Symon Brian, Crichton Georgina E, Muhlhausler Beverly
University of Adelaide, Adelaide, Australia.
Kensington Park Medical Practice, Kensington Park, Australia.
Singapore Med J. 2017 Nov;58(11):626-631. doi: 10.11622/smedj.2017024. Epub 2017 Apr 3.
Childhood obesity is a major public health challenge across the developed world, and it is vital to understand the modifiable factors that contribute to it. The influence of early-life nutrition on predisposition to later obesity and metabolic disease is now well established. Much research has concentrated on the preventative effects of breastfeeding in relation to childhood obesity risk, but the optimal timing of introducing solid foods has received far less attention. This remains a much-debated and contentious issue, and differing guidelines from international bodies have caused confusion among parents. There is no conclusive evidence from current research that introducing solids before six months of age is associated with an increased risk of obesity in infancy or childhood. Current studies suggest that the most clearly established risk factor for childhood obesity is maternal body mass index. There is a need for continued research in this area.
儿童肥胖是整个发达国家面临的一项重大公共卫生挑战,了解导致儿童肥胖的可改变因素至关重要。早期营养对日后肥胖和代谢疾病易感性的影响现已得到充分证实。许多研究都集中在母乳喂养对儿童肥胖风险的预防作用上,但引入固体食物的最佳时机却很少受到关注。这仍然是一个备受争议且有争议的问题,国际机构的不同指导方针在家长中造成了困惑。目前的研究没有确凿证据表明在六个月前引入固体食物会增加婴儿期或儿童期肥胖的风险。当前研究表明,儿童肥胖最明确的既定风险因素是母亲的体重指数。这一领域需要持续进行研究。