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发现3至24个月的儿童体重增加:早期过渡到非家长的照顾和固体食物
Jennifer M Barton1,2, Alexandra Lundquist3, Meghan C Fisher4,5
1Family Resiliency Center, University of Illinois, Urbana-Champaign, Urbana, Illinois, USA.
Pediatric obesity
|March 23, 2024
概括
早期的非家长照顾 (NPC) 和在六个月之前引入固体食品 (ITS),特别是在托儿所或幼儿园,与儿童体重增加有关. 在这种过渡期间,协调照顾对婴儿养至关重要.
科学领域:
- 儿童发展 儿童发展
- 儿童营养学 儿童营养学
- 公共卫生 公共卫生
背景情况:
- 早期进入非家长照顾 (NPC) 和引入固体食品 (ITS) 独立地与儿童体重增加有关.
- 有限的研究已经探索了这些早期生命过渡对长期儿童体重轨迹的综合影响.
研究的目的:
- 根据NPC和ITS的时间确定不同类型的婴儿.
- 调查这些已识别的NPC-ITS组是否对3至24个月龄的儿童的体重对长度/身高z分数 (WFL/WFHz) 产生差异影响.
主要方法:
- 利用了来自STRONG Kids2队列的数据 (n=468).
- 根据NPC类型 (家长,托儿所,亲属托儿) 和ITS的时间 (在6个月之前或之后) 将儿童分成组.
- 采用多级回归来分析NPC-ITS组与儿童WFL/WFHz之间的关系.
主要成果:
- 确定了六个不同的NPC-ITS组,在护理和食品引入的时间上存在显著差异.
- 在日托 (任何ITS时间) 或在6个月之前与ITS进行的亲属护理的儿童,与主要在家长照顾中的儿童相比,WFL/WFHz显著更高.
- 体重对长度/身高z分数的这些差异在生命的前两年持续存在.
结论:
- 非家长照顾的结合和固体食品引入的时间显著影响婴儿体重轨迹.
- 父母和非父母照顾者之间的协作方法对于在过渡到固体食品期间支持最佳婴儿养实践至关重要.
- 干预措施应考虑非家长照顾的类型和时间,以及养做法,以减轻儿童体重增加的风险.
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