婴幼儿营养发育与喂养行为的关系

背景目前探讨喂养行为与婴幼儿发育相关性的研究相对较少.目的探讨喂养行为与婴幼儿营养发育的相关性.设计横断面调查研究.单位西安交通大学第一医院妇幼保健中心.对象该研究于2000-01/2002-12由西安交通大学第一医院妇幼保健中心完成.采取分层整群抽样的方法,抽取渭南地区富平县和澄城县0～18个月婴幼儿346人.本项研究的纳入标准无明显疾病,胎龄大于37周且≤42周,无先天异常的婴幼儿;排除标准患各种先天性疾病及异常的婴幼儿.符合上述标准的共有324人,按月龄分为5组.方法采用自编的"婴幼儿营养调查表"对婴幼儿的养护人进行访谈.主要观察指标①不同月龄婴幼儿营养发育稍差现状分析;②4个月内不同喂养方式婴幼儿的营养发育状况分析;③辅食添加时间、辅食添加质量及辅食添加频度对婴幼儿营养发育的影响.结果在出生后4个月内母乳喂养率高,婴幼儿营养状况良好.4个月后营养发育正常的婴幼儿与营养发育稍差婴幼儿相比较,在辅食添加时间上及添加的种类上差异均有非常显著性意义(P＜0.01).结论婴幼儿的营养发育与喂养行为有着密切的联系.

Relationship of feeding behavior with nourishing and developing status of infants

BACKGROUND: There are less researches on the relationship of parents'feeding behavior with nourishing and developing status of infants.OBJECTIVE: To study the relationship between the parents' feeding behavior and the nourishing and developing status of infants.DESIGN: A cross-sectional study.SETTING: Center of Maternal and Children' s Health,the First Hospital of Xi'an Jiaotong University.PARTICIPANTS: The study was carried out during January to December in 2002,at the Center of Maternal and Children' s Health,The First Hospital of Xi'an Jiaotong University. A total of 346 infants,aged 0 to 18 months old,were selected from the Fuping county and Chengcheng county of Weinan area by using the stratified duster sampline method. Inclusive criteria: infants with the gestation period between 37 to 42 weeks,without obvious diseases,no congenital abnormality; Exclusive criteria: infants with congenital disease or abnormality. Totally 324 infants,who were in accordance with the above criteria,were divided into 5 groups according to their month age.METHODS: The nursing persons of the infants were called at their houses,and the self-designed "Investigation Tables on Infant's Nutrition"were filled out.MAIN OUTCOME MEASURES: ① Status of slight malnutrition of infants of different month ages; ② Status of nutrition and development of infants,within 4 months, with different feeding behaviors; ③ Effects of beginning time,quality and frequency of complementary food on the nourishing and developing status of infants.RESULTS: In the first 4 months after birth,the rate of breast-feeding was high and the nourishing status of the infants was good. But the nourishing and developing status of infants became comparatively worse after 4 months age,because of inappropriate complementary food. As compared the slight malnutrition infants with normal infants,there were significant differences in the beginning time and kinds of complementary food(P<0.01).CONCLUSION: There is close relationship of the feeding behaviors with the nourishing and developing status of the infants.