Relationship Between Human Milk Feeding Patterns and Growth in the First Year of Life in Infants with Congenital Heart Defects
Relationship Between Human Milk Feeding Patterns and Growth in the First Year of Life in Infants with Congenital Heart Defects
复制标题
母乳喂养方式与先天性心脏病婴儿一岁生长的关系
作者：
Jillian C. Trabulsi;R. Lessen;K. Siemienski;Michelle T. Delahanty;R. Rickman;M. Papas;A. Rovner
本研究的目的是确定母乳喂养模式与先天性心脏病婴儿出生后第一年生长的关系。这项前瞻性队列研究的入选标准包括0-21天的婴儿，他们在出院前已经接受或计划接受新生儿矫正或姑息手术，并且他们的母亲计划喂母乳。在9个时间点（0.5、1、2、3、4、6、8、10、12个月）收集人体测量数据（体重、身长、头围）和婴儿乳汁类型（人乳、配方奶粉、其他）。使用世界卫生组织生长参考数据，将人体测量数据转换为年龄别体重、年龄别身高、年龄别头围和身高别体重Z评分。聚类分析确定了第一年的三种牛奶类型喂养模式：婴儿仅喂养人乳，没有配方奶粉补充剂，婴儿喂养人乳，然后过渡到人乳和配方奶粉的混合物，以及婴儿喂养人乳并过渡到配方奶粉。一般线性模型评估了牛奶型喂养模式对生长参数随时间变化的影响。未发现乳汁类型模式×时间对年龄别体重（交互作用p = 0.228）、年龄别身长（交互作用p = 0.173）、身高别体重（交互作用p = 0.507）或年龄别头围（交互作用p = 0.311）Z评分的纵向变化有影响。在这项队列研究中，母乳单独或与婴儿配方奶粉结合使用，支持患有先天性心脏病的婴儿在第一年的年龄适当增长。
The purpose of this study was to determine the relationship between patterning of human milk feeding and growth of infants with congenital heart defects in the first year of life. Inclusion criteria for this prospective cohort study included infants 0–21 days, who had undergone or had planned neonatal corrective or palliative surgery prior to hospital discharge, and whose mothers planned to feed human milk. Data on anthropometric measures (weight, length, head circumference) and infant milk type (human milk, formula, other) were collected at nine time points (0.5, 1, 2, 3, 4, 6, 8, 10, 12 months). Anthropometric data were converted to weight-for-age, length-for-age, head circumference-for-age, and weight-for-length Z -scores using World Health Organization growth reference data. Cluster analysis identified three milk type feeding patterns in the first year: Infants fed human milk only with no formula supplementation, infants fed human milk who then transitioned to a mix of human milk and formula, and infants who fed human milk and transitioned to formula only. General linear models assessed the effect of milk type feeding patterns on growth parameters over time. No effect of milk type pattern × time was found on longitudinal changes in weight-for-age ( p for interaction = 0.228), length-for-age ( p for interaction = 0.173), weight-for-length ( p for interaction = 0.507), or head circumference-for-age ( p for interaction = 0.311) Z -scores. In this cohort study, human milk alone or combined with infant formula supported age-appropriate growth in infants with congenital heart defects in the first year.
DOI：
10.1016/j.jpeds.2013.06.032
发表时间：
2013-12
期刊：
The Journal of pediatrics
影响因子：
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作者：
Belfort MB;Gillman MW;Buka SL;Casey PH;McCormick MC
通讯作者：
McCormick MC