摘要
目的探讨婴幼儿期体格生长偏离与喂养困难的关系及体格生长偏离的影响因素。方法采用定点抽样的方法,在确定调查对象后,由儿童的主要抚养人和医务人员共同填写婴幼儿喂养困难评分量表及调查问卷,并对婴幼儿体格发育情况进行测量。结果 6～24月龄中国婴幼儿喂养困难发生率为21.41%;婴幼儿有无喂养困难及喂养困难程度与是否发生生长迟缓、低体质量、消瘦相关,随着喂养困难程度的加重,三者发生率增高。经多因素非条件Logistic回归分析,"是否反复上呼吸道感染,喂养人是否为母亲,喂养时孩子对您的反应积极,孩子进餐地点固定,孩子的喂养人固定,孩子进食时间超过30 min,您允许孩子想吃就吃,同一种食物用不同做法促进食欲,您判断孩子不吃某种食物的依据,现在每天是否吃鱼肉虾类、吃蛋类、吃粮谷类、吃水果类"13个因素是婴幼儿体格生长偏离的影响因素。结论预防婴幼儿喂养困难可有效降低婴幼儿生长迟缓、低体质量、消瘦的发生。合理的饮食结构、喂养人科学的喂养知识和恰当的喂养行为有利于预防体格生长偏离的发生。
Objective To explore the relationship between growth deviation and feeding disorders and its influencing factors among infants and toddlers. Methods With fixed - point sampling, caregivers fill in the Chinese version of The Children Feeding Scale and the questionair were designed,and the physical developmental parameters of infants and toddlers were measured. Reults The incidence rate of fee- ding disorders among 6 - to -24 - month - old children was 21.41%. The association between feeding disorders, the degree of feeding diffi- culty and growth deviation（ including stunted ,wasting, underweight） were related. And with the degree of feeding disorders increased, 3 inci- dences increased. A multivariate non - conditioned Log/st/c regression analysis was used to assess the risk factors for children growth deviation and 13 issues related were identified significantly as follows： repeated upper respiratory tract infection, mother feeding, children＇s response when fed, the regular feeding place, the regular feeding place, feeding time over 30 minutes, children allowed feeding when he wanted, different cooking methods to promote appetite ,the reference you think of your child＇s refusing one food,eating fish/shrimp/egg/cereal/fruit everyday. Conclusions The incidence of stunted, wasting and underweight will be reduced if feeding disorders prevented. Right diet, scientific feeding knowledge and appropriate feeding behaviors will reduce the incidence of growth deviation.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2012年第23期1837-1840,共4页
Journal of Applied Clinical Pediatrics
基金
湖北省科技厅项目(2010CBD10901)
关键词
喂养困难
生长发育
影响因素
feeding difficulty
growth and development
influencing factor
