陶慧慧, 徐伟清, 史慧静. 6月龄和12月龄婴幼儿母乳和辅食喂养调查[J]. 上海预防医学, 2023, 35(7): 704-710. DOI: 10.19428/j.cnki.sjpm.2023.22728
引用本文: 陶慧慧, 徐伟清, 史慧静. 6月龄和12月龄婴幼儿母乳和辅食喂养调查[J]. 上海预防医学, 2023, 35(7): 704-710. DOI: 10.19428/j.cnki.sjpm.2023.22728
TAO Huihui, XU Weiqing, SHI Huijing. A survey on breastfeeding and complementary feeding of infants and toddlers at 6 and 12 months of age[J]. Shanghai Journal of Preventive Medicine, 2023, 35(7): 704-710. DOI: 10.19428/j.cnki.sjpm.2023.22728
Citation: TAO Huihui, XU Weiqing, SHI Huijing. A survey on breastfeeding and complementary feeding of infants and toddlers at 6 and 12 months of age[J]. Shanghai Journal of Preventive Medicine, 2023, 35(7): 704-710. DOI: 10.19428/j.cnki.sjpm.2023.22728

6月龄和12月龄婴幼儿母乳和辅食喂养调查

A survey on breastfeeding and complementary feeding of infants and toddlers at 6 and 12 months of age

  • 摘要:
    目的 探讨婴幼儿6月龄、12月龄时母乳喂养和辅食喂养状况以及相关影响因素,为制定婴幼儿的母乳和辅食喂养干预措施提供参考依据。
    方法 选择上海亲子队列中浦东新区队列母婴调查的数据,将已完成6月龄和12月龄随访的910名婴幼儿作为研究对象。根据家长填写的喂养情况调查问卷了解婴幼儿6月龄、12月龄时的母乳和辅食喂养情况,并对母乳和辅食喂养状况及其影响因素进行相关性分析。
    结果 婴儿6月龄时母乳喂养率为76.2%(693/909),12月龄持续母乳喂养率为35.5%(322/906)。婴儿6月龄时最少膳食种类(MDD)合格率为16.1%(146/906),男婴高于女婴(χ2=5.384,P<0.05);婴幼儿12月龄时MDD合格率为61.6%(554/899)。6月龄男婴发生MDD不合格的可能性是女婴的1.499倍;油类及其制品、饮料(果汁)以及零食(巧克力、糖果、蛋糕、饼干等)喂养是6月龄和12月龄婴幼儿MDD不合格的危险因素。与不摄入油类及其制品、饮料以及零食相比,6月龄婴幼儿喂养油类及其制品、饮料以及零食MDD不合格的OR(95%CI)值分别为5.866(2.496~13.788)、4.542(2.943~7.010)和2.599(1.243~5.261);12月龄喂养油类及其制品、甜饮料以及零食MDD不合格的OR(95%CI)值分别是2.335(1.736~3.140)、1.549(1.107~2.168)和1.485(1.116~1.976)(P<0.05)。
    结论 上海市浦东新区婴幼儿12月龄持续母乳喂养率低,婴幼儿膳食结构不合理,辅食添加情况仍有待提高。油类及其制品、饮料和零食等不健康食物都是婴幼儿6月龄和12月龄时MDD不合格的危险因素。

     

    Abstract:
    Objective To explore the status of breastfeeding and complementary feeding of infants and toddlers at 6 and 12 months of age, and to analyze the related influencing factors to inform interventions for breastfeeding and complementary feeding problems in infants and toddlers.
    Methods A total of 910 children selected from Pudong New Area of the Shanghai maternal-child pairs cohort, who completed follow-up at 6 and 12 months of age, were included in the study. A feeding status questionnaire completed by the parents was used to understand the breastfeeding and complementary feeding status of children at 6 and 12 months of age, and correlation analysis was conducted between the breastfeeding and complementary feeding status and the influencing factors.
    Results The breastfeeding rate of infants at 6 months was 76.2% (693/909), with a higher rate among girls than boys, and the rate of continuous breastfeeding at 12 months was 35.5% (322/906). The minimum dietary diversity (MDD) pass rate at 6 months was 16.1% (146/906), higher in boys than in girls (χ2 =5.384, P<0.05). The MDD pass rate at 12 months was 61.6% (554/899). The likelihood of MDD failure in 6-month-old boys was 1.499 times higher than that in girls. Feeding of oils and their products, beverages (fruit juices), and snacks (chocolates, candies, cakes, cookies, etc.) were risk factors for MDD failure in 6‒ and 12‒month-old children. Compared with no intake of oils and their products, beverage and snacks, the OR (95% CI) for MDD failure in 6-month-old infants fed with oils and their products, beverage and snacks were 5.866 (2.496‒13788), 4.542 (2.943‒7.010), and 2.599 (1.243‒5.261), respectively. Compared with the non-fed group, the OR (95% CI) of MDD failure in infants aged 12 months fed with oils and their products, snacks, and sweet drinks were 2.335 (1.736‒3.140), 1.549 (1.107‒2.168), and 1.485 (1.116‒1.976), respectively (P<0.05).
    Conclusions The rate of continuous breastfeeding in children at 12 months in the Pudong New Area of Shanghai is low, and the dietary structure of children is unreasonable. Improvements are needed in the introduction of complementary foods. Unhealthy foods such as oils and their products, beverages, and snacks are all high-risk factors for MDD failure in children at 6 and 12 months.

     

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