[논문]Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children

Yeri Kim; Jiye Kim; Bomi Lee; Seungyoun Jung; Seo-Jin Chung; Hyekyeong Kim; Nana Shin; Yuri Kim

doi:10.4162/nrp.2023.17.4.717

[국내논문] Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children 원문보기

Nutrition research and practice, v.17 no.4, 2023년, pp.717 - 734

Yeri Kim (Department of Nutritional Science & Food Management, Ewha Womans University) , Jiye Kim (Department of Health Convergence, Ewha Womans University) , Bomi Lee (Department of Child Development & Intervention, Ewha Womans University) , Seungyoun Jung (Department of Nutritional Science & Food Management, Ewha Womans University) , Seo-Jin Chung (Department of Nutritional Science & Food Management, Ewha Womans University) , Hyekyeong Kim (Department of Health Convergence, Ewha Womans University) , Nana Shin (Department of Child Development & Intervention, Ewha Womans University) , Yuri Kim (Department of Nutritional Science & Food Management, Ewha Womans University)

Abstract ▼ AI-Helper

BACKGROUND/OBJECTIVES: This study aimed to identify 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 overweight 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 overweight 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 overweight 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 observed 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 interventions that effectively guide eating behaviors in preschool children.

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표/그림 (6)

표 Table 1. Characteristics of preschool children according to the quartiles of the NQ-P score
표 Table 2. OR1) and 95% CIs of preschool children's overweight or obese status²⁾ according to quartiles of the NQ-P score
표 Table 3. Mean¹⁾ and 95% CIs of the NQ-P score across preschool children's and mother's characteristics
표 Table 4. Mean¹⁾ and 95% CI of the NQ-P score across maternal parenting styles and feeding practices
표 Table 5. Mean¹⁾ and 95% CIs of the NQ-P score according to preschool children's health supportive physical environment
표 Table 6. Mean¹⁾ and 95% CIs of the NQ-P score according to preschool children's sedentary media environment (screen time on TV and online platform)

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