Effect of exclusive breastfeeding on selected adverse health and nutritional outcomes: a nationally representative study.
Effect of exclusive breastfeeding on selected adverse health and nutritional outcomes: a nationally representative study.
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DOI：
10.1186/s12889-017-4913-4
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发表时间：
2017-11-21
影响因子：
4.5
通讯作者：
Islam MM
中科院分区：
文献类型：
--
作者：
Khan MN;Islam MM
尽管越来越多的证据支持婴儿在出生后6个月内纯母乳喂养(EBF)，但关于EBF最佳持续时间的争论仍在继续。这项研究考察了在出生的前2个月、4个月和6个月终止EBF对婴儿一系列不利的健康和营养结果的影响。对孟加拉国人口与健康调查的三波数据进行了多元回归分析。不良健康后果包括：在调查前2周内出现腹泻、发烧或急性呼吸道感染(ARI)。营养结果通过发育迟缓(按年龄计算身高)、消瘦(按身高计算体重)和体重不足(按年龄计算)来评估。计算人群归因分数，以估计通过提供EBF本可以预防的这六种结果的百分比。56%的婴儿在前6个月是纯母乳喂养的。缺乏EBF增加了腹泻、发烧和ARI的几率。在6个月及以下婴儿中，如果不停止EBF，27.37%的腹泻、13.24%的发热和8.94%的ARI是可以预防的。如果在0-2个月内终止EBF，2-4个月内体重过轻的几率分别比没有终止EBF的婴儿高2.16倍和2.01倍。没有在出生后6个月内提供EBF的儿童可能会患上一系列传染病和营养不良。应加强健康促进和其他公共卫生干预措施，以鼓励至少出生六个月的EBF。本研究的数据是按照ICF国际和孟加拉国医学研究理事会的指南收集的。数据采集登记号为132,989.0.000，数据请求登记日期为2016年9月11日。
Despite growing evidence in support of exclusive breastfeeding (EBF) among infants in the first 6 months of birth, the debate over the optimal duration of EBF continues. This study examines the effect of termination of EBF during the first 2, 4 and 6 months of birth on a set of adverse health and nutritional outcomes of infants. Three waves of Bangladesh Demographic and Health Survey data were analysed using multivariate regression. The adverse health outcomes were: an episode of diarrhea, fever or acute respiratory infection (ARI) during the 2 weeks prior to the survey. Nutritional outcomes were assessed by stunting (height-for-age), wasting (weight-for-height) and underweight (weight-for-age). Population attributable fraction was calculated to estimate percentages of these six outcomes that could have been prevented by supplying EBF. Fifty-six percent of infants were exclusively breastfed during the first 6 months. Lack of EBF increased the odds of diarrhea, fever and ARI. Among the babies aged 6 months or less 27.37% of diarrhea, 13.24% of fever and 8.94% of ARI could have been prevented if EBF was not discontinued. If EBF was terminated during 0–2 months, 2–4 months the odds of becoming underweight were 2.16 and 2.01 times higher, respectively, than babies for whom EBF was not terminated. Children who are not offered EBF up to 6 months of their birth may suffer from a range of infectious diseases and under-nutrition. Health promotion and other public health interventions should be enhanced to encourage EBF at least up to six-month of birth. Data of this study were collected following the guidelines of ICF International and Bangladesh Medical Research Council. The registration number of data collection is 132,989.0.000 and the data-request was registered on September 11, 2016.
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母乳喂养以及腹泻发病率和死亡率的风险。
影响因子：
4.5
作者：
Lamberti LM;Fischer Walker CL;Noiman A;Victora C;Black RE
通讯作者：
Black RE
影响因子：
168.9
作者：
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通讯作者：
Uauy, Ricardo
DOI：
10.1080/09603120801966050
发表时间：
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影响因子：
3.2
作者：
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通讯作者：
Mosler, Hans-Joachim
影响因子：
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作者：
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通讯作者：
Bachrach, LR
影响因子：
4.5
作者：
Chowdhury, Muhammad Abdul Baker;Uddin, Md Jamal;Haque, Md Rabiul
通讯作者：
Haque, Md Rabiul