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墨西哥1岁以下婴儿早期食用非母乳的液体:2012年全国健康与营养概率调查结果

Early consumption of liquids different to breast milk in Mexican infants under 1 year: results of the probabilistic National Health and Nutrition Survey 2012.

作者信息

González-Castell Dinorah, González de Cosío Teresita, Rodríguez-Ramírez Sonia, Escobar-Zaragoza Leticia

机构信息

.

出版信息

Nutr Hosp. 2016 Feb 16;33(1):9. doi: 10.20960/nh.v33i1.9.

Abstract

Introduction: Studies on infant dietary intake do not generally focus on the types of liquids consumed. Objective: To document by age and breastfeeding status, the types of liquids present in the diet of Mexican children under 1 year of age (< 1 y) who participated in the National Health and Nutrition Survey 2012 (ENSANUT-2012). Methods: Analysis of the infant < 1 y feeding practices from the ENSANUT-2012 survey in non-breastfed (non-BF) and breastfed (BF) infants by status quo for the consumption of liquids grouped in: water, formula, fortified LICONSA milk, nutritive liquids (NL; thin cereal-based gruel with water or milk and coffee with milk) and non-nutritive liquids (non-NL) as sugared water, water-based drinks, tea, beans or chicken broth, aguamieland coffee. In this infants < 1 y we analyzed the not grouped consumption of liquids in the first three days of life (newborns) from the mother’s recall. Percentage and confidence intervals (95% CI) were calculated adjusting for survey design. Statistical differences were analyzed by Z test. Results: We observed a high consumption of human milk followed by formula (56.7%) and water (51.1%) in infants under 6 months of age (< 6 mo). The proportion of non-BF infants consuming non-NL was higher than for BF infants (p < 0.05). More than 60% of older infants (6 mo and < 1 y) consumed formula and were non-BF. In newborns formula consumption was predominant, followed by tea or infusion and water. Conclusions: Non-breast milk liquids are present undesirably in Mexican infants’ diet and non-NL are consumed earlier than NL, revealing inadequate early dietary practices.

摘要

引言

关于婴儿饮食摄入量的研究通常并不关注所摄入液体的种类。目的:根据年龄和母乳喂养状况,记录参与2012年全国健康与营养调查(ENSANUT - 2012)的1岁以下(<1岁)墨西哥儿童饮食中所摄入液体的种类。方法:对ENSANUT - 2012调查中1岁以下婴儿的喂养方式进行分析,按非母乳喂养(非BF)和母乳喂养(BF)状况,将所摄入液体分为:水、配方奶、利康萨强化奶、营养性液体(NL;加水或牛奶的稀谷物糊以及牛奶咖啡)和非营养性液体(非NL),如糖水、水性饮料、茶、豆汤或鸡汤、龙舌兰糖浆和咖啡。对于这些1岁以下婴儿,我们根据母亲的回忆分析了出生后前三天(新生儿)未分类的液体摄入量。计算百分比和置信区间(95%CI)并根据调查设计进行调整。通过Z检验分析统计差异。结果:我们观察到6个月以下(<6个月)婴儿中母乳摄入量很高,其次是配方奶(56.7%)和水(51.1%)。非母乳喂养婴儿摄入非营养性液体的比例高于母乳喂养婴儿(p<0.05)。超过60%的较大婴儿(6个月及<1岁)食用配方奶且为非母乳喂养。在新生儿中,配方奶的摄入量占主导,其次是茶或冲剂以及水。结论:非母乳液体在墨西哥婴儿饮食中存在不良情况,非营养性液体的摄入早于营养性液体,这表明早期饮食习惯不当。

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