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根据喂养方式,采用慕尼黑功能发育诊断法对12个月大的足月儿进行心理运动发育评估:一项横断面研究。

The Assessment of Psychomotor Development in Full-Term Children at 12 Months of Age with Munich Functional Development Diagnostics Depending on the Feeding Method: A Cross-Sectional Study.

作者信息

Pazera Grażyna, Młodawska Marta, Kukulska Kamila, Młodawski Jakub

机构信息

Collegium Medicum, Jan Kochanowski University in Kielce, 25-369 Kielce, Poland.

Clinic of Neonatology, Provincial Combined Hospital Kielce, 25-736 Kielce, Poland.

出版信息

Pediatr Rep. 2023 Jun 12;15(2):381-389. doi: 10.3390/pediatric15020034.

DOI:10.3390/pediatric15020034
PMID:37368367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10305507/
Abstract

BACKGROUND

Psychomotor development is the most important outcome determining the proper growth and development of children. Optimizing childcare and modifying risk factors can provide the child with the best conditions to realize their developmental potential. The study aimed to assess the impact of the feeding method on the psychomotor development of full-term children at 12 months of age with Munich Functional Developmental Diagnostics (MFDD).

METHODS

The study included 242 full-term children who were examined at 12 months of age by a child neurologist using MFDD. The children were divided into two groups depending on the feeding method: breastfed (146) vs. formula-fed (93). We analysed selected obstetric and neonatal risk factors as well as MFDD scores within the groups.

RESULTS

The only axis on the MFDD scale on which we observed a difference between the groups was social skills. No differences were noted between the groups in the analysis of the gross and fine motor skills, with regard to perception or active and passive speech.

CONCLUSIONS

The full-term, exclusively breastfed infants over their first 6 months of age or longer have greater social skills in comparison with the formula-fed infants when measured on the MFDD axis.

摘要

背景

心理运动发育是决定儿童正常生长发育的最重要结果。优化儿童保育并改变风险因素可为儿童提供实现其发育潜力的最佳条件。本研究旨在通过慕尼黑功能发育诊断法(MFDD)评估喂养方式对12月龄足月儿心理运动发育的影响。

方法

本研究纳入了242名12月龄足月儿,由儿童神经科医生使用MFDD对其进行检查。根据喂养方式将儿童分为两组:母乳喂养组(146名)和配方奶喂养组(93名)。我们分析了两组中选定的产科和新生儿风险因素以及MFDD评分。

结果

在MFDD量表上,我们观察到两组之间存在差异的唯一维度是社交技能。在大运动和精细运动技能分析、感知方面以及主动和被动言语方面,两组之间未发现差异。

结论

在MFDD维度上进行测量时,与配方奶喂养的婴儿相比,纯母乳喂养6个月及以上的足月儿具有更强的社交技能。

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本文引用的文献

1
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Pediatr Rep. 2021 May 2;13(2):227-233. doi: 10.3390/pediatric13020031.
2
Breastfeeding and Infections in Early Childhood: A Cohort Study.母乳喂养与幼儿感染:队列研究。
Pediatrics. 2020 Nov;146(5). doi: 10.1542/peds.2019-1892.
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ACOG Committee Opinion No. 756: Optimizing Support for Breastfeeding as Part of Obstetric Practice.美国妇产科医师学会委员会意见 No.756:优化支持母乳喂养以作为产科实践的一部分。
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Systematic review with meta-analysis: breastfeeding and the risk of Crohn's disease and ulcerative colitis.系统评价与荟萃分析:母乳喂养与克罗恩病和溃疡性结肠炎的风险
Aliment Pharmacol Ther. 2017 Nov;46(9):780-789. doi: 10.1111/apt.14291. Epub 2017 Sep 11.
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Diabetes Care. 2017 Jul;40(7):920-927. doi: 10.2337/dc17-0016. Epub 2017 May 9.
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