墨西哥瓜达拉哈拉市幼儿生命最初两年的肥胖与喂养方式。
Adiposity and feeding practices in the first two years of life among toddlers in Guadalajara, Mexico.
机构信息
Institute of Human Nutrition, University of Guadalajara, Guadalajara, México.
University of Colima, Colima, México.
出版信息
BMC Pediatr. 2023 Feb 4;23(1):61. doi: 10.1186/s12887-023-03877-7.
BACKGROUND
Feeding practices in the first two years of life have a direct impact on nutritional status and adiposity. The purpose of this study was to identify the differences in feeding practices during the first two years of life by sex and type of feeding in the first semester of postnatal life and their relationships with adiposity in toddlers.
METHODS
An analytical cross-sectional study that included 150 toddlers aged 12 to 24 months who were healthy, full-term, and had adequate weight for their gestational ages, was conducted at the New Civil Hospital and at a private practice in Guadalajara. Body compositions were obtained by bioelectrical impedance (BIA) measurements, and a modified questionnaire was used. Then, the parents completed two 24-h dietary recalls. In addition to the descriptive statistics, ANOVA, Kruskal-Wallis and Mann-Whitney U tests were used in the contrast analysis of the quantitative variables. To analyze the qualitative variables, we used X tests. Afterward, linear regression tests were conducted to identify the relationships between adiposity and feeding practices during the first two years.
RESULTS
There were direct relationships between adiposity and duration of full breastfeeding (r = 0.610, p = 0.021), age of introduction of ultra-processed products (r = 0.311, p = 0.011), sugar (r = 0.186; p = 0.024) and age at which eggs were introduced (r = -0.202; p = 0.016).
CONCLUSIONS
Adiposity was related to feeding practices in the first two years of life in toddlers.
背景
生命最初两年的喂养方式直接影响营养状况和肥胖程度。本研究旨在确定生命最初两年的喂养方式在产后前半年的性别和喂养类型差异，及其与幼儿肥胖的关系。
方法
这是一项分析性的横断面研究，纳入了 150 名 12 至 24 个月大的健康、足月且体重符合其胎龄的幼儿，他们在新公民医院和瓜达拉哈拉的一家私人诊所接受了检测。通过生物电阻抗（BIA）测量获得身体成分，使用改良的问卷，然后由父母完成两份 24 小时膳食回忆。除了描述性统计数据外，还使用方差分析、Kruskal-Wallis 和 Mann-Whitney U 检验进行定量变量的对比分析。为了分析定性变量，我们使用了 X 检验。之后，进行线性回归检验，以确定生命最初两年的肥胖与喂养方式之间的关系。
结果
肥胖与完全母乳喂养的持续时间（r = 0.610，p = 0.021）、超加工产品引入的年龄（r = 0.311，p = 0.011）、糖（r = 0.186；p = 0.024）和引入鸡蛋的年龄（r = -0.202；p = 0.016）之间存在直接关系。
结论
幼儿肥胖与生命最初两年的喂养方式有关。
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