母乳养有助于妊娠年龄较小的婴儿的生长:系统性审查和元分析
Heather Resvick1,2,3, Amber Foster2, Brenda Hartman1,2
1Faculty of Health and Rehabilitation Sciences, Western University, London, Ontario, Canada.
Acta paediatrica (Oslo, Norway : 1992)
|November 19, 2024
概括
纯母乳养有助于妊娠年龄小的婴儿的生长. 然而,在前六个月内有显著追赶增长的证据是有限的,并指出对体重和长度的影响.
科学领域:
- 儿童营养学 儿童营养学
- 新生儿成长研究 新生儿成长研究
- 系统性审查和元分析
背景情况:
- 对于妊娠年龄 (SGA) 的婴儿来说,小的婴儿被定义为出生体重低于第10个百分点的婴儿. 产后SGA婴儿的快速生长与以后的脂肪和心脏代谢问题有关. 母乳养对低出生体重和早产婴儿有好处.
研究的目的:
- 系统地审查和元分析纯母乳养对妊娠年龄小的婴儿生长参数的影响.
- 评估4-6个月母乳养对体重,长度和头周长追赶增长的影响.
主要方法:
- 以系统审查和元分析的首选报告项目为指导的系统审查和元分析 (PRISMA) 声明.
- 在四个主要数据库中搜索相关研究.
- 采用随机效应模型来分析母乳养对追赶成长的影响,评估体重和身长差异.
主要成果:
- 五项涉及4702名婴儿的研究符合纳入标准.
- 观察到体重和长度的显著差异 (p < 0.001),表明母乳养具有积极的影响.
- 发现了很高的异质性 (I2>90%),研究质量被评为非常低.
结论:
- 母乳有助于孕期年龄小的婴儿的生长.
- 有限的证据支持在纯母乳养的前六个月内有显著的追赶增长.
- 由于证据的局限性,母乳养对SGA婴儿生长的影响的确切程度和方向仍未确定.
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