Positive maternal attitudes to following healthy infant feeding guidelines attenuate the associations between infant appetitive traits and both infant milk intake and weight
Positive maternal attitudes to following healthy infant feeding guidelines attenuate the associations between infant appetitive traits and both infant milk intake and weight
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DOI：
10.1016/j.appet.2021.105124
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发表时间：
2021-02-05
期刊：
影响因子：
5.4
通讯作者：
Lakshman, Rajalakshmi
中科院分区：
文献类型：
--
作者：
Clifton, Emma A. D.;Ahern, Amy L.;Lakshman, Rajalakshmi
食欲特征影响整个生命过程中的食物摄入和体重增加。在这里，我们调查了产妇的态度，以下健康的婴儿喂养指南可以修改这种关联。基线数据从544个母亲-婴儿配方奶粉喂养的婴儿奶粉试验招募被纳入这项观察，横断面分析。婴儿的食欲特征（食物反应性和饱腹感反应性），母亲的态度，以下健康的婴儿喂养指南（自我效能，预期结果，意图）和婴儿牛奶的摄入量，通过问卷调查的母亲。使用标准程序测量婴儿体重。母亲的态度得分或婴儿的食欲性状与婴儿的牛奶摄入量和婴儿体重之间的关联进行了评估，调整婴儿的性别和年龄的线性回归模型。为了确定效果修改，母亲的态度得分和婴儿的食欲特质之间的相互作用项被添加到模型中。婴儿？平均年龄和体重分别为2.3个月（SD = 0.9）和5.5 kg（SD = 0.9）。母亲报告的平均每日婴儿乳汁摄入量为895 ml/天（SD = 215）。较高的母亲态度评分与较低的婴儿牛奶摄入量（Beta = -68.4 ml/天/单位（95% CI：96.6，-40.2））和婴儿体重（Beta = -0.13 SD/单位（-0.25，-0.02））相关。母亲的态度评分显示婴儿食物反应对婴儿牛奶摄入量的相互作用（p = 0.049），婴儿饱腹感反应对婴儿体重的相互作用（p = 0.01）。在这两种情况下，较高的母亲的态度得分减弱了婴儿的食欲性状和这些结果之间的关联。这项分析提供的证据表明，积极的母亲的态度，以下健康的婴儿喂养指南减弱婴儿的食欲性状对婴儿的牛奶摄入量和体重的影响。
Appetitive traits influence food intake and weight gain throughout the life-course. Here, we investigated whether maternal attitudes to following healthy infant feeding guidelines could modify this association. Baseline data from 544 mother-infant formula-feeding dyads recruited to the Baby Milk Trial were included in this observational, cross-sectional analysis. Infant appetitive traits (food responsiveness and satiety responsiveness), maternal attitudes to following healthy infant feeding guidelines (self-efficacy, outcome-expectancy, intentions) and infant milk intakes were reported by mothers through questionnaires. Infant weight was measured using standard procedures. Associations between the maternal attitudes score or infant appetitive traits with infant milk intake and infant weight were evaluated in linear regression models adjusted for infant sex and age. To identify effect modification, the interaction term between the maternal attitudes score and infant appetitive trait was added to the model. Infants? mean age and weight were 2.3 months (SD = 0.9) and 5.5 kg (SD = 0.9), respectively. The mean daily infant milk intake reported by mothers was 895 ml/day (SD = 215). Higher maternal attitudes score was associated with lower infant milk intake (Beta = -68.4 ml/day/unit (95% CI: 96.6, -40.2)) and infant weight (Beta = -0.13 SD/unit (-0.25, -0.02)). The maternal attitudes score showed interactions with infant food responsiveness on infant milk intake (p = 0.049), and with infant satiety responsiveness on infant weight (p = 0.01). In both cases, a higher maternal attitudes score attenuated the associations between infant appetitive traits and those outcomes. This analysis provides evidence that positive maternal attitudes to following healthy infant feeding guidelines attenuate the effects of infant appetitive traits on infant milk intake and body weight.