Dietary quality among preschool children and its correlation with parental feeding practice

TONG Min, JING Guang-zhuang, Tuersunniyazi Maiheliyakezi, ZHANG Yun-hui, SHI Hui-jing

PDF(764 KB)
PDF(764 KB)
Fudan University Journal of Medical Sciences ›› 2025, Vol. 52 ›› Issue (03) : 326-332. DOI: 10.3969/j.issn.1672-8467.2025.03.002
Papers

Dietary quality among preschool children and its correlation with parental feeding practice

Author information +
History +

Abstract

Objective To assess the dietary quality of preschool children and explore the relationship between feeding practices and dietary quality. Methods Relying on the Shanghai Maternal-Child Pairs Cohort, 3 177 preschool children were selected as the subjects for this study, and questionnaire were surveyed on their dietary intake and feeding practice. The diet balance index was used to evaluate dietary quality among preschool children. High bound score (HBS), the low bound score (LBS), and the dietary quality distance (DQD) were calculated to respectively reflect overall dietary overconsumption, insufficiency, and imbalance. Logistic regression was utilized to analyze the association between feeding practice and dietary quality in preschool children. Results The HBS, LBS, and DQD of the subjects were 2 (0, 8), 22.19±10.80, and 26.78±9.57, respectively. Only 7.68% of the children had a balanced dietary intake, with 74.73% and 33.99% of overall dietary intake being inadequate and excessive, respectively. Parental perceived weight were negatively associated with the risk of moderate to high over intake among children (aOR=0.79, 95%CI:0.63-0.98). The higher the perceived responsibility (aOR=1.19, 95%CI:1.03-1.37) score, the lower the monitoring score (aOR=0.83, 95%CI: 0.74-0.93), and the higher the likelihood that the child had a moderate to high under intake. The scores of pressure to eat were also positively correlated with the risks of under intake and moderate to high overall unbalance in preschool children (aOR=1.15-1.39, 95%CI:1.02-1.63). Conclusion Preschool children commonly experience dietary imbalance, with inadequate and excessive intake coexisting. Parental perceived weight and monitoring were positively associated with preschoolers’ dietary quality, whereas perceived responsibility and pressure to eat were negatively associated with it.

Key words

preschool children / feeding practice / dietary quality / diet balance index

Cite this article

Download Citations
TONG Min , JING Guang-zhuang , Tuersunniyazi Maiheliyakezi , et al . Dietary quality among preschool children and its correlation with parental feeding practice. Fudan University Journal of Medical Sciences. 2025, 52(03): 326-332 https://doi.org/10.3969/j.issn.1672-8467.2025.03.002

References

1
刘英杰,王辉,杨科,等.华中地区乡村3~6岁儿童贫血状况及与膳食行为的关联[J].中国学校卫生202344(1):43-47,51.
2
RAUBER F LOUZADA MLDC MARTINEZ STEELE E,et al.Ultra-processed foods and excessive free sugar intake in the UK:a nationally representative cross-sectional study[J].BMJ Open20199(10):e027546.
3
CSERTŐ M MIHÁLYI K MENDL E,et al.Dietary energy and nutrient intake of healthy pre-school children in Hungary[J].Nutrients202315(13):2989-3002.
4
BERHANE HY JIRSTRÖM M ABDELMENAN S,et al.Social stratification,diet diversity and malnutrition among preschoolers:a survey of Addis Ababa,Ethiopia[J].Nutrients202012(3):712-727.
5
张佳琪,卜方,徐娇.上海市长宁区3~4岁儿童生长迟缓相关影响因素的调查[J].上海预防医学202335(11):1093-1099.
6
王西婕,邹志勇,董彦会,等.中国学龄儿童心血管健康状况评价[J].中国学校卫生202445(1):30-35.
7
LEVENTAKOU V ROUMELIOTAKI T SARRI K,et al.Dietary patterns in early childhood and child cognitive and psychomotor development:the Rhea mother-child cohort study in Crete[J].Br J Nutr2016115(8):1431-1437.
8
DUBOIS L BÉDARD B GOULET D,et al.Eating behaviors,dietary patterns and weight status in emerging adulthood and longitudinal associations with eating behaviors in early childhood[J].Int J Behav Nutr Phys Act202219(1):139-150.
9
KANT AK.Indexes of overall diet quality:a review[J].J Am Diet Assoc199696(8):785-791.
10
何宇纳,叶晨,房玥晖,等.中国膳食平衡指数的修订:DBI_22[J].营养学报202446(3):209-214.
11
廖承红,陶逸成,章志红.儿童喂养问题的评估工具及其研究进展[J].中国当代儿科杂志202123(4):425-430.
12
REIDY KC DEMING DM BRIEFEL RR,et al.Early development of dietary patterns:transitions in the contribution of food groups to total energy—Feeding Infants and Toddlers Study,2008[J].BMC Nutrition20173(1):1-14.
13
王健,朱大乔,李芳芳.父母喂养行为与其学龄前子女进食行为的作用关系[J].中国儿童保健杂志202028(6):645-648.
14
周雪阳,华乐,张萌,等.母亲不同喂养行为与学龄前儿童蔬菜水果摄入的相关性分析[J].中国学校卫生201839(1):35-37,41.
15
郑丽霞,宋道平,陈楚琳,等.中文版儿童喂养问卷在学龄前儿童家长中的信效度分析[J].中国儿童保健杂志201624(10):1019-1023.
16
房玥晖,何宇纳,李春丽.基于中国学龄前儿童平衡膳食指数的2010—2012年中国学龄前儿童膳食质量评价[J].中华预防医学杂志202054(6):662-667.
17
束莉,李晓璐,邱孟庭,等.安徽省学龄前留守儿童膳食平衡指数评价研究[J].中国学校卫生202243(1):33-37.
18
ROBSON SM COUCH SC PEUGH JL,et al.Parent diet quality and energy intake are related to child diet quality and energy intake[J].J Acad Nutr Diet2016116(6):984-990.
19
甄晓雨.盘锦市学龄前儿童营养状况与饮食行为和喂养方式的关系研究[D].沈阳医学院2024.
20
陈羽佳,屈方格,魏晓雪,等.父母逼迫进食、学龄前儿童食欲特征和儿童体重间的作用路径研究[J].中国儿童保健杂志202432(6):619-624.
21
RUSSELL A RUSSELL CG.Appetite self-regulation declines across childhood while general self-regulation improves:a narrative review of the origins and development of appetite self-regulation[J].Appetite2021162:105178.
22
黄佳,刘文兵,邬清.学龄前期儿童756例家长喂养现状分析[J].广东医学202344(5):640-644.
23
KRÖLLER K WARSCHBURGER P.Associations between maternal feeding style and food intake of children with a higher risk for overweight[J].Appetite200851(1):166-172.
24
BAUER KW HAINES J MILLER AL,et al.Maternal restrictive feeding and eating in the absence of hunger among toddlers:a cohort study[J].Int J Behav Nutr Phys Act201714(1):172-182.
25
陈楚琳,宋道平,孔德辉,等.母亲对学龄前儿童体重感知偏差与其喂养行为的相关性研究[J].中国儿童保健杂志201624(1):4-7.

童敏 研究设计,数据分析,论文撰写和修订。井光壮 论文构思,论文修订。麦合力亚克孜·吐尔孙尼亚孜 数据核查和整理,论文修订。张蕴晖 研究设计和指导,资助获取。史慧静 研究设计,论文审校,资助获取。

Funding

Shanghai Municipal Three-year Action Plan for Strengthening Public Health System Construction (2023‒2025)(GWVI-11.1-32)

Comments

PDF(764 KB)

Accesses

Citation

Detail

Sections
Recommended

/