Early influences on child satiety-responsiveness: the role of weaning style

Early influences on child satiety-responsiveness: the role of weaning style
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DOI:
10.1111/j.2047-6310.2013.00207.x
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发表时间:
2015-02-01
期刊:
影响因子:
3.8
通讯作者:
Lee, M. D.
Lee, M. D.
中科院分区:
医学3区
文献类型:
--
作者:
Brown, A.;Lee, M. D.

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研究背景婴儿期的营养状况可能对体重增加和饮食方式产生长期影响。如何让婴儿接触固体食物可能很重要。传统上,婴儿是通过用勺子喂果泥来接触固体食物的。然而,婴儿主导的断奶主张允许婴儿以整个形式自我喂食食物。倡导者认为这可能会促进健康的饮食方式,但证据很少。目前的研究的目的是比较儿童的饮食行为,在18-24个月之间的婴儿断奶使用传统的断奶方法和那些断奶使用婴儿为主导的断奶styles. MethodsTwenty-nine-eight的母亲,年龄在18-24个月的婴儿完成了纵向,自我报告问卷。在第一阶段,有6-12个月婴儿的母亲报告母乳喂养持续时间,固体食物的时间,断奶方式(婴儿主导或标准)和母亲控制,使用儿童喂养问卷测量。在18-24个月,产后母亲完成了一个后续的调查问卷,检查孩子的饮食风格(饱腹感,食物反应,烦躁,享受食物)和报告的儿童weight.ResultsInfants断奶使用婴儿为主导的方法显着更饱腹感的反应和不太可能超重相比,那些断奶使用标准的方法。这是独立的母乳喂养时间,引入辅食和产妇controls.ConclusionsA婴儿为主导的断奶方法可能会鼓励更大的饱腹感反应和健康的体重增加轨迹的婴儿。然而,自我报告的相关性研究的局限性。需要采用随机对照试验进行进一步研究。
BackgroundNutrition during infancy may have a long-term impact upon weight gain and eating style. How infants are introduced to solid foods may be important. Traditionally, infants are introduced to solid foods via spoon-feeding of purees. However, baby-led weaning advocates allowing infants to self-feed foods in their whole form. Advocates suggest this may promote healthy eating styles, but evidence is sparse. The aim of the current study was to compare child eating behaviour at 18-24 months between infants weaned using a traditional weaning approach and those weaned using a baby-led weaning style.MethodsTwo hundred ninety-eight mothers with an infant aged 18-24 months completed a longitudinal, self-report questionnaire. In Phase One, mothers with an infant aged 6-12 months reported breastfeeding duration, timing of solid foods, weaning style (baby-led or standard) and maternal control, measured using the Child Feeding Questionnaire. At 18-24 months, post-partum mothers completed a follow-up questionnaire examining child eating style (satiety-responsiveness, food-responsiveness, fussiness, enjoyment of food) and reported child weight.ResultsInfants weaned using a baby-led approach were significantly more satiety-responsive and less likely to be overweight compared with those weaned using a standard approach. This was independent of breastfeeding duration, timing of introduction to complementary foods and maternal control.ConclusionsA baby-led weaning approach may encourage greater satiety-responsiveness and healthy weight-gain trajectories in infants. However, the limitations of a self-report correlational study are noted. Further research using randomized controlled trial is needed.