The Parker Institute, Research Unit for Dietary Studies, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
The Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders, The University of Sydney, Sydney, Australia.
PLoS One. 2018 Jul 11;13(7):e0200388. doi: 10.1371/journal.pone.0200388. eCollection 2018.
Infants who are breastfed are introduced to a variety of flavours from the maternal milk, and thus the transition from maternal milk to complementary foods may be easier for these children. The aim of this study was to investigate if duration of exclusive breastfeeding was associated with pickiness or dietary intake of vegetables, fruit, starchy foods or sugar sweetened beverages among obesity prone normal weight children aged 2-6 years. This cohort study was based on data from the Healthy Start primary intervention study, the Danish Medical Birth registry and the Danish Health Visitor's Child Health Database. Infant feeding was registered by health nurses while home-visiting the mother and child up to four times within the first year. Information on eating behaviour and diet intake at age 2-6 years was obtained by parents. Crude and adjusted logistic and general linear regression models were used to investigate associations. A total of 236 children had complete information on all variables. Data showed lower odds of picky eating behaviour when exclusively breastfed until age 4-5 months compared to exclusively breastfed for 0-1 months (OR = 0.35, 95CI = 0.16;0.76, p = 0.008). In the crude analysis only, exclusively breastfed until age 6-10 months was associated with a higher daily intake of vegetables (p = 0.04). This study suggests that exclusive breastfeeding duration seems to influence pickiness and may contribute to facilitate the consumption of more vegetables in later childhood in obesity prone normal weight children.
母乳喂养的婴儿会从母乳中接触到各种口味,因此从母乳过渡到补充食物可能对这些孩子更容易。本研究旨在调查肥胖倾向的正常体重儿童(2-6 岁)中,纯母乳喂养的持续时间是否与挑食或蔬菜、水果、淀粉类食物或含糖饮料的饮食摄入有关。这项队列研究基于来自健康启动初级干预研究、丹麦医疗出生登记处和丹麦健康访问者儿童健康数据库的数据。婴儿喂养情况由健康护士在婴儿出生后一年内进行 4 次家访时登记。2-6 岁时的饮食行为和饮食摄入信息由父母提供。使用未调整和调整后的逻辑回归和广义线性回归模型来调查相关性。共有 236 名儿童的所有变量都有完整信息。数据显示,与 0-1 个月纯母乳喂养相比,4-5 个月纯母乳喂养的儿童挑食行为的可能性更低(OR=0.35,95%CI=0.16;0.76,p=0.008)。仅在粗分析中,6-10 个月纯母乳喂养与蔬菜日摄入量更高相关(p=0.04)。本研究表明,纯母乳喂养的持续时间似乎会影响挑食,并且可能有助于促进肥胖倾向的正常体重儿童在以后的童年时期摄入更多的蔬菜。