Nutrition and Biochemistry Department, Faculty of Sciences, Pontificia Universidad Javeriana, Bogota 110231, Colombia.
Population, Policy & Practice Research and Department, UCL GOS Institute of Child Health, University College London (UCL), London WC1N 1EH, UK.
Nutrients. 2024 Jul 18;16(14):2311. doi: 10.3390/nu16142311.
Complementary feeding (CF) may influence later eating behaviour and growth. Our previous Randomised Control Trial (RCT) reported that new CF guidelines (NCFGs) implemented in 6-12-month-old infants in Bogota, Colombia, had positive short-term effects on red meat, vegetable and fruit consumption. Here, we assessed the effects of the NCFGs on food consumption, eating behaviour and growth at 6 years of age. Weight and height were measured using 50 children (58.8%) from the cohort. Feeding behaviour was measured using the Child Eating Behaviour Questionnaire (CEBQ) and maternal and child food consumption was measured using a semi-quantitative food frequency questionnaire. The control group (CG) had a significantly higher weekly consumption of chocolate milk drinks ( = 0.05). The mean food responsiveness (FR) score was significantly higher in the CG ( < 0.001). Although HAZ (height for age Z-score) at 6 years of age was significantly higher in the CG ( < 0.02), there was no significant difference between groups in the change in HAZ from 6 months and 12 months to 6 years of age. BMIZ (body mass index Z-score) and % overweight (CG 18.5% versus NCFG 13%) or obese (3.7% versus 0%) were not significantly different between groups. BMIZ was positively predicted by FR (β 0.293; = 0.014) and negatively predicted by weekly red meat consumption episodes per week at 12 months (β -0.169; = 0.020). Although there was no direct effect of an intervention on BMIZ at 6 years of age, the results were consistent with an indirect effect via intervention effects on meat consumption at an age of 12 months and FR at 6 years of age. However, further longitudinal studies with a larger sample size are needed.
补充喂养（CF）可能会影响后期的饮食行为和生长。我们之前的随机对照试验（RCT）报告称，在哥伦比亚波哥大的 6-12 个月大的婴儿中实施新的补充喂养指南（NCFGs），对红肉、蔬菜和水果的消费有积极的短期影响。在这里，我们评估了 NCFG 对 6 岁时食物消费、饮食行为和生长的影响。使用来自该队列的 50 名儿童（58.8%）测量体重和身高。使用儿童饮食行为问卷（CEBQ）测量喂养行为，使用半定量食物频率问卷测量母婴食物消费。对照组（CG）每周巧克力奶饮料的消耗量明显更高（ = 0.05）。CG 的平均食物反应性（FR）评分显著更高（ < 0.001）。尽管 CG 的 6 岁时身高年龄 Z 评分（HAZ）显著更高（ < 0.02），但从 6 个月到 12 个月到 6 岁的 HAZ 变化两组之间没有显著差异。体重指数 Z 评分（BMIZ）和超重百分比（CG 18.5%与 NCFG 13%）或肥胖百分比（3.7%与 0%）在两组之间没有显著差异。BMIZ 与 FR 呈正相关（β 0.293； = 0.014），与 12 个月时每周红肉消费次数呈负相关（β -0.169； = 0.020）。尽管干预对 6 岁时的 BMIZ 没有直接影响，但结果与通过 12 个月时的干预对肉类消费和 6 岁时的 FR 的间接影响一致。然而，需要进一步进行具有更大样本量的纵向研究。
