Graduate School of Health Sciences, Hokkaido University, Sapporo, Japan.
Community Health Service Center, Wolong Hospital, Benxi City, Liaoning, China.
Nurs Health Sci. 2019 Sep;21(3):323-329. doi: 10.1111/nhs.12604. Epub 2019 Apr 15.
This study was conducted to investigate the nutritional status and gross motor development of children in a suburban area of northeast China and the factors influencing these issues. A total of 189 children aged 1-3 years and their mothers participated. Child and maternal length/height and weight were measured. Information was collected on basic characteristics, household monthly income, child's age at achievement of six gross motor milestones, and feeding practices by interviewing the mothers/caregivers. The prevalence of overweight (using World Health Organization growth standards) and delayed achievement of walking alone among the children was 27% and 12.7%, respectively. The independent predictors of increased odds for being overweight were middle household income and high dietary diversity score. Exclusive breastfeeding was associated with lower odds of children being overweight. Delayed solid feeding initiation was associated with increased odds of delay in walking alone for the children. Breastfeeding predicted reduced odds of this issue. These findings suggest that nutritional intervention and childcare education, such as breastfeeding promotion, improved diet quality, and the timely introduction of solid food, could improve growth and development among young children in suburban northeast China.
本研究旨在调查中国东北郊区儿童的营养状况和粗大运动发育情况,以及影响这些问题的因素。共有 189 名 1-3 岁的儿童及其母亲参与。测量了儿童和母亲的身长/身高和体重。通过访谈母亲/照顾者,收集了基本特征、家庭月收入、儿童达到六项粗大运动里程碑的年龄以及喂养方式等信息。超重(使用世界卫生组织生长标准)和独自行走延迟的患病率分别为 27%和 12.7%。家庭收入中等和膳食多样性评分高是超重风险增加的独立预测因素。纯母乳喂养与儿童超重的几率降低有关。固体食物添加时间延迟与儿童独自行走延迟的几率增加有关。母乳喂养可降低该问题的几率。这些发现表明,营养干预和儿童保育教育,如促进母乳喂养、改善饮食质量以及适时引入固体食物,可能会改善中国东北郊区幼儿的生长和发育。