【摘要】 目的 了解抚养人对儿童体重认知现状并分析其与喂养行为的关系。方法 于2020年10月—2021年6月在徐州市城区方便整群抽取4所幼儿园的学龄前儿童，对其抚养人进行问卷调查，并测量儿童身高和体重。结果 正确认知儿童体重的抚养人共507人（55.23%），低估学龄前儿童体重的抚养人共400人（43.57%），高估学龄前儿童体重的抚养人共11人（1.20%）。抚养人对儿童体重的认知与实际体重的一致性较差（Kappa=0.143）。多因素logistic回归分析显示，相较于正确认知儿童体重的抚养人，低估儿童体重的抚养人更可能存在不合理的喂养观念（OR=0.410,95%CI:0.262～0.642）和鼓励型喂养行为（OR=0.139,95%CI:0.084～0.230）；女童的抚养人更可能存在鼓励型喂养行为（OR=0.699,95%CI:0.503～0.971）；相对于体重正常儿童的抚养人，超重肥胖儿童的抚养人更容易存在合理的喂养观念（OR=3.212,95%CI:1.857～5.555）和非鼓励型喂养行为（OR=12.865,95%CI:7.868～21.036），消瘦儿童的抚养人可能存在鼓励型喂养行为（OR=0.296,95%CI:0.089～0.992）。结论 抚养人对儿童体重认知，存在低估现象，且低估儿童体重的抚养人喂养观念和行为不合理。更多还原

【Abstract】 Objective To understand the current situation of caregivers’ cognition of children’s weight and analyze its relationship with feeding behavior. Methods The preschool children from 4 kindergartens were selected by cluster sampling from October 2020 to June 2021 in Xuzhou city. Their caregivers were investigated by questionnaire, and children ’s height and weight were measured. Results A total of 507 caregivers(55.23%) correctly recognized the weight of children, 400(43.57%) underestimated the weight of preschool children, and 11(1.2%) overestimated the weight of preschool children.Caregivers’ cognition of the child’s weight was not consistent with the actual weight(Kappa=0.143). Multivariate Logistic regression analysis showed that caregivers who underestimated children’s weight were more likely to have unreasonable feeding concept(OR=0.410, 95%CI: 0.262-0.642) and encouraging feeding behavior(OR=0.139, 95%CI: 0.084-0.230) than caregivers who correctly recognized children’s weight, while caregivers of girls were more likely to have encouraging feeding behavior(OR =0.699, 95% CI: 0.503-0.971). Compared with the caregivers of normal weight children, the caregivers of overweight and obese children were more likely to have reasonable feeding concept(OR=3.212, 95%CI: 1.857-5.555) and non-encouraging feeding behavior(OR =12.865, 95% CI: 7.868-21.036), while the caregivers of thin children may have encouraging feeding behavior(OR=0.296, 95%CI: 0.089-0.992). Conclusion There is underestimation of children’s weight in caregivers, and the feeding concept and behavior of caregivers who underestimate children ’s weight are unreasonable.更多还原