Associations between mothers' use of food to soothe, feeding mode, and infant weight during early infancy.

Associations between mothers' use of food to soothe, feeding mode, and infant weight during early infancy.
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DOI:
10.1016/j.appet.2021.105736
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发表时间:
2022-01-01
期刊:
影响因子:
5.4
通讯作者:
Ventura AK
Ventura AK
中科院分区:
医学2区
文献类型:
--
作者:
Hupp MK;Papathakis PC;Phelan S;Ventura AK

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产后前六个月的体重状况和体重增加率是后期肥胖的强有力预测因素;因此,婴儿喂养方法是预防肥胖的重要目标。使用食物抚慰(FTS)与年龄较大的婴儿和儿童的不良饮食习惯和体重结果有关。然而,很少有研究探讨相关的使用FTS在婴儿早期。这项横断面研究的主要目的是探讨产后前6个月使用FTS与婴儿体重状况之间的关系。第二个目的是确定预测使用FTS的母婴特征的组合。6个月或6个月以下婴儿的母亲(N = 134)完成了评估FTS使用情况、奶瓶喂养强度(即,每天从奶瓶喂养与直接从乳房喂养的百分比),反应和压力喂养方式的水平,婴儿气质和饮食行为的维度,以及家庭人口统计学。在喂养过程中观察二对儿,以评估母亲对婴儿线索的敏感性和对婴儿痛苦的反应性,以及婴儿对母亲线索的清晰度和反应性。由经过培训的研究助理评估研究入组时的婴儿体重和身长。使用FTS与婴儿年龄别体重Z评分(WAZ)无关,即使奶瓶喂养强度被认为是调节因素。更频繁地使用FTS是由更高水平的加压喂养方式(p = .005)和婴儿气质负情感(p = .001)以及更低水平的婴儿气质冲动/外倾性(p = .018)预测的。总之,使用FTS与婴儿气质和母亲喂养方式的维度有关,但与婴儿早期WAZ无关。
Weight status and rate of weight gain in the first six months postpartum are strong predictors of later obesity; thus, infant feeding practices are an important target for obesity prevention efforts. The use of food to soothe (FTS) is associated with less-favorable eating habits and weight outcomes for older infants and children. However, few studies have examined correlates of use of FTS during early infancy. The primary aim of this cross-sectional study was to explore associations between use of FTS and infant weight status in the first 6 months postpartum. A secondary aim was to identify the combination of maternal and infant characteristics that predicted use of FTS. Mothers of infants aged 6 months or younger (N = 134) completed questionnaires assessing use of FTS, bottle-feeding intensity (i.e., percentage of daily feedings from bottles versus directly from the breast), levels of responsive and pressuring feeding styles, dimensions of infant temperament and eating behaviors, and family demographics. Dyads were observed during feeding to assess maternal sensitivity to infant cues and responsiveness to infant distress and infant clarity of cues and responsiveness to the mother. Infant weight and length at study entry were assessed by a trained research assistant. Use of FTS was not associated with infant weight for age z-score (WAZ), even when bottle-feeding intensity was considered as a moderator. More frequent use of FTS was predicted by the combination of greater levels of pressuring feeding style (p = .005) and infant temperamental negative affectivity (p = .001), and lower levels of infant temperamental surgency/extraversion (p = .018). In conclusion, use of FTS was associated with dimensions of infant temperament and maternal feeding style, but not with WAZ during early infancy.
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