祖父母在儿童两岁前肥胖中的作用

J. Freeland-Graves, D. Jacobvitz, Prageet K. Sachdev
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引用次数: 3

摘要

儿童肥胖是美国的一个公共卫生问题。一个相对未被探索的考虑因素是祖父母对0-2岁孙子体重状况的影响。本文的目的是综合以下文献:a)祖父母参与对儿童体重增加的影响;B)祖父母参与对母乳喂养行为和相关肥胖风险的影响;C)祖父母的营养支持、合作共同养育、知识、态度、信仰和体重指数对喂养行为和体重增加的影响;D)儿童气质和体重状况对祖父母喂养方式的影响;E)文化规范和文化适应对0-2岁儿童体重增加的贡献。方法:检索Embase、PubMed、Cochrane Library和Web of Science数据库的文献。1980年1月至2017年1月期间发表的64项研究符合纳入标准。结果:目前,只有少数研究调查了祖父母参与是否与0-2岁儿童的喂养方式和随后的体重结局有关,并实际纳入了祖父母。这些研究大多表明,祖父母的特征与儿童体重增加之间存在负相关。研究这一主题存在挑战,包括定义幼儿的“良好饮食”,婴儿饮食的测量,混淆,报告偏倚,反向因果关系以及婴儿喂养随机干预设计的困难。结论:识别与较低肥胖风险相关的祖父母特征可能为卫生专业人员提供工具,以创建有效的肥胖预防干预措施。
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Role of Grandparents in Childhood Obesity during First Two Years of Life
Introduction: Childhood obesity is a public health problem in the United States. One consideration that remains relatively unexplored is the influence of the grandparent on weight status of the grandchild in ages 0-2 years. The aim of this paper is to synthesize the literature on a) influence of grandparents’ involvement on child weight gain; b) influence of grandparents’ involvement on breastfeeding behaviors and associated obesity risk; c) effects of grandparents’ support about nutrition, cooperative co-parenting, knowledge, attitudes, beliefs and body mass index on feeding practices and weight gain; d) impact of child temperament and weight status on grandparent feeding practices; e) contribution of cultural norms and acculturation on child weight gain in ages 0-2 years. Method: A literature search of Embase, PubMed, Cochrane Library and Web of Science databases was conducted. A total of 64 studies published between January 1980 and January 2017 met the inclusion criteria. Results: At present, only few studies have investigated whether grandparent involvement is related to feeding practices and subsequent weight outcomes in children aged 0-2 years, with the actual inclusion of the grandparents. Most of these studies suggest a negative association between grandparent characteristics and child weight gain. Challenges exist in studying this topic, which include, defining a “good diet” for young children, measurement of infant diet, confounding, reporting bias, reverse causality and the difficulties of randomized intervention designs in infant feeding. Conclusion: Identification of grandparent characteristics associated with lower obesity risk may provide health professionals the tools to create effective interventions for obesity prevention.
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