Roelants Mathieu, Hauspie Roland, Hoppenbrouwers Karel
Laboratory for Anthropogenetics, Vrije Universiteit Brussel, Brussels, Belgium.
Ann Hum Biol. 2010 Jan-Feb;37(1):2-9. doi: 10.3109/03014460903458080.
In 2006, the World Health Organization published universal growth standards for all children from birth to 5 years of age, based on a sample of breastfed children.
The present study documented breastfeeding prevalence in the Flemish Growth Survey 2004, and compared growth of exclusively breastfed children in Flanders with local reference charts and WHO growth standards.
A subset of 3287 children 0-3 years of age from the Flemish reference population was studied. Prevalence and duration of breastfeeding were estimated with the status quo method. SD scores (SDS) of length/height, weight, BMI, and head circumference were plotted by age.
Breastfeeding is initiated for 68.2%of children, and approximately 25%were exclusively breastfed until at least 6 months of age. Breastfed children grow according to a typical pattern that deviates from the local reference curve. The average length of breastfed children is reasonably close to the WHO growth standard, but this does not hold for weight, BMI, or head circumference. In Flanders, breastfed children are more comparable to the local reference than to the WHO growth standards.
Growth of breastfed children is similar to the WHO standards for length, but not for other traits. In Flanders, the use of the recent local growth reference is advised for both breastfed and formula-fed children.
2006年，世界卫生组织基于一组母乳喂养儿童样本，发布了适用于所有0至5岁儿童的通用生长标准。
本研究记录了2004年弗拉芒生长调查中的母乳喂养率，并将弗拉芒地区纯母乳喂养儿童的生长情况与当地参考图表以及世界卫生组织生长标准进行了比较。
对弗拉芒参考人群中3287名0至3岁儿童的一个子集进行了研究。采用现状法估算母乳喂养率和持续时间。按年龄绘制身长/身高、体重、体重指数和头围的标准差分数（SDS）。
68.2%的儿童开始母乳喂养，约25%的儿童至少纯母乳喂养至6个月大。母乳喂养儿童按照一种典型模式生长，该模式与当地参考曲线不同。母乳喂养儿童的平均身长与世界卫生组织生长标准相当接近，但体重、体重指数或头围并非如此。在弗拉芒地区，母乳喂养儿童与当地参考标准的可比性高于与世界卫生组织生长标准的可比性。
母乳喂养儿童的身长生长与世界卫生组织标准相似，但其他特征并非如此。在弗拉芒地区，建议对母乳喂养和配方奶喂养的儿童均使用最新的当地生长参考标准。
