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母乳喂养及辅食添加时间作为儿童肥胖的预测因素

Breastfeeding and time of complementary food introduction as predictors of obesity in children.

作者信息

Škledar Mariana Turčić, Milošević Milan

出版信息

Cent Eur J Public Health. 2015 Mar;23(1):26-31. doi: 10.21101/cejph.a3956.

Abstract

Although obesity is a multifactorial disorder caused by various behavioural, genetic and environmental influences, early life factors affecting certain critical periods during childhood (prenatal period, adiposity rebound period at 3-5 years and around 5-7 years, as well as puberty) are important in promoting obesity in adulthood. The objective was to determine the association between the birth weight, birth length, breastfeeding and time of introduction of complementary food with obesity among 302 healthy Caucasian children 6-7 years old. Binary logistic regression analysis was used to assess the impact of a number of perinatal and socioeconomic confounding factors on the likelihood for overweight and obesity among children. The level of significance was set at p <0.05. Our findings indicate that duration of breastfeeding for at least 3 months, with introduction of complementary food after the age of 6 months have an important role in preventing obesity. This findings are crucial for planning preventive strategies to prevent further increases in the prevalence of overweight and obesity.

摘要

尽管肥胖是一种由多种行为、遗传和环境因素引起的多因素疾病,但影响儿童期某些关键时期(产前时期、3至5岁及5至7岁左右的肥胖反弹期以及青春期)的早期生活因素对于促进成年期肥胖很重要。目的是确定302名6至7岁健康白种儿童的出生体重、出生身长、母乳喂养及辅食添加时间与肥胖之间的关联。采用二元逻辑回归分析来评估一些围产期和社会经济混杂因素对儿童超重和肥胖可能性的影响。显著性水平设定为p<0.05。我们的研究结果表明,至少母乳喂养3个月,且在6个月龄后添加辅食对预防肥胖具有重要作用。这些发现对于制定预防策略以防止超重和肥胖患病率进一步上升至关重要。

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