CAJ | 학술논문

目的采用婴幼儿喂养指数(infant and child feeding index,ICFI)评价拉萨市农村地区婴幼儿喂养情况与体格发育之间的关系.方法于2010年7-8月在拉萨市农村地区,采用多阶段整群随机抽样方法抽取了540名6 ～35月龄藏族婴幼儿,6～8、9～11、12 ～ 35月龄组分别为70、79、391名.使用自制调查问卷收集婴幼儿的基本情况、母乳喂养和辅食添加等信息,测量其身高和体重,进行ICFI评分(满分为17分),计算婴幼儿的年龄别体重Z评分(WAZ)、年龄别身高Z评分(HAZ)和身高别体重Z评分(WHZ),分析ICFI与HAZ、WAZ和WHZ的关联.结果 540名6～ 35月龄藏族婴幼儿ICFI得分为(8.90±2.82)分；6～8、9～11及12 ～ 35月龄组得分分别为(6.84±3.16)、(8.16±2.78)和(9.41 ±2.55)分,差异有统计学意义(F=30.99,P＜0.05).6～8、9～11及12 ～35月龄组WAZ分别为(0.10±1.18)、(-0.09±1.20)和(-0.38±0.96)分；HAZ分别为(-0.60±1.68)、(-1.02±1.72)和(-1.30±1.30)分；WHZ分别为(0.62±1.23)、(0.69 ±0.96)和(0.43 ±0.95)分.9～11、12 ～ 35和6～35月龄组ICFI得分均与HAZ呈正相关(r值分别为0.25、0.12和0.09,P值均＜0.05)；与WAZ无相关性(r值分别为0.15、0.08和0.03,P值均＞0.05),与WHZ也无相关性(r值分别为-0.08、-0.02和-0.07,P值均＞0.05).6～8月龄组婴幼儿ICFI得分与HAZ、WAZ、WHZ均无相关性(r值分别为0.06、0.16和-0.07,P值均＞0.05).结论 ICFI在一定程度上能够反映出该婴幼儿群体的生长发育状况,可用于拉萨市农村地区藏族婴幼儿喂养情况的综合评判.
목적 채용영유인위양지수(infant and child feeding index,ICFI)평개랍살시농촌지구영유인위양정황여체격발육지간적관계.방법 우2010년7-8월재랍살시농촌지구,채용다계단정군수궤추양방법추취료540명6 ～35월령장족영유인,6～8、9～11、12 ～ 35월령조분별위70、79、391명.사용자제조사문권수집영유인적기본정황、모유위양화보식첨가등신식,측량기신고화체중,진행ICFI평분(만분위17분),계산영유인적년령별체중Z평분(WAZ)、년령별신고Z평분(HAZ)화신고별체중Z평분(WHZ),분석ICFI여HAZ、WAZ화WHZ적관련.결과 540명6～ 35월령장족영유인ICFI득분위(8.90±2.82)분；6～8、9～11급12 ～ 35월령조득분분별위(6.84±3.16)、(8.16±2.78)화(9.41 ±2.55)분,차이유통계학의의(F=30.99,P＜0.05).6～8、9～11급12 ～35월령조WAZ분별위(0.10±1.18)、(-0.09±1.20)화(-0.38±0.96)분；HAZ분별위(-0.60±1.68)、(-1.02±1.72)화(-1.30±1.30)분；WHZ분별위(0.62±1.23)、(0.69 ±0.96)화(0.43 ±0.95)분.9～11、12 ～ 35화6～35월령조ICFI득분균여HAZ정정상관(r치분별위0.25、0.12화0.09,P치균＜0.05)；여WAZ무상관성(r치분별위0.15、0.08화0.03,P치균＞0.05),여WHZ야무상관성(r치분별위-0.08、-0.02화-0.07,P치균＞0.05).6～8월령조영유인ICFI득분여HAZ、WAZ、WHZ균무상관성(r치분별위0.06、0.16화-0.07,P치균＞0.05).결론 ICFI재일정정도상능구반영출해영유인군체적생장발육상황,가용우랍살시농촌지구장족영유인위양정황적종합평판.
Objective Using infant and child feeding index (ICFI) to evaluate the relationship between infant feeding and physical development indicators in rural areas of Lhasa.Methods In July and August 2010 in the rural areas of Lhasa,the multi-stage cluster random sampling method was adopted to select 540 Tibetan children who were between 6 to 35 months of age.There were 70,79 and 391 cases in 6 to 8,9 to 11 and 12 to 35-month-old group respectively.The basic status of infants,information about breastfeeding and complementary feeding were collected by using designed questionnaires.Their height and weight were measured to calculate the childen' s weight for age Z-score (WAZ),height for age Z-score (HAZ) and weight for height Z-score (WHZ) and assess feeding index score (out of 17 scores) and analyze the relationship between feeding index and HAZ,WAZ and WHZ.Results The mean ICFI score of 540 cases was 8.90 ±2.82.It was 6.84 ±3.16,8.16 ±2.78 and 9.41 ±2.55 for 6 to 8,9 to 11 and 12 to 35-month-old infants respectively.There was significant difference between the different month group (F =30.99,P ＜0.05).For the three month groups,the scores of WAZ were 0.10 ± 1.18,-0.09 ± 1.20 and -0.38±0.96; HAZ were-0.60±1.68,-1.02±1.72 and-1.30±1.30; WHZ were 0.62 ± 1.23,0.69 ±0.96 and 0.43 ± 0.95 respectively.The ICFI scores of 9 to 11,12 to 35 and 6 to 35-month-old infants were positively correlated with HAZ (correlation coefficients were 0.25,0.12 and 0.09 respectively,all P values ＜0.05).There was no correlation with WAZ (correlation coefficients were 0.15,0.08 and 0.03 respectively,all P values ＞0.05) and WHZ (correlation coefficients were-0.08,-0.02,and-0.07 respectively,all P values ＞ 0.05).There were no correlation between ICFI score with HAZ,WAZ and WHZ for 6 to 8 month-old infants (correlation coefficient were 0.06,0.16 and-0.07 respectively,all P values ＞ 0.05).Conclusion To some extent,the feeding index can effectively reflect the growth status of these infants and can serve as a comprehensive assessment of feeding situations among Tibetan children in rural areas of Lhasa.