Baby Health Behavior Lab, Division of Health Services and Outcomes Research, Children's Mercy Research Institute, Children's Mercy Hospital, Kansas City, MO, USA; Center for Children's Healthy Lifestyles and Nutrition, University of Kansas Medical Center, Kansas City, KS, USA.
Department of Psychology, Department of Psychology and the Social Science Research Institute, The Pennsylvania State University, University Park, PA, USA.
Appetite. 2023 Aug 1;187:106590. doi: 10.1016/j.appet.2023.106590. Epub 2023 May 4.
Parent-child interactions are linked to childhood obesity. Music enrichment programs enhance parent-child interactions and may be a strategy for early childhood obesity prevention.
We implemented a 2-year randomized, controlled trial to assess the effects of a music enrichment program (music, n = 45) vs. active play date control (control, n = 45) on parent-child interactional quality and infant weight status.
Typically developing infants aged 9-to 15-months were enrolled with a primary caregiver in the Music Together ® or a play date program. Participants attended once per week group meetings for 12 months and once per month group meetings for an additional 12 months. Parent-child interaction was measured using the Parent Child Early Relational Assessment (PCERA) at baseline, month 6, 12, and 24. We used a modified intent-to-treat mixed model regression to test group differences in parent-child interactions and Weight for length z-score (zWFL) growth trajectories were modeled.
There were significant differential group changes across time for negative affect during feeding (groupmonth; p = 0.02) in that those parents in the music group significantly decreased their negative affect score compared with the control group from baseline to month 12 (music change = -0.279 ± 0.129; control change = +0.254 ± 0.131.; p = 0.00). Additionally, we also observed significant differential group changes across time for parent intrusiveness during feeding (groupmonth; p = 0.04) in that those parents in the music group significantly decreased their intrusiveness score compared with the control group from month 6 to month 12 (music change = -0.209 ± 0.121; control change = 0.326 ± 0.141; p = 0.01). We did not find a significant association between any of the changes in parental negative affect and intrusiveness with child zWFL trajectories.
Participating in a music enrichment program from an early age may promote positive parent-child interactions during feeding, although this improvement in the quality of parent-child interactions during feeding was not associated with weight gain trajectories.
亲子互动与儿童肥胖有关。音乐丰富计划可以增强亲子互动,可能是预防儿童期肥胖的一种策略。
我们实施了一项为期 2 年的随机对照试验,以评估音乐丰富计划(音乐组,n=45)与积极的游戏约会对照组(对照组,n=45)对亲子互动质量和婴儿体重状况的影响。
将 9 至 15 个月大的正常发育婴儿及其主要照顾者纳入音乐一起®或游戏约会计划。参与者每周参加一次小组会议,持续 12 个月,然后每月参加一次小组会议,持续 12 个月。在基线、第 6、12 和 24 个月时,使用亲子早期关系评估(PCERA)测量亲子互动。我们使用修改后的意向治疗混合模型回归来测试组间差异,并对体重与长度 z 分数(zWFL)增长轨迹进行建模。
在喂养过程中,负面情绪的组间差异在时间上有显著变化(组月;p=0.02),与对照组相比,音乐组的父母在从基线到 12 个月期间,其负面情绪评分显著降低(音乐变化=-0.279±0.129;对照组变化=+0.254±0.131;p=0.00)。此外,我们还观察到在喂养过程中,父母的侵入性的组间差异在时间上有显著变化(组月;p=0.04),与对照组相比,音乐组的父母从第 6 个月到第 12 个月期间,其侵入性评分显著降低(音乐变化=-0.209±0.121;对照组变化=0.326±0.141;p=0.01)。我们没有发现父母的负面情绪和侵入性变化与儿童 zWFL 轨迹之间存在任何关联。
从早期开始参加音乐丰富计划可能会促进喂养过程中的积极亲子互动,尽管这种喂养过程中亲子互动质量的提高与体重增加轨迹无关。