A Month of Breastfeeding Associated with Greater Adherence to Pediatric Nutrition Guidelines.
A Month of Breastfeeding Associated with Greater Adherence to Pediatric Nutrition Guidelines.
复制标题
一个月的母乳喂养与更好地遵守儿科营养指南相关。
DOI：
10.1080/02646838.2013.784898
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发表时间：
2013
影响因子：
2.5
通讯作者：
Reich,StephanieM
中科院分区：
文献类型：
--
作者：
Khalessi,Ali;Reich,StephanieM
背景：研究表明，母乳喂养和推迟引入母乳以外的固体或液体均可预防儿童早期肥胖。目的：比较母乳喂养的母亲是否更多地遵循美国儿科学会(AAP)对婴儿的喂养建议。方法：这项纵向研究比较了163名不同种族的初产妇在孕期前18个月的母乳喂养知识、意图和行为以及补充喂养选择。结果：尽管几乎所有女性(98%)都知道母乳喂养的健康益处(98%)，但只有85%的人开始母乳喂养，51%的人继续母乳喂养4周以上。母乳喂养持续时间较长与更好的喂养选择有关。母乳喂养超过几周的母亲更有可能遵守AAP的指导方针，在4、6和12个月时喂养母乳以外的液体，并在以后的年龄引入固体、液体以外的母乳和其他补充食物。此外，母乳喂养不足1个月的母亲比母乳喂养1个月或以上的母亲更有可能在2个月后引入固体食物(OR=3.22)。结论：知识和意图不能解释母乳喂养的开始或继续。然而，当妇女承诺母乳喂养的时间更长，特别是超过4周时，她们为婴儿做出了更好的营养选择。
Background: Research has shown that both breastfeeding and delaying the introduction of solids or liquids other than breast milk protect against obesity later in early childhood.Objectives: To compare whether breastfeeding mothers adhere to more of the American Academy of Pediatrics (AAP) feeding recommendations for infants.Method: This longitudinal study compared the breastfeeding knowledge, intentions and practices as well as complementary feeding choices of 163 ethnically diverse, primiparous women over the first 18 months of motherhood.Results: Although almost all women (98%) knew about the health benefits of breastfeeding and intended to breastfeed (98%), only 85% initiated and 51% continued beyond 4 weeks. Breastfeeding for longer durations was associated with better feeding choices. Mothers who breastfed for more weeks were more likely to adhere to AAP guidelines on feeding infants liquids other than breast milk at 4, 6 and 12 months, and introducing solids, liquids other than breast milk and other complementary foods at later ages. Furthermore, mothers who breastfed for less than 1 month were more likely to introduce solids by 2 months in comparison to mothers who breastfed for 1 month or more (OR = 3.22).Conclusion: Knowledge and intentions do not explain breastfeeding initiation or continuation. However, when women committed to more weeks of breastfeeding, especially more than 4 weeks, they made better nutrition choices for their infants.