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

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 hea...

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Autores principales: Kim, Yeri, Kim, Jiye, Lee, Bomi, Jung, Seungyoun, Chung, Seo-Jin, Kim, Hyekyeong, Shin, Nana, Kim, Yuri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Nutrition Society and the Korean Society of Community Nutrition 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10375334/
https://www.ncbi.nlm.nih.gov/pubmed/37529267
http://dx.doi.org/10.4162/nrp.2023.17.4.717
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author Kim, Yeri
Kim, Jiye
Lee, Bomi
Jung, Seungyoun
Chung, Seo-Jin
Kim, Hyekyeong
Shin, Nana
Kim, Yuri
author_facet Kim, Yeri
Kim, Jiye
Lee, Bomi
Jung, Seungyoun
Chung, Seo-Jin
Kim, Hyekyeong
Shin, Nana
Kim, Yuri
author_sort Kim, Yeri
collection PubMed
description 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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spelling pubmed-103753342023-08-01 Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children Kim, Yeri Kim, Jiye Lee, Bomi Jung, Seungyoun Chung, Seo-Jin Kim, Hyekyeong Shin, Nana Kim, Yuri Nutr Res Pract Original Research 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. The Korean Nutrition Society and the Korean Society of Community Nutrition 2023-08 2023-02-17 /pmc/articles/PMC10375334/ /pubmed/37529267 http://dx.doi.org/10.4162/nrp.2023.17.4.717 Text en ©2023 The Korean Nutrition Society and the Korean Society of Community Nutrition https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Kim, Yeri
Kim, Jiye
Lee, Bomi
Jung, Seungyoun
Chung, Seo-Jin
Kim, Hyekyeong
Shin, Nana
Kim, Yuri
Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children
title Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children
title_full Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children
title_fullStr Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children
title_full_unstemmed Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children
title_short Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children
title_sort early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in korean preschool children
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10375334/
https://www.ncbi.nlm.nih.gov/pubmed/37529267
http://dx.doi.org/10.4162/nrp.2023.17.4.717
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