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儿童补充喂养模式与营养状况。

Complementary Feeding Pattern and Nutritional Status of Children.

机构信息

Department of Paediatrics, The Aga Khan University Hospital, Karachi, Pakistan.

出版信息

J Coll Physicians Surg Pak. 2023 Jul;33(7):775-778. doi: 10.29271/jcpsp.2023.07.775.

DOI:10.29271/jcpsp.2023.07.775
PMID:37401219
Abstract

OBJECTIVE

To determine the complementary feeding patterns and their association with malnutrition.

STUDY DESIGN

Prospective observational study. Place and Duration of the Study: Outpatient clinics of Aga Khan University Hospital, Pakistan, from June to November 2019.

METHODOLOGY

A total of 207 children from age six to twenty-four months, who presented in the outdoor clinics of the study place, were enrolled. Data were recorded in a predesigned data sheet adopted from the infant and young child feeding module. Chi-square test was applied post-stratification and a p-value of <0.05 was taken as significant.

RESULTS

Among a total of 207 children, 115 (55.6%) were males and 92 (44.4%) were females, with a mean age of 14.15 ± 5.6 months. Complementary feeding was started at an appropriate age in 124 (60%) children. Normal weight was seen in 133 (64.3%) children, while 73 (35.3%) were underweight. Stunting was presented in 44 (21.3%) children, whereas 163 (78.7%) children were of normal length. The most common reason for early initiation of complementary feeding was difficulty in continuing to breastfeed (n=50, 24.2%); the most common reason behind late complementary feeding was bottle feeding (n=45, 21.7%).

CONCLUSION

Only sixty percent of mothers living in an urban setting started complementary feeding at an appropriate age. Various myths are counteracting complementary feeding practices.

KEY WORDS

Complementary feeding, Infant's nutrition, Stunting, Wasting, Z-score.

摘要

目的

确定补充喂养模式及其与营养不良的关系。

研究设计

前瞻性观察性研究。

地点和研究时间

巴基斯坦 Aga Khan 大学医院的门诊,2019 年 6 月至 11 月。

方法

共纳入 207 名年龄在 6 至 24 个月之间的儿童,他们在研究地点的户外诊所就诊。数据记录在从婴儿和幼儿喂养模块中采用的预设计数据表中。应用卡方检验进行分层后分析,p 值<0.05 被认为具有统计学意义。

结果

在总共 207 名儿童中,115 名(55.6%)为男性,92 名(44.4%)为女性,平均年龄为 14.15 ± 5.6 个月。124 名(60%)儿童在适当的年龄开始补充喂养。133 名(64.3%)儿童体重正常,而 73 名(35.3%)儿童体重不足。44 名(21.3%)儿童出现发育迟缓,而 163 名(78.7%)儿童身高正常。早期开始补充喂养的最常见原因是继续母乳喂养困难(n=50,24.2%);延迟补充喂养的最常见原因是奶瓶喂养(n=45,21.7%)。

结论

只有 60%生活在城市环境中的母亲在适当的年龄开始补充喂养。各种误解正在影响补充喂养实践。

关键词

补充喂养、婴儿营养、发育迟缓、消瘦、Z 评分。

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