临床儿科杂志
臨床兒科雜誌
림상인과잡지
2010年
10期
901-907
,共7页
周丽莉%孙倩倩%胡燕琪%刘金荣%刘珊珊%张杰%盛晓阳
週麗莉%孫倩倩%鬍燕琪%劉金榮%劉珊珊%張傑%盛曉暘
주려리%손천천%호연기%류금영%류산산%장걸%성효양
婴儿%喂养习惯%超重
嬰兒%餵養習慣%超重
영인%위양습관%초중
infants%feeding practices%overweight
目的 探讨导致婴儿出生早期生长过快,尤其是按身长体质量增长过快的相关喂养习惯,包括婴儿的喂养方式、喂养环境以及喂养者的一般情况和喂养行为等,方法以上海市控江社区医疗服务中心常规健康体检的200例足月、单胎、正常出生体质量的健康5～6月龄婴儿及其主要喂养者作为研究对象.有关婴儿喂养习惯的调查问卷,包括婴儿喂养模式、喂养环境、以及喂养者的行为等,由研究小组成员在现场对婴儿的主要喂养者进行一对一调查.记录婴儿的出生体质最,并在婴儿6月龄时测量其体质量和身长.结果 200例婴儿中有70例超重(BAZ>+1),占35%.男婴超重多于女婴(40.0%对30.9%,x2=1.798,P=0.180).超重婴儿和体质量正常婴儿的出生体质量一致(3.30±0.35 kg对3.35±0.32 kg,t=1.010,P=0.314),6月龄时两组婴儿的身长也一致(67.64±2.10 cm对67.91±1.97cm,t=0.896,P=0.371).超重婴儿在出生后前6个月内按身长体质量增加速度明显快于正常体质量婴儿,6月龄时超重婴儿的体质量以及BMI显著高于正常体质量婴儿(9.16±0.67对7.94±0.64,t=12.324,P<0.01;19.86±1.24对17.41±0.80,t=14.953,P<0.01).两组婴儿中纯母乳喂养时间至少4个月,6月龄时持续母乳喂养、辅助食品稠厚度和喂养次数差异无统计学意义(x2=0.723～2.701,P均>0.05).祖父母在上海婴儿的喂养照料中扮演着重要的角色,39.0%的婴儿完全由祖父母承担喂养和照料的责任,而23.0%的婴儿则由父母与祖父母共同承担.两组婴儿的主要喂养者、喂养者学历、婴儿喂养知识掌握差异无统计学意义(x2=0.175、0.446,t=0.949,P均>0.05).超重婴儿喂养者的喂养速度明显快于正常体质量婴儿(Z=2.753,P<0.01),超重婴儿喂养者在喂养过程中与婴儿的语言交流明显较少(Z=2.932,P<0.01).在超重婴儿中,喂养者的过度喂养行为与超重婴儿的BAZ呈显著正相关(r=0.281,P<0.05).结论 上海婴儿出生早期按身长体质量增长过快与某些婴儿喂养习惯相关.婴儿出生后前6个月按身长体质量增加过快是否会增加儿章期肥胖的风险值得进一步观察和研究.
目的 探討導緻嬰兒齣生早期生長過快,尤其是按身長體質量增長過快的相關餵養習慣,包括嬰兒的餵養方式、餵養環境以及餵養者的一般情況和餵養行為等,方法以上海市控江社區醫療服務中心常規健康體檢的200例足月、單胎、正常齣生體質量的健康5～6月齡嬰兒及其主要餵養者作為研究對象.有關嬰兒餵養習慣的調查問捲,包括嬰兒餵養模式、餵養環境、以及餵養者的行為等,由研究小組成員在現場對嬰兒的主要餵養者進行一對一調查.記錄嬰兒的齣生體質最,併在嬰兒6月齡時測量其體質量和身長.結果 200例嬰兒中有70例超重(BAZ>+1),佔35%.男嬰超重多于女嬰(40.0%對30.9%,x2=1.798,P=0.180).超重嬰兒和體質量正常嬰兒的齣生體質量一緻(3.30±0.35 kg對3.35±0.32 kg,t=1.010,P=0.314),6月齡時兩組嬰兒的身長也一緻(67.64±2.10 cm對67.91±1.97cm,t=0.896,P=0.371).超重嬰兒在齣生後前6箇月內按身長體質量增加速度明顯快于正常體質量嬰兒,6月齡時超重嬰兒的體質量以及BMI顯著高于正常體質量嬰兒(9.16±0.67對7.94±0.64,t=12.324,P<0.01;19.86±1.24對17.41±0.80,t=14.953,P<0.01).兩組嬰兒中純母乳餵養時間至少4箇月,6月齡時持續母乳餵養、輔助食品稠厚度和餵養次數差異無統計學意義(x2=0.723～2.701,P均>0.05).祖父母在上海嬰兒的餵養照料中扮縯著重要的角色,39.0%的嬰兒完全由祖父母承擔餵養和照料的責任,而23.0%的嬰兒則由父母與祖父母共同承擔.兩組嬰兒的主要餵養者、餵養者學歷、嬰兒餵養知識掌握差異無統計學意義(x2=0.175、0.446,t=0.949,P均>0.05).超重嬰兒餵養者的餵養速度明顯快于正常體質量嬰兒(Z=2.753,P<0.01),超重嬰兒餵養者在餵養過程中與嬰兒的語言交流明顯較少(Z=2.932,P<0.01).在超重嬰兒中,餵養者的過度餵養行為與超重嬰兒的BAZ呈顯著正相關(r=0.281,P<0.05).結論 上海嬰兒齣生早期按身長體質量增長過快與某些嬰兒餵養習慣相關.嬰兒齣生後前6箇月按身長體質量增加過快是否會增加兒章期肥胖的風險值得進一步觀察和研究.
목적 탐토도치영인출생조기생장과쾌,우기시안신장체질량증장과쾌적상관위양습관,포괄영인적위양방식、위양배경이급위양자적일반정황화위양행위등,방법이상해시공강사구의료복무중심상규건강체검적200례족월、단태、정상출생체질량적건강5～6월령영인급기주요위양자작위연구대상.유관영인위양습관적조사문권,포괄영인위양모식、위양배경、이급위양자적행위등,유연구소조성원재현장대영인적주요위양자진행일대일조사.기록영인적출생체질최,병재영인6월령시측량기체질량화신장.결과 200례영인중유70례초중(BAZ>+1),점35%.남영초중다우녀영(40.0%대30.9%,x2=1.798,P=0.180).초중영인화체질량정상영인적출생체질량일치(3.30±0.35 kg대3.35±0.32 kg,t=1.010,P=0.314),6월령시량조영인적신장야일치(67.64±2.10 cm대67.91±1.97cm,t=0.896,P=0.371).초중영인재출생후전6개월내안신장체질량증가속도명현쾌우정상체질량영인,6월령시초중영인적체질량이급BMI현저고우정상체질량영인(9.16±0.67대7.94±0.64,t=12.324,P<0.01;19.86±1.24대17.41±0.80,t=14.953,P<0.01).량조영인중순모유위양시간지소4개월,6월령시지속모유위양、보조식품주후도화위양차수차이무통계학의의(x2=0.723～2.701,P균>0.05).조부모재상해영인적위양조료중분연착중요적각색,39.0%적영인완전유조부모승담위양화조료적책임,이23.0%적영인칙유부모여조부모공동승담.량조영인적주요위양자、위양자학력、영인위양지식장악차이무통계학의의(x2=0.175、0.446,t=0.949,P균>0.05).초중영인위양자적위양속도명현쾌우정상체질량영인(Z=2.753,P<0.01),초중영인위양자재위양과정중여영인적어언교류명현교소(Z=2.932,P<0.01).재초중영인중,위양자적과도위양행위여초중영인적BAZ정현저정상관(r=0.281,P<0.05).결론 상해영인출생조기안신장체질량증장과쾌여모사영인위양습관상관.영인출생후전6개월안신장체질량증가과쾌시부회증가인장기비반적풍험치득진일보관찰화연구.
Objective To explore the relationship between infant feeding practices and infants growth,especially the weight gain for length in the first 6 months of life. Methods Two-hundred healthy full-term singlet normal birth weight 5 - 6 months old infants and their main care givers were recruited in Kongjiang community health service center in Shanghai. The questionnaires included infants feeding pattern, feeding environment and care givers feeding behaviors, and were completed on-site by investigators. The birth weight was obtained. The weight and length of infants at 6 months were measured. Results There were 70/200 (35.0%) infants overweight (BMI for age Z score>+1) at 6 months. There were more overweight boys than girls (40.0% vs. 30.9%, x2 = 1.798, P = 0.180). Compared with normal weight infants, the overweight infants had same birth weight (3.30 ± 0.35 kg vs. 3.35 ± 0.32 kg, t =1.010, P = 0.314) and same length at 6 months (67.64 ± 2.10 cm vs. 67.91 ± 1.97 cm, t=- 0.896, P = 0.371). However, the overweight infants gained much more weight for length in the first six months of life. At 6 months, the weight and BMI of overweight infants was significantly higher than that of normal weight infants (9.16 ± 0.67 vs. 7.94 ±0.64, t = 12.324, P < 0.01;19.86 ± 1.24 vs. 17.41 ± 0.80, t = 14.953, P < 0.01). The rates of exclusive breastfeeding for at least four months, continued breastfeeding at six months, complementary food consistency, and complementary feeding frequency, were not significantly differenct between overweight and normal weight infants (x2 =0.723 - 2.701, P > 0.05). The grandparents played an important role in infants feeding in Shanghai. There were 39.0% infants fed only by grandparents, and 23.0% infants fed jointly by grandparents and parents (x2 = 0.175, P > 0.05).The care givers' educational level and knowledge of feeding skill were similar in overweight and normal weight infants (x2 = 0.446, t = 0.949, P > 0.05). However, the overweight infants were fed more quickly than normal weight infants (Z = 2.753, P < 0.01), and there was less language communication between care givers and overweight infants during feeding (Z = 2.932, P < 0.01). In overweight infants, the overfeeding behaviors of care givers were positively correlated with BAZ (r = 0.281, P < 0.05). Conclusions Overweight in early life is associated with some particular infants feeding behaviors of care givers in Shanghai. The long term effect of more rapid weight gain for length in the first 6 months of life on the risk of childhood obesity warranted to be further followed and researched.
