Hollis J L, Crozier S R, Inskip H M, Cooper C, Godfrey K M, Robinson S M
1Medical Research Council Lifecourse Epidemiology Unit,University of Southampton,Southampton SO16 6YD,UK.
Br J Nutr. 2016 Aug;116(4):743-50. doi: 10.1017/S0007114516002531. Epub 2016 Jun 30.
This study aimed to determine whether age at introduction of solid foods was associated with feeding difficulties at 3 years of age. The present study was carried out using data from the Southampton Women's Survey (SWS). Women enrolled in the SWS who subsequently became pregnant were followed-up during pregnancy and postpartum, and the offspring have been studied through childhood. Maternal socio-demographic and anthropometric data and child anthropometric and feeding data were collected through interviews and self-administered questionnaires. When the children were 3 years of age, mothers/carers rated six potential child feeding difficulty questions on a four-point Likert scale, including one general question and five specific feeding difficulty questions. Age at introduction of solids as a predictor of feeding difficulties was examined in 2389 mother-child pairs, adjusting for child (age last breast fed, sex, gestation) and maternal characteristics (parity, pre-pregnancy BMI, age, education, employment, parenting difficulties, diet quality). The majority of mothers/carers (61 %) reported some feeding difficulties (general feeding difficulty question) at 3 years of age, specifically with their child eating enough food (61 %), eating the right food (66 %) and being choosy with food (74 %). Children who were introduced to solids ≥6 months had a lower risk of feeding difficulties (RR 0·73; 95 % CI 0·59, 0·91, P=0·004) than children who were introduced to solids between 4 and 6 months. No other significant associations were found. There were few associations between feeding difficulties in relation to age at introduction of solid foods. However, general feeding difficulties were less common among infants introduced to solid foods ≥6 months of age.
本研究旨在确定开始添加固体食物的年龄是否与3岁时的喂养困难相关。本研究使用了南安普敦妇女调查（SWS）的数据。参与SWS且随后怀孕的妇女在孕期和产后接受随访，其子女在儿童期接受研究。通过访谈和自填问卷收集母亲的社会人口统计学和人体测量数据以及儿童的人体测量和喂养数据。当儿童3岁时，母亲/照料者对六个潜在的儿童喂养困难问题进行四分李克特量表评分，包括一个一般性问题和五个具体的喂养困难问题。在2389对母婴中，研究了开始添加固体食物的年龄作为喂养困难预测因素的情况，并对儿童（最后一次母乳喂养的年龄、性别、孕周）和母亲特征（产次、孕前体重指数、年龄、教育程度、就业情况、育儿困难、饮食质量）进行了调整。大多数母亲/照料者（61%）报告在孩子3岁时存在一些喂养困难（一般性喂养困难问题），具体表现为孩子食物摄入不足（61%）、食物选择不当（66%）和挑食（74%）。与在4至6个月开始添加固体食物的儿童相比，在≥6个月开始添加固体食物的儿童出现喂养困难的风险较低（风险比0·73；95%置信区间0·59，0·91，P = 0·004）。未发现其他显著关联。开始添加固体食物的年龄与喂养困难之间的关联较少。然而，在≥6个月开始添加固体食物的婴儿中，一般性喂养困难较少见。
