[1]丁细琴,于玲玲,肖 文,等.母乳喂养与非母乳喂养学龄前儿童的健康状况比较研究[J].医学信息,2019,32(08):143-145.[doi:10.3969/j.issn.1006-1959.2019.08.043]
　DING Xi-qin,YU Ling-ling,XIAO Wen,et al.Comparative Study on the Health Status of Breastfeeding and Non-breast Feeding Preschool Children[J].Journal of Medical Information,2019,32(08):143-145.[doi:10.3969/j.issn.1006-1959.2019.08.043]
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母乳喂养与非母乳喂养学龄前儿童的健康状况比较研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年08期
页码:
143-145
栏目:
调查分析
出版日期:
2019-04-15

文章信息/Info

Title:
Comparative Study on the Health Status of Breastfeeding and Non-breast Feeding Preschool Children
文章编号:
1006-1959（2019）08-0143-03
作者:
丁细琴; 于玲玲; 肖 文; 甘小亮; 丁 芬
（江西省丰城市中医院儿科，江西 丰城 331100）
Author(s):
DING Xi-qin; YU Ling-ling; XIAO Wen; GAN Xiao-liang; DING Fen
(Department of Pediatrics,Fengcheng Hospital of Traditional Chinese Medicine,Fengcheng 331100,Jiangxi,China)
关键词:
学龄前儿童; 母乳喂养; 非母乳喂养; 儿童智力发育量表; 儿童生长发育Z评分
Keywords:
Preschool children; Breastfeeding; Non-breastfeeding; Children's mental development scale; Children's growth and development Z score
分类号:
R174
DOI:
10.3969/j.issn.1006-1959.2019.08.043
文献标志码:
A
摘要:
目的 通过母乳喂养与非母乳喂养3~6岁学龄前儿童的智力、体格发育状况的调查，了解母乳喂养对小儿生长发育的重要性。方法 在本地区城镇公立幼儿园抽取母乳喂养（观察组）与非母乳喂养（对照组）3~6岁儿童各50例，采用《0~6岁小儿神经心理发育检查表》分析发育正常、肥胖、瘦小、生长迟缓Z评分比较分析两组儿童智力、身体体格发育的情况。结果 观察组学龄前儿童智力发育评分的大运动、精细动作、适应能力、语言、社交行为评分分别为（1.82±0.14）分、（1.71±0.25）分、（1.68±0.33）分、（1.85±0.15）分、（1.62±0.27）分，高于对照组的（1.68±0.12）分、（1.42±0.26）分、（1.27±0.31）分、（1.25±0.22）分、（1.41±0.28）分，差异有统计学意义（P＜0.05）。观察组儿童年龄别体重（WAZ）、身高别体重（WHZ）的评分为（1.18±0.67）分、（1.26±0.58）分，低于对照组的（1.84±0.12）分、（1.86±0.14）分，年龄别身高（HAZ）评分为（1.89±0.10）分，高于对照组的（1.10±0.64）分，差异有统计学意义（P＜0.05）。观察组儿童发育正常比例高于对照组（88.00% vs 40.00%），消瘦、超重、肥胖比例低于对照组（4.00% vs 20.00%，6.00% vs 24.00%，2.00% vs 16.00%），差异具有统计学意义（P＜0.05）。结论 母乳因为含有婴幼儿生长发育所需的各种均衡营养物质、抗体与免疫球蛋白，母乳喂养3~6岁儿童智力与生长发育指数均比非母乳喂养的好，母乳喂养有助于提高婴幼儿未来的健康状况。
Abstract:
Objective To investigate the importance of breastfeeding for the growth and development of children through breastfeeding and non-breastfeeding surveys of preschool children aged 3-6 years. Methods 50 cases of breastfeeding (observation group) and non-breastfeeding (control group) children aged 3-6 years were collected from urban public kindergartens in the region.Using the "0-6 years old children's neuropsychological development checklist" to analyze the normal development, obesity, skinny, growth retardation Z scores to compare the intelligence and physical development of the two groups of children. Results The scores of large exercise, fine movement, adaptability, language and social behavior of the preschool children's mental development scores were (1.82±0.14), (1.71±0.25), (1.68±0.33), and (1.85±0.15) points, (1.62±0.27) points, higher than the control group (1.68±0.12) points, (1.42±0.26) points, (1.27±0.31) points, (1.25±0.22) points, (1.41±0.28) points,the difference was statistically significant (P<0.05). The scores of age-specific body weight (WAZ) and height-to-weight (WHZ) of the observation group were (1.18±0.67) points and (1.26±0.58) points, which were lower than those of the control group (1.84±0.12) points and (1.86±0.14). The age-specific height (HAZ) score was (1.89±0.10), which was higher than that of the control group (1.10±0.64),the difference was statistically significant (P<0.05). The normal proportion of children in the observation group was higher than that in the control group (88.00% vs 40.00%), and the proportion of weight loss, overweight and obesity was lower than that of the control group (4.00% vs 20.00%, 6.00% vs 24.00%, 2.00% vs 16.00%),the difference was statistically significant (P<0.05).Conclusion Breast milk contains a variety of balanced nutrients, antibodies and immunoglobulins for infants and young children. The intelligence and growth index of breastfed children aged 3-6 years are better than those of non-breastfeeding. Breastfeeding helps to improve infants.The future health of young children.

参考文献/References:

[1]王炜,孙丹丹,王倩,等.母婴血清和母乳中免疫球蛋白含量的检测与临床检验学研究[J].中国医药指南,2015,13(32):118-119. [2]蒋秋静,肖年,杨莉,等.重庆市贫困地区6-24月龄儿童营养及喂养现状调查[J].中国儿童保健杂志,2017,25(1):97-99. [3]Kimani-Murage EW,Norris SA,Mutua MK,et al.Potential effectiveness of Community Health Strategy to promote exclusive breastfeeding in urban poor settings in Nairobi,Kenya:a quasi-experimental study[J].J Dev Orig Health Dis,2016,7(2):172-184. [4]蔡传兰,郝加虎,陶芳标,等.母乳喂养与婴幼儿智力发育水平关联的队列研究[J].安徽医科大学学报,2013,48(6):634-638. [5]Quigley MA,Hockley C,Carson C,et al. Breastfeeding is Associated with Improved Child Cognitive Development: A Population-Based Cohort Study[J].J Pediatr,2012,160(1):25-32. [6]潘晓粟.尧都区幼儿园3-6岁儿童营养状况及生长发育分析[D].山西农业大学食品科学与工程学院,2015. [7]Jwa SC,Fujiwara T,Kondo N.Latent protective effects of breastfeeding on late childhood overweight and obesity:A nationwide prospective study[J].Obesity,2014,22(6):1527-1537. [8]Abdulahi M,Fretheim A,Magnus JH.Effect of breastfeeding education and support intervention (BFESI) versus routine care on timely initiation and exclusive breastfeeding in Southwest Ethiopia: study protocol for a cluster randomized controlled trial[J].BMC Pediatrics,2018,18(1) :313. [9]Maciel B,Moraes ML,Soares AM,et al.Infant feeding practices and determinant variables for early complementary feeding in the first 8 months of life: results from the Brazilian MAL-ED cohort site[J].Public Health Nutr,2018,21(13):2462-2470. [10]Amare T,Kassahun A,Zemichael G,et al.Mothers' education and ANC visit improved exclusive breastfeeding in Dabat Health and Demographic Surveillance System Site,northwest Ethiopia[J].PLoS One,2017,12(6):e0179056. [11]Kramer MS,Aboud F,Mironova E,et al.Breastfeeding and child cognitive development in the Philippines[J].Am J Hum Biol,2010,22(6):725-730. [12]雷章美.母乳喂养持续时间对婴幼儿智力发展程度的影响[J].健康研究,2016,36(6):705-706,708. [13]Haider R,Saha KK.Breastfeeding and infant growth outcomes in the context of intensive peer counselling support in two communities in Bangladesh[J].International Breastfeeding Journal,2016,11(1):18. [14]景汇泉,杨日彭,杜娟,等.中国母乳喂养与儿童体质指数、超重及肥胖关系[J].中国公共卫生,2017,33(1):91-94. [15]Kramer MS,Kakuma R.Optimal duration of exclusive breastfeeding[J].Cochrane Database Svst Rev,2012,15(8):CD003517. [16]Hadjiona V,Middleton N,Kouta C,et al.Cyprus mothers' breast feeding self-efficacy and their perceptions about the implementation of the '10 steps' in the first 48hours after birth[J].Midwifery,2016,36(2):43-52. [17]Scheffler L,Sauermann Y,Geh G,et al.Detection of Volatile Metabolites of Garlic in Human Breast Milk[J].Metabolites,2016,6(2):221-224.

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更新日期/Last Update: 2019-04-15