婴幼儿喂养方式是早期气质与儿童饮食行为之间关系的中介：COVID-19大流行期间的纵向研究。

IF 4.6 2区医学 Q1 BEHAVIORAL SCIENCES

Appetite Pub Date : 2024-10-05 DOI:10.1016/j.appet.2024.107703

Xiaoning Zhang , Ao Xu , Shiqi Yu , Junli Cao , Youhua Chen

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引用次数: 0

摘要

通过婴幼儿喂养实践，同时调查多种早期气质维度对儿童饮食行为的影响，可能对制定最佳干预策略至关重要。这项纵向研究收集了两个评估点的数据：第一阶段评估婴幼儿6至12个月时的喂养方式和儿童的气质，第二阶段评估儿童2岁时的饮食行为。研究内容包括华东地区的社会人口学特征、幼儿饮食行为问卷（CEBQ-T）、儿童行为问卷简表（修订版 IBQ-RSF）和婴儿喂养方式问卷（IFSQ）。研究人员利用结构方程模型（SEM）研究了从早期气质的三个维度到五种儿童进食行为的路径，而这五种儿童进食行为又以婴幼儿的三种喂养方式为中介。研究共涉及 972 名儿童，儿童的平均年龄为（14.58 ± 5.11）个月，其中 464 名（47.74%）为女孩，而母亲的平均年龄为（30.23 ± 3.56）岁。努力控制对食物反应性和饱腹感反应性有明显的影响，并以反应性喂养为中介。此外，努力控制对食物的享受性和以限制性喂养为中介的饱腹感反应性也有影响。急躁情绪对以纵容性喂养为中介的食物反应性有明显影响。消极情绪影响饱腹感反应性、对食物的喜爱程度以及以反应性喂养为中介的食物反应性。这项纵向研究描述了从早期气质到饮食行为的途径，这些行为是由婴幼儿喂养方式在6-23个月大的儿童中起中介作用的。这些发现突出表明，有必要优先考虑旨在通过适当的婴幼儿喂养方式优化早期气质的干预计划，以促进具有类似背景的中高收入国家（UMICs）的健康饮食行为。

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Infant and young child feeding practices as mediators in the relationship between early temperament and children's eating behaviors: A longitudinal study during COVID-19 pandemic

Simultaneously investigating the influence of multiple early temperament dimensions on children's eating behaviors through infant and young child feeding practices may be essential for developing optimal intervention strategies. This longitudinal study gathered data at two assessment points: Time 1, evaluation of infant and young child feeding practices and children's temperament when they were between 6 and 12 months, and Time 2, assessment of children's eating behaviors at age 2. This study included sociodemographic characteristics, the Child Eating Behavior Questionnaire for Toddlers (CEBQ-T), the short form of Children Behavior Questionnaire (Revised IBQ-RSF), and the Infant Feeding Style Questionnaire (IFSQ) in eastern China. Structural equation modeling (SEM) was utilized to examine the pathways from three dimensions of early temperament to five types of children's eating behaviors mediated by three styles of infant and young child feeding practices. A total of 972 children, children's mean age was 14.58 ± 5.11 months, 464 (47.74%) being girls, while the mothers' mean age was 30.23 ± 3.56 years. Effortful control exhibited significant effects on food responsiveness and satiety responsiveness mediated by responsive feeding. Additionally, effortful control influenced enjoyment of food and satiety responsiveness mediated by restrictive feeding. Surgency had a significant effect on food responsiveness mediated by indulgent feeding. Negative affectivity impacted satiety responsiveness, enjoyment of food, and food responsiveness mediated by responsive feeding. This longitudinal study delineates the pathways from early temperament to eating behaviors mediated by infant and young child feeding practices among children aged 6–23 months. These findings highlight the need to prioritize intervention programs aimed at nurturing early temperament through appropriate infant and young child feeding practices to promote healthy eating behaviors for upper- and middle-income countries (UMICs) with similar contexts.

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来源期刊

Appetite 医学-行为科学

CiteScore

9.10

自引率

11.10%

发文量

566

审稿时长

13.4 weeks

期刊介绍： Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.