印度婴儿纯母乳喂养与身体成分：一项前瞻性研究。

IF 1.7 4区医学 Q2 PEDIATRICS

Indian pediatrics Pub Date : 2025-07-08 DOI:10.1007/s13312-025-00116-3

Shruti Pai, Sayeeda Arshiya Farheen, Sumithra Selvam, Ramya Padmanabha, B S Chandrakala, Rebecca Kuriyan

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引用次数: 0

摘要

目的：探讨纯母乳喂养（BF）与居住在印度南部城市的3个月和6个月婴儿身体成分之间的关系。方法：选取健康足月新生儿135例，随访至6个月。记录产妇特征、社会人口因素和BF信息。评估人体测量和身体组成（空气置换体积脉搏图）。采用独立t检验对有无排异BF组间变量进行比较。使用校正协变量的一般线性模型检验3和6个月时纯BF与婴儿体成分之间的关系。结果：3个月和6个月的独家BF率分别为78.9%（90/114）和22.1%（24/113）。纯母乳喂养的婴儿在3个月时的%脂肪质量（FM）增加的调整比值(aOR （95%CI) 16.8 (1.53, 183.80), P = 0.021）、FM(kg) [1.23 (1.02, 1.50), P = 0.029]和FM指数[1.61 (0.99,2.63),P = 0.057]高于非纯母乳喂养婴儿，而%无脂肪质量（FFM） [0.06 (0.01, 0.67), P = 0.022]低于纯母乳喂养婴儿。同样，EBF婴儿在6个月时FM增加的几率更高[24.0 (1.69,339.1),P = 0.019]， FFM指数显著降低。结论：与非EBF婴儿相比，EBF印度婴儿在婴儿期早期具有更高的FM和更低的FFM。

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Exclusive Breastfeeding and Body Composition in Indian Infants: A Prospective Study.

Objective: To investigate the association between exclusive breastfeeding (BF) and body composition at 3 and 6 months in infants residing in urban Southern India.

Methods: Healthy term neonates (n = 135) were recruited at birth and followed up until 6 months. Information on maternal characteristics, sociodemographic factors, and BF were recorded. Anthropometry and body composition (air displacement plethysmography) were assessed. Independent t-test was used to compare variables between groups with or without exclusive BF. The association between exclusive BF and infant body composition at 3 and 6 months were examined using general linear models adjusted for covariates.

Results: Exclusive BF rate at 3 and 6 months was 78.9% (90/114) and 22.1% (24/113), respectively. Infants who were exclusively breastfed (EBF) had higher adjusted odds of increased % fat mass (FM), [aOR (95%CI) 16.8 (1.53, 183.80), P = 0.021], FM(kg) [1.23 (1.02, 1.50), P = 0.029] and FM index [1.61 (0.99, 2.63), P = 0.057] and lower odds of % fat free mass (FFM) [0.06 (0.01, 0.67), P = 0.022] at 3 months compared to non-EBF infants. Similarly, EBF infants had higher odds of increased % FM [24.0 (1.69, 339.1), P = 0.019] and significantly lower FFM indices at 6 months.

Conclusion: EBF Indian infants had higher FM and lower FFM compared to non-EBF infants in early infancy.

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来源期刊

Indian pediatrics 医学-小儿科

CiteScore

3.30

自引率

8.70%

发文量

344

审稿时长

3-8 weeks

期刊介绍： The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.