Feeding Infants and Toddlers Study: Improvements needed in meeting infant feeding recommendations
Feeding Infants and Toddlers Study: Improvements needed in meeting infant feeding recommendations
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DOI：
10.1016/j.jada.2003.10.020
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发表时间：
2004-01-01
影响因子：
--
通讯作者：
Devaney, B
中科院分区：
文献类型：
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作者：
Briefel, RR;Reidy, K;Devaney, B
目的评估美国4 ~ 24月龄婴幼儿对喂养建议的依从性。设计对2002年喂养婴幼儿研究（FITS）中收集的数据进行描述性分析，该研究基于电话访谈和明尼苏达大学营养数据研究系统收集的24小时饮食回忆。022名4 - 24个月的婴幼儿，包括2，024名4 - 11个月的婴儿。主要结果测量母乳喂养、添加辅食的时间和对婴儿喂养建议的遵守情况。统计分析平均值和标准误、百分位数分布和各年龄组的百分比结果76%的婴幼儿出生时接受母乳喂养或部分母乳喂养。这一比例在6个月时下降到30%，在12个月时下降到16%，分别比2010年健康人群目标的50%和25%短。所有开始母乳喂养的人的平均母乳喂养持续时间为5.5个月。大约三分之二的婴儿在4到6个月之间被引入辅食，这是美国儿科学会（AAP）推荐的时期; 17%的婴儿在AAP推荐的6个月或更长时间之前饮用果汁。22%的9至11个月的婴儿在12个月或之后的推荐年龄之前每天食用牛奶，十分之一的婴儿在任何一天食用炸薯条和/或含糖饮料。应用/结论更多的父母和照顾者可以从关于引入发育适当的、富含微量营养素的第一固体食物的指导中受益，例如富含铁的婴儿谷物，铁强化谷物产品、肉类、软水果和煮熟的蔬菜，以及在生命的第一年母乳喂养的重要性。父母和照顾者的比例较小。要求提供指导，将果汁的引入推迟到六个月大，将配方奶以外的牛奶推迟到一岁大。
Objective To assess adherence to infant feeding recommendations among a sample of infants and toddlers four to 24 months of age in the United States.Design Descriptive analysis of data collected in the 2002 Feeding Infants and Toddlers Study (FITS) based on telephone interviews and 24-hour dietary recalls collected with the Nutrition Data System for Research of the University of Minnesota.Subjects A national random sample of 3,022 infants and toddlers age four to 24 months, including 2,024 infants age four to 11 months.Main Outcome Measures Breastfeeding, timing of introduction of complementary foods, and adherence to infant feeding recommendations.Statistical Analysis Means and standard errors, percentile distributions, and percentages by age group (four to six months, seven to eight months, and nine to 11 months).Results About 76% of infants and toddlers were fully or partly breastfed at birth. This percentage declined to 30% at six months and 16% at 12 months-short of Healthy People 2010 goals of 50% and 25%, respectively. The average duration of breastfeeding was 5.5 months for all who initiated breastfeeding. About two-thirds of infants had been introduced to complementary foods between four and six months-the period recommended by the American Academy of Pediatrics (AAP); 17% consumed juice before the AAP recommended age of six months or later. Twenty-two percent of infants nine to 11 months consumed cow's milk on a daily basis before the recommended age of 12 months or later, and one in 10 consumed french fries and/or sweetened beverages on any given day.Applications/Conclusions More parents and caregivers can benefit from guidance about the introduction of developmentally appropriate, micronutrient-rich first solid foods such as iron-rich infant cereals, iron-fortified grain products, meats, soft fruits, and cooked vegetables and the importance of breastfeeding through the first year of life. A smaller proportion of parents and caregivers re. quire guidance on delaying the introduction of juices until six months of age and cow's milk other than formula until one year of age.