纯母乳喂养持续时间与婴儿体重的关系研究

中国儿童保健杂志 ›› 2014, Vol. 22 ›› Issue (2): 122-124.

纯母乳喂养持续时间与婴儿体重的关系研究

张悦, 王惠珊, 蒋竞雄, 姚礼明

中国疾病预防控制中心妇幼保健中心, 北京 100089

收稿日期:2013-08-12 发布日期:2014-02-10 出版日期:2014-02-10
通讯作者: 王惠珊, E-mail:wanghuishan@chinawch.org.cn
作者简介:张悦(1980-), 女, 天津人, 助理研究员, 博士学位, 主要研究方向为儿童生长发育。
基金资助:
中国疾病预防控制中心妇幼保健中心科研立项课题(2011FY004)

Relationship of exclusive breastfeeding with infant weight.

ZHANG Yue, WANG Hui-shan, JIANG Jing-xiong, YAO Li-ming.

(National Center for Women and Children's Health of the Chinese Center for Disease Control and Prevention, Beijing 100089, China)

Received:2013-08-12 Online:2014-02-10 Published:2014-02-10
Contact: WANG Hui-shan, E-mail:wanghuishan@chinawch.org.cn

摘要/Abstract

摘要： 目的探讨我国城市地区婴儿体重相关指标与纯母乳喂养时间的关系。方法以2011年在全国17所省市级妇幼保健院调查的465例9~13月龄正常足月儿童为研究对象。采用自拟调查问卷了解儿童6个月内喂养方式和1岁左右的体格发育情况。比较不同纯母乳喂养时间的儿童, 身长别体重Z值(weight for height Z-score, WLZ)、年龄别BMI Z值(BMIz)和年龄别体重Z值(weight for age Z-score, WAZ)中>+2s的发生情况。结果纯母乳喂养0~6个月的婴儿在1岁左右肥胖的发生率(据WLZ>+2s)依次为12.35%、13.51%、15.79%、9.09%、6.84%、4.88%和4.05%;纯母乳喂养<4个月组婴儿1岁左右肥胖发生率(12.02%)高于纯母乳喂养4~6个月组 (5.60%), 差异有统计学意义(P<0.05)。BMIz、WAZ也表现为类似的趋势。Logistic回归分析显示纯母乳喂养时间对婴儿体重有显著影响。结论婴儿1岁左右肥胖发生率随6个月内纯母乳喂养时间延长而降低, 纯母乳喂养时间长对于婴儿肥胖可能有预防保护作用。

关键词: 母乳喂养, 体格测量指标, 肥胖, 婴儿

Abstract: Objective To examine the relationship of exclusive breastfeeding (BF) with infant weight in urban areas of China. Methods The survey was conducted in 17 provincial and municipal MCH of China.The data in this study were collected from 465 parents of normal birth-weight babies aged 9~13 months.The self-administered questionnaire was designed about feeding-practices in the first six months and the growth of the first year.According to the duration of exclusive BF, the indicators of weight for height (WLZ), age for BMI (BMIz), weight for age (WAZ) and weight gain in different groups were compared. Results Duration of BF from 0 to 6 months, the proportion of WLZ>+2s were 11.11%, 8.11%, 15.79%, 7.79%, 5.13%, 4.88% and 2.70%.The proportion of WLZ>+2s in BF <4 months group was higher than that in BF 4~6 months group (12.02% & 5.60%), and the difference was statistically significant (P<0.05).There was a similar trend in BMIz and WAZ.Logistic regression showed duration of BF significantly influenced the weight of babies in 1 years old. Conclusion The incidence of obesity at 1-year-old decrease with the duration of BF in the first six months, and BF may be a protective factor for preventing obesity of infants.

Key words: breast-feeding, physical indicators, obesity, infant

中图分类号:

R153.2

张悦, 王惠珊, 蒋竞雄, 姚礼明. 纯母乳喂养持续时间与婴儿体重的关系研究[J]. 中国儿童保健杂志, 2014, 22(2): 122-124.

ZHANG Yue, WANG Hui-shan, JIANG Jing-xiong, YAO Li-ming.. Relationship of exclusive breastfeeding with infant weight.[J]. journal1, 2014, 22(2): 122-124.

参考文献

[1] Baird JFD, Lucas P, Kleijnen J, et al.Being big or growing fast:systematic review of size and growth in infancy and later obesity[J].British Medical Journal, 2005, 331(7522):929-933.
[2] WHO.Global strategy for infant and young child feeding[R].Geneva, 2003:10-15.
[3] Whitlock EP, O'Connor EA, Williams SB, et al.Effectiveness of weight management interventions in children:A targeted systematic review for the USPSTF[J].Pediatrics, 2010, 125(2), e396-e418.
[4] Keith SW, Fontaine KR, Pajewski NM, et al.Use of self-reported height and weight biases the body mass index-mortality association[J].Int J Obes (Lond), 2011, 35(3):401-408.
[5] Gaffney KF, Kitsantas P, Cheema J.Clinical practice guidelines for feeding behaviors and weight-for-age at 12 months:a secondary analysis of the infant feeding practices study II[J].Worldviews Evid Based Nurs, 2012, 9(4):234-242.
[6] 刘薇, 杨凡, 刘丹虹.不同喂养方式对0~1岁婴儿体格发育的影响[J].四川大学学报:医学版, 2009, 40(3):548-550.
[7] 许静, 石峻岭, 亢秋芳.婴儿早期喂养对1岁前疾病与生长发育的影响[J].中国妇幼健康研究, 2010, 21(5):652-654.
[8] 李音, 衣明纪, 胡晓燕.完全母乳喂养婴儿超重的危险因素分析[J].实用儿科临床杂志, 2012, 27(5):366-368.
[9] Baker JL, Michaelsen KF, Rasmussen KM, et al.Maternal prepregnant body mass index, duration of breastfeeding, and timing of complementary food introduction are associated with infant weight gain[J].Am J Clin Nutr, 2004, 80(6):1579-1588.
[10] Gunnarsdottir I, Schack-Nielsen L, Michaelsen KF, et al.Infant weight gain, duration of exclusive breast-feeding and childhood BMI-two similar follow-up cohorts[J].Public Health Nutrition, 2010, 13(2):201-207.
[11] Huh SY, Rifas-Shiman SL, Taveras EM, et al.Timing of solid food introduction and risk of obesity in preschool-aged children[J].Pediatrics, 2011, 127(3):e544-e551.
[12] O'Tierney P, Barker DJP, Osmond C, et al.Duration of breast-feeding and adiposity in adult life[J].J Nutr, 2009, 139(2S):422-425.
[13] Li R, Fein SB, Grummer-Strawn LM.Do infants fed from bottles lack self-regulation of milk intake compared with directly breastfed infants?[J].Pediatrics, 2010, 125(6):e1386-e1393.

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