婴儿养模式集群与儿童健康结果有关
Ju Hee Kim1, Eun Lee2, Eun Kyo Ha3
1Department of Pediatrics, Kyung Hee University Medical Center, Seoul 02447, Republic of Korea.
Nutrients
|July 14, 2023
概括
婴儿养模式会影响儿童的健康. 不那么多样化的固体食品引入和配方养与更高的住院风险和诸如感染和肥胖等疾病有关.
科学领域:
- 儿童营养学 儿童营养学
- 公共卫生 公共卫生
- 儿童流行病学 儿童流行病学
背景情况:
- 婴儿养实践表现出不同的模式.
- 了解这些模式对于预测长期健康结果至关重要.
- 儿童疾病负担是一个重大的公共卫生问题.
研究的目的:
- 调查婴儿养模式与随后的10年儿童疾病负担之间的联系.
- 确定与儿童健康风险增加相关的特定养模式.
主要方法:
- 通过国家医疗保险和查记录,利用了236,372名韩国婴儿的数据.
- 分析了家长管理的关于婴儿养类型和补充食品引入的问卷.
- 采用考克斯比例危险和修改Poisson回归来评估住院和15种儿童疾病的风险,直到10岁.
主要成果:
- 确定了三个婴儿养集群:多样化的固体与高母乳养 (集群1),不那么多样化的固体与混合养 (集群2),和最不多样化的固体与混合养 (集群3).
- 与集群1相比,集群2和3显示所有原因住院的风险显著增加.
- 集群2和3中的儿童面临更高的上呼吸道感染,肺炎,胃肠炎,神经行为疾病的风险,并且在6岁时更容易患超重/肥胖.
结论:
- 婴儿养模式与整体儿童疾病负担有显著的关联.
- 减少对各种固体食品的接触,以及增加对婴儿配方食的依赖,与不良健康结果相关.
- 早期养策略可能在缓解长期儿童疾病风险方面发挥关键作用.
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