Weight-Control Behavior among Obese Children: Association with Family-Related Factors

肥胖兒童體重控制行為之家庭相關因素探討

巫菲翎(Fei-Ling Wu) ； 于漱(Shu Yu) ； 魏燕蘭(len-Lan Wei) ； 尹祚芊(Teresa J. C. Yin)

《The Journal of Nursing Research》 11卷1期 (2003/03) Pp. 19-30

摘要

本研究目的在調查肥胖兒童執行體重控制行為、瞭解家長督導行為及探討影響其執行體重控制行為之相關因素。以自擬結構式問卷為研究工具，採隨機抽樣方式針對臺北市士林、北投區共六所國小三、四年級重高指數≥1.2肥胖標準之287名兒童及其父母為研究對象。研究結果：肥胖兒童中有56.1%屬輕度肥胖，得度肥胖亦佔11.5%。有97.6%的肥胖兒童會採取體得控制行為，其中以避免吃油炸食物的方式居多；而在運動頻率與時間的持續性普遍不足，26.8%的肥胖兒童沒有運動習慣。影響肥胖兒童執行體重控制行為之因素有兒童肥胖程度、母親之教育程度、家庭結構、家庭社經地位、父母對子女體重看法、關心程度及家長督導行爲。本研究重要發現，重度肥胖兒童會嘗度採以不適當的減重方式；寄養家庭、隔代教養之家庭與低社經地位家庭，其子女體重控制行為較差；家長督導行為、家長對子女體重的看法與關心程度愈正向，其子女體重之控制行為愈好。因此，協助家長正視並發揮家庭功能對兒童行為的支持與影響外，對於社經地位低、隔代教養及寄養家庭我們應積極提供資源、運用社會支援來強化家庭的功能。

關鍵字

肥胖兒童 ； 家庭功能 ； 督導行為 ； 體重控制行為

並列摘要

The purpose of this study was to investigate the weight-control behavior of obese children, to under stand parents’ super vision and to explore related factors that influenced the weight-control behavior. A structured questionnaire was employed in this study. A random sample of 287 children and their parents was recruited from six elementary schools in Shihlin and Peitou districts of Taipei City. Criteria employed for recruitment of subjects were: third and fourth grade in elementary schools, and weight-for-length index? 1.2. Results: Fifty-six per cent of the obese children were mildly obese and eleven per cent were severely obese. Ninety-seven per cent of the subjects adopted weight-control behavior, the most frequent one being avoiding fried food. The exercise frequency and time duration consistency were generally insufficient. Twenty-seven per cent of the obese children were not in the habit of exercising. Factors that influenced the execution of weight-control behavior by the obese children included obesity level, mother’s education, family structure, socio economic status of the family, parents’ perception of their children’s weight, parents’ concern, and super vision. Our study found that severely obese children attempted to lose weight with inappropriate methods. Children staying in foster families or with grand parents, or from families of low socio economic status, had poorer weight-control behavior. Children whose parents were more concerned about their weight problem tended to have better weight-control behavior. There fore, it is important to assist the parents of obese children to con front the issue of obesity and help the children solve their weight problem. It is also important to help foster families with low income to make the most of social resources to reinforce the family function.

並列關鍵字

obese children ； family function ； supervision behavior ； weight-control behavior

參考文獻

Bennett, E. M.(1991).Weight-loss practices of overweight adults.American Journal of Clinical Nutrition.53(6)

Bourdeaudhuij, D. I.(1997).Perceived family members' influence on introducing health food into the family.Health Education Research Theory ＆ Practice.12(1)

Campfield, L. A., Smith, F. J., Burn, F.(1998).Strategies and potential molecular targets for obesity treatment.Science.280

Chen, L. F.(1994).Effect of weight control among obese children.National Yang-Ming University.

Chen, W.(1997).Childhood obesity in Taiwan.中華民國小兒科醫學會雜誌 Acta Paediatrica Sinica.38(6)