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在母乳喂养之外还喂养自制含糖饮料:秘鲁 peri-urban Lima 婴幼儿照料者的调查结果。

Feeding Homemade Sugar Sweetened Beverages in Addition to Breastfeeding: Survey Results from Caregivers of Infants and Young Children in Peri-Urban Lima, Peru.

机构信息

Conway School of Nursing, The Catholic University of America, 620 Michigan Ave. N.E, Washington, DC, USA.

Instituto de Investigación Nutricional, Lima, Peru.

出版信息

Matern Child Health J. 2023 Dec;27(12):2105-2112. doi: 10.1007/s10995-023-03668-7. Epub 2023 May 20.

Abstract

OBJECTIVES

Consumption of sugar sweetened beverages (SSB) is associated with childhood obesity and other negative health conditions. Feeding SSB to infants and young children (IYC) under 2 years may displace consumption of breastmilk and nutrient rich foods critical for optimal growth and development. The World Health Organization (WHO) recommends avoiding added sugar (e.g. SSB) for IYC under 2 years. We sought to describe the variety of homemade and commercial SSB as well as breastmilk and beverages without added sugar fed to IYC aged 4-23 months living in a low-income, populous peri-urban area of Lima, Peru.

METHODS

A cross-sectional survey was conducted with 181 households with IYC aged 4-23 months. A list of common local homemade and commercial beverages was used to investigate what caregivers had fed to the child in the past 24 h.

RESULTS

A total of 93.9% of caregivers reported feeding at least one beverage to their child other than breastmilk in the past 24 h. This included a variety of homemade SSB (73.5%), commercial SSB (18.2%) and homemade beverages without added sugar (70.2%). A high percentage (83.4%) of children were also breastfed.

CONCLUSIONS FOR PRACTICE

Our findings suggest that interventions to address feeding homemade SSB to IYC within households are needed to support WHO recommendations and complement current commercial SSB policy regulations in Peru.

摘要

目的

摄入含糖饮料(SSB)与儿童肥胖和其他健康不良状况有关。给 2 岁以下婴幼儿喂食 SSB 可能会取代母乳喂养和富含营养的食物,而这些对于最佳生长和发育至关重要。世界卫生组织(WHO)建议 2 岁以下婴幼儿避免摄入添加糖(例如 SSB)。我们旨在描述在秘鲁利马一个人口稠密的低收入城市周边地区,4-23 个月大的婴幼儿所食用的自制和商业 SSB 以及不含添加糖的母乳和饮料的种类。

方法

对 181 户有 4-23 个月大婴幼儿的家庭进行了横断面调查。使用常见的当地自制和商业饮料清单,调查了看护人在过去 24 小时内给孩子喂了什么。

结果

共有 93.9%的看护人报告在过去 24 小时内除了母乳喂养外,还给孩子喂了至少一种其他饮料。这包括各种自制 SSB(73.5%)、商业 SSB(18.2%)和不含添加糖的自制饮料(70.2%)。高比例(83.4%)的儿童也接受母乳喂养。

结论

我们的研究结果表明,需要针对家庭中给婴幼儿喂食自制 SSB 的问题采取干预措施,以支持 WHO 的建议,并补充秘鲁现行的商业 SSB 政策法规。

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