Predictors of growth from 1 to 18 months among breast-fed Ghanaian infants
Predictors of growth from 1 to 18 months among breast-fed Ghanaian infants
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DOI：
10.1038/sj.ejcn.1600891
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发表时间：
2000-01-01
影响因子：
4.7
通讯作者：
Dewey, KG
中科院分区：
文献类型：
--
作者：
Lartey, A;Manu, A;Dewey, KG
目的：研究加纳母乳喂养婴儿在出生后18个月内身体发育的相关因素。设计：一项以社区为基础的纵向研究。设置：该研究在加纳布朗阿哈福地区的一个地区首府和主要食品交易中心Techiman进行。受试者：从妇幼保健院招募出生体重大于或等于2.5 kg的1个月大婴儿（n = 216）。从6个月到12个月，婴儿被提供四种营养增强的补充食品之一。从1个月到12个月每月完成一次人体测量评估，从12个月到18个月每隔一个月完成一次。收集了关于家庭特征、常见感染发病率和饮食摄入量的资料。在6个月和12个月时采集血液样本，以评估铁、锌、核黄素和维生素A的状况。多元回归分析被用来检查与生长相关的因素，在1-6，4-6，6-12和12-18个月的年龄间隔，以及大小达到在12和18个月。呼吸道疾病（定义为咳嗽或脓性鼻涕）与生长之间没有显著关系。除膳食锌摄入量外，膳食变量通常与生长无关。产妇教育与增长在大多数的年龄intervation.Conclusion：这些研究结果表明，干预措施，以减少发病率和提高女孩的教育可能有利于儿童的成长，在这个人口。
Objective: To examine factors associated with the physical growth of breast-fed Ghanaian infants during the first 18 months of life.Design: A community-based longitudinal study.Setting: The study was carried out in Techiman, a district capital and major food trading center in the Brong Ahafo region of Ghana.Subjects: One-month old infants (n = 216) with birth weight greater than or equal to 2.5 kg were recruited from Maternal and Child Health Centers.Method: From 6 to 12 months, infants were provided with one of four types of nutritionally enhanced complementary foods. Anthropometric assessments were completed monthly from 1 to 12 months and every other month from 12 to 18 months. Information was collected on household characteristics, morbidity from common infections and dietary intakes. Blood samples were collected at 6 and 12 months to assess iron, zinc, riboflavin and vitamin A status. Multiple regression analysis was used to examine factors associated with growth during the age intervals of 1-6, 4-6, 6-12 and 12-18 months as well as size attained at 12 and 18 months.Results: Prevalence of diarrhea and fever were negatively associated with growth during the first year of life. No significant relationship was found between respiratory illness (defined as cough or purulent nasal discharge) and growth. With the exception of dietary zinc intake, dietary variables were generally not significantly associated with growth. Maternal education was positively associated with growth during most of the age intervals.Conclusion: These findings suggest that interventions to reduce morbidity and improve the education of girls may benefit children's growth in this population.