[Current status of parental feeding behaviors in Urumqi, China, and its association with body mass index of children].

OBJECTIVE To investigate the association between parental feeding behaviors and body mass index (BMI) of children, and to provide a scientific basis for the prevention and intervention of overweight and obesity in children. METHODS Stratified random cluster sampling was used to select 976 children from 7 kindergartens in Xinshi District of Urumqi, and a questionnaire survey and physical measurement were performed to obtain related data. RESULTS A total of 976 questionnaires were distributed and 924 (94.7%) usable questionnaires were collected. The overall detection rates of underweight, overweight, and obesity in children were 3.1% (29 children), 9.2% (85 children), and 6.7% (62 children), respectively. The highest level of parental feeding behavior was monitoring, followed by restriction and pressure to eat. The parents of the Han children had significantly higher levels of restriction and pressure to eat than those of the Uygur children (P<0.01). As for parental feeding behaviors, restriction to eat was positively correlated with BMI of the Han and Uygur boys (P<0.01); pressure to eat was negatively correlated with BMI of the Han boys and girls (P<0.01) and was positively correlated with BMI of the Uygur boys and girls (P<0.01); monitoring was negatively correlated with BMI of the Han and Uygur boys and girls (P<0.05). Among the parents of the Han and Uygur boys, the parents of the overweight/obese children had significantly higher scores of restriction to eat than those of the children with normal weight (P<0.05); among the parents of the Uygur boys and girls, the parents of the overweight/obese children had significantly higher scores of pressure to eat than those of the children with normal weight (P<0.01); among the parents of the Uygur and Han boys and girls, the parents of the overweight/obese children had significantly lower scores of monitoring than those of the children with normal weight (P<0.01). CONCLUSIONS The parental feeding behavior is good in Urumqi, and the parental feeding behavior of the Uygur children is a little better than that of the Han children. Parental feeding behavior is closely correlated with BMI of children, and such correlation differs across ethnic groups and sexes. A high level of monitoring and low levels of restriction and pressure to eat may help to prevent and control the development of overweight and obesity in children.

[1]  S. Carnell,et al.  Ethnic differences in parental feeding behaviors in UK parents of preschoolers , 2017, Appetite.

[2]  C. Braet,et al.  Food Approach and Food Avoidance in Young Children: Relation with Reward Sensitivity and Punishment Sensitivity , 2016, Front. Psychol..

[3]  S. Gregorich,et al.  Parental feeding practices and child weight status in Mexican American families: a longitudinal analysis , 2015, International Journal of Behavioral Nutrition and Physical Activity.

[4]  E. Driggin,et al.  Parent feeding behavior and child appetite: associations depend on feeding style. , 2014, The International journal of eating disorders.

[5]  Torvald Øgaard,et al.  Associations between parental feeding practices and child vegetable consumption. Mediation by child cognitions? , 2013, Appetite.

[6]  J. Blissett,et al.  Cultural differences in parental feeding practices and children’s eating behaviours and their relationships with child BMI: a comparison of Black Afro-Caribbean, White British and White German samples , 2013, European Journal of Clinical Nutrition.

[7]  Sabine J. Roza,et al.  Children's eating behavior, feeding practices of parents and weight problems in early childhood: results from the population-based Generation R Study , 2012, International Journal of Behavioral Nutrition and Physical Activity.

[8]  S. Carnell,et al.  Fat brains, greedy genes, and parent power: A biobehavioural risk model of child and adult obesity , 2012, International review of psychiatry.

[9]  C. Farrow.  Do parental feeding practices moderate the relationships between impulsivity and eating in children? , 2012, Eating behaviors.

[10]  R. Friedman,et al.  CAREGIVERS' ATTITUDES AND PRACTICES: INFLUENCE ON CHILDHOOD BODY WEIGHT , 2011, Journal of Biosocial Science.

[11]  T. Tylka,et al.  The Trust Model: A Different Feeding Paradigm for Managing Childhood Obesity , 2008, Obesity.

[12]  L. Birch,et al.  Does parenting affect children's eating and weight status? , 2008, The international journal of behavioral nutrition and physical activity.

[13]  M. Faith,et al.  Infant and child feeding practices and childhood overweight: the role of restriction. , 2005, Maternal & child nutrition.

[14]  Heather Patrick,et al.  The benefits of authoritative feeding style: caregiver feeding styles and children's food consumption patterns , 2005, Appetite.

[15]  Susan L. Johnson,et al.  Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness , 2001, Appetite.