A pilot study comparing opaque, weighted bottles with conventional, clear bottles for infant feeding.
A pilot study comparing opaque, weighted bottles with conventional, clear bottles for infant feeding.
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DOI：
10.1016/j.appet.2014.11.028
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发表时间：
2015-02
期刊：
影响因子：
5.4
通讯作者：
Golen, Rebecca Pollack
中科院分区：
文献类型：
--
作者：
Ventura, Alison K.;Golen, Rebecca Pollack
关键词：
与母乳喂养的婴儿相比，奶瓶喂养的婴儿在婴儿期消耗更多的食物，增加更多的体重。据推测，奶瓶喂养所提供的视觉和体重提示可能会导致母亲根据瓶子里的液体量而过度喂养。目前这项初步研究的目的是通过比较母亲使用不透明的加权奶瓶(去除视觉和体重线索)与传统的透明奶瓶喂养婴儿时母亲对婴儿暗示和婴儿摄入量的敏感度和反应性来检验这一假设。我们还检验了一种假设，即母亲的加压喂养方式会缓和奶瓶类型对母亲对婴儿暗示和婴儿摄入量的敏感性和反应的影响。配方奶喂养对偶(N=25)在两个不同的日子来我们实验室。母亲们一天用透明的奶瓶喂养婴儿，另一天用不透明的重瓶喂养婴儿；这两天的奶瓶顺序是平衡的。这两个瓶子都是带有乳胶、低流量乳头的玻璃；不透明的瓶子底部装有一个硅胶套筒，里面有一个60克的金属板。通过称量喂奶前后的奶瓶来评估婴儿的摄入量。母亲对婴儿暗示的敏感度和反应性使用护理儿童评估喂养量表(NCAFS)进行客观评估。与透明奶瓶相比，母亲使用不透明奶瓶时对婴儿暗示的反应明显更快(p=0.04)。与透明奶瓶相比，婴儿从不透明奶瓶喂养时食用配方奶粉的量也有明显减少的趋势(p=0.08)。母亲的加压喂养方式缓和了奶瓶类型对母亲对婴儿暗示的反应(p=.02)和婴儿摄入量(p=.03)的影响。具体地说，报告压力喂养水平较高的母亲在使用不透明奶瓶时对婴儿的暗示反应明显更快(p=0.02)，给婴儿喂食的配方奶粉明显少于透明奶瓶(p=0.01)，而报告压力喂养水平较低的母亲在使用不透明奶瓶时的反应或婴儿摄入量没有差异。这项研究强调了一种简单而有效的干预措施，以改善具有压力喂养方式的母亲的奶瓶喂养做法。未来需要进行研究，以确定使用不透明的称重奶瓶是否会有效地干预家庭环境中发生的奶瓶喂养互动。
Compared to breast-fed infants, bottle-fed infants consume greater volumes and gain more weight during infancy. It is hypothesized that the visual and weight cues afforded by bottle-feeding may lead mothers to overfeed in response to the amount of liquid in the bottle. The aim of the present pilot study was to test this hypothesis by comparing mothers’ sensitivity and responsiveness to infant cues and infants’ intakes when mothers use opaque, weighted bottles (that remove visual and weight cues) compared to conventional, clear bottles to feed their infants. We also tested the hypothesis that mothers’ pressuring feeding style would moderate the effect of bottle type on mothers’ sensitivity and responsiveness to infant cues and infant intake. Formula-feeding dyads (N=25) visited our laboratory on two separate days. Mothers fed their infants from a clear bottle one day and an opaque, weighted bottle on the other; bottle-order was counterbalanced across the two days. Both bottles were glass with latex, low-flow nipples; the opaque bottle was fitted with a silicone sleeve containing a 60-g metal plate in its base. Infant intake was assessed by weighing each bottle before and after the feeding. Maternal sensitivity and responsiveness to infant cues was objectively assessed using the Nursing Child Assessment Feeding Scale (NCAFS). Mothers were significantly more responsive to infant cues when they used opaque compared to clear bottles (p=.04). There was also a trend for infants to consume significantly less formula when fed from opaque compared to clear bottles (p = .08). Mothers’ pressuring feeding style moderated the effect of bottle type on maternal responsiveness to infant cues (p = .02) and infant intake (p = .03). Specifically, mothers who reported higher levels of pressuring feeding were significantly more responsive to their infants’ cues (p = .02) and fed their infants significantly less formula when using opaque versus clear bottles (p = .01), whereas mothers who reported lower levels of pressuring feeding showed no differences in responsiveness or infant intake when using opaque versus clear bottles. This study highlights a simple, yet effective intervention for improving the bottle-feeding practices of mothers who have pressuring feeding styles. Future research is needed to determine whether use of opaque, weighted bottles would be an effective intervention for improving bottle-feeding interactions that occur in home-based settings.
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影响因子：
8
作者：
Li, RW;Darling, N;Grummer-Strawn, LM
通讯作者：
Grummer-Strawn, LM
DOI：
10.1038/oby.2002.15
发表时间：
2002-02-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Linné, V;Barkeling, B;Rooth, P
通讯作者：
Rooth, P
影响因子：
4.7
作者：
Sacco, M. R.;de Castro, N. P.;Rondo, P. H. C.
通讯作者：
Rondo, P. H. C.
影响因子：
1.3
作者：
WRIGHT, P;FAWCETT, J;CROW, R
通讯作者：
CROW, R
影响因子：
2.6
作者：
Kavanagh, Katherine F.;Cohen, Roberta J.;Dewey, Kathryn G.
通讯作者：
Dewey, Kathryn G.