A young child feeding index is not associated with either height-for-age or height velocity in rural Senegalese children
A young child feeding index is not associated with either height-for-age or height velocity in rural Senegalese children
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DOI：
10.1093/jn/135.3.457
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发表时间：
2005-03-01
影响因子：
4.2
通讯作者：
Simondon, F
中科院分区：
文献类型：
--
作者：
Ntab, B;Simondon, KB;Simondon, F
Ruel和Menon最近发布了一项幼儿喂养指数，该指数基于24小时和7-D回忆的特征。在拉丁美洲对12至36个月的儿童进行的7项人口和健康调查中发现了强烈的正相关性(1)。这项研究的目的是测试这一指数与非洲儿童的年龄身高和线性增长的相关性。4-5月，对生活在塞内加尔农村地区的500名年龄在12-42个月的儿童进行了家访，并与他们的母亲一起进行了24小时和7-D食品召回。测量身高，并使用7个月前进行的测量来计算线性增长率。一般线性模型被用来调整潜在的混杂因素(儿童年龄和性别、母亲身高、BMI和社会经济地位)。摄食指数与年龄高度(调整后的平均值分别为-1.01、-1.06和-1.20)或线性增长(分别为6.2、6.0和6.3 cm/7mo)无关。持续母乳喂养与身高呈负相关(P<；0.05)，与直线生长呈正相关(P<；0.01)。经常食用水果与两者呈正相关(在调整后的模型中，分别为P=0.059和P=0.027)，而从动物来源摄取的食物则不是。总而言之，在这些非洲农村儿童中，综合喂养指数与身高和线性生长无关，部分原因是母乳喂养持续时间和发育迟缓之间的因果关系颠倒了。
Ruel and Menon recently published a young child feeding index based on characteristics taken from 24-h and 7-d recalls. A strong positive association was found in 7 Latin American Demographic and Health Surveys for 12- to 36-mo-old children (1). The aim of this study was to test for associations of this index with height-for-age and linear growth in African children. Children (n = 500), aged 12-42 mo, living in a rural area of Senegal were visited in their homes in April-May, and 24-h and 7-d food recalls were conducted with their mothers. Height was measured, and measurements taken 7 mo earlier were used to compute linear growth rates. General linear models were used to adjust for potential confounders (child age and sex, maternal height, BMI, and socioeconomic status). The feeding index was not associated with either height-for-age (adjusted means: -1.01, -1.06, and -1.20 Z-scores for the 1st, 2nd, and 3rd tercile, respectively) or with linear growth (6.2, 6.0, and 6.3 cm/7 mo for the 3 terciles, respectively). Continuing breast-feeding was negatively associated with height-for-age (P < 0.05) and positively associated with linear growth (P < 0.01). Frequent consumption of fruit was positively associated with both (P = 0.059 and P = 0.027, respectively, in adjusted models), whereas food consumption from an animal source was not. In conclusion, the composite feeding index was independent of height and linear growth in these rural African children, due in part to reverse causality between breast-feeding duration and stunting.