Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, Zaragoza, Spain.
Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain.
Matern Child Nutr. 2024 Oct;20(4):e13672. doi: 10.1111/mcn.13672. Epub 2024 Jun 9.
This study aimed to investigate if the duration of breastfeeding and the method at initiation of complementary feeding affect eating behaviour in children aged 3-6 years. This is a cross-sectional analysis from the Childhood Obesity Risk Assessment Longitudinal Study project, an ongoing longitudinal cohort study that aims to identify childhood obesity risk factors in Spanish children. A total of 1215 children aged 3-6 years were included. Breastfeeding duration and the method of initiation of complementary feeding [baby-led weaning (BLW), traditional/spoon or mixed method] were evaluated. Eating behaviour at 3-6 years was assessed with the Child Eating Behaviour Questionnaire. Generalized linear models were fitted to assess the association between the aforementioned exposures and eating behaviour. Children breastfed for ≥4 months were less likely to be fussy eaters at 3-6 years compared to those breastfed for <1 month (OR: 0.86 95% CI: 0.76-0.98; p = 0.031). Compared to those children using the traditional/spoon-feeding method, those initiating complementary feeding through BLW or through a mixed approach were more likely to have higher scores on the enjoyment of food (EF) (OR, 95% CI: 1.33, 1.13-1.57; p = 0.001 and 1.17, 1.05-1.30; p = 0.002, respectively) and lower scores on food fussiness (FF) at 3-6 years (0.76, 0.62-0.91; p = 0.004 and 0.87, 0.78-0.98; p = 0.033, respectively). Breastfeeding for ≥4 months and initiation of complementary feeding with the BLW and a mixed approach were associated with greater EF and lower FF, which should endure practice.
本研究旨在探究母乳喂养时长和补充喂养起始方式是否会影响 3-6 岁儿童的饮食行为。这是一项来自于儿童肥胖风险评估纵向研究项目的横断面分析，该项目是一项正在进行的纵向队列研究，旨在确定西班牙儿童肥胖的危险因素。共纳入了 1215 名 3-6 岁的儿童。评估了母乳喂养时长和补充喂养起始方式[婴儿主导的辅食喂养（BLW）、传统/勺子或混合方法]。通过儿童饮食行为问卷评估了 3-6 岁时的饮食行为。使用广义线性模型评估了上述暴露因素与饮食行为之间的关联。与母乳喂养时长<1 个月的儿童相比，母乳喂养时长≥4 个月的儿童在 3-6 岁时更不容易挑食（OR：0.86，95%CI：0.76-0.98；p=0.031）。与采用传统/勺子喂养方法的儿童相比，采用 BLW 或混合方法起始补充喂养的儿童，在享受食物（EF）方面的得分更高（OR，95%CI：1.33，1.13-1.57；p=0.001 和 1.17，1.05-1.30；p=0.002），在 3-6 岁时，在食物挑剔（FF）方面的得分更低（0.76，0.62-0.91；p=0.004 和 0.87，0.78-0.98；p=0.033）。母乳喂养时长≥4 个月和采用 BLW 或混合方法起始补充喂养与更高的 EF 和更低的 FF 相关，这应继续实践。
