Eneli Ihuoma U, Tylka Tracy L, Watowicz Rosanna P, Hummel Jessica, Ritter Jan, Lumeng Julie C
Center for Healthy Weight and Nutrition, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA ; Department of Pediatrics, Ohio State University, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Department of Psychology, Ohio State University, 225 Psychology Building, Columbus, OH 43210, USA.
J Obes. 2015;2015:964249. doi: 10.1155/2015/964249. Epub 2015 Jun 23.
Targeting feeding dynamics, a concept centered on the roles and interaction of the caregiver and child in a feeding relationship, may have significant potential for obesity intervention. The aim of this paper is to describe the 3-phase development of the Feeding Dynamics Intervention (FDI), an acceptability and feasibility study on implementing the feeding dynamic roles (Study 1), development of the FDI content (Study 2), and a pilot study on use of the 6-lesson FDI to promote behaviors consistent with a feeding dynamic approach (Study 3). Sample population was mothers with young children, 2-5 years old. An effect size (Hedges' g) greater than 0.20 was seen in more than half (57%) of maternal feeding behaviors, with the largest effect sizes (Hedges' g ≥ 0.8) occurring with behaviors that represent the mother adopting her roles of determining what food is served, not using food as a reward, and not controlling her child's intake. There was a significant decline in Pressure to Eat behaviors (2.9 versus 2.2, p < 0.01) and Monitoring (4.1 versus 3.5, p < 0.001). The FDI emerged as an acceptable and implementable intervention. Future studies need to investigate effects of the FDI on the child's eating behaviors, self-regulation of energy intake, and anthropometrics.
以喂养动态为目标，这一概念以照顾者与孩子在喂养关系中的角色及互动为核心，可能在肥胖干预方面具有巨大潜力。本文旨在描述喂养动态干预（FDI）的三个阶段发展，即关于实施喂养动态角色的可接受性和可行性研究（研究1）、FDI内容的开发（研究2），以及关于使用6节FDI课程促进与喂养动态方法一致行为的试点研究（研究3）。样本群体为有2至5岁幼儿的母亲。超过一半（57%）的母亲喂养行为的效应量（赫奇斯g值）大于0.20，效应量最大（赫奇斯g值≥0.8）的行为是母亲承担起决定提供何种食物、不将食物作为奖励以及不控制孩子食量的角色。强迫进食行为（从2.9降至2.2，p < 0.01）和监控行为（从4.1降至3.5，p < 0.001）有显著下降。FDI被证明是一种可接受且可实施的干预措施。未来的研究需要调查FDI对孩子饮食行为、能量摄入自我调节和人体测量学的影响。
