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Mindless Feeding: Is Maternal Distraction During Bottle-Feeding Associated with Overfeeding?

机译:无心喂养:母乳喂养期间的分心与过度喂养有关吗?

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摘要

Mindless eating, or eating while distracted by surrounding stimuli, leads to overeating. The present study explored whether “mindless feeding,” or maternal distraction during bottle-feeding, is associated with greater infant formula/milk intakes and lower maternal sensitivity to infant cues. Mothers and their ≤24-week-old bottle-feeding infants (N=28) visited our laboratory for a video-recorded feeding observation. Infant intake was assessed by weighing bottles before and after the feedings. Maternal sensitivity to infant cues was objectively assessed by behavioral coding of video-records using the Nursing Child Assessment Feeding Scale. Maternal distraction was defined as looking away from the infant >75% of the feeding; using a mobile device; conversing with another adu or sleeping. Twenty-nine percent (n=8) of mothers were distracted. While differences in intakes for infants of distracted vs. not distracted mothers did not reach significance (p=0.24), the association between distraction and infant intake was modified by two dimensions of temperament: orienting/regulation capacity (p=0.03) and surgency/extraversion (p=0.04). For infants with low orienting/regulation capacity, infants of distracted mothers consumed more (177.1 ± 33.8 ml) than those of not distracted mothers (92.4 ± 13.8 ml). Similar findings were noted for infants with low surgency/extraversion (distracted: 140.6 ± 22.5 ml; not distracted: 78.4 ± 14.3 ml). No association between distraction and intake was seen for infants with high orienting/regulation capacity or surgency/extraversion. A significantly greater proportion of distracted mothers showed low sensitivity to infant cues compared to not distracted mothers (p=0.04). In sum, mindless feeding may interact with infant characteristics to influence feeding outcomes; further experimental and longitudinal studies are needed.
机译:盲目进食或在周围刺激分散注意力的情况下进食会导致暴饮暴食。本研究探讨了“无意识喂养”或母乳喂养期间母亲分心是否与婴儿配方奶粉/牛奶摄入量增加以及母亲对婴儿暗示的敏感性降低有关。母亲及其≤24周龄的奶瓶喂养婴儿(N = 28)参观了我们的实验室,进行了视频记录的喂养观察。通过在喂奶前后对奶瓶称重来评估婴儿的摄入量。通过使用哺乳儿童评估喂养量表对视频记录进行行为编码,客观评估了母亲对婴儿线索的敏感性。产妇分心的定义是将目光从婴儿的> 75%喂养处移开;使用移动设备;与另一位成年人交谈;或睡觉。有29%(n = 8)的母亲分心。虽然分心母亲与未分心母亲的婴儿摄入量差异没有显着性(p = 0.24),但分心与婴儿摄入量之间的关系却通过两个方面的气质进行了修正:定向/调节能力(p = 0.03)和急躁/外向性(p = 0.04)。对于定向/调节能力低的婴儿,分心母亲的婴儿比未分心母亲的婴儿消耗更多(177.1±33.8 ml)。对于低紧急度/外向性的婴儿也有类似的发现(分散注意力:140.6±22.5 ml;未分散注意力:78.4±14.3 ml)。定向/调节能力高或急/外向型婴儿的注意力和摄入量之间没有关联。与不分心的母亲相比,分心的母亲对婴儿线索的敏感性低得多(p = 0.04)。总而言之,盲目喂养可能会与婴儿特征相互作用,从而影响喂养效果。需要进一步的实验和纵向研究。

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