A summary index of infant and child feeding practices is associated with child growth in urban Shanghai.

A summary index of infant and child feeding practices is associated with child growth in urban Shanghai.
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上海城区婴幼儿喂养行为与儿童生长发育相关性综合指数

DOI:
10.1186/1471-2458-12-568
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发表时间:
2012-07-28
期刊:
影响因子:
4.5
通讯作者:
Sheng XY
Sheng XY
中科院分区:
医学2区
文献类型:
--
作者:
Ma JQ;Zhou LL;Hu YQ;Liu JR;Liu SS;Zhang J;Sheng XY

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最近,基于对母乳喂养、喂养频率和食物多样化的简要回忆而构建的婴儿和儿童喂养指数(ICFI)被认为可以提供有关儿童喂养实践的长期预测。本研究的目的是调查中国上海市中心城区的横断面 ICFI (CS-ICFI) 或纵向 ICFI (L-ICFI) 与儿童人体测量指数之间的关联。这项前瞻性队列研究纳入了 180 名 5-7 个月的婴儿及其主要照顾者,在 12 个月内每 6 个月被探访 3 次。通过使用基于 24 小时和 7 天回忆的喂养实践数据,为每次访问构建了 CS-ICFI。使用 3 个 CS-ICFI 构建了 L-ICFI。研究了 ICFI 与年龄别身长 z 评分 (LAZ)、年龄别体重 z 评分 (WAZ) 和身长别体重 z 评分 (WLZ) 之间的关联。使用重复性系数 (RC) 评估 CS-ICFI 的稳定性。第 3 次访视时 L-ICFI 与 LAZ 和 WAZ 呈正相关(分别为 beta = 0.151,P = 0.040 和 beta = 0.173,P = 0.024)。此外,访视 1 时的 CS-ICFI 与访视 3 时的 LAZ、WAZ 和 WLZ 呈正相关(β = 0.160,P = 0.029;β = 0.191,P = 0.009;β = 0.176,P = 0.020);访视 3 时的 CS-ICFI 也与 LAZ 呈正相关(β = 0.176,P = 0.016)。 CS-ICFI的稳定性由RC值0.14(95%CI:0.07,0.31)表示,与0有显着差异(P < 0.05)。基于横断面研究的简短回忆构建的 ICFI 可用于评估儿童喂养实践对儿童生长的影响。
Recently, an infant and child feeding index (ICFI) constructed on brief recalls of breastfeeding, feeding frequency and food diversification was assumed to provide long-term prediction about child feeding practices. The aim of this study was to investigate the association between the cross-sectional ICFI (CS-ICFI) or longitudinal ICFI (L-ICFI) and child anthropometric indices in downtown Shanghai, China. The prospective cohort study included 180 infants aged 5-7 mo with their main caregivers who were visited 3 times every 6 months over 12 months. A CS-ICFI was constructed for each visit by using data on feeding practices based on 24-h and 7-d recalls. An L-ICFI was constructed with use of the 3 CS-ICFIs. The associations between ICFI and length-for-age z score (LAZ), weight-for-age z score (WAZ), and weight-for-length z score (WLZ) were examined. The stability of the CS-ICFI was assessed by using repeatability coefficient (RC). The L-ICFI was positively associated with LAZ and WAZ at Visit 3(beta = 0.151, P = 0.040 and beta = 0.173, P = 0.024, respectively). Moreover, the CS-ICFI at Visit 1 was positively associated with LAZ, WAZ and WLZ (beta = 0.160, P = 0.029; beta = 0.191, P = 0.009; beta = 0.176, P = 0.020) at Visit 3, and the CS-ICFI at Visit 3 was also positively associated with LAZ (beta = 0.176, P = 0.016). Stability of the CS-ICFI was shown by the value of 0.14 (95% CI: 0.07, 0.31) of the RC, which differed significantly from 0 (P < 0.05). The ICFI constructed on brief recalls based on cross-sectional studies can be used to evaluate the effects of child feeding practice on child growth.
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发表时间: 2009-06-01
影响因子: 4.7
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