CAJ | 학술논문

目的：探讨家庭养育与儿童体格生长发育的关系，找出影响儿童体格生长发育的因素，为制定儿童养育计划提供科学依据。方法采用配对病例对照研究，同时采用自制的问卷调查表对206例体格生长发育不良的儿童（病例组）和206例健康体检的儿童（对照组）家属进行调查，测量2组体质量、身高，影响儿童体格生长发育的因素采用多因素条件 Logistic 回归分析。结果病例组体质量9．8～38．7（14．37±3．79）kg，身高11．2～120．3（96．38±13．01）cm；对照组体质量11．0～31．0（18．22±4．05）kg，身高84．0～128（105．83±11．39）cm。2组体质量、身高比较差异均有统计学意义（均 P ＜0．01）。病例组的主带养者、主带养者文化程度、主带养者育儿知识掌握、与孩子交流、加饮料奶喂养及加米糕时间所占比例与对照组比较差异均有统计学意义（均 P ＜0．05）。多因素条件 Logistic 回归分析结果显示，主带养者[父亲、祖（外）父母]、主带养者文化程度低、主带养者育儿知识掌握较少、与孩子交流少、常加饮料奶喂养、每天牛奶摄入量少、吃零食多、进餐不规律、每次进餐时间长、常挑食和偏食及常边吃边玩均是影响儿童体格生长发育的因素。结论影响儿童体格发育的因素主要包括家庭环境、儿童喂养知识与方式、儿童进食习惯3类因素。营造良好的家庭喂养环境，提高家长的育儿知识与技能，建立带养者健康的育儿行为，培养良好的饮食行为习惯，有利于减少儿童体格生长发育不良的发生。
목적：탐토가정양육여인동체격생장발육적관계，조출영향인동체격생장발육적인소，위제정인동양육계화제공과학의거。방법채용배대병례대조연구，동시채용자제적문권조사표대206례체격생장발육불량적인동（병례조）화206례건강체검적인동（대조조）가속진행조사，측량2조체질량、신고，영향인동체격생장발육적인소채용다인소조건 Logistic 회귀분석。결과병례조체질량9．8～38．7（14．37±3．79）kg，신고11．2～120．3（96．38±13．01）cm；대조조체질량11．0～31．0（18．22±4．05）kg，신고84．0～128（105．83±11．39）cm。2조체질량、신고비교차이균유통계학의의（균 P ＜0．01）。병례조적주대양자、주대양자문화정도、주대양자육인지식장악、여해자교류、가음료내위양급가미고시간소점비례여대조조비교차이균유통계학의의（균 P ＜0．05）。다인소조건 Logistic 회귀분석결과현시，주대양자[부친、조（외）부모]、주대양자문화정도저、주대양자육인지식장악교소、여해자교류소、상가음료내위양、매천우내섭입량소、흘령식다、진찬불규률、매차진찬시간장、상도식화편식급상변흘변완균시영향인동체격생장발육적인소。결론영향인동체격발육적인소주요포괄가정배경、인동위양지식여방식、인동진식습관3류인소。영조량호적가정위양배경，제고가장적육인지식여기능，건립대양자건강적육인행위，배양량호적음식행위습관，유리우감소인동체격생장발육불량적발생。
Objective To investigate the relationship between family parenting and physical growth and development of children,and to find out the factors influencing children’s physical growth for providing a scientific basis for the development of children’s parenting program.Meth-ods The family members of 206 growth-stunted children(case group)and 206 healthy children (control group)were investigated using the matched case-control study with the self-made ques-tionnaire.The body weight and height were measured in both groups.The multiple conditional lo-gistic regression was used to analyze the factors influencing physical growth and development of children.Results The body weight and height were,respectively,(14.37±3.79)kg(range,9.8 to 38.7 kg)and(96.38±13.01)cm(range,11.2 to 120.3 cm)in case group,and(18.22±4.05)kg (range,11.0 to 31.0 kg)and(105.83±11.39)cm(range,84.0 to 128 cm)in control group.There were significant differences in body weight and height between the two groups(P <0.01).In addi-tion,differences in the proportion of main fosterers,educational level and parenting knowledge of main fosterers,communication with children,feeding with beverage milk and the time of adding rice cakes were obvious between the two groups(P <0.05).Multiple conditional logistic regres-sion analysis showed that the low education level of main fosterers(father and grandparents),poor parenting knowledge,less communication with children,feeding with beverage milk,less daily milk intake,eating too much snack food,irregular diet,long duration of each meal,partiality for a particular kind of food,and playing while eating were the factors influencing physical growth and development of children.Conclusion The factors affecting physical development of children in-clude family environment,feeding knowledge and pattern,and eating habit.The construction of good family feeding environment,improvement in parenting knowledge and skills,establishment of healthy parenting behaviors,and development of good eating habits can help to reduce the oc-currence of adverse physical development of children.