婴儿早期喂养行为及与生长发育的关系研究

发布时间：2018-06-08 01:17

本文选题：婴儿 + 早期喂养行为　；参考：《现代预防医学》2017年16期

【摘要】：目的了解3月龄内婴儿喂养行为,分析其与婴儿生长发育的关系。方法采用方便抽样的方法,在北京等7地依托当地妇幼保健院抽取3月龄内的婴儿及其母亲各500例进行调查,自拟调查问卷获得调查对象人口学特征及婴儿喂养行为,当地儿保医生测量获得婴儿体格发育资料。结果婴儿早期喂养行为评分中位数为5分,低得分组占25.4%,中得分组占35.0%,高得分组占39.6%。婴儿出生1 h内早吸吮率为53.4%,哺喂初乳率为95.7%,奶瓶喂养率为57.5%。母亲文化程度高、非早产、自然分娩的婴儿喂养行为得分较高(P0.05)。分析发现喂非母乳奶的婴儿发生体重不足的风险更高(OR=2.733,95%CI:1.346~5.551),采用奶瓶喂养的婴儿超重肥胖的可能性更低(OR=0.331,95%CI:0.143~0.768),有除母乳外的其他液体食物喂养(OR=0.538,95%CI:0.302~0.959)、奶瓶喂养(OR=0.492,95%CI:0.275~0.882)的婴儿发生超重的可能性更低。结论婴儿早期喂养行为得分较低者较多,母亲文化程度低、剖宫产、早产可能是婴儿喂养行为的危险因素,喂养非母乳奶更易发生体重不足,而采用奶瓶喂养及有除母乳外其他液体摄入的婴儿更不易发生超重肥胖。
[Abstract]:Objective to investigate the feeding behavior of infants within 3 months of age and analyze its relationship with infant growth and development. Methods using convenient sampling method, 500 infants and their mothers within 3 months of age were selected from 7 places in Beijing and other places. The demographic characteristics and feeding behavior of infants were obtained by self-designed questionnaire. The local babysitter measured the baby's physical development. Results the median score of infant's early feeding behavior was 5, the low group was 25.4, the middle group was 35.0 and the high group was 39.6. The rate of early sucking was 53.4%, the rate of feeding colostrum was 95.7%, the feeding rate of milk bottle was 57.5%. Mothers with high education level, non-premature delivery, natural delivery of infant feeding behavior score was higher than 0.05. The analysis found that babies who were not breast-fed had a higher risk of underweight, with a higher risk of underweight, or 2.73395, CI: 1.346, 5.551. Babies fed with bottles were less likely to be overweight and obese. Babies fed with bottles were less likely to be overweight and obese, or 0.331n 95CI0.143 to 0.768, or 0.53895 CI0.302 to 0.959, or 0.49295CI0.2750.882for bottle feeding. The odds of being heavy are lower. Conclusion the lower scores of infant early feeding behavior, the lower education level of mother, the preterm birth and cesarean section may be the risk factors of infant feeding behavior. Infants fed with bottles and other fluids other than breast milk are more likely to be overweight and obese.
【作者单位】：北京大学公共卫生学院营养与食品卫生学系;
【分类号】：R174

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