Infant appetite and weight gain in early infancy: Moderating effects of controlling feeding styles.
Infant appetite and weight gain in early infancy: Moderating effects of controlling feeding styles.
复制标题
婴儿早期的婴儿食欲和体重增加：控制喂养方式的调节作用。
DOI：
10.1016/j.appet.2022.106139
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发表时间：
2022
期刊：
影响因子：
5.4
通讯作者：
Leerkes,EstherM
中科院分区：
文献类型：
--
作者：
Shriver,LenkaH;Eagleton,Sally;Lawless,MeganC;Buehler,Cheryl;Wideman,Laurie;Leerkes,EstherM
婴儿体重过度增加是日后肥胖的一个强有力的预测因素。虽然控制喂养与负体重结果有关，但研究尚未考虑婴儿食欲和母亲喂养与婴儿体重之间的关系。这项纵向研究探讨了婴儿的食物反应性和缓慢的饮食作为婴儿体重的预测结果和测试控制喂养方式（限制和压力）的调节器。数据来自一个正在进行的纵向研究的母亲和他们的婴儿的不同样本。母亲（n= 159）在产后2个时间点（2个月访视和6个月访视）报告了婴儿食欲和喂养方式。婴儿体重结局包括从出生至第二次产后访视的年龄别体重z评分变化（WAZ变化）和体重快速增加（RIWG; WAZ变化≥ 0.67 SD）。使用分层多重和逻辑回归分析数据，控制出生体重，胎龄，母亲种族/民族，喂养方式，和亲密伴侣居住。超过25%的婴儿表现出RIWG。更大的婴儿食物反应预测更大的婴儿体重增加和RIWG状态。婴儿的食物反应和进食缓慢与控制喂养方式以独特的方式相互作用。与母亲限制较少的婴儿相比，母亲限制较多的婴儿，食物反应性较高的婴儿体重增加（B = 0.61，p < 0.001）和发生RIWG的概率增加（B = 2.71，p < 0.01）。在低压力喂养的母亲的婴儿中，进食速度越慢，RIWG的概率越低（B =-1.86，p < 0.05）。对于食欲大的婴儿，一定程度的限制性喂养可能有利于防止体重过度增加，而施压可能会加剧进食速度加快与RIWG之间的正相关性。
Excessive infant weight gain is a strong predictor of later obesity. While controlling feeding has been linked to negative weight outcomes, research has not considered associations between infant appetite and maternal feeding simultaneously in relation to infant weight. This longitudinal study examined infant food responsiveness and slowness in eating as predictors of infant weight outcomes and tested controlling feeding styles (restrictive and pressuring) as moderators. Data came from a diverse sample of mothers and their infants participating in an ongoing longitudinal study. Mothers (n= 159) reported infant appetite and feeding styles at 2 postnatal timepoints (2-month visits and 6-month visits). The infant weight outcomes included change in weight-for-age z-scores (WAZ-change) and rapid weight gain (RIWG; WAZ-change ≥ 0.67 SD) from birth to the second postnatal visit. Data were analyzed using hierarchical multiple and logistic regressions, controlling for birthweight, gestational age, maternal race/ethnicity, feeding mode, and residing with an intimate partner. Over 25% of infants exhibited RIWG. Greater infant food responsiveness predicted both greater infant weight gain and RIWG status. Infant food responsiveness and slowness in eating interacted with controlling feeding styles in a unique way. Infants with higher food responsiveness whose mothers were less restrictive had greater weight gain (b = 0.61,p< 0.001) and increased probability of RIWG (b = 2.71,p< 0.01) than infants with more restrictive mothers. Higher slowness in eating was associated with a lower RIWG probability among infants of mothers with lower pressuring feeding (b = −1.86,p< 0.05). For infants with a large appetite, some level of restrictive feeding may be beneficial for preventing excessive weight gain while pressuring may exacerbate the positive association between faster eating and RIWG.