独家母乳养促进干预对儿童结果的影响:系统性审查和元分析
Sarah Dib1, Frankie Joy Fair2, Lucy Jane McCann3
1UCL Great Ormond Street Institute of Child Health, London, UK.
Annals of nutrition & metabolism
|December 5, 2023
概括
促进纯母乳养 (EBF) 显著增加EBF率,并减少婴儿呼吸道疾病. 然而,这些干预措施并没有影响婴儿生长或死亡率,这表明婴儿早期健康有着有针对性的益处.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 营养 营养 营养 营养 营养
背景情况:
- 纯母乳养 (EBF) 对婴儿健康至关重要,但关于干预有效性的证据是不一致的.
- 促进EBF的干预措施可能会带来健康益处,需要对现有数据进行全面审查.
研究的目的:
- 评估促进纯母乳养的干预措施对婴儿和7岁以下儿童健康结果的影响.
- 评估对生长,发病率和死亡率的影响,以及EBF率.
主要方法:
- 在多个数据库 (EMBASE,MEDLINE,CINAHL,Cochrane) 进行系统的文献搜索,直到2022年4月.
- 包括随机和集群随机对照试验,重点是增加EBF.
- 使用随机效应模型对增长,发病率和死亡率的聚合数据进行元分析.
主要成果:
- 分析了32项涉及40篇论文的研究.
- 促进EBF的干预措施显著改善了EBF率至6个月 (OR 3.15) 和减少了早期呼吸道疾病 (OR 0.41).
- 没有观察到对婴儿/儿童生长,住院或死亡率的显著影响;注意到对腹的边缘影响.
结论:
- 促进纯母乳养的干预措施有效地提高了EBF的发病率,并可能适度地降低婴儿发病率,特别是呼吸系统疾病.
- 这些干预措施似乎没有影响婴儿或儿童的成长.
- 建议对成本效益和更广泛的健康结果益处进行进一步的研究.
更多相关视频
07:11Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
Published on: February 5, 2019
9.1K
08:12Isolation of Leukocytes from Human Breast Milk for Use in an Antibody-dependent Cellular Phagocytosis Assay of HIV Targets
Published on: September 6, 2019
7.2K
相关概念视频
01:29Environmental Influences on Intelligence
301
Despite the strong genetic influence on traits like intelligence, environmental factors significantly shape outcomes. For example, while over 90% of height variation is due to genetic differences, environmental factors such as nutrition also have a notable impact. Similarly, for intelligence, changes in a child's surroundings can significantly alter their IQ. Research shows that enriched environments boost children's academic success and help them develop key cognitive skills. Children...
301
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.2K
01:26Levels of Health Promotion and Illness Prevention
12.6K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.6K
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
00:55Parental Care
11.7K
Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
11.7K
01:03Nursing Interventions I: Taxonomy of Nursing Interventions
2.6K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
2.6K