与10岁以下儿童自闭症的独家母乳喂养和初乳关系

Umi Khaerina, Siti E Herini, Djauhar Ismail
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摘要

背景:自闭症的病因至今仍不完全清楚。预防自闭症发生的努力之一是早期干预,给予初乳和纯母乳喂养。根据中央统计局2010年发布的数据,印度尼西亚的自闭症人数估计为240万人。根据自闭症特殊学校Bina Anggita Yogyakarta的数据,自2001年学校成立以来,学生人数增加了15名,2009年增加到32名,2013年增加到45名。目的:探讨纯母乳喂养和初乳喂养与10岁以下儿童自闭症发病率的关系。方法:本研究采用匹配病例对照研究设计的定量研究。研究对象为10岁以下的儿童,包括19例自闭症儿童和19例正常儿童的对照。本研究的自变量为提供初乳和纯母乳喂养,因变量为自闭症。致病因素包括胃肠道感染、低出生体重和产妇年龄。使用问卷收集数据的检索。单变量数据分析采用频率分布,双变量统计采用McNemar检验,由于双变量分析不进行多变量分析,所有变量均不显著。结果:与自闭症发生相关的5个变量中,5个变量无统计学意义,2个变量增加自闭症胃肠道感染的风险(p =0,09 OR 3,5 CI 95%;0,66-34,53)和低出生体重(p =0,17 OR 4 CI 95%;0 39 - 196 9)。结论:初乳喂养、纯母乳喂养与母亲年龄无显著关系,临床胃肠道感染和低出生体重是自闭症发生的危险因素。关键词:初乳,纯母乳喂养,自闭症
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hubungan Status ASI Eksklusif dan Pemberian Kolostrum dengan Kejadian Autisme pada Anak di Bawah 10 tahun
Background : The cause of autism until now is still not exactly known. One of the efforts in preventing the occurrence of autism is intervention early with giving colostrum and exclusive breastfeeding. The number of autism in Indonesia according to data released by the Central Bureau of Statistics in 2010 was estimated at 2.4 million people. Based on data from autism special school Bina Anggita Yogyakarta, recorded increase in the number of students from the beginning of the school in 2001 were 15 students, in 2009 the number increased to 32 students and in 2013 were 45 students. Objective: To determine the relationship between the status of exclusive breastfeeding and giving colostrum to the incidence of autism in children under 10 years . Methods: This research is a quantitative study with a matched case control study design. Subjects were children aged under 10 years who consisted of children with autism were 19 cases and 19 controls for normal children in Yogyakarta. The independent variable in this study in the provision of colostrum and exclusive breastfeeding, and dependent variable was autism. The counfounding variables are gastrointestinal infections, low birth weight and maternal age. Retrieval of data collected using a questionnaire. Univariable data analysis using frequency distribution, bivariate statistics using the McNemar test, multivariable analysis was not performed because the bivariate analysis, all variables are not significantly. Results: Of the five variables that were related to the occurrence of autism, five variables are not statistically significant and two variables that increase the risk of autism gastrointestinal infection ( p =0,09 OR 3,5 CI 95%; 0,66-34,53) and low birth weight ( p =0,17 OR 4 CI 95%; 0,39-196,9). Conclusions: There was no significant relationship between the giving of colostrum, exclusive breastfeeding and maternal age, but clinical gastrointestinal infection and low birth weight were risk factor  of autism. Keywords: Colostrum, exclusive breastfeeding, autism.
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