Eneli Ihuoma U, Tylka Tracy L, Hummel Jessica, Watowicz Rosanna P, Perez Susana A, Kaciroti Niko, Lumeng Julie C
Center for Healthy Weight and Nutrition, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States; Department of Pediatrics, Ohio State University, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States.
Department of Psychology, Ohio State University, 225 Psychology Building, Columbus, OH 43210, United States.
Contemp Clin Trials. 2015 Mar;41:325-34. doi: 10.1016/j.cct.2015.01.006. Epub 2015 Jan 20.
In 2011, the Institute of Medicine Early Childhood Prevention Policies Report identified feeding dynamics as an important focus area for childhood obesity prevention and treatment. Feeding dynamics includes two central components: (1) caregiver feeding practices (i.e., determining how, when, where, and what they feed their children) and (2) child eating behaviors (i.e., determining how much and what to eat from what food caregivers have provided). Although there has been great interest in overweight and obesity prevention and treatment in young children, they have not focused comprehensively on feeding dynamics. Interventions on feeding dynamics that reduce caregivers' excessive controlling and restrictive feeding practices and encourage the development of children's self-regulation of energy intake may hold promise for tackling childhood obesity especially in the young child but currently lack an evidence base. This manuscript describes the rationale and design for a randomized controlled trial designed to compare a group of mothers and their 3-to 5-year old children who received an intervention focused primarily on feeding dynamics called the Feeding Dynamic Intervention (FDI) with a Wait-list Control Group (WLC). The primary aim of the study will be to investigate the efficacy of the FDI for decreasing Eating in the Absence of Hunger (EAH) and improving energy compensation (COMPX). The secondary aim will be to examine the effect of the FDI in comparison to the WLC on maternal self-reported feeding practices and child satiety responsiveness.
2011年，医学研究所的《幼儿预防政策报告》将喂养动态确定为儿童肥胖预防和治疗的一个重要重点领域。喂养动态包括两个核心组成部分：（1）照顾者的喂养行为（即决定如何、何时、何地以及喂给孩子吃什么）和（2）儿童的饮食行为（即决定从照顾者提供的食物中吃多少以及吃什么）。尽管人们对幼儿超重和肥胖的预防与治疗非常感兴趣，但尚未全面关注喂养动态。针对喂养动态的干预措施，即减少照顾者过度控制和限制的喂养行为，并鼓励儿童发展能量摄入的自我调节能力，可能有望解决儿童肥胖问题，尤其是幼儿肥胖问题，但目前缺乏证据支持。本手稿描述了一项随机对照试验的基本原理和设计，该试验旨在比较一组接受主要针对喂养动态的干预措施（称为喂养动态干预，FDI）的母亲及其3至5岁的孩子与一个等待名单对照组（WLC）。该研究的主要目的将是调查FDI在减少非饥饿进食（EAH）和改善能量补偿（COMPX）方面的疗效。次要目的将是研究与WLC相比，FDI对母亲自我报告的喂养行为和儿童饱腹感反应的影响。
