Lins Anahi Cézar de Lima, Pedraza Dixis Figueroa
Universidade Estadual da Paraíba. R. das Baraúnas 351, Campus Universitário, Bodocongó. 58109-753 Campina Grande PB Brasil.
Cien Saude Colet. 2021 Nov;26(11):5777-5792. doi: 10.1590/1413-812320212611.22212020. Epub 2020 Sep 20.
The scope of this article is to investigate factors that contributed to the growth rate of children from birth through the sixth month of life. It involves a cohort study with 144 children observed at birth and in the first, second and sixth months of life. Child head circumference (cm/month), weight (g/day) and length (cm/month) rates were compared according to birth, pregnancy, maternal and family characteristics and those related to the food, illness and health care of the child. The female sex and difficulty in breastfeeding contributed to the deceleration of all three growth rates, while maternal non-vaccination against tetanus affected the increase of head circumference and of child length. Severe maternal mental disorder, moderate/severe food insecurity, oatmeal consumption and failure to follow-up the development of the child influenced the head circumference and weight rates. The intake of alcohol during pregnancy, cesarean delivery, mixed/predominant breastfeeding, use of infant formula and episodes of diarrhea/vomiting affected the head circumference, while inadequate prenatal care affected weight, and low-stature mothers and pacifier use affected length. Modifiable factors are highlighted, such as the consumption of oatmeal and infant formula, and the use of pacifiers, which are related to breastfeeding in infants.
本文的范围是调查从出生到六个月大儿童生长速度的影响因素。这是一项队列研究,对144名儿童在出生时以及出生后的第一、第二和第六个月进行观察。根据出生、怀孕、母亲和家庭特征以及与儿童食物、疾病和医疗保健相关的因素,比较了儿童头围(厘米/月)、体重(克/天)和身长(厘米/月)的增长速度。女性性别和母乳喂养困难导致所有三种生长速度减缓,而母亲未接种破伤风疫苗影响头围和儿童身长的增长。母亲患有严重精神障碍、中度/重度粮食不安全、食用燕麦片以及未对儿童发育进行随访影响头围和体重增长速度。孕期饮酒、剖宫产、混合/主要母乳喂养、使用婴儿配方奶粉以及腹泻/呕吐发作影响头围,而产前护理不足影响体重,母亲身材矮小和使用安抚奶嘴影响身长。文中强调了一些可改变的因素,如燕麦片和婴儿配方奶粉的食用以及安抚奶嘴的使用,这些都与婴儿的母乳喂养有关。