兒童肥胖率提高在台灣是不容忽視的問題,一旦罹患肥胖後再減重是困難的過程,因此及早預防不當的體重增加是較好的策略。家庭是影響兒童飲食行為、活動及生活習慣的重要因子,本文旨在探討家庭對兒童肥胖的影響,分成家庭物質環境及家庭社會環境兩個層面。(1)家庭物質環境:包括家庭飲食供應、在家進食/與家人共餐、身體活動及生活習慣相關器材與設施;(2)家庭社會環境:包括父母的角色典範、家人關係、教養行為等。本文回顧相關文獻後,針對兒童肥胖預防提出家庭方面的建議。
The increasing prevalence of childhood obesity is a serious problem in Taiwan. Preventing inappropriate weight gain is a better strategy for maintaining a healthy weight than is losing weight, since it is difficult to lose weight once it is gained. The home environment has been identified as a key influence on the diet, physical activity and life style of children. This paper reviews the role of both the physical and social environment of the home on childhood obesity: (1) Physical environment: food availability, home meal/eating with family members, amenities for physical activity or life style; (2) social environment: parents' role modeling, family relationships and parenting. After reviewing the relevant literature, the author makes recommendations for preventing childhood obesity focused on the home environment.