Hurley Kristen M, Black Maureen M, Merry Brian C, Caulfield Laura E
Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Matern Child Nutr. 2015 Apr;11(2):229-39. doi: 10.1111/mcn.12004. Epub 2012 Nov 20.
The study's objective was to examine the relation between maternal mental health and infant dietary intake. A cross-sectional, population-based telephone survey was employed within a statewide sample of Maryland Special Supplemental Nutrition Program for Women, Infants and Children participants. A 24-h diet recall was performed using the United States Department of Agriculture Automated Multiple-Pass Method. Analyses presented were based on 689 mother-infant pairs. Overall, 36.5% of mothers reported introducing solids to their infants early (<4 months of age), and 40% reported adding cereal to their infant's bottle. Among 0-6-month-old infants, higher infant energy intake was associated with symptoms of maternal stress [β=0.02; confidence interval (CI): 0.01, 0.04], depression (β=0.04; CI: 0.01, 0.06) and overall maternal psychological distress (β=0.02; CI: 0.003, 0.03). With early introduction of solids in the model, the significant associations between infant energy intake and maternal stress and maternal psychological distress became marginal (P's=0.06-0.10). The association between infant energy intake and maternal depression remained significant (β=0.03; CI: 0.01, 0.06). Among 4-6-month-old infants, intakes of breads and cereals were higher among mothers who reported more symptoms of stress (β=0.12; CI: 0.04, 0.23), depression (β=0.19; CI: 0.03, 0.34), anxiety (β=0.15; CI: 0.02, 0.27) and overall psychological distress (β=0.04; CI: 0.01, 0.07). Among 7-12-month-old infants, dietary intake was not related to mental health symptoms. Findings suggest poorer infant feeding practices and higher infant dietary intake during the first 6 months of age in the context of maternal mental health symptoms. Further research is needed to evaluate these effects on child dietary habits and growth patterns over time.
该研究的目的是检验母亲心理健康与婴儿饮食摄入之间的关系。在马里兰州妇女、婴儿和儿童特别补充营养计划参与者的全州样本中，采用了基于人群的横断面电话调查。使用美国农业部自动多次通过法进行24小时饮食回顾。所呈现的分析基于689对母婴。总体而言，36.5%的母亲报告过早（<4个月龄）给婴儿添加固体食物，40%的母亲报告在婴儿奶瓶中添加谷物。在0至6个月大的婴儿中，较高的婴儿能量摄入与母亲压力症状[β=0.02；置信区间（CI）：0.01，0.04]、抑郁（β=0.04；CI：0.01，0.06）和母亲总体心理困扰（β=0.02；CI：0.003，0.03）相关。在模型中纳入过早添加固体食物这一因素后，婴儿能量摄入与母亲压力和母亲心理困扰之间的显著关联变得不显著（P值=0.06 - 0.10）。婴儿能量摄入与母亲抑郁之间的关联仍然显著（β=0.03；CI：0.01，0.06）。在4至6个月大的婴儿中，报告有更多压力症状（β=0.12；CI：0.04，0.23）、抑郁（β=0.19；CI：0.03，0.34）、焦虑（β=0.15；CI：0.02，0.27）和总体心理困扰（β=0.04；CI：0.01，0.07）的母亲所喂养的婴儿面包和谷物摄入量更高。在7至12个月大的婴儿中，饮食摄入与心理健康症状无关。研究结果表明，在母亲存在心理健康症状的情况下，婴儿在6个月大之前的喂养方式较差且饮食摄入量较高。需要进一步研究以评估这些因素随时间对儿童饮食习惯和生长模式的影响。
