锦州市城区婴儿体格发育影响因素分析
摘要
目的
了解锦州市城区婴儿体格发育状况,探讨0～12月龄城区婴儿体格发育的影响因素,为促进婴儿的生长发育提供科学依据。
方法
在锦州市疾病预防控制中心共调查754例0～12月龄婴儿的体格发育资料,以WHO儿童生长标准为参照标准,采用Z评分法评价婴儿体格发育及营养状况。采用χ2检验、t检验、单因素方差分析及q检验、简单相关分析及多元线性回归分析方法进行统计分析。
结果
1、锦州市城区754名婴儿体格发育总体状况良好,接近WHO标准水平,但存在发育状况不均衡现象;2、不同出生体重儿1周岁内的体格发育状况亦不同,低出生体重儿组生长迟缓率最高,巨大儿组超重率最高;3、母乳喂养的优势在小于6月龄婴儿体格发育中作用明显,而在6～12月龄段婴儿的体格发育指标中显现不明显;4、0～12个月龄婴儿体格发育状况除受月龄、性别的因素影响外,出生体重、喂养方式、出生情况、带养人情况等环境因素以及父母亲身高、体重等遗传因素也不同程度地影响着婴儿体格的发育。
结论
1、在物质生活水平逐步提高的同时,要科学合理地喂养婴儿,尤其注意4月龄后营养供给的合理性,减少婴儿超重现象的出现;2、除遗传因素对婴儿体格发育影响的作用外,出生体重、喂养方式等后天因素对婴儿体格发育的影响是不容忽视的,因此,加强孕妇营养供给、孕前知识普及、围产期保健、科学抚养婴儿对婴儿的健康生长具有重要意义。
Objective
To understand physical growth status of 0~12 month infants in Jinzhou city ,to discuss influencing factors and provide scientific evidence for infants' physical growth promotion.
Methods
Physical status of 754 infants aged 0~12 months from urban in Jinzhou city,which were collected fromJinzhou City Center for Disease Control and Prevention,was investigated.The WHO Child Growth Standards as a reference standard,using the Z score evaluated physical growth and nutritional status of infants.χ2 test, T test, ANOVA, simple correlation analysis and multiple linear regression analysis were done for statistical analysis.
Results
1,The overall physical development of 754 infants of Jinzhou was in good condition,closing to the WHO standard level,but there was not balanced development of the phenomenon;2,Different birth weight babies during the first year had different physical growth situation.Low birth weight group showed the most growth retardation,macrosomia group showed the most overweight trends.3,The advantages of breast-feeding infants in the first six months in physical growth had an obvious effect,and in 6 to 12 months period in the baby's physical growth indicators showed no significant.4,In addition to the impact by month and sex outside,birth weight,feeding patterns,birth circumstances, dependents and other environmental factors as well as parental height,parental weight and other genetic factors also different degree affected the physical development of babies from 0 to 12 months.
Conclusions
1,With the gradual improvement in material life level , feeding infants should be scientific and reasonable,and particular attention should be take to the rationality of nutrition after 4months of age in order to reduce the appearance of overweight babies.2,In addition to genetic factors affect the physical development of babies,the birth weight, feeding patterns and other acquired factors on the physical development of infants can not be ignored. Therefore,strengthening the supply of maternal nutrition,literacy before pregnancy,perinatal health care and scientific support to the baby's health is of great significance.
了解锦州市城区婴儿体格发育状况,探讨0～12月龄城区婴儿体格发育的影响因素,为促进婴儿的生长发育提供科学依据。
方法
在锦州市疾病预防控制中心共调查754例0～12月龄婴儿的体格发育资料,以WHO儿童生长标准为参照标准,采用Z评分法评价婴儿体格发育及营养状况。采用χ2检验、t检验、单因素方差分析及q检验、简单相关分析及多元线性回归分析方法进行统计分析。
结果
1、锦州市城区754名婴儿体格发育总体状况良好,接近WHO标准水平,但存在发育状况不均衡现象;2、不同出生体重儿1周岁内的体格发育状况亦不同,低出生体重儿组生长迟缓率最高,巨大儿组超重率最高;3、母乳喂养的优势在小于6月龄婴儿体格发育中作用明显,而在6～12月龄段婴儿的体格发育指标中显现不明显;4、0～12个月龄婴儿体格发育状况除受月龄、性别的因素影响外,出生体重、喂养方式、出生情况、带养人情况等环境因素以及父母亲身高、体重等遗传因素也不同程度地影响着婴儿体格的发育。
结论
1、在物质生活水平逐步提高的同时,要科学合理地喂养婴儿,尤其注意4月龄后营养供给的合理性,减少婴儿超重现象的出现;2、除遗传因素对婴儿体格发育影响的作用外,出生体重、喂养方式等后天因素对婴儿体格发育的影响是不容忽视的,因此,加强孕妇营养供给、孕前知识普及、围产期保健、科学抚养婴儿对婴儿的健康生长具有重要意义。
Objective
To understand physical growth status of 0~12 month infants in Jinzhou city ,to discuss influencing factors and provide scientific evidence for infants' physical growth promotion.
Methods
Physical status of 754 infants aged 0~12 months from urban in Jinzhou city,which were collected fromJinzhou City Center for Disease Control and Prevention,was investigated.The WHO Child Growth Standards as a reference standard,using the Z score evaluated physical growth and nutritional status of infants.χ2 test, T test, ANOVA, simple correlation analysis and multiple linear regression analysis were done for statistical analysis.
Results
1,The overall physical development of 754 infants of Jinzhou was in good condition,closing to the WHO standard level,but there was not balanced development of the phenomenon;2,Different birth weight babies during the first year had different physical growth situation.Low birth weight group showed the most growth retardation,macrosomia group showed the most overweight trends.3,The advantages of breast-feeding infants in the first six months in physical growth had an obvious effect,and in 6 to 12 months period in the baby's physical growth indicators showed no significant.4,In addition to the impact by month and sex outside,birth weight,feeding patterns,birth circumstances, dependents and other environmental factors as well as parental height,parental weight and other genetic factors also different degree affected the physical development of babies from 0 to 12 months.
Conclusions
1,With the gradual improvement in material life level , feeding infants should be scientific and reasonable,and particular attention should be take to the rationality of nutrition after 4months of age in order to reduce the appearance of overweight babies.2,In addition to genetic factors affect the physical development of babies,the birth weight, feeding patterns and other acquired factors on the physical development of infants can not be ignored. Therefore,strengthening the supply of maternal nutrition,literacy before pregnancy,perinatal health care and scientific support to the baby's health is of great significance.
引文
1刘湘云.儿童保健学.南京:江苏科学技术出版社,1989.69.
2葛可佑.中国营养科学研究.北京:人民卫生出版社,2004.1024.
3许积德.儿童营养不良体格测量指标的评估标准为什么用WHO的参数.中国儿童保健杂志,1995,3(4):270-271.
4全国提高儿童生命质量会议.儿童营养不良体格测量评估标准.中国儿童保健杂志,1995,3(4):292-293.
5杨锡强,易著文.儿科学.第6版.北京:人民卫生出版社,2004.12-13.
6陈文.广州市学龄前儿童生长发育Z评分及营养状况的评价.中国妇幼保健,2005,2O(6):746-748.
7江平.集体儿童卫生保健工作手册.广东:广东人民出版社,1996.210-221.
8葛可佑,常素英.儿童营养不良的定义和评价方法.见:顾景范编.第l3届国际妇幼营养专题研讨会论文集.广州:亨氏营养科学研究所,2001.12-21.
9林良明,刘玉林,张新利,等.辅食添加与儿童营养.中国儿童保健杂志,2OOO,8(4):241-243.
10 HeMeizi,MaJing,ChenOixian,et al.Growth and feeding practices of 4 to 8 months infants in southern China.Nutrition Research,2001,21(1):103-120.
11马西,尚磊,徐勇勇,等.西安市不同胎龄新生儿出生体重标准.中华围产医学杂志,2001,4(4):241.
12季丽芬,唐莹徐,春晖.丽水市区婴儿出生体重抽样调查.浙江预防医学,2004,l6(2):55-56.
13许韶君,陶芳标,苏普玉,等.不同出生体重儿体格发育水平与营养状况的出生队列研究.中国儿童保健杂志,2005,13(6):499-500.
14张凤玲,许春英.3232例婴儿出生体重分析.中国妇幼保健,2006,10:1377.
15万艳梅,马兴好,童军,等.不同喂养方式对婴幼儿体格发育的影响.现代预防医学,2009,36(12):2276-2278.
16王素芳,徐芳,郑亚娟,等.不同喂养方式婴儿体格发育水平.安徽医科大学学报,2007,42(5):543-545.
17王雅民,郭萍,高兰生.不同喂养方式对婴幼儿生长发育影响的分析.陕西医学杂志,2002,31(10):948-949.
18李若玲,王建理,赵雅君,等.不同喂养方式对婴幼儿体格发育的影响.护理研究,2007,21(5):1361-1362.
19丁宗一,杜丽蓉.不同喂养方法对婴幼儿生长速率影响的研究.中华儿科杂志,2002,40(11):654-657.
20刘爱东,瞿凤英,赵丽云.母乳喂养研究现状.国外医学:卫生学分册,2003,29:275-278.
21张亚钦,李辉,夏秀兰.中国九市婴儿母乳喂养状况及变化趋势.中国儿童保健杂志,2008,16(4):397-399.
22 Wojdan GE,Mikiel KK,Mazur J.Effect of feeding pattern on the body mass of infants in the first six months of life.Med Wieku Rozwoj,2005,9(4):611-620.
23 DEWEY KG.Growth characteristic of breast-fed compared to formula-fed infants.Biol Neonate,1998,74:94-105.
24常素英,宫振英.中国儿童生长发育现状和趋势分析.卫生研究,2000,29(5):270-275.
25王贺茹,吕岩玉,宋文红,等.不同喂养方式对婴儿生长发育影响.中国公共卫生,2007,23(11):1301-1302.
26 Wu TC,Hwang B.Blood nutrient indices in breast and formula fed infants:amino acids metabolic responses.Chung—Hua Min KuoHsiaoErh Ko I Hsuch Hui Isa Chih,1997,38(5):345-351.
27邓静云,郭锡熔,崔可忻,等.7岁以下儿童与父母间体格发育指标的相关研究.南京医学院学报,1994,14(1):89.
1杨锡强,易著文.儿科学.第6版.北京:人民卫生出版社,2004.3.
2赖建强,荫士安,马冠生,等.我国婴幼儿出生与喂养状况调查研究.营养学报,2006,28(1):4-7.
3赵丽云,于冬梅,刘爱东,等.2006年中国儿童与孕产妇营养健康状况调查结果分析.卫生研究,2008.37(1):65-67.
4卫生部统计信息中心编.中国卫生服务调查研究——第三次国家卫生服务调查分析报告.北京:中国协和医科大学出版社,2004.79-81.
5赵欣,戴钟英.近10年新生儿出生体重变化趋势的分析.上海医学,2001.24:370-372.
6刘爱东,赵丽云,于冬梅,等.中国2岁以下婴幼儿喂养状况研究.卫生研究,2009,38(5):555-557.
7 Blair PS,Drewett RF,Emmett PM,et al.Family,socioeconomic and prenatal factors associated with failure to thrive in the Avon Longitudinal Study of Parents and Children (AL-SPAC).International Journal of Epidemiology,2004,33(4):839-847.
8刘湘云,陈荣华.儿童保健学.第3版.南京:江苏科技出版社,2005.99-100.
9汪翼.儿科学.第5版.北京:人民卫生出版社.2004.12.
10沈艳辉,李竹,季成叶,等.孕前体重孕期增重与新生儿出生体重的关系.中华围产医学杂志,2000,3(2):77-78.
11刘湘云,林传家,薛沁冰.儿童保健学.第2版.南京:江苏科学技术出版社,1999.76-99.
12张佩珍.0～6月婴儿不同喂养方式与体重、身高每月增值的关系.上海医学,1997,20(4):224-225.
13富振英,何武,陈春明.婴幼儿生长发育与辅食添加的关系.卫生研究,2000,29(5):279-282.
14赵晶,顾菊美,孙红霞.不同喂养方式与婴儿智能发育关系的探讨.中国儿童保健杂志,2000,8(3):194.
15丁宗一,杜丽蓉.不同喂养方法对婴幼儿生长速率影响的研究.中华儿科杂志,2002,40(11):654.
16刘湘云,陈荣华.儿童保健学.第3版.南京:江苏科技出版社,2005.99-100.
17何其,张觇宇.母乳喂养对婴儿感染性疾病的影响调查分析.重庆医学,2001,30(5):275.
18 Fomon SJ.Food consumption and growth of normal infants fedmilk—based formulas.Acta Pacdiatr Scand,1971,23:3.
19 Ha PB,Bentley ME, Sripaipan T,et al.Caregiver styles of feeding and child acceptanceof food in rural Viet Nam.Food NutrBull,2002,23(4):95.
20 Illingworth RS,Lister J.The critical or sensitive period,with special reference to certain feeding problems in infants and children.Journal of pediatrics,1964,65:839-848.
21王小燕,汪鸿,徐海青.婴幼儿喂养行为与生长发育的相关性研究.中国儿童保健杂志,2009.17(4):408-410.
22 Gittelsohn J,Shanker AV.Child feeding and care behaviors are associated with exophthalmia in rural Nepalese households.Social Science and Medicine,1998,47(4):477-486.
23黎海芪.婴幼儿进食安排.中国儿童保健杂志,2005,12(13):512-514.
24 Partrice LE,Purnima M,Lawrence H.Care and nutrition:concepts and measurements.World Development,Vol,1999,27(8):1309-1337.
25 Connolly K,Dalgleish M.The emergence of tool-using skill in infancy.Developmental Psychology,1989,25:6894-6912.
26 Gittelsohn J,Shanker AV.Child feeding and care behaviors are associated with exophthalmiain rural Nepalese households.Social Science and Medicine,1998,47(4):477-486.
27 Gulden GS,Zeitlin MF,Beiser AS,et al.Maternal education and child feefing practice in rural Bangladesh.Social science and Gynecological Survey,1993,52:139-149.
28颜华锋,郭瑛厉,彦芳.青岛市四方区婴幼儿常患疾病调查分析.社区医学杂志,2007.5:57.
29王小燕,徐海青.婴幼儿生长迟缓的影响因素.中国儿童保健杂志,2008,16(6):690-691.
30 Ingvarsson RF,Bjamason AO,Dagbjartsson A,et a1.The effects of smoking in pregnancy on factors influencing fetal growth.Acta Pediatrica,2007,96:383-386.
31 Pringle PJ,Geary MP,Rodeck CH,et a1.The influence of cigarette smoking on antenatal growth,birth size,and the insulin-like growth factor axis.Clin Endoerinol Metab,2005,90:560-562.
32宫玉花,季成叶,郑修霞,等.母亲不同分娩年龄婴儿体格变化的研究.中国儿童保健杂志,2005,13(6):534-535.
33 Ehrenberg HM,Dierker L,Milluzzi C,et al:Low maternal weight,failure to thrive in pregnancy,and adverse pregnancy outcomes.Am J Obstet Gynecol,2003,189(6):1726-1730.
34高燕秋,康楚云,王燕,等.1998-2003年中国母乳喂养与婴儿过渡期食物添加状况分析.中国儿童保健杂志,2006,14(3):220-222.
2葛可佑.中国营养科学研究.北京:人民卫生出版社,2004.1024.
3许积德.儿童营养不良体格测量指标的评估标准为什么用WHO的参数.中国儿童保健杂志,1995,3(4):270-271.
4全国提高儿童生命质量会议.儿童营养不良体格测量评估标准.中国儿童保健杂志,1995,3(4):292-293.
5杨锡强,易著文.儿科学.第6版.北京:人民卫生出版社,2004.12-13.
6陈文.广州市学龄前儿童生长发育Z评分及营养状况的评价.中国妇幼保健,2005,2O(6):746-748.
7江平.集体儿童卫生保健工作手册.广东:广东人民出版社,1996.210-221.
8葛可佑,常素英.儿童营养不良的定义和评价方法.见:顾景范编.第l3届国际妇幼营养专题研讨会论文集.广州:亨氏营养科学研究所,2001.12-21.
9林良明,刘玉林,张新利,等.辅食添加与儿童营养.中国儿童保健杂志,2OOO,8(4):241-243.
10 HeMeizi,MaJing,ChenOixian,et al.Growth and feeding practices of 4 to 8 months infants in southern China.Nutrition Research,2001,21(1):103-120.
11马西,尚磊,徐勇勇,等.西安市不同胎龄新生儿出生体重标准.中华围产医学杂志,2001,4(4):241.
12季丽芬,唐莹徐,春晖.丽水市区婴儿出生体重抽样调查.浙江预防医学,2004,l6(2):55-56.
13许韶君,陶芳标,苏普玉,等.不同出生体重儿体格发育水平与营养状况的出生队列研究.中国儿童保健杂志,2005,13(6):499-500.
14张凤玲,许春英.3232例婴儿出生体重分析.中国妇幼保健,2006,10:1377.
15万艳梅,马兴好,童军,等.不同喂养方式对婴幼儿体格发育的影响.现代预防医学,2009,36(12):2276-2278.
16王素芳,徐芳,郑亚娟,等.不同喂养方式婴儿体格发育水平.安徽医科大学学报,2007,42(5):543-545.
17王雅民,郭萍,高兰生.不同喂养方式对婴幼儿生长发育影响的分析.陕西医学杂志,2002,31(10):948-949.
18李若玲,王建理,赵雅君,等.不同喂养方式对婴幼儿体格发育的影响.护理研究,2007,21(5):1361-1362.
19丁宗一,杜丽蓉.不同喂养方法对婴幼儿生长速率影响的研究.中华儿科杂志,2002,40(11):654-657.
20刘爱东,瞿凤英,赵丽云.母乳喂养研究现状.国外医学:卫生学分册,2003,29:275-278.
21张亚钦,李辉,夏秀兰.中国九市婴儿母乳喂养状况及变化趋势.中国儿童保健杂志,2008,16(4):397-399.
22 Wojdan GE,Mikiel KK,Mazur J.Effect of feeding pattern on the body mass of infants in the first six months of life.Med Wieku Rozwoj,2005,9(4):611-620.
23 DEWEY KG.Growth characteristic of breast-fed compared to formula-fed infants.Biol Neonate,1998,74:94-105.
24常素英,宫振英.中国儿童生长发育现状和趋势分析.卫生研究,2000,29(5):270-275.
25王贺茹,吕岩玉,宋文红,等.不同喂养方式对婴儿生长发育影响.中国公共卫生,2007,23(11):1301-1302.
26 Wu TC,Hwang B.Blood nutrient indices in breast and formula fed infants:amino acids metabolic responses.Chung—Hua Min KuoHsiaoErh Ko I Hsuch Hui Isa Chih,1997,38(5):345-351.
27邓静云,郭锡熔,崔可忻,等.7岁以下儿童与父母间体格发育指标的相关研究.南京医学院学报,1994,14(1):89.
1杨锡强,易著文.儿科学.第6版.北京:人民卫生出版社,2004.3.
2赖建强,荫士安,马冠生,等.我国婴幼儿出生与喂养状况调查研究.营养学报,2006,28(1):4-7.
3赵丽云,于冬梅,刘爱东,等.2006年中国儿童与孕产妇营养健康状况调查结果分析.卫生研究,2008.37(1):65-67.
4卫生部统计信息中心编.中国卫生服务调查研究——第三次国家卫生服务调查分析报告.北京:中国协和医科大学出版社,2004.79-81.
5赵欣,戴钟英.近10年新生儿出生体重变化趋势的分析.上海医学,2001.24:370-372.
6刘爱东,赵丽云,于冬梅,等.中国2岁以下婴幼儿喂养状况研究.卫生研究,2009,38(5):555-557.
7 Blair PS,Drewett RF,Emmett PM,et al.Family,socioeconomic and prenatal factors associated with failure to thrive in the Avon Longitudinal Study of Parents and Children (AL-SPAC).International Journal of Epidemiology,2004,33(4):839-847.
8刘湘云,陈荣华.儿童保健学.第3版.南京:江苏科技出版社,2005.99-100.
9汪翼.儿科学.第5版.北京:人民卫生出版社.2004.12.
10沈艳辉,李竹,季成叶,等.孕前体重孕期增重与新生儿出生体重的关系.中华围产医学杂志,2000,3(2):77-78.
11刘湘云,林传家,薛沁冰.儿童保健学.第2版.南京:江苏科学技术出版社,1999.76-99.
12张佩珍.0～6月婴儿不同喂养方式与体重、身高每月增值的关系.上海医学,1997,20(4):224-225.
13富振英,何武,陈春明.婴幼儿生长发育与辅食添加的关系.卫生研究,2000,29(5):279-282.
14赵晶,顾菊美,孙红霞.不同喂养方式与婴儿智能发育关系的探讨.中国儿童保健杂志,2000,8(3):194.
15丁宗一,杜丽蓉.不同喂养方法对婴幼儿生长速率影响的研究.中华儿科杂志,2002,40(11):654.
16刘湘云,陈荣华.儿童保健学.第3版.南京:江苏科技出版社,2005.99-100.
17何其,张觇宇.母乳喂养对婴儿感染性疾病的影响调查分析.重庆医学,2001,30(5):275.
18 Fomon SJ.Food consumption and growth of normal infants fedmilk—based formulas.Acta Pacdiatr Scand,1971,23:3.
19 Ha PB,Bentley ME, Sripaipan T,et al.Caregiver styles of feeding and child acceptanceof food in rural Viet Nam.Food NutrBull,2002,23(4):95.
20 Illingworth RS,Lister J.The critical or sensitive period,with special reference to certain feeding problems in infants and children.Journal of pediatrics,1964,65:839-848.
21王小燕,汪鸿,徐海青.婴幼儿喂养行为与生长发育的相关性研究.中国儿童保健杂志,2009.17(4):408-410.
22 Gittelsohn J,Shanker AV.Child feeding and care behaviors are associated with exophthalmia in rural Nepalese households.Social Science and Medicine,1998,47(4):477-486.
23黎海芪.婴幼儿进食安排.中国儿童保健杂志,2005,12(13):512-514.
24 Partrice LE,Purnima M,Lawrence H.Care and nutrition:concepts and measurements.World Development,Vol,1999,27(8):1309-1337.
25 Connolly K,Dalgleish M.The emergence of tool-using skill in infancy.Developmental Psychology,1989,25:6894-6912.
26 Gittelsohn J,Shanker AV.Child feeding and care behaviors are associated with exophthalmiain rural Nepalese households.Social Science and Medicine,1998,47(4):477-486.
27 Gulden GS,Zeitlin MF,Beiser AS,et al.Maternal education and child feefing practice in rural Bangladesh.Social science and Gynecological Survey,1993,52:139-149.
28颜华锋,郭瑛厉,彦芳.青岛市四方区婴幼儿常患疾病调查分析.社区医学杂志,2007.5:57.
29王小燕,徐海青.婴幼儿生长迟缓的影响因素.中国儿童保健杂志,2008,16(6):690-691.
30 Ingvarsson RF,Bjamason AO,Dagbjartsson A,et a1.The effects of smoking in pregnancy on factors influencing fetal growth.Acta Pediatrica,2007,96:383-386.
31 Pringle PJ,Geary MP,Rodeck CH,et a1.The influence of cigarette smoking on antenatal growth,birth size,and the insulin-like growth factor axis.Clin Endoerinol Metab,2005,90:560-562.
32宫玉花,季成叶,郑修霞,等.母亲不同分娩年龄婴儿体格变化的研究.中国儿童保健杂志,2005,13(6):534-535.
33 Ehrenberg HM,Dierker L,Milluzzi C,et al:Low maternal weight,failure to thrive in pregnancy,and adverse pregnancy outcomes.Am J Obstet Gynecol,2003,189(6):1726-1730.
34高燕秋,康楚云,王燕,等.1998-2003年中国母乳喂养与婴儿过渡期食物添加状况分析.中国儿童保健杂志,2006,14(3):220-222.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |