Prospective relations of maternal reward-related eating, pregnancy ultra-processed food intake and weight indicators, and feeding mode with infant appetitive traits.

Prospective relations of maternal reward-related eating, pregnancy ultra-processed food intake and weight indicators, and feeding mode with infant appetitive traits.
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母亲奖励性进食、妊娠期超加工食品摄入量和体重指标以及喂养方式与婴儿食欲特征的前瞻性关系。

DOI:
10.1186/s12966-022-01334-9
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发表时间:
2022-08-03
影响因子:
8.7
通讯作者:
Nansel, Tonja R.
Nansel, Tonja R.
中科院分区:
医学1区
文献类型:
--
作者:
Cummings, Jenna R.;Faith, Myles S.;Lipsky, Leah M.;Liu, Aiyi;Mooney, Jan T.;Nansel, Tonja R.

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婴儿的食欲特征包括进食率、饱腹反应、食物反应和对食物的享受,预测婴儿和幼儿期的体重增加。尽管研究表明遗传对婴儿食欲特征有很强的影响,但父母和婴儿食欲之间的关系尚未得到充分研究。此外,很少有研究考察母亲孕期膳食摄入量、体重指标和喂养方式对婴儿食欲的影响。本研究探讨了母亲奖励性进食、孕期超加工食品摄入及体重指标、喂养方式与婴儿食欲性状的关系。参与孕期饮食属性研究的母亲(458名母亲入组,367名母亲在分娩后保留)完成了与奖励相关的饮食自我报告测量,主成分分析得出两个组成部分:(1)食物关注和反应;(2)食物的强化价值。母亲们在怀孕期间完成了24小时的饮食召回,标准化的NOVA(不是缩写)系统根据加工水平对召回的食物进行了分类。在整个怀孕期间测量母亲的人体测量学。在婴儿6个月时,母亲报告了喂养方式和婴儿的食欲特征。通过家庭收入贫困率对婴儿食欲特征进行线性回归预测(步骤1);与母亲奖励相关的进食成分(步骤2);孕期超加工食品摄入(占能量摄入的百分比)、妊娠早期体重指数和妊娠期体重增加(步骤3);纯母乳喂养持续时间(步骤4)。母亲对食物的关注和反应性每增加1个标准差,婴儿的饱腹感反应性就会增加0.20个标准差(p = 0.005)。怀孕期间从超加工食品中摄取的能量每增加1个标准差,婴儿饱腹感反应就会降低0.16个标准差(p = 0.031)。纯母乳喂养时间每延长1个标准差,婴儿食物反应性就会减少0.18个标准差(p = 0.014)。其他与母亲奖励相关的饮食、孕期超加工食品的摄入量和体重指标以及喂养方式与婴儿食欲特征的相关性不显著。包括母亲怀孕、饮食摄入和喂养方式在内的近早期环境因素可能促进或保护婴儿的食欲特征,而婴儿的食欲可能与母亲的奖励相关饮食不一致。进一步研究发育早期食欲特征的病因,特别是在引入固体食物期间,可能会阐明儿童肥胖的其他可改变的危险因素。Clinicaltrials.gov。注册ID - NCT02217462。注册日期- 2014年8月13日。在线版本包含补充材料,可在10.1186/s12966-022-01334-9获得。
Infant appetitive traits including eating rate, satiety responsiveness, food responsiveness, and enjoyment of food predict weight gain in infancy and early childhood. Although studies show a strong genetic influence on infant appetitive traits, the association of parent and infant appetite is understudied. Furthermore, little research examines the influence of maternal pregnancy dietary intake, weight indicators, and feeding mode on infant appetite. The present study investigated relations of maternal reward-related eating, pregnancy ultra-processed food intake and weight indicators, and feeding mode with infant appetitive traits. Mothers in the Pregnancy Eating Attributes Study (458 mothers enrolled, 367 retained through delivery) completed self-report measures of reward-related eating, and principal component analysis yielded two components: (1) food preoccupation and responsiveness and (2) reinforcing value of food. Mothers completed 24-h dietary recalls across pregnancy, and the standardized NOVA (not an acronym) system categorized recalled foods based on processing level. Maternal anthropometrics were measured across pregnancy. At infant age 6 months, mothers reported on feeding mode and infant appetitive traits. Linear regressions were conducted predicting infant appetitive traits from household income-poverty ratio (step 1); maternal reward-related eating components (step 2); pregnancy ultra-processed food intake (% of energy intake), early pregnancy body mass index, and gestational weight gain (step 3); and exclusive breastfeeding duration (step 4). A 1-SD greater maternal food preoccupation and responsiveness was associated with 0.20-SD greater infant satiety responsiveness (p = .005). A 1-SD greater % energy intake from ultra-processed foods during pregnancy was associated with 0.16-SD lower infant satiety responsiveness (p = .031). A 1-SD longer exclusive breastfeeding duration was associated with 0.18-SD less infant food responsiveness (p = .014). Other associations of maternal reward-related eating, pregnancy ultra-processed food intake and weight indicators, and feeding mode with infant appetitive traits were non-significant. Proximal early-life environmental factors including maternal pregnancy dietary intake and feeding mode may facilitate or protect against obesogenic infant appetitive traits, whereas infant appetite may not parallel maternal reward-related eating. Further investigation into the etiology of appetitive traits early in development, particularly during solid food introduction, may elucidate additional modifiable risk factors for child obesity. Clinicaltrials.gov. Registration ID – NCT02217462. Date of registration – August 13, 2014. The online version contains supplementary material available at 10.1186/s12966-022-01334-9.
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