Garcia Audry H, Voortman Trudy, Baena Cristina P, Chowdhurry Rajiv, Muka Taulant, Jaspers Loes, Warnakula Samantha, Tielemans Myrte J, Troup Jenna, Bramer Wichor M, Franco Oscar H, van den Hooven Edith H
A.H. Garcia, T. Voortman, C.P. Baena, T. Muka, L. Jaspers, M.J. Tielemans, J. Troup, O.H. Franco, and E.H. van den Hooven are with the Department of Epidemiology, Erasmus MC, University Medical Center Rotterdam, the Netherlands. C.P. Baena is with the Pontifical Catholic University of Parana, Curitiba, Brazil. R. Chowdhurry and S. Warnakula are with the Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom. W.M. Bramer is with the Medical Library, Erasmus MC, University Medical Center Rotterdam, the Netherlands.
Nutr Rev. 2016 Aug;74(8):490-516. doi: 10.1093/nutrit/nuw016. Epub 2016 Jun 20.
Infant feeding practices are influenced by maternal factors.
The aim of this review is to examine the associations between maternal weight status or dietary characteristics and breastfeeding or complementary feeding.
A systematic literature search of the Embase, Cochrane Library, Google Scholar, MEDLINE, PubMed, and Web of Science databases was performed.
Interventional and cohort studies in healthy mothers and infants that reported on maternal weight status, diet, or supplement use were selected.
Outcomes assessed included delayed onset of lactogenesis; initiation, exclusivity, duration, and cessation of breastfeeding; and timing of complementary feeding.
Eighty-one studies were included. Maternal underweight, diet, and supplement use were not associated with infant feeding practices. Obese women had a relative risk of failure to initiate breastfeeding (risk ratio [RR] = 1.23; 95%CI, 1.03-1.47) and a delayed onset of lactogenesis (RR = 2.06; 95%CI, 1.18-3.61). The RR for breastfeeding cessation was 1.11 (95%CI, 1.07-1.15) per increase in category of body mass index.
Prevention of obesity in women of reproductive age, as well as counseling of obese women after delivery, could be targeted to improve infant feeding practices.
婴儿喂养方式受母亲因素影响。
本综述旨在研究母亲体重状况或饮食特征与母乳喂养或辅食添加之间的关联。
对Embase、Cochrane图书馆、谷歌学术、MEDLINE、PubMed和科学网数据库进行了系统的文献检索。
选取了针对健康母亲和婴儿的干预性研究及队列研究，这些研究报告了母亲的体重状况、饮食或补充剂使用情况。
评估的结果包括泌乳开始延迟；母乳喂养的开始、纯母乳喂养、持续时间和停止；以及辅食添加的时间。
纳入了81项研究。母亲体重过轻、饮食和补充剂使用与婴儿喂养方式无关。肥胖女性开始母乳喂养失败的相对风险（风险比[RR]=1.23；95%置信区间，1.03 - 1.47）以及泌乳开始延迟（RR = 2.06；95%置信区间，1.18 - 3.61）。体重指数每增加一个类别，母乳喂养停止的RR为1.11（95%置信区间，1.07 - 1.15）。
可针对预防育龄妇女肥胖以及产后对肥胖妇女进行咨询，以改善婴儿喂养方式。
