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幼儿期父母喂养方式与学龄前儿童食欲之间的前瞻性关联因幼儿期的食欲强度而异。

Prospective associations between parental feeding practices used in toddlerhood and preschool children's appetite vary according to appetite avidity in toddlerhood.

作者信息

Kininmonth Alice R, Herle Moritz, Haycraft Emma, Farrow Claire, Croker Helen, Pickard Abigail, Edwards Katie, Blissett Jacqueline, Llewellyn Clare

机构信息

Research Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, London, United Kingdom.

Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.

出版信息

Appetite. 2023 Jun 1;185:106541. doi: 10.1016/j.appet.2023.106541. Epub 2023 Mar 21.

Abstract

Parental feeding practices are a key modifiable component of children's food environments. Evidence suggests that certain feeding practices may differentially influence children's eating behaviour or weight, depending on the child's temperament (e.g. emotionality). Building on this work, we tested the hypothesis that feeding practices during toddlerhood influence children's developing eating behaviours differently, depending on their appetite avidity (which is characterised by a larger appetite and greater interest in food). Data were from Gemini, a population-based cohort of British twin children born in 2007. Parental feeding practices were assessed at 15/16-months, and child appetite at 15/16-months and 5-years, using validated psychometric measures (n = 1858 children). Complex samples general linear models examined prospective associations between PFPs at 15/16-months and child appetitive traits at 5-years, adjusting for clustering of twins within families and for the corresponding child appetitive trait at 15/16-months, difference in age between timepoints, child sex, gestational age, and socioeconomic status. Moderation analyses revealed that pressuring a child to eat led to greater increases in emotional overeating from 15/16-months to 5-years, only for children with high (1 SD above the mean: B = 0.13; SE± = 0.03,p < 0.001) or moderate emotional overeating (mean: B = 0.07 ± 0.03,p < 0.001) in toddlerhood. Greater covert restriction predicted greater reductions in emotional overeating and food responsiveness from 15/16-months to 5-years, only for children with high emotional overeating (1 SD above the mean: B = -0.06 ± 0.03,p = 0.03) and low food responsiveness (1 SD below the mean: B = -0.06 ± 0.03,p = 0.04) in toddlerhood. These findings are consistent with the hypothesis that children with a more avid appetite in toddlerhood are differentially affected by parental feeding practices; caregivers of toddlers may therefore benefit from feeding advice that is tailored to their child's unique appetite.

摘要

父母的喂养方式是儿童食物环境中一个关键的可改变因素。有证据表明,某些喂养方式可能会因孩子的气质(如情绪性)不同而对其饮食行为或体重产生不同影响。基于这项研究,我们检验了一个假设,即幼儿期的喂养方式会因孩子的食欲强度(表现为更大的食欲和对食物更浓厚的兴趣)不同而对其正在形成的饮食行为产生不同影响。数据来自双子座研究,这是一个基于人群的队列研究,对象是2007年出生的英国双胞胎儿童。使用经过验证的心理测量方法,在孩子15/16个月大时评估父母的喂养方式,在15/16个月大以及5岁时评估孩子的食欲(n = 1858名儿童)。复杂样本一般线性模型检验了孩子15/16个月大时的父母喂养方式与5岁时孩子食欲特征之间的前瞻性关联,并对家庭内双胞胎的聚类情况、15/16个月大时相应的孩子食欲特征、两个时间点之间的年龄差异、孩子性别、胎龄和社会经济地位进行了调整。调节分析显示,强迫孩子进食只会导致幼儿期情绪性暴饮暴食程度较高(高于平均水平1个标准差:B = 0.13;标准误± = 0.03,p < 0.001)或中度情绪性暴饮暴食(平均值:B = 0.07 ± 0.03,p < 0.001)的孩子从15/16个月到5岁期间情绪性暴饮暴食程度有更大幅度的增加。更大程度的隐性限制仅会导致幼儿期情绪性暴饮暴食程度较高(高于平均水平1个标准差:B = -0.06 ± 0.03,p = 0.03)和食物反应性较低(低于平均水平1个标准差:B = -0.06 ± 0.03,p = 0.04)的孩子从15/16个月到5岁期间情绪性暴饮暴食和食物反应性有更大程度的降低。这些发现与以下假设一致,即幼儿期食欲更强的孩子会受到父母喂养方式的不同影响;因此,幼儿的照顾者可能会从根据孩子独特食欲量身定制的喂养建议中受益。

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