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儿童肥胖遗传易感性、婴儿食欲与幼儿期父母喂养行为的关联。

Associations between Children's Genetic Susceptibility to Obesity, Infant's Appetite and Parental Feeding Practices in Toddlerhood.

机构信息

Université de Paris, CRESS, INSERM, INRAE, F-75004 Paris, France.

Unité Mixte Inserm-Ined-EFS ELFE, Ined, F-75020 Paris, France.

出版信息

Nutrients. 2021 Apr 26;13(5):1468. doi: 10.3390/nu13051468.

Abstract

Previous findings suggest that parental feeding practices may adapt to children's eating behavior and sex, but few studies assessed these associations in toddlerhood. We aimed to study the associations between infant's appetite or children's genetic susceptibility to obesity and parental feeding practices. We assessed infant's appetite (three-category indicator: low, normal or high appetite, labelled 4-to-24-month appetite) and calculated a combined obesity risk-allele score (genetic risk score of body mass index (BMI-GRS)) in a longitudinal study of respectively 1358 and 932 children from the EDEN cohort. Parental feeding practices were assessed at 2-year-follow-up by the CFPQ. Three of the five tested scores were used as continuous variables; others were considered as binary variables, according to the median. Associations between infant's appetite or child's BMI-GRS and parental feeding practices were assessed by linear and logistic regression models, stratified on child's sex if interactions were significant. 4-to-24-month appetite was positively associated with restrictive feeding practices among boys and girls. Among boys, high compared to normal 4-to-24-month appetite was associated with higher use of food to regulate child's emotions (OR [95% CI] = 2.24 [1.36; 3.68]). Child's BMI-GRS was not related to parental feeding practices. Parental feeding practices may adapt to parental perception of infant's appetite and child's sex.

摘要

先前的研究结果表明,父母的喂养方式可能会根据孩子的饮食行为和性别做出调整,但很少有研究在婴儿期评估这些关联。我们旨在研究婴儿的食欲或儿童对肥胖的遗传易感性与父母喂养方式之间的关联。我们在 EDEN 队列的一项纵向研究中评估了 1358 名和 932 名儿童的婴儿食欲(三分类指标:低、正常或高食欲,标记为 4-24 个月食欲)和计算了肥胖风险等位基因评分(BMI-GRS)的综合评分。在 2 岁随访时,使用 CFPQ 评估了父母的喂养方式。五个测试评分中的三个被用作连续变量;其他则根据中位数视为二分类变量。如果存在交互作用,则按儿童性别对婴儿食欲或儿童 BMI-GRS 与父母喂养方式之间的关联进行线性和逻辑回归模型评估。4-24 个月的食欲与男孩和女孩的限制喂养方式呈正相关。在男孩中,与正常的 4-24 个月食欲相比,食欲高的男孩更倾向于使用食物来调节孩子的情绪(OR [95%CI] = 2.24 [1.36; 3.68])。儿童的 BMI-GRS 与父母的喂养方式无关。父母的喂养方式可能会根据父母对婴儿食欲和孩子性别认知的变化而调整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5450/8146167/c1e8238e7717/nutrients-13-01468-g001.jpg

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