CAJ | 학술논문

目的：探讨该地区较大婴儿喂养指数与生长发育和营养状况的影响。方法整群选取2013年5月—2014年5月间该院收治的6~12个月婴儿285例为研究对象，分为6~8月龄组150例，9~12月龄组135例。以喂养指数评分超出总分13分的60%为临界，将入选婴儿分为喂养指数合格、不合格，以我国疾病预控中心营养与食品安全所最新提出的喂养指数评分体系为依据，探讨喂养指数对铁代谢、贫血、维生素A的影响。结果6~8月龄组和9~12月龄组喂养指数合格婴儿的WAZ、WHZ水平均明显高于喂养指数不合格婴儿，差异有统计学意义（P<0.05）。6~8月龄组和9~12月龄组喂养指数合格婴儿的铁蛋白水平高于指数不合格婴儿，差异有统计学意义（P<0.05）；而维生素A和血红蛋白浓度在两组婴儿之间差异无统计学意义（P>0.05）。结论喂养指数可作为综合评估本地区较大婴儿体格发育情况的理想工具，但尚不能全面评估具体营养元素是否缺乏。
목적：탐토해지구교대영인위양지수여생장발육화영양상황적영향。방법정군선취2013년5월—2014년5월간해원수치적6~12개월영인285례위연구대상，분위6~8월령조150례，9~12월령조135례。이위양지수평분초출총분13분적60%위림계，장입선영인분위위양지수합격、불합격，이아국질병예공중심영양여식품안전소최신제출적위양지수평분체계위의거，탐토위양지수대철대사、빈혈、유생소A적영향。결과6~8월령조화9~12월령조위양지수합격영인적WAZ、WHZ수평균명현고우위양지수불합격영인，차이유통계학의의（P<0.05）。6~8월령조화9~12월령조위양지수합격영인적철단백수평고우지수불합격영인，차이유통계학의의（P<0.05）；이유생소A화혈홍단백농도재량조영인지간차이무통계학의의（P>0.05）。결론위양지수가작위종합평고본지구교대영인체격발육정황적이상공구，단상불능전면평고구체영양원소시부결핍。
Objective To investigate the relationship of feeding index with growing development and nutrition status in older infants in local area. Methods Infants with the age of 6-12 months admitted in our hospital between May 2013 and May 2014 were selected as the subjects and divided into 6-8 months age group(150 cases) and 9-12 months age group(135 cas-es). Feeding index scoring system issued by National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention was used to evaluate the feeding index. The selected infants were divided into infants with qualified feeding index and infants with unqualified feeding index in accordance with whether the infants had feeding index scores more than 60%of total 13 points. And the relationship of feeding index with iron metabolism, anemia, and vitamin A was investigated. Results In both 6-8 months age group and 9-12 months age group, compared with the infants with unqualified feeding in-dex, the infants with qualified feeding index had much higher mean WAZ and WHZ levels (P<0.05), and obviously higher ferritin level(P<0.05), but no statistically significant difference was found in vitamin A and hemoglobin level between infants with unqualified feeding index and those with qualified feeding index(P>0.05). Conclusion Feeding index can be used as an ideal tool for evaluating the physical development of older infants in local area, but it can not fully evaluate whether the older infants lack specific nutrient element.