Infant feeding patterns in the Finnish type I diabetes prediction and prevention nutrition study cohort

Infant feeding patterns in the Finnish type I diabetes prediction and prevention nutrition study cohort
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DOI:
10.1038/sj.ejcn.1602045
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发表时间:
2005-01-01
影响因子:
4.7
通讯作者:
Virtanen, SM
Virtanen, SM
中科院分区:
医学3区
文献类型:
--
作者:
Erkkola, M;Pigg, HM;Virtanen, SM

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目的:为了调查婴儿喂养模式在第一个2 y和他们的关系sociodemographicfactors.Design:一个以人口为基础的队列study.Setting:欧卢和坦佩雷大学医院区1996 - 1999,Finland.Subjects和方法:所有新生儿(n = 675)与I型糖尿病的遗传风险增加被邀请到1996 - 1997年的研究。其中,429(64%)完成了饮食后续形式的时间,他们达到了2 yofage.Results:纯母乳喂养(BF)的中位持续时间为1.8个月(范围0 - 6个月)和总BF 7.0个月(0.3 - 25个月)。在婴儿中,20%的婴儿至少4个月(建议4 - 6个月)完全母乳喂养。婴儿在中位年龄1.8个月(范围0 - 25个月)时开始食用婴儿配方奶粉,在中位年龄3.5个月(1 - 6个月)时开始食用其他补充食品。婴儿出生时的体重指数与总BF持续时间呈负相关。引入辅助食物的年龄与总BF的持续时间呈正相关。较长的父母教育和母亲的年龄增加与BF的持续时间较长和年龄较大的引入补充食品。婴儿配方奶粉和其他补充食品被添加到饮食中的男孩比的女孩。结论:在芬兰母乳喂养的持续时间短于建议。目前关于第一次补充食品和奶制品的推出时间的建议的遵守情况相对较差。婴儿期的饮食似乎明显受到父母受教育时间、母亲年龄和婴儿性别的影响。
Objective: To investigate infant feeding patterns during the first 2 y and their relation to sociodemographic factors.Design: A population-based cohort study.Setting: Oulu and Tampere University Hospital district areas 1996 - 1999, Finland.Subjects and methods: All newborn infants ( n = 675) with increased genetic risk for type I diabetes were invited to the study in 1996 - 1997. Of these, 429 (64%) completed the dietary follow-up form by the time they reached 2 y of age.Results: The median duration of exclusive breastfeeding (BF) was 1.8 months ( range 0 - 6 months) and that of total BF 7.0 months (0.3 - 25 months). Among the infants 20% were exclusively breastfed at least 4 months ( recommendation 4 - 6 months). Infants were introduced to infant formula at the median age of 1.8 months ( range 0 - 25 months) and other supplementary foods at the median age of 3.5 months ( 1 - 6 months). Infant's ponderal index at birth was inversely associated with the duration of total BF. The age of introduction of supplementary foods correlated positively with the duration of total BF. Longer parental education and increased maternal age were associated with a longer duration of BF and older age at introduction of supplementary foods. Infant formula and other supplementary foods were added earlier to the diet of the boys than that of the girls.Conclusion: Duration of breastfeeding in Finland is shorter than recommended. Compliance with the current recommendations on the timing of introduction of first supplementary food and dairy products is relatively poor. The diet during infancy seems to be conspicuously influenced by the duration of parental education, maternal age and the sex of the infant.