The critical period of infant feeding for the development of early disparities in obesity.
The critical period of infant feeding for the development of early disparities in obesity.
复制标题
DOI：
10.1016/j.socscimed.2012.12.007
复制
发表时间：
2013-11
影响因子：
5.4
通讯作者：
Bentley, Margaret E.
中科院分区：
文献类型：
--
作者：
Thompson, Amanda L.;Bentley, Margaret E.
儿童肥胖是一个日益严重的公共卫生问题，特别是在少数民族婴幼儿中。超重患病率的差异持续存在，并随着年龄的增长而扩大，这突出表明需要确定导致早期体重过度增加的因素。我们回顾的行为，社会和宏观环境因素的发展肥胖的早期喂养的做法，非洲裔美国婴儿和幼儿。然后，我们研究了参与美国婴儿护理和肥胖风险研究的母亲和婴儿的社会人口统计学，家庭因素，喂养信念和与年龄不适当的液体和固体喂养（不适当的喂养）相关的婴儿特征。在3、6、9、12和18个月大时进行家访，收集母亲和婴儿的人体测量、婴儿饮食以及母亲和家庭特征。混合逻辑回归被用来估计母婴特征和不适当喂养之间的关联。与年龄不符的喂养率很高;超过75%的婴儿在3个月大时接受固体或果汁。在单身、抑郁或认为自己的婴儿是一个“贪婪”的婴儿的母亲中，年龄不适当喂养的几率更高。喂养不当与婴儿每日能量摄入量增加（β = 109.28卡路里，p = 0.01）和婴儿身高比体重增加（WFL; OR = 1.74，95%CI：1.01-3.01）相关。我们的研究结果表明，年龄不适当的补充喂养影响当前的能量摄入和婴儿WFL，这些因素可能会通过塑造婴儿食欲，食物偏好和代谢来增加长期肥胖风险。鉴于儿童肥胖的棘手性，了解早期喂养在形成长期健康差异中的作用对于制定预防策略以阻止儿童早期肥胖至关重要。
Childhood obesity is an increasing public health problem, particularly among minority infants and young children. Disparities in overweight prevalence persist and widen with age, highlighting the need to identify factors contributing to early excess weight gain. We review the behavioral, social and macro-environmental factors contributing to the development of obesogenic early feeding practices among African-American infants and young children. We then examine the sociodemographic, household factors, feeding beliefs and infant characteristics associated with age-inappropriate feeding of liquids and solids (inappropriate feeding) among mothers and infants participating the U.S. Infant Care and Risk of Obesity Study, a cohort study of 217 low-income, first-time mothers and infants followed from 3 to 18 months of age. Maternal and infant anthropometry, infant diet, and maternal and household characteristics were collected at home visits at 3, 6, 9, 12 and 18 months of age. Mixed logistic regression was used to estimate the association between maternal and infant characteristics and inappropriate feeding. Rates of age-inappropriate feeding are high; over 75% of infants received solids or juice by 3 months of age. The odds of age-inappropriate feeding were higher among mothers who were single, depressed or believed that their infant is a “greedy” baby. Inappropriate feeding was associated with higher daily energy intake in infants (β = 109.28 calories, p = 0.01) and with increased odds of high infant weight-for-length (WFL; OR = 1.74, 95%CI: 1.01–3.01). Our findings suggest that age-inappropriate complementary feeding influences current energy intakes and infant WFL, factors that may increase long-term obesity risk by shaping infant appetite, food preferences, and metabolism. Given the intractability of pediatric obesity, understanding the role of early feeding in shaping long-term health disparities is critical for developing prevention strategies to stem obesity in early childhood.
登录
查看更多内容
DOI：
10.1053/jpdn.2000.5445
发表时间：
2000-04-01
期刊：
Journal of pediatric nursing
影响因子：
--
作者：
Corbett, K S
通讯作者：
Corbett, K S
影响因子：
2.1
作者：
Asiodu, Ifeyinwa;Flaskerud, Jacquelyn H
通讯作者：
Flaskerud, Jacquelyn H
影响因子：
7.1
作者：
Burdette, HL;Whitaker, RC;Daniels, SR
通讯作者：
Daniels, SR
影响因子：
8
作者：
Forste, R;Weiss, J;Lippincott, E
通讯作者：
Lippincott, E
影响因子：
4.2
作者：
Hurley, Kristen M.;Black, Maureen M.;Canfield, Laura E.
通讯作者：
Canfield, Laura E.