Yue Wang MS , Haiyue Zhang MS , Shibo Guo MS , Haixia Wei MS , Xun Jiang PhD , Lei Shang PhD , Lisa R. Fries PhD
{"title":"中国 6-10 月龄婴儿看护者的常见喂养方式:陕西省行为观察研究》。","authors":"Yue Wang MS , Haiyue Zhang MS , Shibo Guo MS , Haixia Wei MS , Xun Jiang PhD , Lei Shang PhD , Lisa R. Fries PhD","doi":"10.1016/j.jneb.2024.07.012","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To explore the feeding practices and feeding environment of Chinese families with 6–10-month-old infants.</div></div><div><h3>Design</h3><div>One day of caregiver-recorded feeding occasions.</div></div><div><h3>Setting</h3><div>Homes in Shaanxi, China.</div></div><div><h3>Participants</h3><div>Families recruited using convenience sampling.</div></div><div><h3>Variables Measured</h3><div>Videos were coded for feeding practice frequency and acceptance rate, feeding environment, and responsiveness to infant fullness cues and eating pace.</div></div><div><h3>Analysis</h3><div>Wilcoxon rank sum tests examined the differences in feeding practice use based on caregiver type, infant sex, and infant weight status.</div></div><div><h3>Results</h3><div>Twenty-eight families provided videos for coding. The most commonly observed feeding practices were opening the mouth, giving instructions, and interfering with the child's actions. Prompts to eat were accepted 86.9% of the time. Overweight infants’ caregivers used significantly more coercive prompts to eat than did caregivers of healthy-weight infants (<em>P</em> < 0.05). Mothers used more autonomy-supportive prompts to eat than did fathers (<em>P</em> < 0.05). Early, active, and late infant fullness cues were captured in 25.6%, 34.8%, and 8.5% of videos, respectively. 53.6% of caregivers fed at the right pace, whereas 14.5% and 31.9% fed too slow or too fast, respectively. Approximately 5.5% of videos had a screen on, and 33.5% of videos included at least 1 other distraction during the meal.</div></div><div><h3>Conclusions and Implications</h3><div>Differences in feeding practices among caregivers suggest that targeted advice may further improve feeding practices. Improving the caregiver's ability to identify satiety cues and respond to infant eating speed may also reduce the risk of overfeeding.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 12","pages":"Pages 856-868"},"PeriodicalIF":2.3000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Common Feeding Practices Used by Chinese Caregivers of 6–10-Month-Old Infants: A Behavioral Observation Study in Shaanxi Province\",\"authors\":\"Yue Wang MS , Haiyue Zhang MS , Shibo Guo MS , Haixia Wei MS , Xun Jiang PhD , Lei Shang PhD , Lisa R. Fries PhD\",\"doi\":\"10.1016/j.jneb.2024.07.012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To explore the feeding practices and feeding environment of Chinese families with 6–10-month-old infants.</div></div><div><h3>Design</h3><div>One day of caregiver-recorded feeding occasions.</div></div><div><h3>Setting</h3><div>Homes in Shaanxi, China.</div></div><div><h3>Participants</h3><div>Families recruited using convenience sampling.</div></div><div><h3>Variables Measured</h3><div>Videos were coded for feeding practice frequency and acceptance rate, feeding environment, and responsiveness to infant fullness cues and eating pace.</div></div><div><h3>Analysis</h3><div>Wilcoxon rank sum tests examined the differences in feeding practice use based on caregiver type, infant sex, and infant weight status.</div></div><div><h3>Results</h3><div>Twenty-eight families provided videos for coding. The most commonly observed feeding practices were opening the mouth, giving instructions, and interfering with the child's actions. Prompts to eat were accepted 86.9% of the time. Overweight infants’ caregivers used significantly more coercive prompts to eat than did caregivers of healthy-weight infants (<em>P</em> < 0.05). Mothers used more autonomy-supportive prompts to eat than did fathers (<em>P</em> < 0.05). Early, active, and late infant fullness cues were captured in 25.6%, 34.8%, and 8.5% of videos, respectively. 53.6% of caregivers fed at the right pace, whereas 14.5% and 31.9% fed too slow or too fast, respectively. Approximately 5.5% of videos had a screen on, and 33.5% of videos included at least 1 other distraction during the meal.</div></div><div><h3>Conclusions and Implications</h3><div>Differences in feeding practices among caregivers suggest that targeted advice may further improve feeding practices. Improving the caregiver's ability to identify satiety cues and respond to infant eating speed may also reduce the risk of overfeeding.</div></div>\",\"PeriodicalId\":50107,\"journal\":{\"name\":\"Journal of Nutrition Education and Behavior\",\"volume\":\"56 12\",\"pages\":\"Pages 856-868\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nutrition Education and Behavior\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1499404624004172\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"EDUCATION, SCIENTIFIC DISCIPLINES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nutrition Education and Behavior","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1499404624004172","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
Common Feeding Practices Used by Chinese Caregivers of 6–10-Month-Old Infants: A Behavioral Observation Study in Shaanxi Province
Objective
To explore the feeding practices and feeding environment of Chinese families with 6–10-month-old infants.
Design
One day of caregiver-recorded feeding occasions.
Setting
Homes in Shaanxi, China.
Participants
Families recruited using convenience sampling.
Variables Measured
Videos were coded for feeding practice frequency and acceptance rate, feeding environment, and responsiveness to infant fullness cues and eating pace.
Analysis
Wilcoxon rank sum tests examined the differences in feeding practice use based on caregiver type, infant sex, and infant weight status.
Results
Twenty-eight families provided videos for coding. The most commonly observed feeding practices were opening the mouth, giving instructions, and interfering with the child's actions. Prompts to eat were accepted 86.9% of the time. Overweight infants’ caregivers used significantly more coercive prompts to eat than did caregivers of healthy-weight infants (P < 0.05). Mothers used more autonomy-supportive prompts to eat than did fathers (P < 0.05). Early, active, and late infant fullness cues were captured in 25.6%, 34.8%, and 8.5% of videos, respectively. 53.6% of caregivers fed at the right pace, whereas 14.5% and 31.9% fed too slow or too fast, respectively. Approximately 5.5% of videos had a screen on, and 33.5% of videos included at least 1 other distraction during the meal.
Conclusions and Implications
Differences in feeding practices among caregivers suggest that targeted advice may further improve feeding practices. Improving the caregiver's ability to identify satiety cues and respond to infant eating speed may also reduce the risk of overfeeding.
期刊介绍:
The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas.
The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.