Harrison Michelle, Brodribb Wendy, Davies Peter S W, Hepworth Julie
Primary Care Clinical Unit (PCCU) and Child Health Research Centre (CHRC), Faculty of Medicine, The University of Queensland (UQ), Level 8, Health Sciences Building, Building16/910, Herston, Brisbane, QLD, 4029, Australia.
Primary Care Clinical Unit (PCCU), Faculty of Medicine, The University of Queensland (UQ), Brisbane, Australia.
Matern Child Health J. 2018 Aug;22(8):1135-1145. doi: 10.1007/s10995-018-2498-x.
Introduction Obesity is a global problem that is challenging to prevent and expensive to treat. Early childhood interventions show promise in establishing lifelong healthy eating patterns, however a better understanding of how parental feeding practices develop is needed. The study aimed to investigate maternal perception of infant weight and its relationship to feeding practices and infant dietary intake. Methods A questionnaire was completed by 263 Queensland mothers of infants aged between 5 and 13 months. Logistic regression was used to describe the association between maternal feeding practices (restriction, pressure-to-eat, monitoring), parenting style (warmth, hostility), infant weight concern and infant dietary intake. Correlation and linear regression were used to identify relationships between maternal feeding practices, parenting style, infant weight concern and infant weight. Results Mothers were found to be more concerned about underweight than overweight, misjudge infants as being underweight and failed to recognise overweight infants. Underweight concern was associated with infant weight (r = -0.27, p < 0.01), early introduction of solids (OR 0.24, CI 0.11-0.51) and pressure-to-eat (r = 0.19, p < 0.01). Pressure-to-eat was associated to maternal perception of infant weight (r = - 0.21, p < 0.01), infant weight (r = - 0.17, p < 0.05) and lower fruit and vegetable intake (OR 0.50, CI 0.27-0.92). Restrictive feeding practices were correlated to overweight concern (r = 0.08, p < 0.05). Discussion Maternal infant weight perception and concerns are related to control feeding practices which can be detrimental to infant dietary intake. Inability to recognise healthy weight may ignite these concerns or fail to address infant feeding risk factors. Discussing healthy growth should be a fundamental component of strategies to support healthy infant feeding and eating.
引言
肥胖是一个全球性问题，预防具有挑战性且治疗成本高昂。幼儿期干预措施在建立终身健康饮食模式方面显示出前景，然而，我们需要更好地了解父母的喂养方式是如何形成的。本研究旨在调查母亲对婴儿体重的认知及其与喂养方式和婴儿饮食摄入量的关系。
方法
263名昆士兰母亲完成了一份针对5至13个月婴儿的问卷。采用逻辑回归来描述母亲的喂养方式（限制、强迫进食、监督）、育儿风格（温暖、敌意）、婴儿体重担忧与婴儿饮食摄入量之间的关联。使用相关性分析和线性回归来确定母亲的喂养方式、育儿风格、婴儿体重担忧与婴儿体重之间的关系。
结果
发现母亲更担心婴儿体重过轻而非过重，将婴儿误判为体重过轻，并且未能识别超重婴儿。体重过轻担忧与婴儿体重相关（r = -0.27，p < 0.01）、过早添加固体食物（OR 0.24，CI 0.11 - 0.51）以及强迫进食相关（r = 0.19，p < 0.01）。强迫进食与母亲对婴儿体重的认知相关（r = -0.21，p < 0.01）、婴儿体重相关（r = -0.17，p < 0.05）以及较低的水果和蔬菜摄入量相关（OR 0.50，CI 0.27 - 0.92）。限制性喂养方式与超重担忧相关（r = 0.08，p < 0.05）。
讨论
母亲对婴儿体重的认知和担忧与控制喂养方式有关，这可能对婴儿饮食摄入量有害。无法识别健康体重可能引发这些担忧或无法解决婴儿喂养风险因素。讨论健康成长应成为支持健康婴儿喂养和饮食策略的基本组成部分。
