Department of Nursing, Chang Jung Christian University, Tainan County, Taiwan.
J Pediatr Gastroenterol Nutr. 2012 Jan;54(1):71-6. doi: 10.1097/MPG.0b013e31822dbafe.
The objective of the present study was to investigate the types of dietary supplements administered to healthy 6-month-old infants and to identify the factors influencing the use of such supplements.
The present study was based on the Taiwan Birth Cohort Study database. Questionnaires were used to collect information on the use of dietary supplements from birth, infant feeding practices, and other covariates at 6 months of age. We excluded low-birth-weight, preterm babies, and those whose caregivers returned incomplete questionnaires, leaving a sample size of 18,658. Multiple logistic regression was used to determine the characteristics capable of predicting the use of supplements in this population. A total of 34.9% of infants were fed dietary supplements from birth.
The most common types of supplements administered to infants were probiotics, calcium, and multivitamin/mineral supplements. Formula feeding, earlier weaning, and earlier complementary feeding were positively related to the use of several supplements.
The present study demonstrates that the use of pediatric dietary supplements is relatively common among infants in Taiwan, even in the earliest stages of life. For infants whose diet is adequate, no need exists for dietary supplements, and excessive intake can adversely influence health. Communication between health professionals and child caregivers should be promoted to increase understanding of infant feeding, as well as the safety and efficacy of dietary supplements.
本研究旨在调查健康 6 个月大婴儿所使用的膳食补充剂类型,并确定影响此类补充剂使用的因素。
本研究基于台湾出生队列研究数据库。采用问卷收集婴儿从出生开始的膳食补充剂使用情况、婴儿喂养方式以及其他 6 个月大时的协变量信息。我们排除了低出生体重、早产儿以及那些护理人员返回不完整问卷的婴儿,最终样本量为 18658 名。采用多因素逻辑回归分析确定能够预测该人群使用补充剂的特征。共有 34.9%的婴儿从出生开始就食用膳食补充剂。
最常给婴儿服用的补充剂类型是益生菌、钙和多种维生素/矿物质补充剂。配方奶喂养、更早断奶和更早添加补充食品与几种补充剂的使用呈正相关。
本研究表明,在台湾,即使在生命的早期阶段,儿科膳食补充剂的使用在婴儿中也相对普遍。对于饮食充足的婴儿,不需要膳食补充剂,过量摄入可能会对健康产生不利影响。应促进卫生专业人员与儿童护理人员之间的沟通,以提高对婴儿喂养以及膳食补充剂的安全性和有效性的认识。