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母乳喂养方式及母亲营养对婴儿前6个月体重增长的影响。

Effect of Breastfeeding Practices and Maternal Nutrition on Baby's Weight Gain During First 6 Months.

作者信息

Kajale Neha A, Chiplonkar Shashi A, Khadilkar Vaman, Khadilkar Anuradha V

机构信息

Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, 32, Sasoon Road, Pune, Maharashtra 411001 India.

出版信息

J Obstet Gynaecol India. 2016 Oct;66(Suppl 1):335-9. doi: 10.1007/s13224-016-0918-7. Epub 2016 Jun 18.

Abstract

OBJECTIVE

To study cross-sectionally, effect of early feeding practices and maternal nutrition, with special reference to traditional food supplements (TFSs), on baby's weight gain during first 6 months.

DESIGN

Cross-sectional observational study design.

SETTINGS

Urban tertiary healthcare centre, India.

PARTICIPANTS

One hundred and fifteen primiparous mother-infant pairs within 6 months of delivery.

OUTCOME MEASURES

We studied the subjects for anthropometry, feeding practices and nutrient intakes after delivery, and their baby's weights were measured, and WAZ scores from WHO Anthro software and weight gain from birth were calculated.

RESULTS

Eighty per cent women from partial breastfeeding (PBF) group were either overweight or obese, while 33 % of exclusively breastfeeding (EBF) group were normal weight. To further explore relationship between TFS intakes and babies' feeding status, study population were divided into four groups based on consumption of TFS and feeding practices. General linear univariate model analysis adjusted with pre-pregnancy BMI, gestational weight gain, infant age and birth weight showed highest weight gain (3.8 ± 0.3 kg) for TFS + PBF group, than other groups such as TFS + EBF group (2.9 ± 0.3 kg, p = 0.043) and NTS + EBF (2.7 ± 0.3 kg, p = 0.017), though NTS + PBF group also had lower weight gain, but this difference was not significant (3.4 ± 0.3 kg, p = 0.489).

CONCLUSION

Higher baby's weight gain was seen among partially breastfed babies. Rather than TFS, type of feeding affected baby weight gain to a greater extent which may increase baby's risk of obesity in future.

摘要

目的

进行横断面研究,探讨早期喂养方式和母亲营养状况,特别是传统食物补充剂(TFSs)对婴儿出生后头6个月体重增加的影响。

设计

横断面观察性研究设计。

地点

印度城市三级医疗中心。

参与者

115对分娩后6个月内的初产妇母婴对。

观察指标

我们对受试者进行了产后人体测量、喂养方式和营养摄入情况的研究,并测量了其婴儿的体重,计算了WHO Anthro软件得出的WAZ评分以及出生后的体重增加情况。

结果

部分母乳喂养(PBF)组中80%的女性超重或肥胖,而纯母乳喂养(EBF)组中33%的女性体重正常。为进一步探讨TFS摄入量与婴儿喂养状况之间的关系,根据TFS的消费情况和喂养方式将研究人群分为四组。经孕前BMI、孕期体重增加、婴儿年龄和出生体重调整后的一般线性单变量模型分析显示,TFS + PBF组的体重增加最高(3.8±0.3千克),高于其他组,如TFS + EBF组(2.9±0.3千克,p = 0.043)和非传统食物补充剂(NTS)+ EBF组(2.7±0.3千克,p = 0.017),尽管NTS + PBF组的体重增加也较低,但差异不显著(3.4±0.3千克,p = 0.489)。

结论

部分母乳喂养的婴儿体重增加较高。对婴儿体重增加影响更大的是喂养方式而非TFS,这可能会增加婴儿未来肥胖的风险。

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