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菲律宾婴幼儿的辅食喂养模式缺乏多样性,尤其是贫困家庭的儿童。

Complementary feeding patterns of Filipino infants and toddlers lack diversity, especially among children from poor households.

作者信息

Jacquier Emma F, Angeles-Agdeppa Imelda, Lenighan Yvonne M, Toledo Marvin B, Capanzana Mario V

机构信息

Nestlé Research, Vers-Chez-Les-Blanc, 1000 Lausanne, Switzerland.

Department of Science and Technology, Food and Nutrition Research Institute, Manila, The Philippines.

出版信息

BMC Nutr. 2020 Oct 26;6:51. doi: 10.1186/s40795-020-00376-1. eCollection 2020.

Abstract

BACKGROUND

Consumption of nutritionally adequate complementary foods is essential for optimal growth and development of infants and toddlers, including those in developing countries. The aim of this study was to describe the food and beverage consumption patterns among 6-23.9 month old Filipino infants and toddlers, by household wealth.

METHODS

Data from 1087 infants and toddlers from the 2013 National Nutrition Survey were included. Dietary intake data was assessed using a 24Hr recall and population food intakes were stratified into pre-defined wealth categories.

RESULTS

Breast milk, infant formula, powdered milk and rice were the most commonly consumed foods and beverages across the age groups. Several differences in complementary feeding by wealth status were observed. Infants from poor households (69%) reported significantly greater consumption of human milk, than those from rich households (42%) who reported a significantly greater consumption of infant/toddler formula (Poor: 22%, Rich: 56%) ( < 0.05). A higher percentage of toddlers from rich households consumed protein-containing foods, cookies and cakes. There was a significant difference in vegetable consumption in 12-17.9 month old children (Poor: 17%, Rich: 31%;  = 0.021). Human milk and formula were the top contributors to energy in 6-17.9 month old children, while rice was the top energy contributor in 18-23.9 month old children.

CONCLUSION

Milk and rice were the main dietary components in all Filipino children, contributing up to 60% of energy in the infants from poorer households. Consumption of protein-containing foods and vegetables were typically lower in poorer households. Interventions are required to enable caregivers of young Filipino children to provide complementary foods of high nutritional quality, particularly among children from the poor households.

摘要

背景

食用营养充足的辅食对于婴幼儿(包括发展中国家的婴幼儿)的最佳生长发育至关重要。本研究的目的是按家庭财富状况描述6至23.9个月大的菲律宾婴幼儿的食物和饮料消费模式。

方法

纳入了2013年全国营养调查中1087名婴幼儿的数据。使用24小时回忆法评估膳食摄入量数据,并将总体食物摄入量按预先定义的财富类别进行分层。

结果

母乳、婴儿配方奶粉、奶粉和米饭是各年龄组最常食用的食物和饮料。观察到按财富状况划分的辅食喂养存在一些差异。贫困家庭的婴儿(69%)报告食用母乳的比例显著高于富裕家庭的婴儿(42%),而富裕家庭的婴儿(56%)报告食用婴幼儿配方奶粉的比例显著高于贫困家庭的婴儿(22%)(P<0.05)。富裕家庭的幼儿中,食用含蛋白质食物、饼干和蛋糕的比例更高。12至17.9个月大儿童的蔬菜消费量存在显著差异(贫困家庭:17%,富裕家庭:31%;P=0.021)。母乳和配方奶粉是6至17.9个月大儿童能量的主要来源,而米饭是18至23.9个月大儿童能量的主要来源。

结论

牛奶和米饭是所有菲律宾儿童的主要饮食成分,在贫困家庭的婴儿中,它们提供了高达60%的能量。贫困家庭食用含蛋白质食物和蔬菜的量通常较低。需要采取干预措施,使菲律宾幼儿的照料者能够提供营养质量高的辅食,特别是贫困家庭的儿童。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2033/7586690/9ea9018f81f1/40795_2020_376_Fig1_HTML.jpg

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