Center for Women's Health Research, School of Medicine, University of North Carolina at Chapel Hill, 104B Market Street, Chapel Hill, NC 27516, United States.
Appetite. 2013 Dec;71:7-15. doi: 10.1016/j.appet.2013.06.096. Epub 2013 Jul 12.
This study examined non-maternal involvement in feeding during the first 2 years of life and its association with breastfeeding duration, early introduction of complementary foods, and dietary intakes of selected foods and beverages. Data were from the Infant Care, Feeding and Risk of Obesity Study, a cohort of 217 low-income, African-American mother-infant dyads, followed from 3 to 18 months postpartum. Non-maternal caregivers (NMCs) were defined as persons involved in feeding an infant/toddler 50% or more of the total daily feedings. Use of any NMC and the type of NMC was tabulated for each study visit (3, 6, 9, 12, and 18 months). At each time point, more than half of all households reported a NMC. Fathers, grandmothers, and licensed childcare providers were the most common types of NMCs. In longitudinal models adjusted for confounding variables, NMC use was associated with a decreased likelihood of continued breastfeeding, and an increased likelihood of infants and toddlers consuming juice or whole fruit. Given the high prevalence of non-maternal involvement in feeding, interventions targeting multiple family members are warranted as they are likely to be more effective than those targeting the mother alone.
本研究调查了生命最初 2 年内非母亲参与喂养的情况及其与母乳喂养持续时间、早期引入补充食品以及特定食物和饮料的饮食摄入量的关系。数据来自婴儿护理、喂养和肥胖风险研究，这是一项针对 217 名低收入非裔美国母婴对的队列研究，从产后 3 个月到 18 个月进行随访。非母亲照顾者（NMC）定义为每天喂养婴儿/幼儿 50%或以上的人。在每个研究访问（3、6、9、12 和 18 个月）中，都记录了每个家庭的任何 NMC 使用情况和 NMC 的类型。在每个时间点，超过一半的家庭都报告了 NMC。父亲、祖母和有执照的儿童保育提供者是最常见的 NMC 类型。在调整了混杂变量的纵向模型中，NMC 的使用与持续母乳喂养的可能性降低以及婴儿和幼儿饮用果汁或整个水果的可能性增加有关。鉴于非母亲在喂养中高度参与，针对多个家庭成员的干预措施是必要的，因为它们可能比仅针对母亲的干预措施更有效。
