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学习进食的基本要素:支持婴幼儿家庭的指南。

Essential elements for learning to eat: guidance to support families with infants and young children.

作者信息

Swanson Wendy Sue, Ross Erin Sundseth, Matiz Luz Adriana, Czerkies Laura, Huss Lyndsey R, Smith-Simpson Sarah, Bettler Jodi, Pac Susan

机构信息

Sean N. Parker Center for Allergy and Asthma Research, Stanford University, Palo Alto, CA, United States.

Feeding FUNdamentals LLC, Longmont, CO, United States.

出版信息

Front Pediatr. 2025 Mar 27;13:1493780. doi: 10.3389/fped.2025.1493780. eCollection 2025.

DOI:10.3389/fped.2025.1493780
PMID:40212062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11983468/
Abstract

Feeding infants and young children (IYC) is an emotional commitment for caregivers as they strive to achieve a sense of mastery, goodness, and accomplishment in providing nourishment for their children. Feeding practices are important during early childhood for lifelong health and well-being as behaviors related to healthy eating are established, and there is an interrelation between growth, gross/fine motor skills, and social-emotional behavior in shaping "learning to eat" for IYC. Mealtimes and feedings are opportunities for engagement with the family, formation of healthy habits, exposure to different foods, practicing eating skills, and learning to appreciate foods. The caregivers' role is pertinent as they influence and teach children "what" and "how" to eat and play a crucial role in supporting children's social, emotional, and cognitive development in relation to food and mealtimes. This mini review provides practical guidance for caregivers as their IYC "learn to eat." Caregiver behaviors have changed, particularly in the choice of feeding methods, requiring an update on complementary feeding advice. Healthcare providers can encourage positive feeding practices. Family mealtimes provide opportunities for (1) bonding, (2) practicing and refining gross/fine motor, cognitive, language, and social-emotional skills, (3) offering a variety of nutrient-dense, appropriate textured foods, and (4) reinforcing the central role of the caregiver in establishing healthy eating patterns, a positive relationship with food, and joyful eating experiences. Healthcare providers play a pivotal role in raising awareness among caregivers about the importance of their role in feeding their child(ren).

摘要

喂养婴幼儿对照顾者来说是一项充满情感的任务,因为他们努力在为孩子提供营养的过程中获得掌控感、满足感和成就感。在幼儿期,喂养方式对于终身健康和幸福至关重要,因为与健康饮食相关的行为正在形成,而且在塑造婴幼儿“学会进食”的过程中,生长、大肌肉/精细运动技能以及社会情感行为之间存在相互关系。进餐时间和喂食是与家人互动、形成健康习惯、接触不同食物、练习进食技能以及学会欣赏食物的机会。照顾者的角色至关重要,因为他们影响并教导孩子“吃什么”和“怎么吃”,在支持孩子与食物及进餐时间相关的社会、情感和认知发展方面发挥着关键作用。本综述为照顾者在其婴幼儿“学会进食”时提供实用指导。照顾者的行为已经发生了变化,尤其是在喂养方式的选择上,这就需要更新辅食喂养建议。医疗保健提供者可以鼓励积极的喂养方式。家庭进餐时间提供了以下机会:(1)增进感情;(2)练习和提升大肌肉/精细运动、认知、语言和社会情感技能;(3)提供各种营养丰富、质地适宜的食物;(4)强化照顾者在建立健康饮食模式、与食物建立积极关系以及享受愉悦进食体验方面的核心作用。医疗保健提供者在提高照顾者对其在喂养孩子方面作用的重要性的认识方面发挥着关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4332/11983468/a942e9068f05/fped-13-1493780-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4332/11983468/e4cc8d2b2783/fped-13-1493780-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4332/11983468/a942e9068f05/fped-13-1493780-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4332/11983468/e4cc8d2b2783/fped-13-1493780-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4332/11983468/a942e9068f05/fped-13-1493780-g002.jpg

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本文引用的文献

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Public Health Nutr. 2024 Oct 4;27(1):e200. doi: 10.1017/S1368980024001885.
2
Complementary Feeding: Tradition, Innovation and Pitfalls.补充喂养:传统、创新与陷阱。
Nutrients. 2024 Mar 4;16(5):737. doi: 10.3390/nu16050737.
3
The Role of the Pediatrician in the Promotion of Healthy, Active Living.儿科医生在促进健康、积极生活方式中的作用。
Pediatrics. 2024 Mar 1;153(3). doi: 10.1542/peds.2023-065480.
4
Observational Methods in Studies of Infant and Young Child Feeding Practices in Low- and Middle-Income Countries: A Twenty-Year Retrospective Review.观察法在低收入和中等收入国家婴幼儿喂养实践研究中的应用:二十年回顾。
Nutrients. 2024 Jan 18;16(2):288. doi: 10.3390/nu16020288.
5
Mothers' experiences of reducing family mealtime screen use in Australian households with young children.母亲在澳大利亚有幼儿的家庭中减少家庭用餐时屏幕使用的经验。
Public Health Nutr. 2023 Dec 15;27(1):e21. doi: 10.1017/S1368980023002847.
6
Complementary feeding approach and maternal responsiveness in 8- and 12-month-old Italian infants: A longitudinal study.8个月和12个月大的意大利婴儿的辅食添加方法与母亲的反应性:一项纵向研究。
Appetite. 2023 Nov 1;190:107028. doi: 10.1016/j.appet.2023.107028. Epub 2023 Sep 6.
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Developmental Feeding Stages and Their Impact on Child Feeding Behavior.发育性喂养阶段及其对儿童喂养行为的影响。
J Pediatr Gastroenterol Nutr. 2023 Dec 1;77(6):769-778. doi: 10.1097/MPG.0000000000003892. Epub 2023 Jul 25.
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Early introduction is not enough: CSACI statement on the importance of ongoing regular ingestion as a means of food allergy prevention.早期引入并不够:加拿大过敏、哮喘和免疫学会关于持续规律摄入作为预防食物过敏手段的重要性的声明
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Complementary Feeding Methods: Associations with Feeding and Emotional Responsiveness.辅食添加方法:与喂养及情绪反应的关联
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