早期婴儿养实践和与童年成长的关联
Priscilla K Clayton1, Diane L Putnick1, Ian R Trees1
1Epidemiology Branch, Division of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, 6710B Rockledge Dr, Bethesda, MD 20817, USA.
早期母乳养和延迟引入补充食品与较低的儿童肥胖风险有关. 纯母乳养和更长的母乳养时间与儿童的BMI和超重风险降低有关.
科学领域:
- 儿童营养学 儿童营养学
- 儿童肥胖流行病学 儿童肥胖流行病学
- 增长监测 增长监测 增长监测
背景情况:
- 婴儿早期的生长模式是后来儿童肥胖的公认预测因素.
- 了解婴儿养做法对长期人类测量结果的影响,对于公共卫生干预至关重要.
研究的目的:
- 调查早期婴儿养做法与人类测量措施之间的关联.
- 检查婴儿养与儿童超重和肥胖风险之间的关系.
主要方法:
- 基于人口的纵向Upperstate KIDS队列中的2492名儿童的数据分析.
- 家长问卷报告了母乳养和补充食品的引入 (4-12个月).
- 人类测量数据 (体重,身高) 采集于2-3岁和7-9岁;使用经过调整以社会人口统计因素的线性混合模型进行分析.
主要成果:
- 纯母乳养的婴儿与配方奶粉养的婴儿相比,BMI和体重与年龄的z-score都较低.
- 哺乳期≥12个月的婴儿在2-3岁时体重过重的风险显著降低.
- 推迟引入水果和蔬菜 (5-8个月) 与7-9岁肥胖风险降低有关.
结论:
- 哺乳时间和类型与儿童BMI降低和超重风险有关.
- 推迟引入特定的补充食品可能会减轻儿童肥胖的风险.
- 这些发现强调了基于证据的婴儿养指南对于预防儿童肥胖的重要性.
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