Pathak A, Shah N, Tataria A
Shree Maharani Shantadevi Hospital, Jawaharlal Nehru Marg, Baroda.
Indian Pediatr. 1993 Nov;30(11):1291-300.
The weights and lengths of 120 boys and 81 girls were followed from birth to 12 months at Shree Maharani Shantadevi Hospital (SMSH), Baroda. The sample was selected by the following criteria: (i) birth weight 2.5 kg or more, (ii) no serious defect or serious/chronic illness, (iii) upper and middle socio-economic level, (iv) normal motor-mental development, (v) regular follow-up every month (by appointment within two days of birth date) for at least nine months, (vi) exclusive breastfeeding for at least four months. Mean and SDs and percentile values of weight, length and weight for length were computed separately for boys and girls. These were compared with those of National Centre for Health Statistics (NCHS) and of the Davis Area Research on Lactation, Infant Nutrition and Growth (DAR-LING) study in the USA. The breastfed babies were observed to be leaner by the currently accepted "standards" which have been established mostly on formula-fed babies. The growth pattern of the breastfed babies cannot be interpreted as 'faltering' since their motor-mental development was normal and they were thriving well. The study focuses attention on the need to have new growth charts on the basis of exclusively breastfed children.
在巴罗达的什里·玛哈瑞妮·尚塔德维医院（SMSH），对120名男孩和81名女孩从出生到12个月大期间的体重和身长进行了跟踪记录。样本选取遵循以下标准：（i）出生体重2.5千克或以上；（ii）无严重缺陷或严重/慢性疾病；（iii）社会经济水平处于中上层；（iv）运动和智力发育正常；（v）每月定期随访（在出生日期后两天内预约）至少九个月；（vi）纯母乳喂养至少四个月。分别计算了男孩和女孩体重、身长以及体重与身长比值的均值、标准差和百分位数。将这些数据与美国国家卫生统计中心（NCHS）以及戴维斯地区哺乳、婴儿营养与生长研究（DAR-LING）的结果进行了比较。按照目前大多基于人工喂养婴儿制定的“标准”来看，母乳喂养的婴儿显得更瘦。由于母乳喂养婴儿的运动和智力发育正常且茁壮成长，其生长模式不能被解读为“发育迟缓”。该研究着重指出，需要根据纯母乳喂养儿童制定新的生长图表。
