Cartagena Diana, Ameringer Suzanne W, McGrath Jacqueline M, Masho Saba W, Jallo Nancy, Myers Barbara J
School of Nursing, Hampton University, Hampton, VA, USA.
Department of Family and Community Health Nursing, Virginia Commonwealth University, Richmond, VA, USA.
Appl Nurs Res. 2015 Nov;28(4):316-21. doi: 10.1016/j.apnr.2015.03.007. Epub 2015 Mar 13.
Approximately 10% of U.S. infants and toddlers are considered overweight. Hispanic infants persistently show higher prevalence rates for being overweight compared to other infants. Little is known about factors promoting excessive infant weight gain in Latinos.
The aim of this study was to describe multidimensional factors and maternal feeding practices that may correlate with infant overfeeding in Latina mothers.
Participants were 62 low-income immigrant Latina mothers and their infants. Study measures were: acculturation; maternal feeding beliefs and practices; food availability; temperament; 24-hour dietary recall; and infant's weight-for-height z score.
In regression models adjusted for infant's age, healthier feeding practices were significantly predicted by maternal education and infant's age. Most mothers preferred feeding their infants either formula or a combination of breast milk and formula. A significant proportion of the infants were overweight or obese and yet some mothers displayed difficulty recognizing this problem.
Future intervention efforts should focus primarily on the promotion of healthy feeding practices that discourage overfeeding and support exclusive breastfeeding among this ethnic group.
美国约10%的婴幼儿被认为超重。与其他婴幼儿相比,西班牙裔婴幼儿超重的患病率持续较高。关于促进拉丁裔婴幼儿体重过度增加的因素,人们知之甚少。
本研究的目的是描述可能与拉丁裔母亲过度喂养婴儿相关的多维度因素和母亲的喂养行为。
参与者为62名低收入移民拉丁裔母亲及其婴儿。研究指标包括:文化适应;母亲的喂养观念和行为;食物供应;气质;24小时饮食回忆;以及婴儿的身高体重Z评分。
在根据婴儿年龄进行调整的回归模型中,母亲的教育程度和婴儿年龄显著预测了更健康的喂养行为。大多数母亲更喜欢用配方奶或母乳与配方奶混合喂养婴儿。相当一部分婴儿超重或肥胖,但一些母亲难以认识到这个问题。
未来的干预措施应主要侧重于促进健康的喂养行为,以防止过度喂养,并支持该族群进行纯母乳喂养。