Badruddin S H, Islam A, Hendricks K M, Bhutta Z A, Shaikh S, Snyder J D, Molla A M
Department of Medicine/Community Health Science, Aga Khan Medical College, Karachi, Pakistan.
Am J Clin Nutr. 1991 Oct;54(4):745-9. doi: 10.1093/ajcn/54.4.745.
Feeding practices may have an important impact on diarrheal diseases in developing countries. This study evaluated feeding practices in three groups of male children aged 6-36 mo: 100 with persistent diarrhea (PD), 79 with acute diarrhea (AD), and 86 in a comparison group (CG). The children came from comparably poor socioeconomic settings in Karachi, Pakistan, except that the literacy rates were higher in mothers of the CG (P = 0.0001). Although greater than 95% of all infants were breast-fed, delayed initiation of breast-feeding was more common in the diarrhea groups. Children with diarrhea were also more likely to receive supplemental milk (PD = 92%, AD = 87%) than were children in the CG (69%, P less than 0.05). Feedings were not withheld during diarrhea but changes were made in the nature of foods given. These results indicate that several feeding practices may be important risk factors for diarrhea in Pakistan.
喂养方式可能对发展中国家的腹泻病产生重要影响。本研究评估了三组6至36个月大男童的喂养方式：100名患有持续性腹泻（PD）的儿童、79名患有急性腹泻（AD）的儿童以及86名作为对照组（CG）的儿童。这些儿童均来自巴基斯坦卡拉奇社会经济状况相当贫困的地区，只是对照组儿童母亲的识字率更高（P = 0.0001）。尽管超过95%的婴儿都进行母乳喂养，但腹泻组延迟开始母乳喂养的情况更为常见。腹泻儿童比对照组儿童更有可能接受补充牛奶（PD组为92%，AD组为87%，而CG组为69%，P < 0.05）。腹泻期间并不停止喂食，但所给食物的性质会有所改变。这些结果表明，在巴基斯坦，几种喂养方式可能是腹泻的重要风险因素。
