Effects of Early Weight Gain Velocity, Diet Quality, and Snack Food Access on Toddler Weight Status at 1.5 Years: Follow-Up of a Randomized Controlled Infant Formula Trial.
Effects of Early Weight Gain Velocity, Diet Quality, and Snack Food Access on Toddler Weight Status at 1.5 Years: Follow-Up of a Randomized Controlled Infant Formula Trial.
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DOI：
10.3390/nu13113946
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发表时间：
2021-11-04
期刊：
影响因子：
5.9
通讯作者：
Trabulsi JC
中科院分区：
文献类型：
--
作者：
Mennella JA;Smethers AD;Decker JE;Delahanty MT;Stallings VA;Trabulsi JC
这项研究追踪了参与一项喂养试验的儿童。在该试验中，从2周起随机给予的婴儿配方奶粉类型在头4个月显著影响体重增长速度，并且对身长别体重Z（WLZ）评分的影响直至11.5个月。我们重点关注人体测量指标、膳食摄入量以及与提供零食相关的养育方式，这些数据是在试验结束（1岁）时和1.5岁随访时收集的。我们不仅描述了幼儿的饮食情况，还确定了随机配方奶粉组、早期体重增长速度、断奶后饮食的营养成分以及母亲提供零食的行为对幼儿体重状况的独立和/或交互影响。在这6个月期间，饮食质量发生了巨大变化。随着婴儿配方奶粉从饮食中消失，水果和100%纯果汁的摄入量略有增加，而“美国饮食情况”中饮料、零食和甜食类别的摄入量增加了一倍多。添加糖在1岁时占能量需求的5%，在1.5岁时占9%。广义线性混合模型显示，独立于随机配方奶粉组，婴儿早期体重增长速度更快以及幼儿期获取零食的机会更少，预示着1.5岁时WLZ更高以及超重幼儿的比例更大。能量和添加糖的摄入量没有显著影响。这些发现进一步充实了越来越多的证据，即不健康的饮食习惯甚至在断奶前就已形成，而且除了改善早期饮食外，短暂的快速体重增长和父母的喂养行为是可改变的决定因素，可能会降低肥胖风险。
This study followed children who participated in a feeding trial in which the type of randomized infant formula fed from 2 weeks significantly affected weight gain velocity during the first 4 months and weight-for-length Z (WLZ) scores up to 11.5 months. We focused on measures of anthropometry, dietary intakes, and parenting related to the provision of snack foods that were collected at the end of the trial (1 year) and the 1.5 years follow-up visit. We not only describe what toddlers are eating, but we also determined the independent and/or interactive effects of randomized formula group, early weight gain velocity, the nutrient content of the post-formula diet, and maternal snack food practices, on toddlers’ weight status. Diet quality underwent drastic changes during this 6-month period. As infant formula disappeared from the diet, fruit and 100% fruit juice intake increased slightly, while intake of “What We Eat in America” food categories sweetened beverages and snacks and sweets more than doubled. Added sugars accounted for 5% of energy needs at 1 year and 9% at 1.5 years. Generalized linear mixed models revealed that, independent of the randomized formula group, greater velocities of weight gain during early infancy and lower access to snacks as toddlers predicted higher WLZ and a greater proportion of toddlers with overweight at 1.5 years. Energy and added sugar intake had no significant effects. These findings add to the growing body of evidence that unhealthy dietary habits are formed even before formula weaning and that, along with improving early diet, transient rapid weight gain and parental feeding practices are modifiable determinants that may reduce risks for obesity.
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DOI：
10.1186/s12966-017-0593-9
发表时间：
2017-11-03
期刊：
The international journal of behavioral nutrition and physical activity
影响因子：
--
作者：
Blaine RE;Kachurak A;Davison KK;Klabunde R;Fisher JO
通讯作者：
Fisher JO
影响因子：
5.9
作者：
Gibson, Edward Leigh;Androutsos, Odysseas;Manios, Yannis
通讯作者：
Manios, Yannis
影响因子：
5.9
作者：
Blaine, Rachel E.;Fisher, Jennifer Orlet;Davison, Kirsten K.
通讯作者：
Davison, Kirsten K.
影响因子：
5.4
作者：
Corsini, Nadia;Wilson, Carlene;Danthiir, Vanessa
通讯作者：
Danthiir, Vanessa
影响因子：
2.9
作者：
Bellisle, France
通讯作者：
Bellisle, France