Do mothers understand healthy eating principles for low-birth-weight infants?
Do mothers understand healthy eating principles for low-birth-weight infants?
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DOI：
10.1079/phn2005890
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发表时间：
2006-09-01
影响因子：
3.2
通讯作者：
Marriott, Lynne D.
中科院分区：
文献类型：
--
作者：
Morgan, Jane B.;Williams, Peter;Marriott, Lynne D.
目的 描述英格兰低出生体重 (LBW) 婴儿出院后的喂养方式和母亲对理想喂养方式的看法，并测试不适当的做法/看法与可识别的人口统计数据之间的关系。设计对伦敦、利物浦和温彻斯特 198 名 LBW 婴儿的母亲进行的设计邮政调查问卷，分析了婴儿人口统计、母亲人口统计、使用的婴儿奶、固体喂养方式和母亲对婴儿喂养方式的看法。与胎龄无关的中位体重为 1.80 公斤（范围 0.6-2.50 公斤），37.1% 的婴儿仅接受母乳； 83.7% 的人在某个阶段进行过母乳喂养，这种做法更受初为人母 (90.2%) 的青睐，高于经产妈妈 (73.4%) (P=0.004) 以及较高社会群体的母亲 (P=0.019)。引入固体食物的中位年龄为产后 17 周（范围 8-36 周）；时间与婴儿出生体重密切相关（P < 0.001）。分别有 67.1% 和 51.6% 的母亲错误地认为高纤维饮食和低脂肪饮食对婴儿很重要。认为高纤维饮食重要的人与多产母亲有关（P=0.006），而认为低脂肪饮食重要的人与社会地位较低的人有关（P=0.018）。四分之一的母亲认为“充足的卡路里”对她们的婴儿并不重要，这反映了 1990 年足月婴儿母亲的类似态度；这种不正确的态度与首次当妈妈有关（P=0.047）。 结论 婴儿喂养方法差异很大，与国家和国际足月婴儿建议的一致性较差。在为婴儿选择食物时，许多母亲似乎采用了更适合成人健康饮食的原则。迫切需要制定和实施出院后低出生体重婴儿喂养的循证指南，特别关注多产母亲以及来自较低社会群体的母亲。
Objectives To describe feeding patterns and mothers' perceptions of desirable feeding practices in low-birth-weight (LBW) infants after hospital discharge in England and to test for the association of inappropriate practices/perceptions with identifiable demographics.Design Postal questionnaires from 198 mothers of LBW infants in London, Liverpool and Winchester were analysed regarding infant demographics, mothers' demographics, infant milks used, solid feeding practices and mothers' perceptions of infant feeding practices.Results At birth, the median weight, independent of gestational age, was 1.80 kg (range 0.6-2.50 kg) and 37.1% of infants received breast milk exclusively; 83.7% were breast-fed at some stage, a practice favoured more by first-time mothers (90.2%) than multiparous mothers (73.4%) (P=0.004) as well as by mothers of higher social groups (P=0.019). The median age of solid food introduction was 17 postnatal weeks (range 8-36 weeks); the timing correlated strongly with infant birth weight (P < 0.001). A high-fibre diet and a low-fat diet were incorrectly considered important for their infants by 67.1% and 51.6% of mothers, respectively. Regarding a high-fibre diet as important was associated with being a multiparous mother (P=0.006), while regarding a low-fat diet as important was associated with low social group (P=0.018). A quarter of mothers did not consider 'plenty of calories' to be important for their infants, reflecting similar attitudes in 1990 for mothers of term infants; this incorrect attitude exhibited an association with being a first-time mother (P=0.047).Conclusions Infant feeding practices were very variable, showing poor concordance with national and international recommendations for term infants. In selecting foods for their infants, many mothers appeared to be applying principles more appropriate to planning a healthy diet for adults. There is an urgent need to develop and implement evidence-based guidelines for feeding LBW infants after hospital discharge, with special attention given to multiparous mothers as well as mothers from lower social groups.