Department of Pediatrics, New York University Grossman School of Medicine, New York, New York, USA.
Department of Pediatrics, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Cohen Children's Medical Center, Hempstead, New York, USA.
Pediatr Obes. 2022 Aug;17(8):e12913. doi: 10.1111/ijpo.12913. Epub 2022 Mar 11.
Appetite traits and feeding practices are important determinants of child weight and obesity.
This study examined whether: (1) infant appetite traits were associated with feeding practices and (2) feeding practices mediated the link between appetite traits and weight-for-age z-scores at age 3 years.
We conducted a secondary data analysis from the 'Starting Early Program' of low-income, Hispanic mother-child pairs. Appetite traits were assessed using the Baby Eating Behaviour Questionnaire. Infant feeding practices were collected using 24-h dietary recalls and surveys: (1) breastfeeding exclusivity, intensity and duration; (2) early introduction to complementary foods/liquids and (3) any 100% fruit juice consumption at age 10 months. Regression and mediation analyses were used to explore associations between appetite, feeding and weight.
Higher infant Slowness in Eating scores were associated with greater breastfeeding exclusivity, intensity and duration, compared to lower Slowness in Eating. Infants with higher Slowness in Eating and Satiety Responsiveness had lower odds of early introduction to complementary foods/liquids. Infants with higher Enjoyment of Food had greater odds of 100% juice consumption. Breastfeeding duration mediated the relationship between higher infant Slowness in Eating and lower weight-for-age z-scores.
Appetite traits represent potential targets for early life infant feeding interventions.
食欲特征和喂养行为是儿童体重和肥胖的重要决定因素。
本研究旨在探讨以下两个问题：（1）婴儿的食欲特征是否与喂养行为有关；（2）喂养行为是否在食欲特征与 3 岁时体重与年龄的 Z 评分之间起中介作用。
我们对来自低收入、西班牙裔母婴配对的“早期启动计划”进行了二次数据分析。使用婴儿饮食行为问卷评估婴儿的食欲特征。通过 24 小时膳食回顾和调查收集婴儿喂养行为的数据：（1）母乳喂养的专一性、强度和持续时间；（2）10 个月时早期引入补充食品/液体；（3）任何 100%果汁的摄入。回归和中介分析用于探索食欲、喂养和体重之间的关系。
与食欲特征中较慢的进食速度相比，进食速度较快的婴儿具有更高的母乳喂养专一性、强度和持续时间。食欲特征中较慢的进食速度和较高的饱腹感反应的婴儿，早期引入补充食品/液体的可能性较低。对食物的享受程度较高的婴儿，100%果汁的摄入可能性更大。母乳喂养的持续时间在婴儿较慢的进食速度与较低的体重与年龄 Z 评分之间起中介作用。
食欲特征是婴儿早期喂养干预的潜在目标。
