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[中国西南部城乡6至24月龄婴幼儿辅食喂养频率与生长发育的关系]

[Association between complementary feeding frequency and growth of infants and young children aged 6 -24 months old in urban and rural areas of southwest China].

作者信息

Zhou Lan, Li Ming, Pang Xuehong, Rui Li, Sun Xiaohong, Huang Lujiao, Wang Yu, Zeng Guo

出版信息

Wei Sheng Yan Jiu. 2014 Jul;43(4):541-5.

PMID:25199278
Abstract

OBJECTIVE

To study the association between complementary feeding frequency (CFF) and growth of infants and young children.

METHODS

3644 infants and young children aged 6 - 24 months from Chengdu, Kunming and Guiyang were selected by stratified random cluster sampling. Data on breastfeeding and formula feeding and complementary feeding for children were collected through the questionnaires. Complementary feeding frequency was assessed using a comprehensive evaluation system. Body weight and length for them were measured. Length for age Z-score (LAZ), weight for age Z-score (WAZ) and weight for length Z-score (WLZ) were calculated. The Spearman rank correlation analysis was used to identify the association between complementary feeding frequency and growth of children. The trend Chi-Square test was used to identify the relationship between complementary feeding frequency and the rate of stunted growth.

RESULTS

This study indicated that CFF level was significantly positive associated with WLZ and WAZ in the group of breastfeeding and formula feeding less than three times per day in urban and rural groups, correlation coefficients were 0.10 and 0.11 in urban group and 0.20 and 0.14 in rural group respectively (P < 0.05). Prevalence of wasting reduced with CFF level increasing in rural group. The Z-score did not show significant correlation with CFF level in the group of breastfeeding and formula feeding more than or equal to three times per day in urban and rural groups.

CONCLUSION

Complementary feeding frequency is related to growth of infants and young children, especially in rural area of southwest China. The rate of wasting could be controlled by improving complementary feeding frequency of infants and young children.

摘要

目的

研究辅食添加频率(CFF)与婴幼儿生长发育之间的关联。

方法

采用分层随机整群抽样法,选取成都、昆明和贵阳3644名6 - 24月龄婴幼儿。通过问卷调查收集儿童母乳喂养、配方奶喂养及辅食添加情况的数据。采用综合评价系统评估辅食添加频率。测量他们的体重和身长。计算年龄别身长Z评分(LAZ)、年龄别体重Z评分(WAZ)和身长别体重Z评分(WLZ)。采用Spearman等级相关分析确定辅食添加频率与儿童生长发育之间的关联。采用趋势卡方检验确定辅食添加频率与生长迟缓率之间的关系。

结果

本研究表明,在城乡组中,每日母乳喂养及配方奶喂养少于3次的人群中,CFF水平与WLZ和WAZ呈显著正相关,城市组相关系数分别为0.10和0.11,农村组分别为0.20和0.14(P < 0.05)。农村组中,消瘦患病率随CFF水平升高而降低。在城乡组中,每日母乳喂养及配方奶喂养大于或等于3次的人群中,Z评分与CFF水平未显示出显著相关性。

结论

辅食添加频率与婴幼儿生长发育有关,尤其是在中国西南部农村地区。通过提高婴幼儿辅食添加频率可控制消瘦率。

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