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喂养模式与中国婴儿健康的关联:倾向评分匹配方法。

Associations between Feeding Patterns and Infant Health in China: A Propensity Score Matching Approach.

机构信息

Key Laboratory of Trace Element Nutrition of National Health and Family Planning Commission, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Xicheng District, Beijing 100050, China.

出版信息

Nutrients. 2021 Dec 17;13(12):4518. doi: 10.3390/nu13124518.

Abstract

Breastmilk is the optimal food for infants. Feeding pattern is closely related to physical development and health during infancy. Understanding the associations between feeding patterns and health status can inform related policy interventions and advocacy in China. This study aimed to investigate the relationship between infant feeding patterns and health status in China infants. The China National Nutrition and Health Surveillance 2013 was a national-representative cross-sectional study performed particularly for children aged 0-5 years. A total of 3974 infants aged under 1 year were included in the analysis, of whom 1082 (27.2%) made up the formula feeding group, and 2892 (72.8%) made up the breastfeeding group. The associations between feeding patterns and physical development and health were investigated using propensity score matching and multivariable logistic regression models. Among breastfeeding and formula feeding infants aged 9-11 months old, weight-for-age z score was 1.1 ± 1.1 and 0.9 ± 1.3, respectively, and weight-for-length z score was 1.0 ± 1.3 and 0.7 ± 1.4, respectively. Hemoglobin in 0-2, 3-5, 6-8, and 9-11 months old breastfeeding infants was 121.4 ± 15.2 g/L, 117.1 ± 13.0 g/L, 113. 9 ± 11.9 g/L, and 114.4 ± 14.0 g/L, while in 0-2, 3-5, 6-8, and 9-11 months formula feeding infants was 116.3 ± 14.8 g/L, 120.4 ± 11.3 g/L, 119.8 ± 11.2 g/L, and 120.0 ± 11.5 g/L, respectively. Breastfeeding was associated with lower risk of respiratory disease (OR: 0.79; 95% CI: 0.64, 0.99) and diarrhea (OR: 0.75; 95% CI: 0.57, 0.98). Breastfeeding could slightly improve infant physical development, and had a protective effect on the diarrheal and respiratory diseases. Infants aged 3-11 months who were breastfeeding showed lower hemoglobin than that of formula-fed infants and thus should increase intake of iron rich complementary foods.

摘要

母乳是婴儿的最佳食物。喂养模式与婴儿期的身体发育和健康密切相关。了解喂养模式与健康状况之间的关系,可以为中国相关政策干预和宣传提供信息。本研究旨在探讨中国婴儿喂养模式与健康状况之间的关系。2013 年中国营养与健康状况监测是一项针对 0-5 岁儿童的全国代表性横断面研究。共纳入 3974 名年龄在 1 岁以下的婴儿,其中 1082 名(27.2%)为配方奶喂养组,2892 名(72.8%)为母乳喂养组。采用倾向评分匹配和多变量 logistic 回归模型,探讨喂养模式与体格发育和健康状况的关系。9-11 月龄母乳喂养和配方奶喂养婴儿的体重年龄 z 评分分别为 1.1±1.1 和 0.9±1.3,体重身长 z 评分分别为 1.0±1.3 和 0.7±1.4。0-2、3-5、6-8 和 9-11 月龄母乳喂养婴儿的血红蛋白值分别为 121.4±15.2、117.1±13.0、113.9±11.9 和 114.4±14.0 g/L,0-2、3-5、6-8 和 9-11 月龄配方奶喂养婴儿的血红蛋白值分别为 116.3±14.8、120.4±11.3、119.8±11.2 和 120.0±11.5 g/L。母乳喂养与呼吸道疾病(OR:0.79;95%CI:0.64,0.99)和腹泻(OR:0.75;95%CI:0.57,0.98)的风险较低相关。母乳喂养可轻微改善婴儿的体格发育,对腹泻和呼吸道疾病有保护作用。3-11 月龄母乳喂养婴儿的血红蛋白值低于配方奶喂养婴儿,因此应增加摄入富含铁的补充食品。

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