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婴儿饮食模式和早期儿童体重结果:从早期开始计划试验中进行的二次分析
Lauren Berube1, Christina Kim2, Andrea Deierlein
1New York University School of Global Public Health.
Research square
|December 8, 2025
概括
早期开始计划 (StEP) 促进健康的婴儿饮食,降低儿童肥胖风险. 这种健康饮食模式调解了该计划对儿童体重结果的积极影响.
科学领域:
- 儿童营养学 儿童营养学
- 儿童肥胖研究儿童肥胖研究
- 母婴健康 孕产妇和婴儿健康
背景情况:
- 关于婴儿饮食模式如何影响儿童体重的研究有限.
- 早期启动计划 (StEP) 在促进健康的婴儿营养和更好的儿童体重结果方面取得了成功.
- 婴儿饮食模式对体重或调节STEP影响的具体贡献仍未研究.
研究的目的:
- 在STEP计划中识别婴儿饮食模式.
- 确定这些模式与儿童体重结果之间的关联.
- 检查饮食模式是否调解了STEP参与与儿童体重之间的关系.
主要方法:
- 从一个随机的Step试验中对377个母婴二进行了二次分析.
- 婴儿饮食通过24小时回忆在10个月时进行评估;使用隐性类分析确定了饮食模式.
- 使用回归模型分析儿童体重与年龄的z-score (WFAz) 和超重状态;进行中介分析.
主要成果:
- 确定了四种婴儿饮食模式:母乳养高品种,配方养高品种,配方养低品种和混合养低品种.
- 与母乳养高品种组相比,在配方养低品种组的婴儿的WFAz较高,在24个月和36个月时超重的几率增加.
- 参与STEP增加了对母乳养高品种模式的坚持,这使得24个月后WFAz降低.
结论:
- 不同的婴儿饮食模式与儿童肥胖的不同风险有关.
- 步骤有效地促进婴儿饮食模式与养指南保持一致.
- 这种促进的饮食模式作为干预措施对儿童体重的积极影响的调解者.
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