Exclusive breastfeeding and other foods in the first six months of life: effects on nutritional status and body composition of Brazilian children.

Exclusive breastfeeding and other foods in the first six months of life: effects on nutritional status and body composition of Brazilian children.
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生命前六个月的纯母乳喂养和其他食物:对巴西儿童营养状况和身体成分的影响。

DOI:
10.1100/2012/468581
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发表时间:
2012
影响因子:
--
通讯作者:
Sant'Ana LF
Sant'Ana LF
中科院分区:
其他
文献类型:
--
作者:
Magalhães TC;Vieira SA;Priore SE;Ribeiro AQ;Lamounier JA;Franceschini SC;Sant'Ana LF

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目标。评估纯母乳喂养和在出生后头六个月食用其他食物对儿童营养状况和身体构成的影响。方法。在一项支持母乳喂养的项目中,对185名年龄在4至7岁之间的儿童进行了一项回顾性队列研究。我们通过DEXA评估体重、身高、腰围和身体组成。通过BMI/年龄指数评估营养状况。根据性别和年龄,使用样本本身的第85百分位数作为截止点,对肥胖参数进行分类。考虑的混杂因素是与产妇、怀孕、出生、社会人口、健康、生活方式和饮食有关的变量。进行双变量和多变量分析,多变量分析采用多元逻辑回归。结果。纯母乳喂养的中位数为3个月。其中,42.7%的儿童食用了牛奶,35.7%的儿童食用了婴儿配方奶粉。在营养状况方面,21.1%的儿童出现了变化。婴儿喂养的变量与儿童的营养状况和身体组成没有独立的关系,研究组之间没有差异。结论。母乳喂养不是儿童超重和体脂的保护因素。
Objective. To evaluate the effect of exclusive breastfeeding and consumption of other foods in the first six months of life in the nutritional status and body composition of children. Methods. A retrospective cohort study with 185 children aged from 4 to 7 years was monitored during the first months of life in a program of support to breastfeeding. We evaluated weight, height, waist circumference, and body composition by using DEXA. The nutritional status was assessed by the BMI/age index. The parameters of adiposity were classified by using as the cutoff point, the 85th percentile of the sample itself, according to gender and age. Confounding factors considered were variables related to maternal, pregnancy, birth, sociodemographic, health, lifestyle, and diet. Bivariate and multivariate analyses were performed, the latter by means of multiple logistic regression. Results. The median exclusive breastfeeding was 3 months. Of the children, 42.7% received cow's milk and 35.7% received infant formula. Regarding nutritional status, 21.1% of the children showed changes. The variables of infant feeding were not independently associated with nutritional status and body composition of the children and there were no differences between the groups studied. Conclusion. Breastfeeding was not a protective factor to overweight and body fat in children.
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