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富含牛奶脂肪球膜、长链多不饱和脂肪酸和合生菌的婴儿配方奶粉对 2.5 岁以下儿童行为的影响:COGNIS 研究。

The Effects of an Infant Formula Enriched with Milk Fat Globule Membrane, Long-Chain Polyunsaturated Fatty Acids and Synbiotics on Child Behavior up to 2.5 Years Old: The COGNIS Study.

机构信息

Department of Paediatrics, School of Medicine, University of Granada, Avda. Investigación 11, 18016 Granada, Spain.

EURISTIKOS Excellence Centre for Paediatric Research, Biomedical Research Centre, University of Granada, 18016 Granada, Spain.

出版信息

Nutrients. 2020 Dec 15;12(12):3825. doi: 10.3390/nu12123825.

Abstract

Although early life nutrition influences brain development and mental health, the long-term effects of supplemented infant formula on children´s behavior remain unclear. We analyzed the effects of a bioactive nutrients-enriched-infant formula on children's behavior up to 2.5 years, compared to a standard infant formula or breastfeeding. Current analysis involved 70 children who were fed a standard infant formula (SF, = 29) or a bioactive compounds enriched-infant formula (EF, = 41), during their first 18 months of life, and 33 breastfed (BF) children (reference group) participating in the COGNIS study. Behavioral problems were evaluated using the Child Behavior Checklist at 18 months and 2.5 years. Different statistical analyses were performed using SPSS. EF children aged 2.5 years presented fewer pathological affective problems than SF children. Besides, SF children were classified more frequently as bordering on internalizing problems than BF children. Rates of externalizing problems were increased in SF infants compared to EF and BF infants. Higher maternal IQ was found to have beneficial effects on internalizing and total problem rate in their offspring at 18 months of life; finally, higher maternal educational level was related with fewer ADHD problems in children at 18 months, as well as internalizing, externalizing, total and anxiety problems in children aged 2.5 years. Our analysis suggests that enriched infant formula fed infants seem to show fewer behavioral problems up to 2.5 years compared to a standard infant formula-fed infants. In addition to type of early feeding, maternal IQ and educational level seem to play a key role on children behavioral development.

摘要

虽然生命早期的营养会影响大脑发育和心理健康,但补充婴儿配方奶粉对儿童行为的长期影响仍不清楚。我们分析了富含生物活性营养素的婴儿配方奶粉对儿童行为的影响,研究时间长达 2.5 年,与标准婴儿配方奶粉或母乳喂养进行了比较。目前的分析涉及 70 名儿童,他们在生命的头 18 个月内分别食用标准婴儿配方奶粉(SF,n = 29)或富含生物活性化合物的婴儿配方奶粉(EF,n = 41),33 名母乳喂养的儿童(BF,n = 33,作为参考组)参与了 COGNIS 研究。使用儿童行为检查表在 18 个月和 2.5 岁时评估行为问题。使用 SPSS 进行了不同的统计分析。2.5 岁时,EF 组儿童的情感问题发生率低于 SF 组儿童。此外,与 BF 组儿童相比,SF 组儿童更倾向于被归类为有内化问题。与 EF 和 BF 婴儿相比,SF 婴儿的外化问题发生率更高。在 18 个月时,较高的母亲智商被发现对其子女的内化和总问题发生率有有益的影响;最后,较高的母亲教育水平与 18 个月时儿童 ADHD 问题较少以及 2.5 岁时儿童的内化、外化、总问题和焦虑问题有关。我们的分析表明,与标准婴儿配方奶粉喂养的婴儿相比,喂养富含婴儿配方奶粉的婴儿在 2.5 岁时似乎表现出较少的行为问题。除了早期喂养的类型外,母亲的智商和教育水平似乎对儿童的行为发展起着关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a50a/7765166/0c0da1697af6/nutrients-12-03825-g001.jpg

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