INFLUENCE OF EARLY FEEDING STYLE ON ADIPOSITY AT 6 YEARS OF AGE

INFLUENCE OF EARLY FEEDING STYLE ON ADIPOSITY AT 6 YEARS OF AGE
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DOI:
10.1016/s0022-3476(05)82677-0
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发表时间:
1990-05-01
影响因子:
5.1
通讯作者:
HAMMER, LD
HAMMER, LD
中科院分区:
医学2区
文献类型:
--
作者:
AGRAS, WS;KRAEMER, HC;HAMMER, LD

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在之前的一项研究中,我们发现,在实验室中测量的2周和4周大的婴儿的有力喂养方式预测了1岁和2岁时的肥胖程度。现报告这组婴儿在3岁和6岁时的随访情况。通过3岁时的体重指数来衡量,预测肥胖的因素是哺乳压力,高压吸吮(表示一种积极的喂养方式)与更大的肥胖症相关,以及引入固体食物的时间,延迟开始固体食物或母乳喂养超过5个月,或两者都与更大的肥胖症相关。6岁时的主要因素是出生时肥胖,出生时肥胖程度越大,6岁时肥胖程度越高;父母教育程度越低,肥胖程度越低;母乳喂养时间越长,摄入固体食物的时间越晚。这些因素解释了3岁时肥胖的40.4%和6岁时的31.2%。社会性学习对体重指数的影响(由父母的教育程度表示)似乎随着时间的推移而加强,而积极喂养方式的影响则减弱。
In a previous study we found that a vigorous infant feeding style measured in the laboratory at 2 and 4 weeks of age predicted the degree of adiposity at 1 and 2 years of age. A follow-up of this cohort of infants at 3 and 6 years of age is now reported. Factors predicting adiposity, measured by body mass index at 3 years of age, were pressure of suckling, with high-pressure sucking (denoting a vigorous feeding style) associated with greater adiposity, and time of introduction of solid food, with delayed introduction of solid food or breast-feeding longer than 5 months, or both, being associated with greater adiposity. Prdictie factors at 6 years of age were adiposity at birth, with greater adiposity at birth predicting greater fatness at 6 years, parental education, with less education associated wtih fatness, and a prolonged period of breast-feeding with delayed introduction of solid food. These factors accounted for 40.4% of the variance in adiposity at 3 years of age and 31.2% at 6 years. The effects of social learning on body mass index, indicated by parental educational level, appear to strengthen over time, whereas the effects of the vigorous feeding style wane.