Effects Of Combined Parental Feeding Behavior And Parenting Style On Obesity In Children With Leukemia

Objective:Through improving the influence of parents’feeding behavior,parenting style and children’s life style on the obesity of children with ALL in the treatment period,the combined intervention of parents’feeding behavior and parenting style was explored to improve the effect of obesity of children with leukemia.Methods:A total of 122 cases of families of children with leukemia who were in the maintenance treatment period in a Grade A hospital in Jilin Province in June 2020 were selected as the research objects.Intervention:Intervention plans were developed based on the core connotation of family-centered care.Once a month,the interview lasts for 30min-60min.The interview process is to determine problems,express emotions,set goals,make plans,and evaluate effects.6 cycle sessions per month,covering health awareness,feeding behaviour,parenting style,physical activity and screen time adjustment;Set up We Chat communication group to communicate at any time.The general data questionnaire,Chinese feeding behavior scale（CFQ）and parenting style scale were used to measure the family data of children before intervention,3 months after intervention and 6 months after intervention respectively.Key indicators included:parental feeding behavior,parenting style,body mass index（BMI）,waist-to-height ratio,waist-to-hip ratio,daily steps,daily outdoor activity time,and daily screen time.Results:（1）A total of 122 families with complete and effective data were collected,including 61boys and 61 girls;There were 34 obese children,accounting for 27.9%,and 22 overweight children,accounting for 18.0%.The main caregivers of children were mothers,accounting for90.2%;Ninety-eight parents（80.3%）took full care of their children,and 91%of parents took care of their children more than half a day.（2）Results of repeated measures analysis of variance:there was a statistically significant difference in the dimension of feeding responsibility of parents before and after intervention（P<0.05）,and there was a statistically significant difference in the dimension of restricted diet conducted by paired t-test before intervention and 3 months after intervention（P<0.05）,and the score of forced eating showed a trend of gradual decline.Before and after intervention,scores of doting dimension of parenting style decreased（P<0.05）,while scores of democratic dimension,laissez-faire dimension,autocratic dimension and inconsistent dimension had no statistical significance.The scores of laissez-faire and incongruent dimensions showed a downward trend.Before and after the intervention,the height and weight of the children with leukemia increased（P<0.05）,the waist circumference and hip circumference increased but there was no statistical significance,while the BMI decreased（P<0.05）.The daily outdoor activity time decreased（P<0.01）,and the daily screen time decreased（P<0.01）.（3）There were 34（27.9%）obese children before intervention,27（22.1%）obese children after intervention for 3 months,and 10（8.2%）obese children after intervention for 6 months.The differences were statistically significant by Friedman test analysis(c^（17）=56.69,P<0.001).There was an interaction between the starting time of intervention and BMI change（P<0.01）.（4）Results of regression analysis:Before intervention,parents’weight concern,restriction of food intake,indulgence,screen time and parental responsibility were the main factors affecting the BMI of children with leukemia,and the test results of the regression model showed that the model was statistically significant（F=12.91,P<0.01,R²=0.33）.After 3 months of intervention,the dimensions of parents’worry about their children’s weight,parents’sense of responsibility and doting entered the regression equation,and the model had statistical significance（F=29.19,P<0.01,R²=0.411）.After 6 months of intervention,the dimensions of parents’weight concern,spoilage and forced eating were entered into the regression equation,and the model was statistically significant（F=21.93,P<0.01,R²=0.342）.Conclusion:（1）After the intervention,the score of feeding responsibility dimension of parents’feeding behavior decreased,and the score of restriction diet dimension was different.（2）The score of doting dimension in parenting style decreased after intervention.（3）BMI and screen time decreased in children with leukemia;The number of children with obese leukemia decreased.（4）The effect of intervention on parents’feeding behavior and parenting style in children with leukemia at different stages of maintenance treatment is different.Intervention within 3months of maintenance treatment is better than intervention after 3 months of maintenance treatment.（5）Before intervention,the main factors affecting the BMI of children with leukemia were parents’weight concern,food restriction,parental responsibility,doting dimension of parenting style and screen time.After intervention,the influencing factors of BMI in children with leukemia were the parents’weight concern in their feeding behavior,forced eating and the doting dimension in their parenting style.（6）The combined intervention of parents’feeding behavior and parenting style can effectively control the further obesity of children with leukemia and reduce the incidence of obesity in children with leukemia.