Association between feeding practices and weight status in young children.
Association between feeding practices and weight status in young children.
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幼儿喂养方式与体重状况之间的关联
DOI：
10.1186/s12887-015-0418-4
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发表时间：
2015-08-26
期刊：
影响因子：
2.4
通讯作者：
Sheng XY
中科院分区：
文献类型：
--
作者：
Ma JQ;Zhou LL;Hu YQ;Liu SS;Sheng XY
研究背景婴儿期喂养不当可能导致超重。本研究的目的在于探讨儿童在出生后18个月内的成长情况，并使用幼儿喂养问卷评估照顾者的喂养行为;方法选择在控江社区卫生服务中心进行常规健康教育的6个月大婴儿及其主要照顾者，调查其喂养态度和喂养行为与婴儿体重状况的关系。本研究招募儿童检查，每6个月随访一次，共12个月。采用《幼儿喂养问卷》对儿童的主要照顾者进行问卷调查，内容包括照顾者的喂养态度和喂养行为。结果在197名18月龄完成调查的儿童中，有64名（32.49%）儿童超重（BMI-年龄z分数> +1）。超重儿童出生至6个月、12至18个月、18个月的年龄别体重z值和BMI年龄别z值的增长均显著高于正常体重儿童（P< 0.001）。正常体重儿童的照顾者更担心儿童“体重不足”和“吃得少”（P= 0.001），而超重儿童的照顾者更担心儿童“吃得多”和“超重”（P< 0.001）。在64例超重婴儿中，12 ~ 18个月时，“关注儿童进食”得分与BAZ增加显著相关（Bata= 0.293，P = 0.029）。超重儿童的BMI快速增加可能与照顾者的一些不适当的喂养态度和行为有关。
BackgroundInappropriate feeding practices during infancy may lead to overweight. The aims of this study are to investigate the growth of children in the first 18 months of life; to evaluate the feeding practices of caregivers using developed Young Child Feeding Questionnaire; and to investigate caregivers’ feeding attitudes and behaviors associated with infants’ weight status.MethodsSix month-old infants and their main caregivers entering the Kongjiang Community Health Center for a routine well-child check were recruited for this study and followed up every 6 months for 12 months. Questionnaire survey was carried out through on-site face-to-face interview at each visit with the main caregivers of children using Young Child Feeding Questionnaire, which included caregivers’ feeding attitudes and behaviors. The weight and length of children were measured at each visit.ResultsAmong 197 children who completed the investigation at 18 months of age, 64 (32.49 %) children were overweight (BMI-for-age z scores > +1). The increases in weight-for-age z scores and BMI-for-age z scores from birth to 6 months, 12 to 18 months and birth to 18 months in overweight children were significantly higher than those in normal weight children (P< 0.001). In normal weight children, caregivers worried more about children’s being “underweight” and “eating less” (P= 0.001), whereas caregivers with overweight children worried more about children’s “eating too much” and being “overweight” (P< 0.001). In 64 overweight infants, the scores of “concern about child’s food intake” were significantly correlated with increase in BAZ between 12 and 18 months (Bata= 0.293,P= 0.029).ConclusionsYoung Child Feeding Questionnaire is a valid tool for evaluating feeding practice of caregivers. The rapid BMI gain in overweight children may be associated with some inappropriate feeding attitudes and behaviors of caregivers.