Sex Differences in Maternal Restrictive Feeding Practices in the Intervention Nurses Start Infants Growing on Healthy Trajectories Study.

Sex Differences in Maternal Restrictive Feeding Practices in the Intervention Nurses Start Infants Growing on Healthy Trajectories Study.
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DOI:
10.1016/j.acap.2021.05.002
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发表时间:
2021-08
影响因子:
3.1
通讯作者:
Paul IM
Paul IM
中科院分区:
医学3区
文献类型:
--
作者:
Hyczko AV;Ruggiero CF;Hohman EE;Anzman-Frasca S;Savage JS;Birch LL;Paul IM

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INSIGHT测试了一种旨在预防肥胖的早期生活反应型父母(RP)干预措施。RP组3岁时的BMIz低于对照组,女孩的影响大于男孩。我们试图确定儿童性别是否与不同的母亲喂养方式有关,以及性别是否对喂养有调节作用。母亲(N=279)在28周时完成了婴儿喂养方式问卷(IFSQ),在1,2和3岁时完成了父母喂养的结构和控制(SCPF),在3岁时完成了儿童喂养问卷(CFQ)。研究目的进行了测试,采用双向方差分析和重复测量。在28周时(IFSQ:3.0 ± 1.1 vs. 2.8 ± 1.0,P = 0.07)和1至3岁的年度测量中(SCPF:P = 0.04),母亲报告了对男孩的更大限制(限制食物量)。在3岁时,干预组对限制的影响因性别而异(CFQ:P = 0.047),RP组男孩母亲报告的限制高于女孩(3.4 ± 0.7 vs. 3.0 ± 0.9,P = 0.002),而对照组性别差异无显著性(3.4 ± 0.8 vs. 3.3 ± 0.9,P = 0.79)。在任何评估中,在其他报告的喂养实践中没有性别差异或性别与干预组的相互作用(即,基于结构的进料、压力)。男孩的母亲在3岁之前使用更严格的喂养。这些发现可能部分解释了先前报道的更好的自我安慰和自我调节能力的参与女孩。
INSIGHT tested an early life responsive parenting (RP) intervention designed for obesity prevention. BMIz at age 3 years was lower for the RP group versus controls with a larger effect for girls than boys. We sought to determine if child sex was associated with differing maternal feeding practices and whether sex moderated intervention effects on feeding. Mothers (N=279) completed the Infant Feeding Styles Questionnaire (IFSQ) at 28 weeks, the Structure and Control in Parent Feeding (SCPF) at 1, 2, and 3 years, and the Child Feeding Questionnaire (CFQ) at 3 years. Study aims were tested using two-way analysis of variance and repeated measures. Mothers reported greater restriction (limiting food quantity) for boys at 28 weeks (IFSQ: 3.0 ± 1.1 vs. 2.8 ± 1.0, P = .07) and across annual measurements from age 1 to 3 years (SCPF: P = .04). At age 3, the intervention group effect on restriction differed by sex (CFQ: P = .047) such that higher restriction was reported by RP group mothers of boys versus girls (3.4 ± 0.7 vs. 3.0 ± 0.9, P = .002) with no control group sex difference (3.4 ± 0.8 vs. 3.3 ± 0.9, P = .79). There were no sex differences or sex by intervention group interactions in other reported feeding practices at any assessment (i.e., structure-based feeding, pressure). Mothers of boys used more restrictive feeding through age 3. These findings may be partially explained by previously reported better self-soothing and self-regulation abilities of participating girls.
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