母乳喂养、早期引入非母乳和学龄前超重

IF 1.4 Q3 PEDIATRICS
Viviane Gabriela Nascimento , Janaína Paula Costa da Silva , Patrícia Calesco Ferreira , Ciro João Bertoli , Claudio Leone
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引用次数: 0

摘要

目的探讨学龄前儿童超重与母乳喂养时间和非母乳喂养年龄的关系。方法对taubat市日托中心的817名2至4岁学龄前儿童的代表性样本进行横断面研究。分别于2009年、2010年和2011年测量日托中心儿童的体重和身高。计算体重指数z评分(bmi - score, BMIz),并将儿童分为超重风险(bmi≥1 ~ 2)或超重风险(bmi≥2)。采用比例法、相关系数法和多元线性回归法对数据进行分析。结果超重危险率为18.9%,超重(超重或肥胖)危险率为9.3%。母乳喂养的中位持续时间和引入非母乳的年龄为6个月。新生儿bmi与出生体重呈直接相关(r=0.154;p<0.001)和母亲身体质量指数(BMI) (r=0.113;p = 0.002)。与总母乳喂养时间呈负相关(r= - 0.099;P =0.006)和非母乳喂养时的年龄(r= - 0.112;p = 0.002)。婴儿的bmi与出生长度、纯母乳喂养持续时间和母亲年龄之间没有相关性。结论越早引入非母乳喂养与学龄前超重的相关性越高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aleitamento materno, introdução precoce de leite não materno e excesso de peso na idade pré‐escolar

Objective

Investigate associations between excess weight in preschool children, breastfeeding duration and age of non‐breast milk introduction.

Methods

Cross‐sectional study of a representative sample of 817 preschool children, aged 2 to 4 years, attending municipal day care centers in the city of Taubaté. The weight and height of children were measured in the day care centers in 2009, 2010 and 2011. The body mass index z‐score (BMIz) was calculated and children were classified as risk of overweight (BMIz≥1 to<2) or excess weight (BMIz≥2). Data analysis was carried out by comparison of proportions, coefficient of correlation and multivariate linear regression.

Results

The prevalence of risk of overweight was 18.9% and of excess weight (overweight or obesity) was 9.3%. The median duration of breastfeeding and age of introduction of non‐breast milk was 6 months. The child's BMIz showed direct correlation with birth weight (r=0.154; p<0.001) and maternal Body Mass Index (BMI) (r=0.113; p=0.002). The correlation was inverse with the total duration of breastfeeding (r=−0.099; p=0.006) and age at non‐breast milk introduction (r=−0.112; p=0.002). There was no correlation between the child's BMIz with birth length, duration of exclusive breastfeeding and mother's age.

Conclusions

The earlier the introduction of non‐breast milk, the higher the correlation with excess weight at preschool age.

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来源期刊
Revista Paulista De Pediatria
Revista Paulista De Pediatria Medicine-Pediatrics, Perinatology and Child Health
CiteScore
2.30
自引率
0.00%
发文量
100
审稿时长
11 weeks
期刊介绍: The Revista Paulista de Pediatria publishes original contributions, case reports and review of clinical research with methodological approach in the areas of health and disease of neonates, infants, children and adolescents. The objective is to disseminate research with methodological quality on issues that comprise the health of children and adolescents. All articles are freely available online, via SciELO. Its abbreviated title is Rev. Paul. Pediatr., which should be used in bibliographies, footnotes and bibliographical references and strips.
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