Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children
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BACKGROUND/OBJECTIVES: This study aimed to identif y preschool children’s eating behaviors associated with early childhood obesity and its multi-level, socio-ecological determinants. SUBJECTS/METHODS: In a cross-sectional study of 364 mothers of preschool children aged 3–5 years, these children’s healthy eating behaviors were assessed using a validated preschool nutrition quotient (NQ-P) questionnaire. The children’s over weight or obesity statuses were determined based on body mass index percentiles from the 2017 Korean National Growth Chart. The associations between the NQ-P score and risk of over weight or obesity were examined using multivariable logistic regression. The associations of individual, maternal, physical, and media environmental factors with the NQ-P score were also examined using multivariable linear regression. RESULTS: Preschool children with greater NQ-P scores were at a significantly lower risk of over weight or obesity (P < 0.01). The NQ-P score had a significantly positive association with maternal body mass index and an inverse association with household income (all P < 0.05). Maternal parenting and feeding practices exhibited associations with the NQ-P score. Positive associations were obser ved with “warm,” “structured,” and “autonomy-supportive” parenting as well as monitoring feeding practices (all P < 0.05). In addition, the NQ-P score had a significantly positive association with the childcare center’s anti-obesogenic environment, such as the provision of nutritional and physical-activity support and vicinity of the built food environment to the home, including access to good-quality food, fruits and vegetables, and low-fat foods (all P < 0.05). Regarding media environments, the NQ-P score demonstrated more significant associations with viewing and eating and/or cooking content displayed on online video platforms (all P < 0.05) than with that on television. CONCLUSIONS: Our findings confirm the significance of healthy eating behaviors in early- childhood-obesity prevention and underscore the importance of multilevel maternal, physical, and media environmental inter ventions that effectively guide eating behaviors in preschool children.
Abstract
BACKGROUND/OBJECTIVES: This study aimed to identif y preschool children’s eating behaviors associated with early childhood obesity and its multi-level, socio-ecological determinants. SUBJECTS/METHODS: In a cross-sectional study of 364 mothers of preschool children aged 3–5 years, these children’s healthy eating behaviors were assessed using a validated preschool nutrition quotient (NQ-P) questionnaire. The children’s over weight or obesity statuses were determined based on body mass index percentiles from the 2017 Korean National Growth Chart. The associations between the NQ-P score and risk of over weight or obesity were examined using multivariable logistic regression. The associations of individual, maternal, physical, and media environmental factors with the NQ-P score were also examined using multivariable linear regression. RESULTS: Preschool children with greater NQ-P scores were at a significantly lower risk of over weight or obesity (P < 0.01). The NQ-P score had a significantly positive association with maternal body mass index and an inverse association with household income (all P < 0.05). Maternal parenting and feeding practices exhibited associations with the NQ-P score. Positive associations were obser ved with “warm,” “structured,” and “autonomy-supportive” parenting as well as monitoring feeding practices (all P < 0.05). In addition, the NQ-P score had a significantly positive association with the childcare center’s anti-obesogenic environment, such as the provision of nutritional and physical-activity support and vicinity of the built food environment to the home, including access to good-quality food, fruits and vegetables, and low-fat foods (all P < 0.05). Regarding media environments, the NQ-P score demonstrated more significant associations with viewing and eating and/or cooking content displayed on online video platforms (all P < 0.05) than with that on television. CONCLUSIONS: Our findings confirm the significance of healthy eating behaviors in early- childhood-obesity prevention and underscore the importance of multilevel maternal, physical, and media environmental inter ventions that effectively guide eating behaviors in preschool children.
참고문헌 (51)
- de Onis M, "Global prevalence and trends of overweight and obesity among preschool children", Am J Clin Nutr, 92, pp.1257~1264 (2010)
- Lakshman R, "Childhood obesity", Circulation, 126, pp.1770~1779 (2012)
- 이혜아, "The Effect of Eating Behavior on Being Overweight or Obese During Preadolescence", 예방의학회지, 44(5), pp.226~233 (2011), 대한예방의학회
- Birch LL, "Development of eating behaviors among children and adolescents", Pediatrics, 101(Suppl 2), pp.539~549 (1998)
- Kim Soo-Youn, "Evaluation of dietary behaviors of preschool children in Seoul and Gyeonggi-do associated with the level of parents' health consciousness: using nutrition quotient for preschoolers (NQ-P)", Nutrition Research and Practice, 15(2), pp.248~265 (2021), 한국영양학회[DOI]
- Matwiejczyk L, "Characteristics of effective interventions promoting healthy eating for pre-schoolers in childcare settings : an umbrella review", Nutrients, 10, pp.293~ (2018)
- Monterrosa EC, "Sociocultural Influences on Food Choices and Implications for Sustainable Healthy Diets", Food Nutr Bull, 41, pp.59S~73S (2020)[DOI]
- 이혜진, "대전에 거주하는 미취학 아동의 식생활 평가 : 미취학 아동 대상 영양지수 (Nutrition Quotient for Preschoolers, NQ-P)를 이용하여", Journal of Nutrition and Health, 52(2), pp.194~205 (2019), 한국영양학회[DOI]
- 한규상, "광주광역시 유아의 체중별 식행동과 영양지수", 한국식생활문화학회지, 36(4), pp.412~420 (2021), 한국식생활문화학회
- 정인영, "대전에 거주하는 미취학 아동과 그 어머니의 식행동 및 이들의 관련성: 영양지수를 활용하여", 대한지역사회영양학회지, 26(1), pp.12~22 (2021), 대한지역사회영양학회
- Lee CY, "Association of parental body mass index(BMI)with child’s health behaviors and child’s BMI depend on child’s age", BMC Obes, 6, pp.11~ (2019)
- Townsend N, "Developing and applying a socio-ecological model to the promotion of healthy eating in the school", Public Health Nutr, 16, pp.1101~1108 (2013)
- Scaglioni S, "Factors influencing children’s eating behaviours", Nutrients, 10, pp.706~ (2018)
- Mahmood L, "The influence of parental dietary behaviors and practices on children’s eating habits", Nutrients, 13, pp.1138~ (2021)
- Nicklas TA, "Family and childcare provider influences on preschool children’s fruit, juice, and vegetable consumption", Nutr Rev, 59, pp.224~235 (2001)
- 이동윤, "Trends in Digital Media Use in Korean Preschool Children", Journal of Korean Medical Science, 34(41), pp.1~10 (2019), 대한의학회
- Demers-Potvin É, "Adolescents’ media usage and self-reported exposure to advertising across six countries : implications for less healthy food and beverage marketing", BMJ Open, 12, pp.e058913~ (2022)
- Gilliland JA, "Linking childhood obesity to the built environment : a multi-level analysis of home and school neighbourhood factors associated with body mass index", Can J Public Health, 103(Suppl 3), pp.eS15~eS21 (2012)
- Qutteina Y, "Media food marketing and eating outcomes among pre-adolescents and adolescents : a systematic review and meta-analysis", Obes Rev, 20, pp.1708~1719 (2019)
- Norman J, "Remember me? Exposure to unfamiliar food brands in television advertising and online advergames drives children’s brand recognition, attitudes, and desire to eat foods: a secondary analysis from a crossover experimental-control study with randomization at the group level", J Acad Nutr Diet, 120, pp.120~129 (2020)
- 이정숙, "취학전아동 대상 영양지수 개발 : 평가항목 선정과 구성 타당도 검증", Journal of Nutrition and Health, 49(5), pp.378~394 (2016), 한국영양학회
- Skinner E, "Six dimensions of parenting : a motivational model", Parent Sci Pract, 5, pp.175~235 (2005)
- Birch LL, "Confirmatory factor analysis of the Child Feeding Questionnaire : a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness", Appetite, 36, pp.201~210 (2001)
- Nowicka P, "Parental feeding practices and associations with child weight status. Swedish validation of the Child Feeding Questionnaire finds parents of 4-yearolds less restrictive", Appetite, 81, pp.232~241 (2014)
- Ward D, "An instrument to assess the obesogenic environment of child care centers", Am J Health Behav, 32, pp.380~386 (2008)
- Vaughn AE, "Assessment of nutrition and physical activity environments in family child care homes : modification and psychometric testing of the environment and policy assessment and observation", BMC Public Health, 17, pp.680~ (2017)
- Ohri-Vachaspati P, "The relative contribution of layers of the social ecological model to childhood obesity", Public Health Nutr, 18, pp.2055~2066 (2015)
- 김수경, "청소년의 먹방, 쿡방 시청 행태와 식습관 간의 관련성", 대한보건연구, 46(3), pp.31~46 (2020), 사단법인 대한보건협회[DOI]
- Liberali R, "Dietary patterns and childhood obesity risk : a systematic review", Child Obes, 16, pp.70~85 (2020)
- Sirkka O, "Dietary patterns in early childhood and the risk of childhood overweight : the GECKO Drenthe birth cohort", Nutrients, 13, pp.2046~ (2021)
- Fernández-Alvira JM, "Prospective associations between dietary patterns and body composition changes in European children : the IDEFICS study", Public Health Nutr, 20, pp.3257~3265 (2017)
- Rashid V, "Weight development between age 5 and 10 years and its associations with dietary patterns at age 5 in the ABCD cohort", BMC Public Health, 20, pp.427~ (2020)
- Reilly JJ, "Avon Longitudinal Study of Parents and Children Study Team. Early life risk factors for obesity in childhood: cohort study", BMJ, 330, pp.1357~ (2005)
- Verduci E, "Role of dietary factors, food habits, and lifestyle in childhood obesity development : a position paper from the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition", J Pediatr Gastroenterol Nutr, 72, pp.769~783 (2021)
- 배주미, "어린이 영양지수로 살펴본 유아와 초등학생의 식행동과 비만 사이의 관련성에 있어서 연령의 차이", Journal of Nutrition and Health, 49(6), pp.447~458 (2016), 한국영양학회
- 김정화, "어머니의 영양지식에 따른 유아기 자녀의 비만도 및 식습관의 차이", 한국식생활문화학회지, 23(5), pp.646~654 (2008), 한국식생활문화학회
- Koivuniemi E, "Overweight and obesity associates with diet quality in mothers of newborn babies", Curr Dev Nutr, 6(Suppl 1), pp.678~678 (2022)
- Coto J, "Parents as role models : associations between parent and young children’s weight, dietary intake, and physical activity in a minority sample", Matern Child Health J, 23, pp.943~950 (2019)
- Birch LL, "Mothers’ child-feeding practices influence daughters’ eating and weight", Am J Clin Nutr, 71, pp.1054~1061 (2000)
- Ahn J, "The use of child care center for infants of dual-working families in Korea", Child Youth Serv Rev, 35, pp.1510~1519 (2013)
- Leis A, "Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres : a randomized controlled trial", BMC Public Health, 20, pp.523~ (2020)
- Reitzel LR, "The built food environment and dietary intake among African-American adults", Am J Health Behav, 40, pp.3~11 (2016)
- Kebede A, "Residential food environment, household wealth and maternal education association to preschoolers’ consumption of plant-based vitamin a-rich foods : the EAT Addis survey in Addis Ababa", Nutrients, 14, pp.296~ (2022)
- Duran AC, "The role of the local retail food environment in fruit, vegetable and sugar-sweetened beverage consumption in Brazil", Public Health Nutr, 19, pp.1093~1102 (2016)
- Gangrade N, "Factors that influence snacking behaviors of adolescents from urban communities : a qualitative study", J Nutr Educ Behav, 54, pp.521~531 (2022)
- Dake FA, "The local food environment and body mass index among the urban poor in Accra, Ghana", J Urban Health, 93, pp.438~455 (2016)
- Kang E, "The popularity of eating broadcast: Content analysis of “mukbang”YouTube videos, media coverage, and the health impact of “mukbang” on public", Health Informatics J, 26, pp.2237~2248 (2020)
- Tan L, "What’s on YouTube? A case study on food and beverage advertising in videos targeted at children on social media", Child Obes, 14, pp.280~290 (2018)
- Kim J, "Binge drinking and obesity-related eating: the moderating roles of the eating broadcast viewing experience among Korean adults", Int J Environ Res Public Health, 18, pp.8066~ (2021)
- Livingstone MB, "Measurement of dietary intake in children", Proc Nutr Soc, 59, pp.279~293 (2000)
- Livingstone MB, "Issues in dietary intake assessment of children and adolescents", Br J Nutr, 92(Suppl 2), pp.S213~S222 (2004)