Responsive feeding (RF) has been recognized as necessary to prevent all forms of malnutrition including stunting and childhood obesity. Specific RF guidelines have been developed, but it is unclear how RF behaviours can be monitored systematically. Therefore, developing valid and reliable abbreviated and pragmatic RF scales is an important global priority. This is challenging, as RF is a construct with multiple dimensions including recognizing and responding to hunger and satiety cues, providing a nurturing environment during feeding episodes, and understanding how feeding needs evolve as a function of the developmental stage of the young child. Further, RF is embedded within the responsive parenting framework that in addition to RF includes sleep, soothing and play routines and the interconnections between them. A recent pioneer study conducted in a rural area of Cambodia validated an 8-item RF scale through direct feeding observations of 6- to 23-month-old infants at home, as part of two cross-sectional surveys conducted before and after a complementary feeding intervention. It is important for similar research to be conducted elsewhere to find out if it is possible or not to develop a core RF scale that is valid and reliable and that has adequate specificity and sensitivity for application in community studies and population surveys globally. As highlighted in this article, different definitions of RF have been used in the field; thus, it is important to reach consensus on a single definition to help move this research area forward.

中文翻译：

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能否在全球范围内开发和应用实用的响应式喂养量表？

响应性喂养 (RF) 已被认为是预防所有形式的营养不良（包括发育迟缓和儿童肥胖症）所必需的。已经制定了特定的射频指南，但尚不清楚如何系统地监控射频行为。因此，开发有效和可靠的缩写和实用的 RF 量表是一个重要的全球优先事项。这是具有挑战性的，因为 RF 是一个具有多个维度的结构，包括识别和响应饥饿和饱腹感的线索，在喂食期间提供养育环境，以及了解喂食需求如何随着幼儿发育阶段的变化而演变。此外，RF 嵌入在响应式育儿框架中，除了 RF 之外，它还包括睡眠、安抚和游戏程序以及它们之间的相互联系。最近在柬埔寨农村地区进行的一项先驱研究通过在家中对 6 至 23 个月大的婴儿进行直接喂养观察，验证了 8 项 RF 量表，作为补充喂养前后进行的两项横断面调查的一部分干涉。在其他地方进行类似研究以查明是否有可能开发一个有效和可靠的核心 RF 量表非常重要，该量表具有足够的特异性和敏感性，可用于全球社区研究和人口调查。正如本文所强调的，该领域已经使用了不同的 RF 定义；因此，就单一定义达成共识以帮助推动该研究领域向前发展非常重要。