Reis Roberta Sena, Bernardi Juliana Rombaldi, Steiner Meir, Meaney Michael J, Levitan Robert D, Silveira Patrícia Pelufo
Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Departamento de Pediatria, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90035-903, Brazil.
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada.
Prostaglandins Leukot Essent Fatty Acids. 2015 Jun;97:21-5. doi: 10.1016/j.plefa.2015.03.004. Epub 2015 Apr 3.
Intrauterine growth restriction (IUGR) children are more impulsive towards a sweet reward and have altered feeding behavior in adulthood. We hypothesized that early life inhibitory control predicts feeding behaviors later on in childhood, and the consumption of n-3 PUFAs during infancy may protect IUGR children from developing problematic feeding behaviors. 156 children had information on the Early Childhood Behavior Questionnaire (ECBQ) at 18 months, Food Frequency Questionnaire at 48 months and Children׳s Eating Behavior Questionnaire (CEBQ) at 72 months. There was a significant negative correlation between inhibitory control at 18 months and food fussiness at 72 months. A GLM model predicting food fussiness at 72 months showed significant interaction between n-3 PUFAs, inhibitory control and IUGR, with higher intakes associated with decreased risk for fussiness in IUGR children with poor inhibitory control. Deficits in early inhibitory control predict later food fussiness, and higher intakes of n-3 PUFAs in infancy may protect IUGR children from developing such behavior later.
宫内生长受限(IUGR)儿童对甜味奖励更冲动,成年后进食行为会发生改变。我们推测,生命早期的抑制控制能力可预测儿童后期的进食行为,婴儿期摄入n-3多不饱和脂肪酸(PUFAs)可能会保护IUGR儿童不出现问题进食行为。156名儿童在18个月时填写了幼儿行为问卷(ECBQ),48个月时填写了食物频率问卷,72个月时填写了儿童进食行为问卷(CEBQ)。18个月时的抑制控制能力与72个月时的食物挑剔程度之间存在显著负相关。一个预测72个月时食物挑剔程度的广义线性模型(GLM)显示,n-3 PUFAs、抑制控制能力和IUGR之间存在显著交互作用,对于抑制控制能力较差的IUGR儿童,n-3 PUFAs摄入量越高,食物挑剔风险越低。早期抑制控制能力不足可预测后期食物挑剔,婴儿期较高的n-3 PUFAs摄入量可能会保护IUGR儿童后期不出现此类行为。