PEACH Unit, Faculty of Medicine, University of Glasgow, QMH Tower, Yorkhill Hospitals, Glasgow G3 8SJ, UK.
Proc Nutr Soc. 2011 Nov;70(4):485-93. doi: 10.1017/S0029665111001649. Epub 2011 Aug 24.
An understanding of how infant eating behaviour relates to later obesity is required if interventions in infancy are to be attempted. The aim of this paper is to review findings from the Gateshead Millennium Study to describe (i) what we have already established about the relationship between infant feeding transitions, infancy weight gain and eating behaviour and (ii) describe new analyses that examine how infant eating behaviour and temperament relate to infancy weight gain and childhood adiposity. The Gateshead Millennium Study recruited 1029 infants at birth and parents completed questionnaires five times in the first year. We have already described how starting solids and ceasing breast-feeding seems to be a response to rapid early weight gain, rather than a cause, and that parents identify and respond to the individual appetite characteristics of their child. A number of questions about eating behaviour at 12 months were used to construct an infancy eating avidity score that was positively associated with height at age 7-8 years, but not with an adiposity index constructed using bioelectrical impedance, waist and skinfolds. Infancy eating avidity score was associated with greater fussiness and lower satiety responsivity on the Child Eating Behaviour Questionnaire at age 6-8 years. Temperament measured at age 6 weeks and 8 months showed no consistent associations with either infancy weight gain or adiposity at 6-8 years. While infancy may seem a logical time to intervene with children at risk of future obesity, the collective findings from this substantial population-based study largely suggest otherwise.
如果要在婴儿期进行干预，就需要了解婴儿的进食行为与日后肥胖的关系。本文旨在回顾盖茨黑德千禧年研究的结果，描述（i）我们已经确定的婴儿喂养过渡期、婴儿期体重增加和进食行为之间的关系，以及（ii）描述新的分析，探讨婴儿的进食行为和气质如何与婴儿期体重增加和儿童肥胖相关。盖茨黑德千禧年研究在出生时招募了 1029 名婴儿，父母在第一年完成了五次问卷调查。我们已经描述了如何开始添加固体食物和停止母乳喂养似乎是对快速早期体重增加的反应，而不是原因，并且父母可以识别并回应孩子的个体食欲特征。12 个月时的一些关于进食行为的问题被用来构建婴儿进食渴望得分，该得分与 7-8 岁时的身高呈正相关，但与使用生物电阻抗、腰围和皮褶厚度构建的肥胖指数无关。婴儿进食渴望得分与 6-8 岁时儿童饮食行为问卷上的烦躁程度较高和饱腹感反应较低有关。6 周和 8 个月时测量的气质与 6-8 岁时的婴儿期体重增加或肥胖均无一致关联。虽然婴儿期似乎是对有未来肥胖风险的儿童进行干预的合理时机，但这项大规模基于人群的研究的综合结果表明并非如此。
