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[墨西哥北部一岁以下婴儿肥胖相关的母婴特征]

[Maternal and infant characteristics associated with obesity in infants under one year of age in northern Mexico].

作者信息

Cárdenas Villarreal Velia Margarita, Ortiz Félix Rosario Edith, Cortés-Castell Ernesto, Miranda Félix Patricia Edina, Guevara Valtier Milton Carlos, Rizo-Baeza María Mercedes

机构信息

Universidad Autónoma de Nuevo León,

出版信息

Nutr Hosp. 2018 Oct 5;35(5):1024-1032. doi: 10.20960/nh.1720.

Abstract

INTRODUCTION

despite the fact that childhood obesity is a serious health problem, little is known about its related factors in early childhood.

OBJECTIVE

to evaluate which maternal, cognitive and infant factors influence the infant's energy intake and if these influence their nutritional status before the year.

METHODS

descriptive study of correlation. Two hundred and sixty-seven dyads (mother/child) participated. The questionnaires consisted of four instruments for the cognitive variables of the mother (maternal self-efficacy, attitude in the diet, perception of signs of hunger, satiety and weight of the child), energy intake through a 24-hour reminder and sociodemographic and anthropometric data of the mother and child, through which maternal body mass index (BMI) and Z-score of infant weight/height have been calculated.

RESULTS

the model was significant for the intake of kcal/kg weight (F = 8.624, p < 0.001, R2 = 0.104), negatively correlating with the maternal perception of the weight of the child (B = -9.73, p = 0.002), hours of sleep (B = -2.19, p = 0.044) and age of the child (B = -2.26, p = 0.001). Also for the Z-score (weight/length) (F = 68.979, p < 0.001, R2 = 0.564) and explained positively with perception of the weight of the child (B = 1.133, p < 0.001) and age of the child (B = 0.054, p = 0.006) and negatively with hours of sleep of the mother (B = -0.07, p = 0.040) and caloric intake (B = -0.004, p = 0.027).

CONCLUSION

mothers of nursing infants who underestimate their child's weight and sleep fewer hours provide more caloric intake and their children have a higher Z-score weight/length.

摘要

引言

尽管儿童肥胖是一个严重的健康问题,但对于幼儿期肥胖的相关因素却知之甚少。

目的

评估哪些母亲因素、认知因素和婴儿因素会影响婴儿的能量摄入,以及这些因素是否会影响婴儿一岁前的营养状况。

方法

相关性描述性研究。共有267对母婴参与。问卷由四种工具组成,用于评估母亲的认知变量(母亲自我效能感、饮食态度、对孩子饥饿、饱腹感和体重迹象的认知),通过24小时饮食回顾记录能量摄入情况,以及母亲和孩子的社会人口学和人体测量数据,据此计算出母亲的体重指数(BMI)和婴儿体重/身高的Z评分。

结果

该模型对每千克体重千卡摄入量具有显著意义(F = 8.624,p < 0.001,R2 = 0.104),与母亲对孩子体重的认知呈负相关(B = -9.73,p = 0.002)、与睡眠时间呈负相关(B = -2.19,p = 0.044)、与孩子年龄呈负相关(B = -2.26,p = 0.001)。对于Z评分(体重/身长)也具有显著意义(F = 68.979,p < 0.001,R2 = 0.564),与对孩子体重的认知呈正相关(B = 1.133,p < 0.001)、与孩子年龄呈正相关(B = 0.054,p = 0.006),与母亲睡眠时间呈负相关(B = -0.07,p = 0.040)、与热量摄入呈负相关(B = -0.004,p = 0.027)。

结论

低估孩子体重且睡眠时间较少的哺乳期母亲会提供更多热量摄入,其孩子的体重/身长Z评分更高。

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