要的作用,以及弥合与父母的沟通差距。
    目的:探索父亲在早产儿入住NICU期间与护士的认知和互动。
    方法:使用人种学数据收集技术的定性研究。
    方法:在意大利III级NICU中对20名早产儿父亲进行了有目的地采样。数据收集包括120小时的参与者观察,68次非正式对话,和20个半结构化面试。使用反身性主题分析进行数据分析。
    结果:分析揭示了五个主要主题:(i)关于婴儿健康状况和进步的沟通和清晰度,(ii)护士的包容性和指导,(iii)父亲“对护士的满意度”对母亲的支持,(iv)护士对婴儿的个人关注,和(五)护士不同的个性。
    结论:护士对于促进NICU中的父子关系至关重要。尽管护士沟通的内容对父亲来说至关重要,分娩方式在婴儿住院期间变得尤为重要。信息和指导的差异会对父亲的信心以及他们照顾早产儿和支持伴侣的能力产生负面影响。因此,强调承认父亲表现出痛苦的独特方式的培训至关重要。
    结论:护士在塑造NICU父亲的经历方面发挥着关键作用。强调清晰的沟通和个性化的护理至关重要。为了在NICU环境中加强父亲的支持,建议的方法包括定期培训,整体护理,培养包容性,情感支持,并改善联系机会。
    遵守COREQ准则。
    BACKGROUND: Neonatal intensive care unit (NICU) nurses play a crucial role in providing infant care, as well as in bridging the communication gap with parents.
    OBJECTIVE: Explore fathers\' perceptions and interactions with nurses during their preterm infants\' stay in a NICU.
    METHODS: Qualitative study using ethnographic data collection techniques.
    METHODS: Twenty fathers of preterm infants were purposively sampled in a level III NICU in Italy. Data collection comprised 120 h of participant observation, 68 informal conversations, and 20 semi-structured interviews. Data analysis was performed using reflexive thematic analysis.
    RESULTS: Analysis revealed five primary themes: (i) communication and clarity about infants\' health condition and progress, (ii) inclusiveness and guidance from nurses, (iii) fathers\' satisfaction with nurses\' support for mother, (iv) nurses\' personal attention to the babies, and (v) nurses\' varied personalities.
    CONCLUSIONS: Nurses are crucial in facilitating father-infant bonding in the NICU. Although the content of nurse communication is critical for fathers, the delivery style becomes especially relevant during their infant\'s hospitalization. Discrepancies in messages and guidance can negatively impact fatherly confidence and their ability to care for their preterm infants and support partners. Thus, training that emphasizes the recognition of the unique ways that fathers exhibit distress is crucial.
    CONCLUSIONS: Nurses play a critical role in shaping the fathers\' experiences in NICU. Emphasizing clear communication and individualized care is vital. To strengthen father support in NICU settings, recommended approaches include regular training, holistic care, fostering inclusivity, emotional support, and improving bonding opportunities.
    UNASSIGNED: Adherence to the COREQ guidelines.
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  • 文章类型: Journal Article
    自杀是25-44岁男性死亡的主要原因,通常与成为父亲相吻合的年龄。这篇综述旨在综合围产期父亲自杀和自残观念流行的证据,产后和早期育儿期。
    搜索了五个数据库(PsycINFO,Medline,WebofScience,PubMed和Cochrane系统评论数据库),以确定2000年1月1日至2023年3月9日之间发表的论文。在纳入的研究中,进行了荟萃分析以估计自杀和自残观念的患病率。进行亚组和敏感性分析以探索异质性的潜在来源。
    共确定了4215篇文章,14项研究纳入审查。自杀和自残观念的合并患病率为4.2%(95%CI[2.6%,6.2%])。自残观念的患病率估计值更高,为5.1%(95%CI[2.6%,6.2%])比3%的自杀率(95%CI[0.9%,6.1%])。
    这项审查发现,相当比例的父亲在养育子女的早期经历过自杀和自残的想法。然而,缺乏严格的患病率研究表明,迫切需要在这一领域进行进一步的研究。
    UNASSIGNED: Suicide is a leading cause of death in males aged 25-44 years, an age which often coincides with becoming a father. This review aims to synthesise the evidence of the prevalence of suicidal and self-harm ideation in fathers during the perinatal, postnatal and early parenting period.
    UNASSIGNED: Five databases were searched (PsycINFO, Medline, Web of Science, PubMed and the Cochrane Database of Systematic Reviews) to identify papers published between 1 January 2000 and 9 March 2023. A meta-analysis was conducted to estimate the prevalence of suicidality and self-harm ideation across the included studies. Subgroup and sensitivity analyses were conducted to explore potential sources of heterogeneity.
    UNASSIGNED: A total of 4215 articles were identified, with 14 studies included in the review. The combined pooled prevalence of suicidal and self-harm ideation was 4.2% (95% CI [2.6%, 6.2%]). Prevalence estimates were higher for self-harm ideation at 5.1% (95% CI [2.6%, 6.2%]) than for suicidality at 3% (95% CI [0.9%, 6.1%]).
    UNASSIGNED: This review found that a considerable proportion of fathers experience suicidal and self-harm ideation during the early years of parenting. However, the paucity of rigorous prevalence studies indicates that further research in this area is needed urgently.
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  • 文章类型: Journal Article
    关于自闭症特征父亲的育儿研究很少。为了调查这个问题,我们使用来自全国出生队列研究的数据,研究了具有自闭症特征的父亲的育儿类型,日本环境与儿童研究。孩子2岁时,母亲或照顾者对父亲的养育方式进行了评估。父亲的自闭症特征是使用日本版本的自我管理自闭症频谱商进行测量的。采用Logistic回归分析对数据进行统计学分析。具有自闭症特征的父亲为孩子准备饭菜和帮助他们吃饭的可能性显着降低(调整后的OR(aOR):1.11,95%置信区间(CI):1.01-1.23),帮助孩子换衣服(aOR:1.17,95%CI:1.04-1.31)。然而,一些育儿行为和自闭症特征之间没有关联(不是换尿布,不和孩子一起洗澡,而不是和孩子一起玩)。父亲的沟通技巧困难与自闭症特征相关的较低倾向于执行所有类型的育儿。有趣的是,社交技能或注意力转移的困难与更多的换尿布之间存在关联。这些结果表明,尊重有自闭症倾向的父亲能够做到的育儿方式很重要,同时支持他们抚养孩子,他们的能力明显低于没有自闭症倾向的父亲。
    There are few studies on the parenting of fathers with autism traits. To investigate this issue, we examined the type of parenting performed by fathers with autism traits using data from a nationwide birth cohort study, the Japan Environment and Children\'s Study. Paternal parenting was evaluated by mothers or caregivers when the child was 2 years old. Father\'s autism traits were measured using the Japanese version of the self-administered Autism Spectrum Quotient. Logistic regression analysis was performed to statistically analyze the data. Fathers with autism traits were significantly less likely to prepare meals for their child and helping them eat (adjusted OR (aOR): 1.11, 95% confidence interval (CI): 1.01-1.23), to helping the child change clothes (aOR: 1.17, 95% CI: 1.04-1.31). However, there were no associations between some parenting behaviors and autism traits (not changing diapers, not bathing with the child, and not playing with the child). Father\'s communication skill difficulties by autism traits associated with a lower tendency to perform all types of parenting. Interestingly, there were association between difficulties with social skills or attention-switching and more performing change diapers. These results indicate it is important to respect the child-rearing that fathers with autistic tendencies are able to do, while supporting them in child-rearing that they are significantly less able to do than fathers without autistic tendencies.
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  • 文章类型: Journal Article
    背景:越来越多的证据表明,父亲在母乳喂养过程中起着重要作用,父亲需要有关母乳喂养的教育。在我们技术飞速发展的时代,在父亲教育中使用新的教学技术将提供更有效的结果。
    目的:在本研究中,研究了使用数字讲故事方法进行母乳喂养教育对父亲母乳喂养自我效能的影响。
    方法:本研究是一项前测后随机对照试验。这项研究是对80名孕妇的丈夫进行的,这些孕妇被送往一家州立医院的分娩准备班。该研究包括对照组和使用数字讲故事技术对教育视频进行干预。从医院产前班招募父亲,并随机分为两组之一。个人信息表和父亲母乳喂养自我效能量表-简表用于数据收集。每位父亲在研究开始时和产后3个月时填写了数据收集表。计算分析中使用的独立组和依赖组t检验方法的显著差异的η2效应大小。
    结果:干预组和对照组的父亲的测验后得分之间存在显着差异(p<0.05)。当分析效果大小时,结果发现,干预组(t=-24.342)的增加高于对照组(t=-8.385)。
    结论:在当前的研究中,发现在母乳喂养教育中使用数字讲故事方法对父亲母乳喂养自我效能的影响显着高于常规教育。建议将这种新方法用于教育和咨询,并进行研究以检查其对母乳喂养行为和父亲母乳喂养支持的影响。
    BACKGROUND: There is growing evidence that fathers play an important role in the breastfeeding process and that fathers need education about breastfeeding. In our age of rapidly developing technology, the use of new teaching techniques in the education of fathers will provide more effective results.
    OBJECTIVE: In this study, the effect of breastfeeding education given with digital storytelling method on fathers\' breastfeeding self-efficacy was examined.
    METHODS: The study is a pretest-posttest randomized controlled trial. The study was conducted with the husbands of 80 pregnant women admitted to the childbirth preparation class of a state hospital. The study included a control group and an intervention of educational videos using a digital storytelling technique. Fathers were recruited from hospital antenatal classes and randomized to one of the two groups. Personal Information Form and Paternal Breastfeeding Self-Efficacy Scale-Short Form were used for data collection. Each father completed data collection forms at the beginning of the study and at 3 months postpartum. The η2 effect size was calculated for significant differences in the independent and dependent groups t test methods used in the analysis.
    RESULTS: There was a significant difference between the posttest scores of the fathers in the intervention and control groups (p < 0.05). When the effect sizes were analysed, it was found that the increase in the intervention group (t = -24.342) was higher than the control group (t = -8.385).
    CONCLUSIONS: In the current study, the effect of using digital storytelling method in breastfeeding education on fathers\' breastfeeding self-efficacy was found to be significantly higher than routine education. It is recommended that this new method be used in education and counselling and that studies be conducted to examine its effect on breastfeeding behaviour and fathers\' breastfeeding support.
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  • 文章类型: Journal Article
    背景:第一个孩子的到来是精神疾病的已知危险因素,然而,对父亲心理健康的调查是有限的。在向父亲过渡的九年中,我们对父亲的抑郁和焦虑进行了纵向调查。
    方法:使用法国男性的国家队列(CONSTANCES,n=6299),我们调查了首次为父亲的精神病患病率和相关危险因素.对流行病学研究中心抑郁症(CES-D)和12项一般健康问卷(GHQ-12)量表的反应用于识别临床上有意义的症状评分。参与者也报告了自我宣布的精神疾病。基于组的建模用于识别两种措施的潜在轨迹组。
    结果:自我宣称的焦虑水平(平均为父亲前4.9%,7.8%的帖子)超过了抑郁症(1.9%的婚前生活,3.3%后)或其他疾病。然而,临床显著症状评分(17-27%)的比率始终较高.参与者的心理健康似乎在孩子出生前两年恶化,在孩子出生后两年有所改善。我们确定了父亲自我宣布的精神疾病的三个轨迹组:低稳定(90.3%);低风险高暂时增加(5.6%);和持续高风险(4.1%)。与心理健康轨迹恶化相关的风险因素是失业,不和一个人的伴侣住在一起,由于经济原因,有不良的童年经历和放弃医疗保健。
    结论:所有精神疾病的测量都依赖于参与者的自我报告,因此存在偏见。
    结论:这项研究揭示了初为人父的心理脆弱性增加的重要时期,强调需要增加和更好地适应父亲的心理健康筛查。
    BACKGROUND: The arrival of one\'s first child is a known risk factor for mental illness, yet investigations on fathers\' mental health are limited. We conducted a longitudinal investigation on paternal depression and anxiety in the nine years surrounding the transition to fatherhood.
    METHODS: Using a national cohort of French men (CONSTANCES, n = 6299), we investigated the prevalence and associated risk factors of mental illness amongst first-time fathers. Responses to the Center for Epidemiological Studies Depression (CES-D) and 12-item General Health Questionnaire (GHQ-12) scales were used to identify clinically significant symptom scores. Self-declared mental illness was also reported by participants. Group-based modelling was used to identify latent trajectory groups for both measures.
    RESULTS: Levels of self-declared anxiety (averaging 4.9 % pre-fatherhood, 7.8 % post) exceeded that of depression (1.9 % pre- fatherhood, 3.3 % post) or other disorders. However, rates of clinically significant symptom scores (17-27 %) were consistently higher. Participants\' mental health appeared to worsen from two-years prior to their child\'s arrival and improve from two-years after. We identified three trajectory groups for fathers\' self-declared mental illness: Low stable (90.3 %); Low risk with high temporary increase (5.6 %); and Consistent high risk (4.1 %). Risk factors associated with worsening mental health trajectories were unemployment, not living with one\'s partner, having had adverse childhood experiences and foregoing healthcare due to financial reasons.
    CONCLUSIONS: All measures of mental illness relied on participant self-reports and are thus subject to bias.
    CONCLUSIONS: This study reveals an important period of heightened psychological vulnerability amongst first-time fathers, emphasising the need for increased and better adapted paternal mental health screening.
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  • 文章类型: Journal Article
    有智力和发育障碍的儿童的家庭经常面临独特的挑战,这些挑战极大地影响了他们的生活质量。了解家庭生活质量(FQOL)的预测因素对于开发有效的支持系统和干预措施至关重要。
    目的:这项研究调查了可能影响有残疾成员的家庭对其生活质量(FQOL)的看法的预测因素。
    方法:样本由来自沙特阿拉伯利雅得地区的320名家庭成员组成。
    结果:总体结果显示,参与者对FQOL的满意度处于中等水平。进一步的结果表明,与严重程度相关的变量,残疾类型,母亲的年龄和受教育程度是FQOL的重要预测因素。
    结论:这些结果强调了考虑影响FQOL的变量的重要性,比如残疾的严重程度和类型,和母亲的相关变量,当指导支持有残疾成员的家庭时。讨论了该研究的建议和局限性。
    Families of children with intellectual and developmental disabilities often face unique challenges that significantly impact their quality of life. Understanding the predictors of family quality of life (FQOL) is crucial for developing effective support systems and interventions.
    OBJECTIVE: This study investigated the predictors that might influence the perception of families having a member with a disability regarding their quality of life (FQOL).
    METHODS: The sample consisted of 320 family members from the Riyadh region of Saudi Arabia.
    RESULTS: The overall results showed that participants\' satisfaction with FQOL was at a moderate level. Further results indicated that variables associated with severity, type of disability, and the mother\'s age and education were significant predictors of the FQOL.
    CONCLUSIONS: These results emphasize the importance of considering the variables that impact FQOL, such as the severity and type of disability, and mother\'s related variables, when directing support to families with a member with a disability. The recommendations and limitations of the study were discussed.
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  • 文章类型: Journal Article
    Objective.儿童超重/肥胖是一个严重的全球公共卫生问题,要求父母参与扭转趋势。尽管父亲扮演关键的育儿角色,关于父亲和儿童超重/肥胖的研究是有限的。本范围审查审查了有关父亲的营养知识和儿童超重/肥胖的喂养方式的文献。方法。遵循系统审查和荟萃分析(PRISMA)指南的首选报告项目,和Arksey和O\'Malley(2005)框架,搜索了多个数据库。符合条件的父子相关研究侧重于父亲的营养知识,喂养实践,和儿童超重/肥胖。结果。在26篇符合条件的文章中,52%来自美国,44%的人专注于父子二叉。大多数研究是横断面的(64%)和基于调查的(68%)。Further,11.5%评估父亲的营养知识,和儿童喂养习惯(53.4%)。结论。有关儿童超重/肥胖的父亲营养知识和喂养方法的文献有限。鼓励扩大父亲参与儿童营养研究,以设计整体干预措施。
    Objective. Childhood overweight/obesity is a serious global public health issue, demanding parental involvement to reverse trends. Despite fathers\' crucial parenting roles, research on fathers and childhood overweight/obesity is limited. This scoping review examines the literature on fathers\' nutrition knowledge and feeding practices with childhood overweight/obesity. Methods. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and Arksey and O\'Malley (2005) framework, multiple databases were searched. Eligible father-child related studies focused on fathers\' nutrition knowledge, feeding practices, and childhood overweight/obesity. Results. Of 26 eligible articles, 52% originated from the United States, and 44% focused on father-child dyads. Most studies were cross-sectional (64%) and survey-based (68%). Further, 11.5% assessed fathers\' nutrition knowledge, and child feeding practices (53.4%). Conclusion. Literature on fathers\' nutrition knowledge and feeding practices concerning childhood overweight/obesity is limited. Scaling-up fathers\' inclusion in childhood nutrition research is encouraged for the design of holistic interventions.
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  • 文章类型: Journal Article
    目的:关于父母心血管危险因素与后代肥胖风险的关系知之甚少。我们旨在调查父母理想心血管健康(ICVH)状态是否与年轻/成年后代的一般和中心性肥胖风险相关。
    结果:参加德黑兰脂质和葡萄糖研究2012-15期的个人,在这项横断面研究中,选择了2395对年龄≥6岁的父母未婚后代。一般和中心性肥胖是根据年龄≤18岁的后代的伊朗BMI百分位参考数据定义的。对于年龄≥19岁的受试者,中心性肥胖的定义是基于引入的伊朗成年人的分界点。我们采用了美国心脏协会的ICVH的2020年影响目标标准。父亲和母亲的平均±SD年龄分别为55.4±9.79和48.4±9.88。大约55%的后代年龄超过19岁。母亲对ICVH评分较高的依从性与女性后代超重/肥胖风险较低相关(Q1-Q4的OR:1,0.56,0.57,0.37,所有四分位数P<0.05)。在ICVH组件中,在父亲中,只有理想的BMI状态与男性后代的超重/肥胖风险较低相关.随着母亲ICVH总分的增加,雌性后代的腹部肥胖风险降低。
    结论:父母对ICVH及其组成部分的依从性较高,其后代患一般肥胖和腹部肥胖的风险较低。我们的发现表明,母子关系比父子关系强。
    OBJECTIVE: Little is known about the association of parental cardiovascular risk factors with the risk of obesity in offspring. We aimed to investigate whether parental ideal cardiovascular health (ICVH) status was associated with the risk of general and central obesity in their young/adult offspring.
    RESULTS: Of individuals who participated in the 2012-15 phase of the Tehran Lipid and Glucose Study, 2395 pairs of parent-unmarried offspring aged ≥6 years were selected in this cross-sectional study. General and central obesity were defined based on Iranian BMI percentile reference data for offspring aged ≤18 years. For subjects aged ≥19 years, central obesity was defined based on the introduced cut-off points for Iranian adults. We employed the American Heart Association\'s 2020 impact goal criteria of ICVH. The mean ± SD age of fathers and mothers were respectively 55.4 ± 9.79 and 48.4 ± 9.88. About 55% of offspring were older than 19 years. Higher adherence to ICVH score in mothers was associated with lower risk of overweight/obesity in female offspring (OR for Q1-Q4: 1, 0.56, 0.57, 0.37, P < 0.05 for all quartiles). Among ICVH components, only ideal BMI status in fathers was observed to be associated with a lower risk of overweight/obesity in their male offspring. The risk of abdominal obesity decreased in female offspring with increasing total ICVH score in mothers.
    CONCLUSIONS: Higher adherence of parents to ICVH and its components was positively associated with a lower risk of general and abdominal obesity in their offspring. Our findings demonstrate that maternal-offspring relationship was stronger than paternal-offspring association.
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