Gu Yao, Peng Wentao, Luo Biru, Zhao Xiufang, Zhao Li, Tang Yuxin, Guo Xin, Liu Xiaomei
Department of Pediatric Gastroenterology Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
BMC Pediatr. 2025 Apr 14;25(1):296. doi: 10.1186/s12887-025-05622-8.
This study aimed to identify the correlation between feeding behavior of caregivers and feeding outcome of 6-24 months old infants and young children in a first-tier city in the southwestern region of China. The influencing factors of feeding behavior were explored in this study.
This cross-sectional study was conducted in 3 community health service centers in Chengdu, China from November 2017 to January 2018. A total of 725 infants and their caregivers participated in this study. Infant and young child feeding index (ICFI) was used to evaluate food preparation behavior. A questionnaire designed based on responsive feeding behavior (RFB) was used to evaluate the interaction behavior in the feeding process. The Z-score and the Montreal Children's Hospital Feeding Scale (MCH-FS) were used to evaluate the feeding outcomes.
The prevalence of short stature and feeding difficulties was 12.1% and 61.5%, respectively, among infants and young children. The RFB score negatively correlated with feeding difficulties but did not statistically significantly correlate with malnutrition rate. The RFB score was influenced by caregivers' relationship with the child and health belief, including self-efficiency, benefit perception, attention to searching information on websites, and attention to employing professional nurses. ICFI negatively correlated with the rate of underweight but did not statistically significantly correlate with feeding difficulties. ICFI was influenced by the caregivers' age, registered residence, and health belief, including obstacle perception and attention to reading a book on feeding.
Searching the information regarding RFB on websites and making a feeding plan with the help of professional nurses may enhance caregivers' RFB. Convenient and attractive reading materials might help caregivers overcome obstacles and adopt better feeding behavior.
本研究旨在确定中国西南部某一线城市中照顾者的喂养行为与6至24个月婴幼儿喂养结果之间的相关性。本研究还探讨了喂养行为的影响因素。
本横断面研究于2017年11月至2018年1月在中国成都的3个社区卫生服务中心进行。共有725名婴幼儿及其照顾者参与了本研究。婴幼儿喂养指数（ICFI）用于评估食物准备行为。基于响应性喂养行为（RFB）设计的问卷用于评估喂养过程中的互动行为。Z评分和蒙特利尔儿童医院喂养量表（MCH-FS）用于评估喂养结果。
婴幼儿中身材矮小和喂养困难的患病率分别为12.1%和61.5%。RFB得分与喂养困难呈负相关，但与营养不良率无统计学显著相关性。RFB得分受照顾者与孩子的关系以及健康信念的影响，包括自我效能感、益处感知、对网站信息搜索的关注以及对聘请专业护士的关注。ICFI与体重不足率呈负相关，但与喂养困难无统计学显著相关性。ICFI受照顾者年龄、户籍和健康信念的影响，包括障碍感知和对喂养相关书籍阅读的关注。
在网站上搜索有关RFB的信息并在专业护士的帮助下制定喂养计划可能会提高照顾者的RFB。方便且有吸引力的阅读材料可能有助于照顾者克服障碍并采取更好的喂养行为。
