Kim-Herrera Edith Y, Ramírez-Silva Ivonne, Rodríguez-Oliveros Guadalupe, Ortiz-Panozo Eduardo, Sánchez-Estrada Marcela, Rivera-Pasquel Marta, Pérez-Escamilla Rafael, Rivera-Dommarco Juan Angel
Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico.
Center for Population Health Research, National Institute of Public Health, Cuernavaca, Mexico.
Front Pediatr. 2021 Dec 21;9:786397. doi: 10.3389/fped.2021.786397. eCollection 2021.
Complementary feeding practices and corresponding parental feeding styles influence nutritional status in later stages of childhood. Findings on the association of these variables with infant growth remain inconsistent; in Mexico, a research gap exists in this area. (1) To characterize parental feeding styles and complementary feeding practices, and (2) to evaluate the association of parental feeding styles with complementary feeding practices and infant growth at 6 and 9 months of age. Data were collected from a prospective Mexican birth cohort. Parental feeding styles, complementary feeding practices, and anthropometric data from 263 to 234 mother-child pairs (infants of 6 and 9 months of age, respectively) were analyzed. Logistic and linear regression models were used to determine the associations between variables. The predominant parental feeding style was the "responsive style" (90%). Only 43.7 and 8.1% of 6- and 9-month-old infants, had adequate complementary feeding practices, respectively. At 6 months, mothers who were responsive to satiety signals had 11% lesser possibilities (OR = 0.89, 95% CI [0.80, 0.98]) of their infant having inadequate complementary feeding practices than their counterparts and "pressuring to finish" and "pressuring to eat cereal" sub-constructs were associated with lower weight for length and body mass index Z-scores ( = 0.02). A high proportion of infants (>40%) did not meet international recommendations. The "pressuring" parental feeding style sub-constructs were associated with growth indicators in 6-month old infants. This emphasizes the importance of promoting parental responsiveness to infant appetite and satiety signals to achieving adequate complementary feeding practices.
辅食添加方式及相应的父母喂养方式会影响儿童后期的营养状况。关于这些变量与婴儿生长之间关联的研究结果仍不一致；在墨西哥，这一领域存在研究空白。（1）描述父母的喂养方式和辅食添加方式，以及（2）评估父母喂养方式与6个月和9个月大婴儿的辅食添加方式及生长之间的关联。数据来自一个墨西哥前瞻性出生队列。分析了263对至234对母婴（分别为6个月和9个月大的婴儿）的父母喂养方式、辅食添加方式及人体测量数据。使用逻辑回归和线性回归模型来确定变量之间的关联。主要的父母喂养方式是“响应式喂养方式”（90%）。6个月和9个月大的婴儿中，分别只有43.7%和8.1%有足够的辅食添加方式。在6个月时，对饱腹感信号有反应的母亲，其婴儿辅食添加方式不足的可能性比其他母亲低11%（OR = 0.89，95% CI [0.80, 0.98]），“强迫吃完”和“强迫吃谷物”子结构与身长体重比和体重指数Z评分较低相关（P = 0.02）。很大比例的婴儿（>40%）未达到国际建议。“强迫性”父母喂养方式子结构与6个月大婴儿的生长指标相关。这强调了促进父母对婴儿食欲和饱腹感信号做出反应对于实现充足辅食添加方式的重要性。
