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早产的6个月至6岁儿童喂养困难的患病率。

Prevalence of feeding difficulties in children aged six months to six years who were born prematurely.

作者信息

Kluppel Cícero Alaor, Silva Amanda Bencke Teixeira da, Camargo Daniel Boquai, Celli Adriane, Sarquis Ana Lúcia Figueiredo

机构信息

Departamento de Pediatria, Complexo Hospital de Clínicas, Universidade Federal do Paraná - UFPR - Curitiba (PR), Brasil.

Programa de Pós-graduação em Saude da Criança e Adolescência, Departamento de Pediatria do Complexo, Hospital de Clínicas - CHC, Universidade Federal do Paraná - UFPR - Curitiba (PR), Brasil.

出版信息

Codas. 2025 Mar 31;37(3):e20240194. doi: 10.1590/2317-1782/e20240194pt. eCollection 2025.

Abstract

PURPOSE

To describe the prevalence of feeding difficulties in preterm children aged six months to six years and eleven months, and to analyze the relationships with perinatal and neonatal conditions.

METHODS

This cross-sectional ambispective study applied the Brazilian Infant Feeding Scale to the parents of 129 children followed in preterm outpatient clinics to assess the prevalence of feeding difficulties. Additional variables were collected retrospectively from medical records.

RESULTS

Fifteen children (11.62%) out of 129 exhibited feeding difficulties. Significant influencing variables were being born small for gestational age, having a mother with gestational diabetes mellitus, and undergoing phototherapy. Ventilatory support duration correlated with the Motor-Oral domain, and phototherapy duration correlated with the Sensory-Oral domain of the Brazilian Infant Feeding Scale.

CONCLUSION

The Brazilian Infant Feeding Scale showed that the prevalence of long-term Feeding Difficulty in preterm infants was 11.62%. Small for Gestational Age newborns showed a higher prevalence. Children undergoing phototherapy and offspring of mothers with gestational diabetes showed a lower prevalence. The other variables studied did not significantly affect the prevalence of Feeding Difficulties, but the duration of ventilatory support affected the Oral-motor domain, and the duration of phototherapy also affected the Oral-Motor. This study marks the first application of the Brazilian Infant Feeding Scale in Brazilian preterm infants.

摘要

目的

描述6个月至6岁11个月的早产儿童喂养困难的患病率,并分析其与围产期和新生儿状况的关系。

方法

这项横断面双前瞻性研究对129名在早产门诊接受随访的儿童的父母应用了巴西婴儿喂养量表,以评估喂养困难的患病率。其他变量通过回顾医疗记录进行收集。

结果

129名儿童中有15名(11.62%)存在喂养困难。显著的影响变量包括小于胎龄儿、母亲患有妊娠期糖尿病以及接受光疗。通气支持持续时间与巴西婴儿喂养量表的运动-口腔领域相关,光疗持续时间与感觉-口腔领域相关。

结论

巴西婴儿喂养量表显示,早产儿长期喂养困难的患病率为11.62%。小于胎龄儿的患病率较高。接受光疗的儿童和母亲患有妊娠期糖尿病的后代患病率较低。所研究的其他变量对喂养困难的患病率没有显著影响,但通气支持的持续时间影响口腔运动领域,光疗的持续时间也影响口腔运动领域。本研究标志着巴西婴儿喂养量表在巴西早产儿中的首次应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1e6/11963878/9fa52ea46be2/codas-37-3-e20240194-g01-en.jpg

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