Moreira Paula Ruffoni, Ergang Barbara Cristina, Nunes Leandro Meirelles, Bernardi Juliana Rombaldi
Programa de Pós-Graduação em Alimentação, Nutrição e Saúde, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil; Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Programa de Pós-Graduação em Alimentação, Nutrição e Saúde, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Physiol Behav. 2025 Sep 1;298:114954. doi: 10.1016/j.physbeh.2025.114954. Epub 2025 May 19.
A child's early eating experiences, such as the introduction of complementary foods (CF), are critical points for the development of their eating behavior.
This study aims to analyze the impact of different CF approaches on the eating behavior of children.
A randomized clinical trial was conducted with mother-infant pairs, followed from 5.5 months to 12 months of age. The sample was randomized into three distinct CF methods: Parent-Led Weaning (PLW), Baby-Led Introduction to Solids (BLISS), or a mixed approach combining both methods. The Child Eating Behavior Questionnaire (CEBQ) was administered online at 12 months, assessing scales such as 'food responsiveness', 'emotional overeating', 'enjoyment of food', 'desire to drink', 'satiety responsiveness', 'slowness in eating', 'food fussiness', 'emotional under-eating', as well as the subscales 'food avoidance' and 'food approach'. ANOVA was used to evaluate differences between the CF methods.
A total of 126 mother-infant pairs were assessed, distributed as follows: n= 41 in the PLW group, n= 44 in the BLISS group, and n= 41 in the mixed group. The analysis revealed no statistically significant differences across the various eating behavior scales, including 'food responsiveness' (p= 0.412), 'emotional overeating' (p= 0.184), 'enjoyment of food' (p= 0.128), and 'desire to drink' (p= 0.177). Similarly, no significant differences were observed in 'satiety responsiveness' (p= 0.922), 'slowness in eating' (p= 0.294), 'food fussiness' (p= 0.929), 'emotional under-eating' (p= 0.972), 'food avoidance' (p= 0.964), or 'food approach' (p= 0.051) between the different CF groups.
No differences were observed in the scores of the eating behavior scales and subscales among children who followed different CF approaches. Further studies are needed to investigate the relationship between the CF approach and child eating behavior.
Brazilian Clinical Trials Registry (ReBEC): RBR-229scm, registration number U1111-1226-9516. Registered on September 24, 2019.
儿童早期的饮食经历，如引入辅食，是其饮食行为发展的关键点。
本研究旨在分析不同的辅食添加方法对儿童饮食行为的影响。
对母婴对进行了一项随机临床试验，从5.5个月至12个月进行跟踪。样本被随机分为三种不同的辅食添加方法：家长主导断奶法（PLW）、婴儿主导引入固体食物法（BLISS）或两种方法相结合的混合方法。在12个月时通过在线方式发放儿童饮食行为问卷（CEBQ），评估“食物反应性”“情绪性暴饮暴食”“对食物的喜爱”“饮水欲望”“饱腹感反应”“进食速度慢”“食物挑剔”“情绪性进食不足”等量表，以及“食物回避”和“食物接近”子量表。使用方差分析来评估辅食添加方法之间的差异。
共评估了126对母婴对，分布如下：PLW组n = 41，BLISS组n = 44，混合组n = 41。分析显示，在各种饮食行为量表中没有统计学上的显著差异，包括“食物反应性”（p = 0.412）、“情绪性暴饮暴食”（p = 0.184）、“对食物的喜爱”（p = 0.128）和“饮水欲望”（p = 0.177）。同样，在不同的辅食添加组之间，“饱腹感反应”（p = 0.922）、“进食速度慢”（p = 0.294）、“食物挑剔”（p = 0.929）、“情绪性进食不足”（p = 0.972）、“食物回避”（p = 0.
