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Influence of grandparents on eating behaviors of young children in Chinese three-generation families
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Internationell barnhälsa och nutrition/Persson)
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2007 (English)In: Appetite, ISSN 0195-6663, E-ISSN 1095-8304, Vol. 48, no 3, 377-83 p.Article in journal (Refereed) Published
Abstract [en]

Aim: To investigate how grandparents influence their young grandchildren's eating behaviors in Chinese three-generation families. Methods: This qualitative study used semi-structured in-depth interviews with 12 parents (3 male and 9 female) and 11 grandparents (4 male and 7 female) in Beijing, China. Results: Three domains emerged in this study: (1) grandparents were the primary caretakers of children in the three-generation families. They played an important role in planning and cooking family meals; (2) grandparents' attitudes influenced young children's nutrition and eating habits. They held the belief that children being heavy at a young age would assure that they had a good nutrition status and would become tall in the future. They showed a tendency towards urging the children to eat more meals and larger portions at served meals; (3) grandparents used food as an educational and emotional tool. They shaped the behavior of their grandchildren and expressed love and caring through food. Conclusions: Grandparents were dominant in shaping children's eating behavior in some three-generation families in Chinese urban areas. Nutrition education involving grandparents is a potential framework for developing a healthy dietary behavior in young children.

Place, publisher, year, edition, pages
2007. Vol. 48, no 3, 377-83 p.
Keyword [en]
Family, Grandparents, Influence, Young children, Eating behavior
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-94896DOI: 10.1016/j.appet.2006.10.004ISI: 000246401000013PubMedID: 17166624OAI: oai:DiVA.org:uu-94896DiVA: diva2:168911
Available from: 2006-10-04 Created: 2006-10-04 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Intervention for Childhood Obesity in Beijing, China
Open this publication in new window or tab >>Intervention for Childhood Obesity in Beijing, China
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Childhood obesity appears to be increasing throughout the world. China has joined the global epidemic. Childhood obesity is not only a chronic disease which is associated with lifestyle, but also a public health problem in children. Obesity intervention should become a public health priority in China. This thesis reports on intervention to treat and prevent childhood obesity. The field work was implemented in Beijing, China.

This thesis is based on four papers: Paper I evaluated the feasibility and impact of family-based behavior treatment on obese children. Two years of intervention resulted in obese children with improvements in body mass index, total cholesterol, triglycerides, and blood pressure.

Paper II assessed the effects of a school-based intervention on obesity among primary school children. After a three-year intervention, the prevalence of overweight and obesity were significantly lower in the intervention schools than in the control schools. Fewer non-obese children became obese in the intervention schools than in the control schools.

Paper III explored the family related factors of overweight in 2- to 6-year-old children. Significant associations were observed between children’s overweight and parent characteristics for frequency of eating in restaurants, daily time spent viewing television, and engaging in physical activity. Child overweight was associated with parental overweight, low maternal education level and television watching >2h/d.

Paper IV investigated how grandparents influence their young grandchildren’s eating behaviors in Chinese three-generation families, using qualitative method. Three domains identified through the seven themes included: (1) Grandparents as primary caretakers of children in the three-generation family, (2) Grandparents' attitudes to child nutrition and healthy eating habits, and (3) The role of food as an educational and emotional tool. The results showed that nutrition education involving grandparents is thus a potential framework for improving healthy dietary behaviors in young children.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2006. 49 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 173
Keyword
Public health, Obesity, intervention, childhood, behavior modification, risk factors, family influence, Folkhälsomedicin
Identifiers
urn:nbn:se:uu:diva-7159 (URN)91-554-6662-1 (ISBN)
Public defence
2006-10-17, Fåhreussalen, Rudbecklaboratoriet, C5, Uppsala Science Park, Uppsala, 09:00
Opponent
Supervisors
Available from: 2006-10-04 Created: 2006-10-04Bibliographically approved

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Rosenqvist, UrbanSarkadi, Anna

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