Monell Chemical Senses Center, Philadelphia, PA.
Am J Clin Nutr. 2014 Mar;99(3):704S-11S. doi: 10.3945/ajcn.113.067694. Epub 2014 Jan 22.
Health initiatives address childhood obesity in part by encouraging good nutrition early in life. This review highlights the science that shows that children naturally prefer higher levels of sweet and salty tastes and reject lower levels of bitter tastes than do adults. Thus, their basic biology does not predispose them to favor the recommended low-sugar, low-sodium, vegetable-rich diets and makes them especially vulnerable to our current food environment of foods high in salt and refined sugars. The good news is that sensory experiences, beginning early in life, can shape preferences. Mothers who consume diets rich in healthy foods can get children off to a good start because flavors are transmitted from the maternal diet to amniotic fluid and mother's milk, and breastfed infants are more accepting of these flavors. In contrast, infants fed formula learn to prefer its unique flavor profile and may have more difficulty initially accepting flavors not found in formula, such as those of fruit and vegetables. Regardless of early feeding mode, infants can learn through repeated exposure and dietary variety if caregivers focus on the child's willingness to consume a food and not just the facial expressions made during feeding. In addition, providing complementary foods low in salt and sugars may help protect the developing child from excess intake later in life. Early-life experiences with healthy tastes and flavors may go a long way toward promoting healthy eating, which could have a significant impact in addressing the many chronic illnesses associated with poor food choice.
健康倡议部分通过鼓励生命早期的良好营养来解决儿童肥胖问题。本综述强调了这样一个科学事实,即儿童天生比成年人更喜欢高糖和高盐的味道,而拒绝低苦味的味道。因此,他们的基本生理机能并没有使他们倾向于推荐的低糖、低盐、富含蔬菜的饮食,这使他们特别容易受到我们当前高盐和精制糖食品环境的影响。好消息是,从生命早期开始的感官体验可以塑造偏好。饮食中富含健康食品的母亲可以让孩子有一个良好的开端,因为味道会从母体饮食传递到羊水和母乳中,而母乳喂养的婴儿更容易接受这些味道。相比之下,用配方奶喂养的婴儿学会了更喜欢配方奶独特的味道,并且在最初可能更难以接受配方奶中没有的味道,例如水果和蔬菜的味道。无论早期喂养方式如何,如果照顾者关注孩子对食物的接受意愿,而不仅仅是喂养过程中的面部表情,那么婴儿可以通过反复接触和饮食多样性来学习。此外,提供低盐和低糖的补充食物可能有助于保护发育中的儿童免受日后过量摄入的影响。生命早期的健康味道和口感体验可能会极大地促进健康饮食,这对解决与不良食物选择相关的许多慢性疾病有重大影响。