Paul Ian M, Bartok Cynthia J, Downs Danielle S, Stifter Cynthia A, Ventura Alison K, Birch Leann L
Pediatrics, Penn State College of Medicine, HS83, 500 University Drive, Hershey, PA 17033, USA.
Adv Pediatr. 2009;56(1):107-33. doi: 10.1016/j.yapd.2009.08.012.
Many parents, grandparents, and clinicians have associated a baby’s ability to eat and gain weight as a sign of good health, and clinicians typically only call significant attention to infant growth if a baby is failing to thrive or showing severe excesses in growth. Recent evidence, however, has suggested that pediatric healthcare providers should pay closer attention to growth patterns during infancy. Both higher weight and upward crossing of major percentile lines on the weight-for-age growth chart during infancy have long term health consequences, and are associated with overweight and obesity later in life. Clinicians should utilize the numerous available opportunities to discuss healthy growth and growth charts during health maintenance visits in the first two years after birth. Further, providers should instruct parents on strategies to promote healthy behaviors that can have long lasting obesity preventive effects.
许多父母、祖父母和临床医生都将婴儿的进食和体重增加能力视为健康的标志，并且临床医生通常只有在婴儿生长发育不良或出现严重生长过度时才会对婴儿生长给予显著关注。然而，最近的证据表明，儿科医疗服务提供者应更密切地关注婴儿期的生长模式。婴儿期体重较高以及在年龄别体重生长图表上跨越主要百分位数线均会产生长期健康后果，并与日后的超重和肥胖相关。临床医生应利用出生后头两年健康维护访视期间的众多机会，讨论健康生长和生长图表。此外，医疗服务提供者应指导父母采取有助于促进健康行为的策略，这些策略可产生长期预防肥胖的效果。
