纠正儿童挑食,家长一昧施压反而适得其反
创作:Asueyi 审核:JIAN 剑 2018年03月09日
  • 幼儿挑食很常见,3岁左右患病率最高;可致营养不良、功能性便秘及体重不足。
  • 父母采取饮食压力进行控制;但在调查中发现,因此造成幼儿更少的蔬菜水果、更高的脂肪摄入。
  • 在荷兰4845组家庭中,在儿童1岁半至6岁期间进行挑食以及家长饮食压力评估,以观察压力和挑食之间的相互影响。
  • 发现幼儿4岁时父母所施压力最高,对幼儿后续厌食情绪影响严重,且3-4岁期间所施压力影响最显著。
  • 因此,有必要针对幼儿挑食行为重新制定幼儿喂养策略。
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Bi-directional associations between child fussy eating and parents' pressure to eat: Who influences whom?

孩子挑食和父母压力之间的相互影响

10.1016/j.physbeh.2017.02.015

2017-07-01, Article

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BACKGROUND: Fussy eating is common in young children, often raising concerns among parents. The use of pressuring feeding practices may provoke or worsen child fussiness, but these practices could equally be a parent's response to child fussy eating.
OBJECTIVE: In longitudinal analyses, we assessed directionality in the relation between fussy eating and parent's pressure to eat across childhood.
METHODS: Study participants were 4845 mother-child dyads from the population-based Generation R cohort in the Netherlands. The Child Behavior Checklist was used to assess fussy eating (2 items) at child ages 1½, 3 and 6years. Parents' pressure to eat was assessed with the Child Feeding Questionnaire (4 items) when children were 4years old. All scale scores were standardized.
RESULTS: Linear regression analyses indicated that preschoolers' fussy eating prospectively predicted higher levels of parents' pressure to eat at child age 4years, independently of confounders (adjusted B=0.24, 95% CI: 0.21, 0.27). Pressure to eat at 4years also predicted more fussiness in children at age 6years, independently of confounders and of fussy eating at baseline (adjusted B=0.14, 95% CI: 0.11, 0.17). Path analyses indicated that the relation from fussy eating at 3years to parenting one year later was stronger than from pressure at 4years to fussy eating two years later (p<0.001).
CONCLUSIONS: Our findings suggest bi-directional associations with parental pressuring feeding strategies being developed in response to children's food avoidant behaviors, but also seemingly having a counterproductive effect on fussiness. Thus, the use of pressure to eat should be reconsidered, while providing parents alternative techniques to deal with their child's fussy eating.

First Authors:
Pauline W Jansen

Correspondence Authors:
Pauline W Jansen

All Authors:
Pauline W Jansen,Lisanne M de Barse,Vincent W V Jaddoe,Frank C Verhulst,Oscar H Franco,Henning Tiemeier

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