养方法,尼古丁暴露和婴儿期的成长
Edmond D Shenassa1,2,3, Edoardo Botteri4,5, Hanne Stensheim4
1Department of Epidemiology and Biostatistics, University of Maryland, College Park, MD.
Journal of pediatrics. Clinical practice
|February 14, 2025
概括
吸烟母亲母乳养的婴儿经历了更快的成长. 这种快速增长部分是由于母亲母乳的影响,特别是在重度吸烟的情况下.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 环境健康 环境健康
背景情况:
- 孕妇在怀孕期间和分娩后吸烟是一个重大的公共卫生问题.
- 母亲吸烟对婴儿成长的影响,特别是通过母乳养,需要进一步调查.
研究的目的:
- 为了确定吸烟者母乳养的婴儿是否有加速体重和身高增加的风险.
- 评估婴儿快速成长是否归因于吸烟者的母乳摄入.
- 探索这些发现对吸烟者的母乳养实践的影响.
主要方法:
- 利用了挪威母亲,父亲和儿童队列研究和挪威医疗出生登记处 (n=54,522) 的数据.
- 检查了婴儿的成长 (体重,长度,体重对长度z-score) 与母亲吸烟水平 (0,1-10,>10支香烟/天) 和养方法 (母乳养,配方养,混合养) 相比.
- 采用了带有相互作用项的通用线性模型来评估母亲吸烟对母乳增长的影响.
主要成果:
- 轻度和重度吸烟者的母乳养婴儿显示体重对长度z-score (WFLZ) 增加 (分别为0.05和0.13).
- 沉重吸烟者的混合养婴儿也表现出增加的WFLZ增益 (0.10).
- 母亲吸烟并没有预测纯配方奶粉养的婴儿的快速成长. 相互作用模型表明,重度吸烟者母乳养的婴儿体重增加 (100克) 和长度增加 (2.8毫米),归因于吸烟者的母乳.
结论:
- 吸烟者母乳养的婴儿经历了增长的加速,其中一部分增长与吸烟者的母乳摄入有关.
- 对于轻度吸烟者母乳养的婴儿来说,这些生长增长属于健康,母乳养的婴儿的正常模式.
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