首页|0~6月龄不同喂养方式对婴儿体格生长发育的影响

0~6月龄不同喂养方式对婴儿体格生长发育的影响

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目的:通过对首都医科大学附属北京潞河医院出生的857例婴儿在0~6月龄喂养方式的随访,探索6个月内不同喂养方式对婴儿体格生长发育的影响。方法:对招募的研究对象进行纵向随访12个月,随访主要收集0~6月龄期间的婴儿喂养方式和12月龄以内的体格生长发育情况。利用世界卫生组织(WHO)Anthro软件计算年龄别体重评价、年龄别身长评价和年龄别体重别身长评价,通过方差分析、非参数秩和检验、x2检验以及线性回归等方法进行资料的描述性分析和婴儿体格生长发育影响因素的分析。结果:持续6月龄纯母乳喂养组婴儿6月龄和9月龄的体重评价和身长评价及12月龄的年龄别体重和年龄别身长别体重评价为正常发育的比例均高于6月龄内部分母乳喂养和纯人工喂养组的婴儿,差异均具有统计学意义(P≤0。05)。通过线性回归模型校正孕周、孕妇年龄、婴儿性别、分娩方式、婴儿出生体重以及出生身长等混杂因素后发现,0~6月龄不同喂养方式是婴儿12月龄时生长发育的重要影响因素。结论:持续6月龄的纯母乳喂养方式将影响婴儿在6月龄、9月龄、12月龄时的生长发育。因此,临床医生应倡导母亲在婴儿6月龄内尽可能持续完全母乳喂养,以保证婴儿的生长发育。
Effect of Different Feeding Methods Within 6 Months on The Physical Growth and Development of Infants
[Objective]To investigate the effects of breast-feeding methods for 6 months on the physical growth and development,857 infants born in Beijing Luhe Hospital affiliated to Capital Medical University were following up.[Method]The subjects were longitudinally followed up for 12 months.The feeding patterns of infants were collected during 0-6 months,and the physical growth and development were followed up within 12 months of age.Age-specific weight evaluation,age-specific height evaluation,age-specific weight and age-specific height evaluation were calculated by WHO Anthro software.Then descriptive analysis of the data and influencing factors of infant physical growth and development were performed by variance analysis,nonparametric rank sum test,chi-square test and linear regression.[Result]The proportion of infants who were exclusively breastfed for six months and evaluated as having normal weight and length at 6 and 9 months,as well as at 12 months,was higher than that of infants in the partially breastfed and formula-fed groups.The differences between these groups were statistically significant(P≤0.05).Linear regression model was used to correct confounding factors such as gestational age,maternal age,infant sex,mode of delivery,birth weight and birth length etc.It was found that different feeding methods from 0 to 6 months were important factors affecting the growth and development of infants at age 12 months.[Conclusion]Exclusive breastfeeding in 6 months not only has an important effect on the growth and development of infants at 6 months of age,but also affects the growth and development of infants at 9 months of age and 12 months of age.Therefore,clinicians should encourage mothers to continue breastfeeding exclusively for as long as possible during the first 6 months of life to ensure the growth and development of infants.

pure breast-feedingpartially breast-feedingformula-feedingZ scoreinfants'growth and development

张蕊、吴丹、张丹娣、麻微微

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首都医科大学公共卫生学院营养与食品卫生学系,北京 100069

首都医科大学附属北京潞河医院保健科,北京 101149

首都医科大学附属北京潞河医院老年医学科,北京 101149

母乳喂养 部分母乳喂养 人工喂养 Z评分 生长发育

通州区科技计划基础研究平台建设专项

KJ2020CX006-18

2024

中国食物与营养
中国农业科学院 国家食物与营养咨询委员会

中国食物与营养

CSTPCD
影响因子:0.754
ISSN:1006-9577
年,卷(期):2024.30(1)
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