Department of Nutritional Sciences, University of Connecticut, Storrs, CT.
Department of Health Education and Behavior, University of Florida, Gainesville, FL.
Child Obes. 2019 Oct;15(7):443-450. doi: 10.1089/chi.2019.0024. Epub 2019 Jul 23.
Limited evidence-based guidance is available to parents regarding optimal child feeding practices to prevent early childhood obesity from birth to 24 months of age (B-24). The objective of this qualitative study was to determine current child feeding practices, barriers to implementation, and educational needs of parents of varying socioeconomic backgrounds as it relates to responsive feeding to prevent early obesity in children of ages B-24. One-on-one interviews were conducted with parents ( = 66) of children ages B-24 from both low-and non-low-income households. Interviews were audiorecorded, transcribed verbatim, and analyzed with NVivo using classical qualitative analysis. Participants were primarily female (91%), married (53%), low-income (59%), and were not first-time parents (72%). The results revealed overarching themes, including parents' reported need for information on preparing child meals, optimal dietary intake, affordable healthy foods, promoting child self-feeding, and food and nutrition knowledge. Low-income parents more frequently requested guidance about identifying affordable healthy options and overfeeding while non-low-income parents requested information about food allergens, transitioning to solids, and creating structured mealtimes. Additional and focused outreach to parents of children ages B-24 regarding optimal feeding practices is needed especially on topics related to complementary feeding during the transition to solid food.
关于如何通过出生至 24 个月龄（B-24）期间的最佳喂养实践来预防幼儿肥胖，目前仅有有限的循证指导提供给家长。本定性研究的目的是确定不同社会经济背景的家长当前的喂养实践、实施障碍和教育需求，这些与响应式喂养有关，旨在预防 B-24 年龄段儿童的早期肥胖。对来自低收入和非低收入家庭的 B-24 月龄儿童的家长（ = 66）进行了一对一访谈。访谈进行了录音，逐字转录，并使用 NVivo 进行了经典的定性分析。参与者主要为女性（91%）、已婚（53%）、低收入（59%），且不是初为人父母（72%）。结果揭示了一些总体主题，包括家长报告的关于准备儿童餐、最佳饮食摄入、负担得起的健康食品、促进儿童自我喂养以及食物和营养知识的信息需求。低收入家长更频繁地要求有关识别负担得起的健康选择和过度喂养的指导，而非低收入家长则要求了解食物过敏、向固体食物过渡以及创建结构化的用餐时间方面的信息。特别需要针对 B-24 月龄儿童的家长进行有关最佳喂养实践的额外和重点宣传，尤其是在与固体食物过渡期的补充喂养相关的主题上。
