INSIGHT responsive parenting intervention is associated with healthier patterns of dietary exposures in infants.

INSIGHT responsive parenting intervention is associated with healthier patterns of dietary exposures in infants.
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DOI:
10.1002/oby.21705
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发表时间:
2017-01
期刊:
影响因子:
6.9
通讯作者:
Savage, Jennifer S.
Savage, Jennifer S.
中科院分区:
医学2区
文献类型:
--
作者:
Hohman, Emily E.;Paul, Ian M.;Birch, Leann L.;Savage, Jennifer S.

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为了确定响应性育儿(RP)干预是否影响婴儿的饮食模式。初产的母亲-新生儿(n=291)被随机分为自知力RP干预组或对照组。课程在3、16、28和40周的护士家访中教授。RP组喂养指导建议响应性喂养,延迟固体食物的引入,反复接触新食物,以及适合年龄的份量。潜伏期分析确定了9个月时饮食暴露的模式。9个月时的班级成员资格被用来预测2岁时的BMI百分位数。确定了五种饮食模式:“母乳喂养,水果和蔬菜”,“母乳喂养,低品种”,“配方水果和蔬菜(FFV)”,“配方,低品种(FLV)”,和“配方,高能量密度(FHED)”。超过60%的婴儿有吃水果和蔬菜少或高能量食物的模式。与FFV级相比,RP组在FFV级(OR=0.40,95%CI为0.23~0.71)或FHED级(OR=0.28,95%CI为0.12~0.61)的发生率低于对照组。9个月的饮食模式与2岁时的BMI百分位数显著相关。虽然大多数婴儿食用水果和蔬菜含量较低的饮食,但Insight RP干预与更健康的饮食模式有关。
To determine if a responsive parenting (RP) intervention affects infant dietary patterns. Primiparous mother-newborn dyads (n=291) were randomized to the INSIGHT RP intervention or control. Curricula were delivered at nurse home visits at ages 3, 16, 28, and 40 weeks. RP group feeding guidance advised responsive feeding, delayed introduction of solids, repeated exposure to novel foods, and age-appropriate portion sizes. Latent class analysis identified patterns of dietary exposure at 9 months. Class membership at 9 months was used to predict BMI percentile at 2 years. Five dietary patterns were identified: “Breastfed, Fruits and Vegetables”, “Breastfed, Low Variety”, “Formula, Fruits and Vegetables (FFV)”, “Formula, Low Variety (FLV)”, and “Formula, High Energy Density (FHED)”. Over 60% of infants had patterns low in fruits and vegetables or high in energy-dense foods. RP group infants were less likely than control to be in the FLV class (OR=0.40, 95% CI 0.23–0.71) or FHED class (OR=0.28, 95% CI 0.12–0.61) relative to the FFV class. Dietary pattern at 9 months was significantly associated with BMI percentile at 2 years. While a majority of infants consumed diets low in fruits and vegetables, the INSIGHT RP intervention was associated with healthier dietary patterns.
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