journal1 ›› 2015, Vol. 23 ›› Issue (10): 1034-1037.DOI: 10.11852/zgetbjzz2015-23-10-08

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Study on intervention of infant weaning feeding in rural area.

ZHANG Shu-yi1,YIN Yan1,WANG Xian-hua2,GUAN Hong-yan1,LIU Cai-fang2,HUANG Jian3,MA Li-xia4,ZHU Zong-han5,ZHANG Ting1.   

  1. [1 Capital Institute of PediatricsBeijing Municipal Key Laboratory of Child Development and Nutriomics,Beijing 100020,China;
    2 Maternal and Child Health Care Hospital of Zhao County,Shijiazhuang,Hebei 051530,China;
    3 National Institute for Nutrition and Health Chinese Center for Disease Control and Prevention,Beijing 100050,China;
    4 Hebei Medical University,Shijiazhuang,Hebei 050017,China;
    5 Pediatricians Branch for Chinese Medical Doctor Association,Beijing 100020,China]
  • Received:2015-06-25 Online:2015-10-10 Published:2015-10-10
  • Contact: ZHANG Ting,E-mail:zhangtingcv@126.com

农村地区婴幼儿离乳食的干预研究

张淑一1,殷妍1,王现华2,关宏岩1,刘彩芳2,黄健3,马丽霞4,朱宗涵5,张霆1   

  1. 1 首都儿科研究所(北京市儿童发育营养组学北京市重点实验室),北京 100020;
    2 赵县妇幼保健院,河北 石家庄 051530;
    3 中国疾病预防控制中心,北京 100050;
    4 河北医科大学,河北 石家庄 050017;
    5 中国医师协会儿科医师分会,北京 100020
  • 通讯作者: 张霆,E-mail:zhangtingcv@126.com
  • 作者简介:张淑一(1976-),女,河南人,助理研究员,医学硕士,主要研究方向为儿童营养。
  • 基金资助:
    卫生行业科研专项项目(201002006)

Abstract: Objective To explore the effects of inventions on home-made weaning food for infants since 6 to 11 months after birth to improve feeding and infants' nutrition status. Methods A total of 263 children aged 6~11 months old were enrolled and assigned to the intervention group (n=149) and the control group (n=114),and completed 6 months of investigation.In the intervention group,the child caregivers received health education on in-time meat introduction,dietary diversity in term of vegetable and anemia source food via village health workers conducting.The effects were evaluated via Hb and feeding practices indicators (WHO 2008 version). Results The paired t test showed that the main effects of Hb increasing were higher in the intervention group than the control group after 3 months [(2.65±14.38)g/L vs(-0.18±11.21)g/L,P= 0.074)] and significantly after 6 months [(8.33±15.85)g/L vs (4.32±14.00)g/L,P=0.034].The proportion of minimum dietary diversity was remarkable higher in the intervention groups than the control group after 3 month (89.9% vs 78.9%,P=0.014),but not significantly after 6 months (83.1% vs 86.8%,P=0.405).The estimated amount of meat intake in the previous day was higher in the intervention group than those in the control group [(6.94±9.07) g vs (2.42±6.10) g,P=0.000] after three months and six months [(7.96±13.90) g vs (4.47±9.194.54±9.19) g,P=0.024]. Conclusions There are effects on Hb increasing and nutritional anemia decreasing by improvement of home-made food and weaning feeding since 6~11 months after birth,in term of increasing meat intake and dietary diversity.The increase of meat intake in the previous day indicated nutritional effect clearly,though less than the recommendation by national and aboard guidelines.

Key words: weaning food, weaning period, infant, nutritional anemia, rural areas

摘要: 目的 探索我国农村地区2岁以下婴幼儿离乳期家庭膳食改善方法,观察离乳食干预对预防儿童营养性贫血的短期效果。方法 本研究对赵县农村6~11月龄儿童家长进行增加瘦肉摄入和增加蔬菜摄入的健康教育,评估干预措施改善婴幼儿的喂养行为和升高血红蛋白(Hb)浓度的效果。结果 干预组和对照组分别有149和114名儿童完成了6个月的干预和随访。相对于入选时,3个月随访时干预组的儿童自身Hb浓度升高值为(2.65±14.38)g/L,高于对照组[(-0.18±11.21)g/L],差异无统计学意义(P=0.074);6个月随访时干预组升高为(8.33±15.85)g/L,高于对照组[(4.32±14.00)g/L],差异有统计学意义(P=0.034)。3个月随访时干预组的儿童的食物种类多样率(89.9%)高于对照组(78.9%),差异具有统计学意义(P=0.014);而6个月随访时,干预组(83.1%)与对照组(86.8%)的差异无统计学意义(P=0.405)。干预组的儿童3个月和6个月随访时24 h瘦肉食入量[依次为(6.94±9.07)g和(7.96±13.90)g]皆高于对照组[依次为(2.42±6.10)g和(4.54±9.19)g],差异具有统计学意义(P=0.000和P=0.024)。结论 通过家庭膳食干预,离乳期儿童的食物种类和瘦肉食入增加,Hb水平显著提高,营养性贫血患病率降低。儿童24 h瘦肉食入量有所增加,虽然仍低于我国和发达国家的推荐量,但是营养改善效果已经明确初显。

关键词: 离乳食, 离乳期, 婴幼儿, 营养性贫血, 农村

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