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12至36个月大墨西哥儿童的食欲特征与饮食模式

Appetitive Traits and Dietary Patterns in Mexican Children Aged 12 to 36 Months.

作者信息

Gil-Barrera Astrid S, Hunot-Alexander Claudia, Chávez-Palencia Clío, González-Toribio Jocelyn, Casillas-Toral Erika, Álvarez-Zaragoza D Citlalli, Larrosa-Haro Alfredo, Vásquez-Garibay Edgar

机构信息

Instituto de Nutrición Humana, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Salvador Quevedo y Zubieta #750, Edificio Anexo al Hospital Civil "Dr. Juan I. Menchaca", Piso 3, Guadalajara 44340, Jalisco, Mexico.

División de Ciencias de la Salud, Centro Universitario de Tonalá, Universidad de Guadalajara, Av. Nuevo Periférico No. 555 Ejido San José Tateposco, Tonalá 45425, Jalisco, Mexico.

出版信息

Nutrients. 2025 May 27;17(11):1814. doi: 10.3390/nu17111814.

DOI:10.3390/nu17111814
PMID:40507083
Abstract

Appetitive traits may contribute to early feeding challenges by shaping children's emerging dietary patterns. While food approach traits have been linked to excess weight, their role in influencing food type and quality during toddlerhood remains underexplored. This study aimed to examine associations between appetitive traits and dietary patterns in children aged 12 to 36 months. This cross-sectional study collected data from a university hospital and the metropolitan area of Guadalajara, Mexico. A survey was conducted through direct interviews with primary caregivers, which included the Child Eating Behavior Questionnaire for Toddlers (CEBQ-T) and a qualitative food group frequency questionnaire. Dietary patterns were determined using principal component analysis. Statistical analyses were performed to identify associations between six appetitive traits and dietary patterns. Three dietary patterns were identified: "Processed", "Healthy" and "Dietary Transition/Modern Mexican". Higher scores for Food Responsiveness and Emotional Overeating traits were associated with greater adherence to the Processed dietary pattern. Increased scores in Enjoyment of Food were associated with higher adherence to a Healthy dietary pattern. Children with higher scores in Food Fussiness exhibited lower adherence to the Healthy dietary pattern and were more likely to follow a Dietary Transition/Modern Mexican pattern. Between 12 and 36 months of age, appetitive traits may influence the development of more or less healthy dietary patterns. These findings underscore the importance of early identification of appetite-related behavioral tendencies as part of a broader understanding of feeding challenges in early childhood.

摘要

食欲特质可能通过塑造儿童新出现的饮食模式,导致早期喂养方面的挑战。虽然对食物的趋近特质与超重有关,但其在幼儿期影响食物类型和质量方面的作用仍未得到充分探索。本研究旨在探讨12至36个月儿童的食欲特质与饮食模式之间的关联。这项横断面研究收集了来自墨西哥瓜达拉哈拉市一家大学医院和市区的数据。通过对主要照料者进行直接访谈开展了一项调查,其中包括幼儿饮食行为问卷(CEBQ-T)和一份定性食物组频率问卷。使用主成分分析法确定饮食模式。进行统计分析以确定六种食欲特质与饮食模式之间的关联。确定了三种饮食模式:“加工食品型”、“健康型”和“饮食转变/现代墨西哥型”。食物反应性和情绪性暴饮暴食特质得分较高,与更严格遵循加工食品型饮食模式有关。对食物的享受得分增加,与更严格遵循健康饮食模式有关。食物挑剔得分较高的儿童对健康饮食模式的遵循程度较低,更有可能遵循饮食转变/现代墨西哥型模式。在12至36个月大时,食欲特质可能会影响或多或少健康的饮食模式的形成。这些发现强调了早期识别与食欲相关的行为倾向的重要性,这是更全面理解幼儿喂养挑战的一部分。

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本文引用的文献

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Ultraprocessed Food Consumption and Obesity Development in Canadian Children.加拿大儿童的超加工食品消费与肥胖发展
JAMA Netw Open. 2025 Jan 2;8(1):e2457341. doi: 10.1001/jamanetworkopen.2024.57341.
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Ultra-Processed Food Intake and Increased Risk of Obesity: A Narrative Review.超加工食品摄入与肥胖风险增加:一项叙述性综述
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Association between Maternal and Toddler Appetitive Traits in a Mexican Population.墨西哥人群中母婴食欲特征之间的关联。
Behav Sci (Basel). 2023 Oct 17;13(10):849. doi: 10.3390/bs13100849.
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Ultra-processed food consumption and children and adolescents' health.超加工食品消费与儿童和青少年健康。
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Reciprocal associations between parental feeding practices and child eating behaviours from toddlerhood to early childhood: bivariate latent change analysis in the Gemini cohort.从幼儿期到儿童早期,父母喂养行为与儿童进食行为的相互关系:双子座队列的双变量潜变量变化分析。
J Child Psychol Psychiatry. 2023 Oct;64(10):1432-1445. doi: 10.1111/jcpp.13819. Epub 2023 May 15.
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Children's eating behaviours and related constructs: conceptual and theoretical foundations and their implications.儿童饮食行为及相关概念:概念和理论基础及其意义。
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Eating behaviors, dietary patterns and weight status in emerging adulthood and longitudinal associations with eating behaviors in early childhood.成年早期的饮食行为、饮食模式和体重状况,以及与儿童早期饮食行为的纵向关联。
Int J Behav Nutr Phys Act. 2022 Nov 16;19(1):139. doi: 10.1186/s12966-022-01376-z.
9
Ultra-processed foods consumption reduces dietary diversity and micronutrient intake in the Mexican population.超加工食品的消费会降低墨西哥人群的饮食多样性和微量营养素摄入。
J Hum Nutr Diet. 2023 Feb;36(1):241-251. doi: 10.1111/jhn.13003. Epub 2022 Apr 9.
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Evaluation of the Quality of Evidence of the Association of Foods and Nutrients With Cardiovascular Disease and Diabetes: A Systematic Review.评估食物和营养素与心血管疾病和糖尿病关联的证据质量:系统评价。
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