摘要
目的探讨家庭环境支持对婴儿运动发育的影响。方法选取2024年4—7月首都医科大学附属北京儿童医院儿童保健门诊定期体检的3~<12月龄的足月儿345例,采用Alberta婴儿运动量表(Alberta infant motor scale,AIMS)评价足月儿的运动发育情况,根据AIMS得分,将足月儿分为运动发育正常组(AIMS得分百分位>P_(10))和运动发育落后组(AIMS得分百分位≤P_(10))。采用婴幼儿发育家庭环境支持量表(affordances in the home environment for motor development-infant scale,AHEMD-IS)评估婴儿的家庭环境支持情况,应用多因素非条件logistic回归方程分析足月儿运动发育落后的影响因素。结果345例足月儿中男190例、女155例,平均月龄(6.6±2.5)月;295例(85.5%)运动发育正常,50例(14.5%)运动发育落后。多因素非条件logistic回归分析结果显示,最主要照护者为父母以外其他人(OR=3.091,95%CI:1.450~6.591,P=0.003)、活动多样性不充足(OR=2.949,95%CI:1.339~6.493,P=0.007)和大运动玩具不充足(OR=3.192,95%CI:1.190~8.563,P=0.021)的足月儿,运动发育落后的风险较大。结论3~<12月龄的足月儿运动发育正常比例较高。主要照护者为父母以外的其他人、家庭活动多样性不足、大运动玩具不足是足月儿运动发育的危险因素,可通过加强健康宣教、完善亲子互动方式并配备合适的运动玩具,促进婴儿的运动发育。
Objective To explore the influence of home environment affordance on infant's sports development.Methods A total of 345 full-term infants aged 3~<12 months who took regular health examination from April to July 2024 in Children's Health Care Center,Beijing Children's Hospital,Capital Medical University were selected.The movement development of full-term infants was evaluated by Alberta infant motor scale(AIMS).According to the AIMS score,the infants were divided into normal group(AIMS score percentile>P_(10))and backward group(AIMS score percentile≤P_(10)).The affordances in the home environment for motor development-infant scale(AHEMD-IS)was used to evaluate the infant's home environment affordance,and the influencing factors of full-term infants'sports development backwardness were analyzed by multivariate unconditional logistic regression equation.Results Among the 345 full-term infants,there were 190 males and 155 females,with a mean age of(6.6±2.5)months.295 cases(85.5%)were normal motor development,50 cases(14.5%)were backward in motor development.Multivariate logistic regression analysis results showed that the infants with main caregivers were people other than their parents(OR=3.091,95%CI:1.450-6.591,P=0.003),insufficient diversity of activities(OR=2.949,95%CI:1.339-6.493,P=0.007)and insufficient gross motor toys(OR=3.192,95%CI:1.190-8.563,P=0.021)were more likely to have motor development backwardness.Conclusions The normal proportion of full-term infants aged 3~<12 months is higher.The main caregivers are someone other than the parents,the lack of diversity of family activities and the lack of gross motor toys are the risk factors for the sports development of full-term infants.It is suggested to strengthen health education,improve parent-child interaction and equip appropriate sports toys to promote the sports development of infants.
作者
刘宇田
陈艳杰
张雨垚
赵鑫
史燕
李文惠
徐雪萌
姜帅
梁爱民
Liu Yutian;Chen Yanjie;Zhang Yuyao;Zhao Xin;Shi Yan;Li Wenhui;Xu Xuemeng;Jiang Shuai;Liang Aimin(Children's Health Care Center,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China)
出处
《北京医学》
2025年第7期599-604,共6页
Beijing Medical Journal
基金
首都医科大学附属北京儿童医院研究平台专项(YPT202002)。
