Examining the Relationship between Infant Weight Status and Parent-Infant Interactions within a Food and Nonfood Context.
Examining the Relationship between Infant Weight Status and Parent-Infant Interactions within a Food and Nonfood Context.
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检查食品和非食品背景下婴儿体重状况与亲子互动之间的关系。
DOI：
10.1089/chi.2021.0126
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Piazza,Jacqueline
中科院分区：
文献类型：
--
作者：
Kong,KaiLing;Shisler,Shannon;Eiden,RinaD;Anzman-Frasca,Stephanie;Piazza,Jacqueline
背景：大多数观察性研究调查了家庭环境中导致儿童肥胖的因素，主要集中在喂养和身体活动上，尽管一个人的非食物家庭环境的各个方面，如亲子互动也会影响体重。本研究的主要目的是确定在不同的背景下，父母与婴儿的互动提供了一个独特的贡献，婴儿并发肥胖后，占已知的肥胖相关的协变量。方法：这是一个横断面分析121 9至15个月大的婴儿使用的数据收集在基线访问的一个正在进行的干预研究。母婴互动过程中的喂养情节和自由发挥的任务进行了记录和编码。婴儿的人体测量由经过培训的研究人员进行测量。我们使用两步分层多变量回归模型，在考虑了已知的肥胖相关协变量（即，母亲年龄、BMI、教育程度、产次、胎龄、儿童性别、母乳喂养持续时间、固体食物引入年龄和出生体重）。结果：母亲的侵扰、儿童的负面情绪和儿童在自由玩耍时的反应性与z-体重-长度显著相关，但与喂养无关。母亲的侵扰性和儿童的消极情感每增加1个单位，（p = 0.011）和0.415（p = 0.028）单位增加，而儿童反应性每增加1-U，身高体重减少0.386 U结论：本研究提供了新的发现，支持了喂养环境之外的亲子互动可能与肥胖有关的观点。临床试验注册号NCT 02936284。
Background:Most observational research examining factors in the home environment that contribute to child adiposity has focused on feeding and physical activity, although aspects of one's nonfood home environment such as parent–child interactions can also impact body weight. The main objectives of this study were to determine if parent–infant interactions under different contexts provide a unique contribution to infants' concurrent adiposity after accounting for known obesity-related covariates.Methods:This was a cross-sectional analysis of 121 9- to 15-month-old infants using data collected at the baseline visit of an ongoing intervention study. Mother–infant interactions during a feeding episode and a free-play task were recorded and coded. Anthropometrics of infants were measured by trained research staff. We used two-step hierarchical multivariable regression models to examine the unique contribution of mother–infant interactions to weight status after accounting for known obesity-related covariates (i.e., maternal age, BMI, education, parity, and gestational age, child sex, breastfeeding duration, age of solid food introduction, and birthweight).Results:Maternal intrusiveness, child negative affect, and child responsiveness during free-play, but not feeding were significantly associated withz-weight-for-length. For every 1-U increase in maternal intrusiveness and child negative affect there was a 0.321 (p= 0.011) and 0.415 (p= 0.028) unit increase inz-weight-for-length, respectively, whereas for every 1-U increase in child responsiveness there was a decrease of 0.386 U inz-weight-for-length (p= 0.025).Conclusion:This research contributes new findings support the idea that parent–child interactions outside of the feeding context may relate to obesity. Clinical Trial Registration Number NCT02936284.
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