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婴儿饮食行为与体重增加的前瞻性关联。

Prospective associations of eating behaviors with weight gain in infants.

作者信息

Shepard Desti N, Chandler-Laney Paula C

机构信息

Department of Psychology, University of Alabama at Birmingham, Alabama, USA.

Department of Nutrition Sciences, University of Alabama at Birmingham, Alabama, USA.

出版信息

Obesity (Silver Spring). 2015 Sep;23(9):1881-5. doi: 10.1002/oby.21168. Epub 2015 Aug 4.

Abstract

OBJECTIVE

To examine whether maternal reports of infant eating behaviors are stable over time and whether eating behaviors are prospectively associated with weight gain.

METHODS

In an ongoing study of infant growth, weight and length were measured at 2 weeks, 3 months, and 5 months of age. Food responsiveness (FR), satiety responsiveness (SR), enjoyment of feeding (EF), and slow eating (SE) were assessed with the Baby Eating Behavior Questionnaire. Repeated measures ANOVA was used to examine changes in eating behaviors from 2 weeks to 5 months. Simple Pearson correlations examined associations among eating behaviors across time and associations of eating behaviors with subsequent change in weight-for-length z-scores.

RESULTS

Among 31 infants studied from 2 weeks to 3 months, FR and SR remained consistent (P < 0.05), and among 21 infants studied from 3 to 5 months, FR, EF, and SE were consistent (P < 0.01). Infants ate more quickly (P < 0.01) and tended to have greater SR with age (P = 0.09). Only SE at 3 months was associated with subsequent gain in weight-for-length (P < 0.05).

CONCLUSIONS

Consistent with previous research, SE was predictive of weight gain during infancy. Given that eating behaviors were largely consistent after 3 months of age, it may be important to encourage the development of healthy eating behaviors during early infancy.

摘要

目的

探讨母亲报告的婴儿进食行为随时间推移是否稳定,以及进食行为与体重增加是否存在前瞻性关联。

方法

在一项正在进行的婴儿生长研究中,在婴儿2周、3个月和5个月大时测量体重和身长。使用婴儿进食行为问卷评估食物反应性(FR)、饱腹感反应性(SR)、进食享受度(EF)和进食速度慢(SE)。采用重复测量方差分析来检验从2周到5个月进食行为的变化。简单Pearson相关性分析用于检验不同时间点进食行为之间的关联,以及进食行为与身长体重Z评分后续变化之间的关联。

结果

在31名从2周研究至3个月的婴儿中,FR和SR保持一致(P < 0.05);在21名从3个月研究至5个月的婴儿中,FR、EF和SE保持一致(P < 0.01)。婴儿随着年龄增长进食速度更快(P < 0.01),且饱腹感反应性往往更强(P = 0.09)。只有3个月大时的SE与随后的身长体重增加有关(P < 0.05)。

结论

与先前研究一致,SE可预测婴儿期体重增加。鉴于3个月大后进食行为基本一致,在婴儿早期鼓励健康进食行为的发展可能很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaf8/4551607/28e506a77b40/nihms693374f1.jpg

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