Institute of Psychological Sciences, University of Leeds, Leeds LS2 9JT, UK.
Institute of Psychological Sciences, University of Leeds, Leeds LS2 9JT, UK; Centre de Recherche de l'Institut Paul Bocuse, Château du Vivier, 69130 Ecully, France.
Appetite. 2015 Jan;84:280-90. doi: 10.1016/j.appet.2014.10.014. Epub 2014 Oct 18.
Breastfeeding (BF) is associated with willingness to accept vegetables. This may be due to the variety of flavours delivered via breast milk. Some mothers add vegetables to milk during complementary feeding (CF) to enhance acceptance. The present study tested a step-by-step exposure to vegetables in milk then rice during CF, on intake and liking of vegetables. Just before CF, enrolled mothers were randomised to an intervention (IG, n = 18; 6 BF) or control group (CG, n = 18; 6 BF). IG infants received 12 daily exposures to vegetable puree added to milk (days 1-12), then 12 × 2 daily exposures to vegetable puree added to rice at home (days 13-24). Plain milk and rice were given to CG. Then both received 11 daily exposures to vegetable puree. Intake was weighed and liking rated on days 25-26 and 33-35 after the start of CF in the laboratory, supplemented by the same data recorded at home. Vegetables were rotated daily (carrots, green beans, spinach, broccoli). Intake, liking and pace of eating were greater for IG than CG infants. Intake and liking of carrots were greater than green beans. However, at 6m then 18m follow up, vegetable (carrot > green beans) but not group differences were observed. Mothers reported appreciation of the structure and guidance of this systematic approach. Early exposure to vegetables in a step-by-step method could be included in CF guidelines and longer term benefits assessed by extending the exposure period.
母乳喂养（BF）与接受蔬菜的意愿有关。这可能是因为母乳提供了各种口味。一些母亲在补充喂养（CF）期间将蔬菜添加到牛奶中以提高接受度。本研究通过在 CF 期间逐步在牛奶中然后在米饭中添加蔬菜，测试了对蔬菜的摄入量和喜好的影响。在 CF 之前，入组的母亲被随机分配到干预组（IG，n=18；6 名 BF）或对照组（CG，n=18；6 名 BF）。IG 组婴儿每天接受 12 次添加蔬菜泥的牛奶暴露（第 1-12 天），然后每天在家中接受 12×2 次添加蔬菜泥的米饭暴露（第 13-24 天）。CG 组婴儿给予纯牛奶和米饭。然后两组都接受了 11 次每天的蔬菜泥暴露。在 CF 开始后的第 25-26 天和第 33-35 天在实验室中测量摄入量并进行喜好评分，并在家中记录相同的数据进行补充。蔬菜每天轮换（胡萝卜、青豆、菠菜、西兰花）。IG 组婴儿的摄入量、喜好度和进食速度均大于 CG 组。IG 组婴儿对胡萝卜的摄入量和喜好度大于青豆。然而，在 6 个月和 18 个月的随访中，观察到了蔬菜（胡萝卜>青豆）但不是组间差异。母亲们对这种系统方法的结构和指导表示赞赏。在 CF 指南中可以纳入早期逐步暴露于蔬菜的方法，并通过延长暴露期来评估长期益处。
