母乳喂养与幼儿神经心理发育的关联研究

doi:10.11852/zgetbjzz2021-0921

中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (9): 937-941.DOI: 10.11852/zgetbjzz2021-0921

母乳喂养与幼儿神经心理发育的关联研究

陈嘉洁¹, 林力孜², 黄赛君³, 王馨¹, 郭翠华⁴, 武宁⁵, 静进¹, 曹牧青¹

1.中山大学公共卫生学院妇幼卫生系,广东广州 510080;
2.中山大学公共卫生学院劳动卫生与环境卫生学系广州市环境污染与健康风险评价重点实验室;
3.佛山市妇幼保健院儿童保健科;
4.东莞市第八人民医院;
5.深圳市心智心理测量技术研究所有限公司

收稿日期:2021-06-16 修回日期:2021-06-25 发布日期:2021-09-07 出版日期:2021-09-10
通讯作者: 静进,E-mail: jingjin@mail.sysu.edu.cn;曹牧青,E-mail:caomq6@mail.sysu.edu.cn
作者简介:陈嘉洁(1996-),女,广东人,在读硕士研究生,主要研究方向为发育行为儿科学。
基金资助:
广东省重点领域研发计划项目(2019B030335001);国家自然科学基金项目(81872639);广州市残疾人联合会项目(2019)

Associations between breastfeeding and neurodevelopment in infants

CHEN Jia-jie^*, LIN Li-zi, HUANG Sai-jun, WANG Xin, GUO Cui-hua, WU Ning, JING Jin, CAO Mu-qing

^*Department of Maternal and Child Health,School of Public Health,Sun Yat-Sen University, Guangzhou,Guangdong 510080,China

Received:2021-06-16 Revised:2021-06-25 Online:2021-09-10 Published:2021-09-07
Contact: JING Jin, E-mail:jingjin@mail.sysu.edu.cn; CAO Mu-qing, E-mail:caomq6@mail.sysu.edu.cn

摘要/Abstract

摘要： 目的研究母乳喂养与幼儿神经心理发育的关联,为提升母乳喂养提供依据。方法纳入2016年8-12月在广东省某两家妇幼保健院常规保健的幼儿,采用自编问卷调查幼儿基本信息和喂养方式,采用年龄与进程问卷(ASQ)评估幼儿神经心理发育水平。运用多重线性回归模型和Logistic回归模型分析喂养方式和各神经发育能区的关联。结果本研究共纳入245名幼儿,其中母乳喂养102名(41.6%)。所有幼儿中异常率最高的能区为沟通(46.5%),最低为粗大动作(16.3%)。在校正混杂因素后,与母乳喂养幼儿相比,人工喂养幼儿的沟通得分及个人-社会得分较低(β=-11.18,95%CI:-18.13~-4.22,P<0.001;β=-7.61,95%CI:-12.59~-2.64,P<0.001),社交-情绪得分较高(β=17.78,95%CI:4.88~30.69,P=0.01)。此外,人工喂养幼儿在个人-社会、社交-情绪能区发育异常的风险更大(个人-社会:OR=3.24,95%CI:1.19~9.10,P=0.02;社交-情绪:OR=3.39,95%CI:1.34~8.94,P=0.01)。结论母乳喂养与幼儿个人-社会、社交-情绪能区发育关联密切,是保护因素之一。

关键词: 母乳喂养, 神经心理发育, 幼儿

Abstract: Objective To investigate the associations between breastfeeding and neurodevelopment in infants,so as to provide evidence for improving breastfeeding rate. Methods Infants who took regular physical examination from two maternal and child health centers in Guangdong from August to December 2016 were enrolled in this study. Children's basic information and feeding patterns were obtained via questionnaire. Ages and Stages Questionnaire(ASQ) was used to evaluate infants' neurodevelopment. Multiple linear regression and Logistic regression were used to analyze the associations between feeding patterns and neurodevelopment of the included infants. Results Totally 245 infants were included,41.6% of whom was breastfed. The abnormal rate of communication domain was the highest(46.5%) and the gross motor domain was the lowest(16.3%) among all neurodevelopmental domains. After adjusted for potential confounding,children with formula feeding scored lower in communication domain and person-social domain(β=-11.18,95%CI:-18.13 to -4.22,P<0.001; β=-7.61,95%CI:-12.59 to -2.64,P<0.001),and scored higher in social-emotional domain(β=17.78,95%CI: 4.88-30.69,P=0.01) when compared with those of breastfeeding. Formula feeding was a risk factor for delayed development of person-social domain(OR=3.24,95%CI:1.19-9.10,P=0.02) and social-emotional domain(OR=3.39,95%CI:1.34-8.94,P=0.01). Conclusion Breastfeeding,one of the protective factors,is important for the development of person-social and social-emotional domains during infancy.

Key words: breastfeeding, neurodevelopment, infants

中图分类号:

R179

陈嘉洁, 林力孜, 黄赛君, 王馨, 郭翠华, 武宁, 静进, 曹牧青. 母乳喂养与幼儿神经心理发育的关联研究[J]. 中国儿童保健杂志, 2021, 29(9): 937-941.

CHEN Jia-jie, LIN Li-zi, HUANG Sai-jun, WANG Xin, GUO Cui-hua, WU Ning, JING Jin, CAO Mu-qing. Associations between breastfeeding and neurodevelopment in infants[J]. Chinese Journal of Child Health Care, 2021, 29(9): 937-941.

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母乳喂养与幼儿神经心理发育的关联研究

Associations between breastfeeding and neurodevelopment in infants

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