Khalsa Amrik Singh, Woo Jessica G, Kharofa Roohi Y, Geraghty Sheela R, DeWitt Thomas G, Copeland Kristen A
Division of Ambulatory Pediatrics, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA; Department of Pediatrics, The Ohio State University College of Medicine, 370 W. 9th Ave., Columbus, OH 43210, USA.
Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave MLC 5041, Cincinnati, OH 45229, USA; Department of Pediatrics, University of Cincinnati College of Medicine, 3230 Eden Avenue, Cincinnati, OH 45267, USA.
Eat Behav. 2019 Jan;32:78-84. doi: 10.1016/j.eatbeh.2019.01.001. Epub 2019 Jan 11.
Feeding styles, the attitudes and behaviors parents use to direct their child's eating, shape a child's ability to self-regulate food intake and affects their future risk of obesity. This study examined how parental intuitive eating, where parents follow their own hunger and satiety cues, relates to infant feeding styles in a low-income, predominately Black population.
Parents of healthy infants aged 5.5-12.5 months were recruited during well-child visits at two urban primary care clinics. Parent's intuitive eating behaviors and infant feeding styles were measured using the Intuitive Eating Scale-2 (IES-2) and the Infant Feeding Style Questionnaire (IFSQ), respectively. Multivariable regression analysis, controlling for maternal and child demographic variables, was conducted to determine the relationship between parent intuitive eating behaviors and five infant feeding styles: restrictive, pressuring, indulgent, laissez-faire, and responsive.
201 parents completed the study, 90% were mothers and 69% were Black. Average infant age was 8.8 ± 2.0 months. Parents who reported relying on their own hunger and satiety cues when eating were more likely to feed their infant in a responsive style (β 0.10 ± 0.04, p < 0.05). Parents who reported eating unconditionally, not labeling foods as forbidden, were more likely to feed their infant in a laissez-faire (β 0.16 ± 0.06, p < 0.05) and indulgent (β 0.09 ± 0.03, p < 0.05) feeding style.
Parental intuitive eating behaviors are associated with both responsive and non-responsive infant feeding styles. Future studies should examine how parental intuitive eating and infant feeding styles affect infant growth trajectories.
喂养方式，即父母用来指导孩子饮食的态度和行为，塑造了孩子自我调节食物摄入量的能力，并影响其未来肥胖的风险。本研究调查了在低收入、以黑人为主的人群中，父母的直觉性饮食（即父母遵循自身的饥饿和饱腹感线索）与婴儿喂养方式之间的关系。
在两家城市初级保健诊所的健康儿童就诊期间，招募了5.5至12.5个月大健康婴儿的父母。分别使用直觉性饮食量表-2（IES-2）和婴儿喂养方式问卷（IFSQ）来测量父母的直觉性饮食行为和婴儿喂养方式。进行多变量回归分析，控制母婴人口统计学变量，以确定父母直觉性饮食行为与五种婴儿喂养方式之间的关系：限制型、强迫型、放纵型、放任型和响应型。
201名父母完成了研究，90%为母亲，69%为黑人。婴儿平均年龄为8.8±2.0个月。报告在进食时依赖自身饥饿和饱腹感线索的父母，更有可能以响应型方式喂养婴儿（β 0.10±0.04，p<0.05）。报告无条件进食、不将食物标记为禁食的父母，更有可能以放任型（β 0.16±0.06，p<0.05）和放纵型（β 0.09±0.03，p<0.05）喂养方式喂养婴儿。
父母的直觉性饮食行为与响应型和非响应型婴儿喂养方式均有关联。未来的研究应调查父母的直觉性饮食和婴儿喂养方式如何影响婴儿的生长轨迹。
