Mediating effect of maternal feeding behavior on the relationship between maternal feeding anxiety and growth and development of infants
Objective To analyze the association between maternal feeding anxiety,feeding behavior,and weight-for-length Z score(WLZ)of infants,so as to provide reference for the development of effective intervention strategies to improve maternal feeding anxiety and behavior.Methods By convenient sampling method,331 infants and their mothers from the Child Health Care Department a Grade-A tertiary hospital in Qingdao,Shandong Province were selected as the study subjects in September 2023.Maternal Feeding Anxiety Scale,Parents'Feeding Practice Scale were used as assessment tools,and infant physical indicators were used to investigate.The association between variables was analyzed by Pearson correlation,and the mediating effect was tested by the Bootstrap program software.Results The score of maternal feeding anxiety was(39.592±8.173).Positive correlations were found between feeding behaviors and maternal feeding anxiety,including pressuring to eat,concerning about infant underfeeding,emotional and instrumental feeding,and parent-led eating(r=0.591,0.650,0.398,0.317,P＜0.01),which were also positively correlated with infants'WLZ(r=0.512,0.428,0.218,0.258,P＜0.01).Maternal feeding anxiety was positively correlated with infant's WLZ(r=0.442,P＜0.01).Pressuring to eat,concerning about infant underfeeding,and parent-led eating all played a partial mediating role between maternal feeding anxiety and infants' WLZ,and the mediation effect values were 0.272,0.191 and 0.050(50.8％,35.7％and 9.3％of the total effect),respectively.Conclusions Maternal feeding anxiety can directly affect infants'WLZ,or indirectly influence infants'WLZ through practices like pressuring to eat,concerning about infant underfeeding,and parent-led eating.In order to improve the growth and development status of infants,feeding behavior of mothers should be improved at beginning.Medical staff should provide personalized guidance based on the maternal feeding anxiety level to promote the long-term healthy development of infants.
motherfeeding anxietyfeeding behaviorinfantgrowth and developmentweight-for-length Z scoremediating effect
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