Meat consumption is associated with less stunting among toddlers in four diverse low-income settings.
Meat consumption is associated with less stunting among toddlers in four diverse low-income settings.
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DOI：
10.1177/156482651103200301
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发表时间：
2011-09
影响因子：
1.9
通讯作者：
Complementary Feeding Study Group
中科院分区：
文献类型：
--
作者：
Krebs NF;Mazariegos M;Tshefu A;Bose C;Sami N;Chomba E;Carlo W;Goco N;Kindem M;Wright LL;Hambidge KM;Complementary Feeding Study Group
早期生长迟缓很常见，但在出生后头两年就很难逆转。在进行补充喂养试验之前，描述不同低收入环境中婴幼儿的喂养方式和生长情况。这项横断面研究是通过危地马拉、刚果民主共和国、赞比亚和巴基斯坦的全球妇女和儿童健康研究网络进行的。对 5 至 9 个月大婴儿和 12 至 24 个月大幼儿的母亲进行了喂养调查问卷。经过标准化训练后，对幼儿进行了人体测量。根据 2006 年世界卫生组织生长标准，发育迟缓定义为年龄别身长 < -2SD，消瘦定义为身长别体重 < -2SD。应用逻辑回归来评估发育迟缓、消瘦和肉类消费（包括鸡肉和肝脏，不包括鱼）之间的关系。数据来自 1,500 名平均年龄 (± SD) 为 6.9 ± 1.4 个月的婴儿和 1,658 名平均年龄为 17.2 ± 3.5 个月的幼儿。两个年龄段的大多数受试者都是母乳喂养。不到 25% 的婴儿经常吃肉，而 62% 的幼儿经常吃这些食物，尽管各个地点的比例差异很大。各站点发育迟缓率从 44% 到 66% 不等；所有地点的消瘦率均低于 10%。控制协变量后，食用肉类与发育迟缓的可能性降低相关（OR = 0.64；95% CI，0.46 至 0.90）。这些幼儿的发育迟缓率惊人地高，以及肉类消费对发育迟缓的保护作用强调需要从婴儿期开始采取干预措施来改善补充喂养方法。
Early growth faltering is common but is difficult to reverse after the first 2 years of life. To describe feeding practices and growth in infants and young children in diverse low-income settings prior to undertaking a complementary feeding trial. This cross-sectional study was conducted through the Global Network for Women’s and Children’s Health Research in Guatemala, Democratic Republic of Congo, Zambia, and Pakistan. Feeding questionnaires were administered to convenience samples of mothers of 5- to 9-month old infants and 12- to 24-month-old toddlers. After standardized training, anthropometric measurements were obtained from the toddlers. Following the 2006 World Health Organization Growth Standards, stunting was defined as length-for-age < −2SD, and wasting as weight-for-length < −2SD. Logistic regression was applied to evaluate relationships between stunting and wasting and consumption of meat (including chicken and liver and not including fish). Data were obtained from 1,500 infants with a mean (± SD) age of 6.9 ± 1.4 months and 1,658 toddlers with a mean age of 17.2 ± 3.5 months. The majority of the subjects in both age groups were breastfed. Less than 25% of the infants received meat regularly, whereas 62% of toddlers consumed these foods regularly, although the rates varied widely among sites. Stunting rate ranged from 44% to 66% among sites; wasting prevalence was less than 10% at all sites. After controlling for covariates, consumption of meat was associated with a reduced likelihood of stunting (OR = 0.64; 95% CI, 0.46 to 0.90). The strikingly high stunting rates in these toddlers and the protective effect of meat consumption against stunting emphasize the need for interventions to improve complementary feeding practices, beginning in infancy.
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DOI：
10.3961/jpmph.2008.41.4.232
发表时间：
2008-07-01
期刊：
Journal of preventive medicine and public health = Yebang Uihakhoe chi
影响因子：
--
作者：
Hien, Nguyen Ngoc;Kam, Sin
通讯作者：
Kam, Sin
DOI：
10.1097/mpg.0b013e31815d6968
发表时间：
2008-03-01
影响因子：
2.9
作者：
Fenn, Bridget;Penny, Mary E.
通讯作者：
Penny, Mary E.
影响因子：
168.9
作者：
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者：
Uauy, Ricardo
影响因子：
168.9
作者：
Penny, ME;Creed-Kanashiro, HM;Black, RE
通讯作者：
Black, RE
影响因子：
4.2
作者：
Hambidge, K. Michael;Krebs, Nancy F.
通讯作者：
Krebs, Nancy F.