A Study On The Current Situation And Influencing Factors Of Eating Behavior Problems Of Children Aged 3-6 In Urumqi

Objective: 1.To understand the eating behavior problems,parental feeding behaviors,family nurture environment and nutritional status of children aged 3-6 years in Urumqi.2.To explore the effect of parental feeding behavior on nutritional status of children aged 3 to 6 years.3.To explore the effects of different demographic data,parental feeding behavior and family nurture environment on various dietary behavior problems of children aged 3-6 years.Methods: A stratified random cluster sampling method was used to select 1150 children aged 3-6 years from two primary and secondary kindergartens,three tertiary kindergartens in Urumqi from October 2017 to January 2018.Children’s demographic data,eating behavior problems,parental feeding behaviors,family nurture environment were investigated by using the questionnaire of children’s personal and family general information,Centers for Disease Control and Prevention,Chidren Feeding Quesrionnaire and the 3-6 year-old Children’s Family Nurture Environment Scale.Children’s nutritional status was assessed by physical measurement.Results: 1.1070 valid questionnaires were collected,the effective rate was 93.04%,598 children(55.89%)had eating behavior problems.From high to low,350(32.71%)had bad eating habits,345(32.24%)had parents’ excessive concern,336(31.40%)had special preferences for certain foods,236(22.06%)had poor appetite and 85(7.94%)were afraid of eating.2.The order of the three feeding behavior levels from high to low is: supervised diet(3.78±0.81),restricted diet(3.45±0.57),forced feeding(2.94±0.70).3.212(19.83%),617(57.66%)and241(22.57%)children with good,moderate and unhealthy family nurture environment respectively.4.The detection rates of weight loss,overweight and obesity among children aged 3-6 in Urumqi were 4.95%,11.40%and 9.63%respectively.5.There were differences in the scores of the three feeding behaviors among children with different nutritional status(P<0.05).6.Multi-factor analysis showed:Whether it is an only child,daily exercise time,mother’s educational level,family type,forced eating,supervised diet,emotional warmth/self-expression,activity diversity/game participation and environmental atmosphere are related to poor appetite.Age,being or not an only child,gestational age,mother’s educational level,family type,family monthly total income,restriction of diet,forced eating and supervised diet,language/cognitive information,social adaptation/self-care,neglect/intervention/punishment,activity diversity/game participation and environmental climate are related to a particular food preference.Age,sex,whether or not they are only children,gestational age,mother’s educational level,family type,forced feeding,supervision of diet,social adaptation/self-care and environmental climate are related to bad eating habits.Age,only child,gestational age,birth weight,mother’s educational level,family type,diet restriction,forced eating and supervised diet,social adaptation/self-care,neglect/intervention/punishment are related to parents’over-care.Age,being an only child,mother’s educational level,family type,forced eating,supervised diet,language/cognitive information,emotional warmth/self-expression,social adaptation/self-care,neglect/intervention/punishment and environmental climate are related to fear of eating.Conclusion:1.The prevalence of dietary behavioral problems among children aged 3-6 years in Urumqi is higher;the overall feeding behavior of their parents is better,the family rearing environment is mostly at a moderate level,and the prevalence of wasting,overweight and obesity among children is still high.2.Lower dietary restriction,forced feeding and higher supervised diet by parents are beneficial to maintaining healthy weight of children.3.The younger the child,the only child,the premature baby,the low birth weight child,the average daily exercise time is less,the lower the educational level of the main caregiver,main family,low level household monthly total income,the higher the score of restricted diet and forced eating score,and lower the total score of supervised diet and family nurturing environment,the more likely the child is to have eating behavior problems.Relevant health departments should focus on strengthening the popularization of education related to children’s eating behaviors by major caregivers.