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母乳喂养方式和持续时间对学龄前儿童水果和蔬菜摄入量的影响。

Effect of Pattern and Duration of Breastfeeding on the Consumption of Fruits and Vegetables among Preschool Children.

作者信息

Soldateli Betina, Vigo Alvaro, Giugliani Elsa Regina Justo

机构信息

Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.

出版信息

PLoS One. 2016 Feb 4;11(2):e0148357. doi: 10.1371/journal.pone.0148357. eCollection 2016.

Abstract

BACKGROUND

The duration and pattern of breastfeeding can influence the consumption of fruits and vegetables in later childhood.

OBJECTIVE

To investigate the association between pattern and duration of breastfeeding and consumption of fruits and vegetables in children aged between 4 and 7 years.

METHODS

We conducted a secondary analysis using data from a former randomized clinical trial with 323 adolescent mothers, their children, and maternal grandmothers, when they cohabited. Information on infant feeding was collected monthly during the first 6 months of life, every two months until the child was 1 year old over and when children were between 4 and 7 years old. The associations between duration of breastfeeding and exclusive breastfeeding and consumption of fruits and vegetables were tested by a logistic regression model.

RESULTS

Approximately 60% and 45% of children consumed fruits and vegetables, respectively, five or more times a week. Consumption of vegetables among 4-7-year-old children was higher in children who were breastfed for 12 months or longer (OR 2.7; 95%CI 1.49-4.93); however, exclusive breastfeeding duration did not have a significant association with consumption of vegetables (OR 1.5; 95%CI 0.70-3.04). There was no association between weekly consumption of fruits and duration of breastfeeding (OR 1.3; 95%CI 0.71-2.30) or exclusive breastfeeding (OR 0.7; 95%CI 0.34-1.44).

CONCLUSIONS

Longer duration of breastfeeding was positively associated with consumption of vegetables in children aged 4-7 years; however, there was no association with consumption of fruits. Exclusive breastfeeding duration did not have influence on consumption of fruits or vegetables.

摘要

背景

母乳喂养的持续时间和模式会影响儿童后期水果和蔬菜的摄入量。

目的

研究4至7岁儿童母乳喂养的模式和持续时间与水果和蔬菜摄入量之间的关联。

方法

我们对一项先前的随机临床试验数据进行了二次分析,该试验涉及323名青春期母亲、她们的孩子以及同住的外祖母。在婴儿出生后的前6个月每月收集一次婴儿喂养信息,在孩子1岁之前每两个月收集一次,以及在孩子4至7岁时收集信息。通过逻辑回归模型检验母乳喂养持续时间和纯母乳喂养与水果和蔬菜摄入量之间的关联。

结果

分别约60%和45%的儿童每周食用水果和蔬菜五次或更多次。母乳喂养12个月或更长时间的4至7岁儿童蔬菜摄入量更高(比值比2.7;95%置信区间1.49 - 4.93);然而,纯母乳喂养持续时间与蔬菜摄入量没有显著关联(比值比1.5;95%置信区间0.70 - 3.04)。每周水果摄入量与母乳喂养持续时间(比值比1.3;95%置信区间0.71 - 2.30)或纯母乳喂养(比值比0.7;95%置信区间0.34 - 1.44)之间没有关联。

结论

母乳喂养时间较长与4至7岁儿童的蔬菜摄入量呈正相关;然而,与水果摄入量没有关联。纯母乳喂养持续时间对水果或蔬菜摄入量没有影响。

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