哺乳和婴儿生长与儿童超重相关 - 一项纵向队列研究
Magnus Leth-Møller1, Ulla Kampmann2, Susanne Hede3
1Department of Clinical Medicine, Aarhus University, Aarhus, Denmark; Department of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark; Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.
The American journal of clinical nutrition
|January 25, 2025
概括
超过4个月的纯母乳养显著降低了儿童超重的风险,即使婴儿增长加速. 较长的母乳养时间是预防儿童肥胖的关键.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 儿童肥胖研究儿童肥胖研究
背景情况:
- 婴儿快速生长和母乳养与儿童超重有关,但它们的相互作用尚未得到充分理解.
- 研究这种相互作用对于制定有效的儿童肥胖预防策略至关重要.
研究的目的:
- 检查纯母乳养的持续时间如何影响婴儿生长模式与儿童超重风险之间的关联.
- 确定生命早期的关键时期和因素,这些因素可以预测以后的超重状态.
主要方法:
- 隐性类分析用于从例行收集的数据中识别婴儿生长模式.
- 纯母乳养时间被分类 (从未,≤4个月,>4个月).
- 儿童超重被定义为BMIz-score>1在5-9岁时;用于分析的逻辑回归.
主要成果:
- 婴儿增长加速增加了儿童超重的风险 (aOR: 1.35).
- 仅母乳养4个月以上与更高的超重风险相关 (aOR为1.61和1.54).
- 加快生长和超重之间的关联在纯母乳养>4个月时被取消 (aOR:1.20).
结论:
- 更长的纯母乳养时间 (>4个月) 可以防止儿童超重,减轻婴儿增长加速的风险.
- 增长加速且没有母乳养的婴儿的超重风险最高;这种风险在超过4个月的纯母乳养中被消除.
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