Brown K H, Peerson J M, Lopez de Romaña G, de Kanashiro H C, Black R E
Department of Nutrition, University of California, Davis 95616.
Am J Clin Nutr. 1995 Jan;61(1):26-32. doi: 10.1093/ajcn/61.1.26.
To assess the validity of maternal reports of poor infant appetite, these histories were compared with measured energy consumption on 1621 d of observation of 131 Peruvian infants in a low-income community. Mean (+/- SD) total energy intakes on days with reported anorexia were 338 +/- 88 kJ/kg body wt in infants 1-6 mo of age and 299 +/- 92 kJ/kg body wt in infants aged > 6 mo compared with 395 +/- 92 and 342 +/- 88 kJ/kg body wt in the respective age groups when appetites were reportedly normal (P < 0.001). Energy intake from non-breast-milk sources was more affected than energy from breast milk. The epidemiology of poor appetite was assessed in 153 infants who were monitored longitudinally during their first year of life. The prevalence of reported anorexia increased progressively from 22 to 317/1000 d of observation from < 1 to 11 mo of age. Infant age and the presence of fever, diarrhea, and respiratory illnesses were each associated negatively with the presence of reduced appetite. Poor appetite, rather than lack of food, may explain in part the low energy intakes by infants in this community.
为评估母亲所报告的婴儿食欲不佳情况的真实性，将这些病史与低收入社区中131名秘鲁婴儿1621天观察期内所测量的能量消耗进行了比较。据报告有厌食情况的日子里，1至6月龄婴儿的平均（±标准差）总能量摄入量为338±88千焦/千克体重，大于6月龄婴儿为299±92千焦/千克体重，而据报告食欲正常时，相应年龄组的这一数值分别为395±92和342±88千焦/千克体重（P<0.001）。非母乳来源的能量摄入比母乳能量摄入受影响更大。对153名在生命第一年接受纵向监测的婴儿的食欲不佳情况进行了流行病学评估。据报告的厌食患病率从<1月龄至11月龄观察期的每1000天22例逐渐增至317例。婴儿年龄以及发热、腹泻和呼吸道疾病的存在均与食欲降低呈负相关。食欲不佳而非食物短缺可能部分解释了该社区婴儿能量摄入较低的原因。
