在MINA-巴西队列中,母乳养的流行率和预测因素
Paola S Mosquera1, Bárbara H Lourenço1, Alicia Matijasevich2
1Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Nutrição. São Paulo, Brasil.
Revista de saude publica
|February 29, 2024
概括
亚马逊儿童的纯母乳养 (EBF) 和持续母乳养 (BF) 实践比世卫组织的建议要短. 诸如第一次生育和吸乳器使用等因素预测早期戒断,强调需要改进本地战略.
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:
- 哺乳对婴儿健康至关重要.
- 世界卫生组织 (WHO) 建议最佳母乳养时间.
- 了解当地母乳养做法对于有针对性的干预措施至关重要.
研究的目的:
- 确定亚马逊儿童中纯母乳养 (EBF) 和持续母乳养 (BF) 的流行率.
- 在这个人群中确定与EBF和BF实践相关的因素.
主要方法:
- 来自MINA-巴西出生队伍的1,143对母婴对的分析.
- 对EBF和BF的纵向数据收集时间长达5年.
- 使用了卡普兰-梅尔生存分析和扩展的考克斯回归模型.
主要成果:
- 三个月后的EBF利率为33%,六个月后为10.8%.
- 早期EBF停止的预测因素包括第一次母亲,乳前养,吸乳器使用和婴儿腹.
- 持续BF的比率为67.9%在1年,29.3%在2年,5年1.7%.
- 早期BF停止的预测因素包括男性性别,乳头使用和EBF持续时间小于3个月.
结论:
- 亚马逊儿童的母乳养时间不符合世卫组织的建议.
- 确定停止母乳养的关键预测因素至关重要.
- 地方战略必须解决确定的因素,以促进最佳的母乳养实践.
相关概念视频
Anatomy of the Intestines
71.9K
Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
71.9K
Bulimia Nervosa
66
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
66


