Department of Psychology, Arizona State University, Tempe, Arizona, USA.
Pediatr Obes. 2022 Apr;17(4):e12864. doi: 10.1111/ijpo.12864. Epub 2021 Oct 21.
Few longitudinal studies have examined associations of child weight trajectories, maternal demandingness and responsiveness during feeding, and child self-regulation.
We examined if child weight-for-length trajectories from 6 weeks to 2 years of age were associated with maternal demandingness and responsiveness at child age 3 years old, and if maternal feeding dimensions predicted child BMI trajectories from 4.5 to 7.5 years among Mexican American children from low-income families. Child self-regulation was evaluated as a potential mechanism linking maternal feeding with child BMI.
Child (N = 322) weight and length/height were assessed at 10 timepoints from 6 weeks through 7.5 years. Mothers completed the Caregiver Feeding Style Questionnaire when the child was 3 years of age.
A steeper slope of weight-for-length z scores from 6 weeks to 2 years (indicating more rapid weight gain) was associated with less maternal demands during feeding at 3 years. More maternal demandingness at child age 3 years predicted lower child BMI at 4.5 years, but not trajectories from 4.5 to 7 years. Child self-regulation was not associated with child BMI from 4.5 to 7.5 years.
The findings highlight how the relationship between mothers and children during feeding can be bidirectional and potentially influenced by the developmental stage.
很少有纵向研究探讨儿童体重轨迹、喂养过程中母亲的要求和反应能力与儿童自我调节能力之间的关系。
我们研究了从 6 周龄到 2 岁的儿童体重与身长的轨迹与儿童 3 岁时母亲的要求和反应能力之间的关系，以及母亲的喂养维度是否可以预测来自低收入家庭的墨西哥裔美国儿童从 4.5 岁到 7.5 岁的 BMI 轨迹。儿童自我调节能力被评估为连接母亲喂养与儿童 BMI 的潜在机制。
从 6 周龄到 7.5 岁，对 322 名儿童的体重和身长/身高进行了 10 次评估。当儿童 3 岁时，母亲完成了《照顾者喂养风格问卷》。
6 周龄至 2 岁体重与身长 z 分数的斜率较大（表明体重增长较快）与 3 岁时喂养过程中母亲的需求较少有关。3 岁时母亲的要求越高，4.5 岁时儿童的 BMI 越低，但对 4.5 岁至 7 岁的 BMI 轨迹没有影响。儿童自我调节能力与 4.5 岁至 7.5 岁的儿童 BMI 无关。
这些发现强调了喂养过程中母亲与儿童之间的关系是双向的，并且可能受到发育阶段的影响。
