Lahiri Arista, Chakraborty Arup
Department of Community Medicine, Medical College, Kolkata, West Bengal, India.
Indian J Community Med. 2019 Apr-Jun;44(2):92-96. doi: 10.4103/ijcm.IJCM_150_18.
Monthly weight gain (weight velocity) is important in early infancy, with several factors affecting and interacting within the healthy-born children. The current study aims to estimate on the effects of different factors on the trend of weight gain during the first 6 months of life.
A longitudinal (repeated-measures) study was conducted on the 42 nonlow birth weight healthy children born in selected rural areas during December 2016. Infant feeding attitude, effective breastfeeding, timely feeding, and episodes of diarrheal illnesses were the major predictors along with the age of the children on the weight velocity in a sex-dependent repeated-measures analysis using Generalized Estimating Equations.
Mothers of the children were mostly below the mean age of 20.1 years (60.905%), majority being homemakers (71.429%). Majority (73.809%) had a better infant feeding attitude. The mean birth weight for male infants was 2.941 (±0.299) kg and females 2.938 (±0.352) kg. Age of the child, birth weight, timely feeding, and episodes of diarrheal illnesses had statistically significant effect on monthly weight gain. Feeding breast milk only proved advantageous for males.
Effectively, only breastfeeding, timely feeding, and prevention of diarrheal episodes were the most important recommendations at the field level.
在婴儿早期，每月体重增加（体重增长速度）很重要，有多种因素在健康出生的儿童中相互影响。本研究旨在评估不同因素对出生后前6个月体重增长趋势的影响。
对2016年12月在选定农村地区出生的42名非低出生体重健康儿童进行了纵向（重复测量）研究。在使用广义估计方程的性别依赖性重复测量分析中，婴儿喂养态度、有效母乳喂养、及时喂养和腹泻疾病发作次数是体重增长速度的主要预测因素，同时还有儿童年龄。
这些儿童的母亲大多低于20.1岁的平均年龄（60.905%），大多数是家庭主妇（71.429%）。大多数（73.809%）有较好的婴儿喂养态度。男婴平均出生体重为2.941（±0.299）千克，女婴为2.938（±0.352）千克。儿童年龄、出生体重、及时喂养和腹泻疾病发作次数对每月体重增加有统计学显著影响。仅母乳喂养对男性有利。
实际上，仅母乳喂养、及时喂养和预防腹泻发作是现场层面最重要的建议。
