Forman M R, Guptill K S, Chang D N, Sarov B, Berendes H W, Naggan L, Hundt G L
Prevention Research Program, National Institute of Child Health and Human Development, Rockville, MD.
Am J Clin Nutr. 1990 Mar;51(3):343-9. doi: 10.1093/ajcn/51.3.343.
Two hundred seventy-four healthy Bedouin Arab newborns in 1981 were followed for 18 mo to examine the relationship between infant-feeding practices and growth during planned social change. Although wasting was not prevalent, the prevalence rate of stunting (less than or equal to -2 SDs) increased from 12% to 19% to 32% at 6, 12, and 18 mo, respectively. After multiple-logistic-regression adjustment for covariates, the odds ratio (OR) of stunting at 6 mo was reduced among infants breast-fed only or fed with supplement compared with weaned infants. Infant-feeding practices were not associated with stunting in later infancy; however, those stunted at 6 mo had an OR of 13 of stunting at 12 mo and those stunted at 12 mo had an OR of 14 of stunting at 18 mo. In a multiple-linear-regression analysis, seasonality, duration of breast-feeding, hospitalized morbidity, and residual of height at 6 mo were negatively associated with daily average linear growth from 6 to 12 mo; these factors only explained 12% of the variation in daily linear growth.
1981年，对274名健康的贝都因阿拉伯新生儿进行了为期18个月的跟踪调查，以研究在社会变革期间婴儿喂养方式与生长发育之间的关系。虽然消瘦并不普遍，但发育迟缓（小于或等于-2标准差）的患病率在6个月、12个月和18个月时分别从12%上升到19%再到32%。在对协变量进行多因素逻辑回归调整后，与断奶婴儿相比，仅母乳喂养或添加辅食喂养的婴儿在6个月时发育迟缓的优势比（OR）降低。婴儿喂养方式与婴儿后期的发育迟缓无关；然而，6个月时发育迟缓的婴儿在12个月时发育迟缓的OR为13，12个月时发育迟缓的婴儿在18个月时发育迟缓的OR为14。在多元线性回归分析中，季节性、母乳喂养持续时间、住院发病率以及6个月时的身高残差与6至12个月的每日平均线性生长呈负相关；这些因素仅解释了每日线性生长变化的12%。
