Children's Eating Laboratory, Department of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA,
Department of Human Development and Family Studies, Purdue University, West Lafayette, Indiana, USA.
Nestle Nutr Inst Workshop Ser. 2020;95:88-99. doi: 10.1159/000511515. Epub 2020 Nov 12.
Children reportedly consume a variety of adequate vegetables during the introduction of complementary foods, and breastfeeding helps to facilitate child food acceptance. However, dietary intake of vegetables is reported to fall when children begin to eat foods of the family table. In laboratory settings, repeated exposure is effective in promoting children's acceptance and consumption of novel foods. We have recently explored mother and child early experiences (from infancy to toddlerhood) with offering hard-to-like foods. Our findings suggest a "sweet spot" for food introduction and acceptance during the early complementary feeding period (6-12 months) with increasing variability in acceptance and negative child behaviors occurring during toddlerhood. When queried, most mothers are familiar with repeated exposure concepts, but their persistence in continuing to offer disliked foods differs. Some report they will "never give up" - a stance linked to health beliefs and that children should "eat what we eat." Others seem more influenced by children's resistance and food dislikes, and the amounts their child eat. The majority believe that children's tastes change and that their child will accept rejected foods later. These mothers may reoffer a rejected food after "a break." Opportunities exist to translate repeated exposure paradigms to practical methods mothers can successfully adopt in the home.
据报道,儿童在引入补充食品时会食用各种充足的蔬菜,母乳喂养有助于促进儿童接受食物。然而,当儿童开始食用家庭餐桌食物时,蔬菜的饮食摄入量据称会下降。在实验室环境中,反复接触被证明能有效促进儿童接受和食用新食物。我们最近探讨了母亲和儿童在提供难以下咽食物方面的早期经验(从婴儿期到幼儿期)。我们的研究结果表明,在早期补充喂养期(6-12 个月),接受和负面儿童行为的变化存在“最佳点”,随着接受程度的增加而增加。当被问及这个问题时,大多数母亲都熟悉反复接触的概念,但她们在继续提供不喜欢的食物方面的坚持程度有所不同。有些母亲表示“永远不会放弃”——这种立场与健康信念有关,即孩子应该“吃我们吃的东西”。另一些母亲似乎更容易受到孩子的抗拒和食物厌恶以及孩子所吃食物数量的影响。大多数母亲认为孩子的口味会改变,他们的孩子以后会接受被拒绝的食物。这些母亲可能会在“休息一段时间”后重新提供被拒绝的食物。现在有机会将反复接触的模式转化为母亲可以在家中成功采用的实用方法。