非常早产婴儿的体重指数的快速增加是婴儿时期缺铁的危险因素
Hyun Ho Kim1,2,3, Eun Jee Lee4, Jin Kyu Kim5,6,7
1Department of Pediatrics, Jeonbuk National University School of Medicine, Jeonju, South Korea.
Scientific reports
|September 19, 2023
概括
快速生长和对妊娠年龄来说小是非常早产婴儿缺铁的关键危险因素. 早期识别和干预对于预防长期发展问题至关重要.
科学领域:
- 新生儿科学 新生儿科学
- 儿童营养学 儿童营养学
- 婴儿健康 婴儿健康
背景情况:
- 在非常早产的婴儿中,缺铁 (ID) 会对神经发育结果产生负面影响.
- 了解这种脆弱人群中ID的风险因素至关重要.
研究的目的:
- 为了研究身体质量指数 (BMI) 快速增加和8个月的铁缺乏症之间的关系,在非常早产的婴儿中纠正年龄.
- 为了确定非常早产婴儿缺铁的危险因素.
主要方法:
- 一项回顾性研究包括93名非常早产的婴儿,出生在妊娠28-32周之间.
- 快速增加的BMI (RBI) 被定义为z-score差异>1标准偏差从出生到8个月的校正年龄.
- 使用多变量逻辑回归分析来确定ID的独立风险因素.
主要成果:
- 在8个月的婴儿中,有24.7%的婴儿被诊断出缺铁.
- 与没有 (18.7%) 的婴儿相比,ID在快速增加BMI的婴儿中明显更为普遍 (50%).
- 对于妊娠年龄 (SGA) 较小的婴儿 (OR 6.06) 和快速增加的BMI (OR 4.26) 是ID的独立风险因素.
结论:
- 在生命早期,SGA和BMI的快速增加都是非常早产婴儿在8个月的校正年龄时缺铁的重要危险因素.
- 这些发现凸显了针对高危早产婴儿缺铁的有针对性的监测和潜在干预措施的必要性.
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