早产低出生体重儿喂养指数及影响因素分析

李晓强, 郭之荣, 马争迎, 王利霞, 沈玮

中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (11) : 1256-1260.

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中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (11) : 1256-1260. DOI: 10.11852/zgetbjzz2024-0320
临床研究

早产低出生体重儿喂养指数及影响因素分析

  • 李晓强, 郭之荣, 马争迎, 王利霞, 沈玮
作者信息 +

Feeding index and its influencing factors of preterm and low birth weight infants

  • LI Xiaoqiang, GUO Zhirong, MA Zhengying, WANG Lixia, SHEN Wei
Author information +
文章历史 +

摘要

目的 探讨早产低出生体重儿喂养指数及影响因素,为改善其喂养与营养状况提供参考依据。方法 选取2023年6月—2024年3月在北京大学第一医院宁夏妇女儿童医院儿童保健中心健康检查的100例矫正6~24月龄早产低出生体重儿为病例组,同期正常健康检查的108例婴幼儿为对照组,对喂养指数进行比较分析。结果 早产低出生体重儿喂养指数总评分为10.56±4.77。6~8月龄组、9~11月龄组及总评分均低于对照组,且6~8月龄组差异有统计学意义(P<0.05)。非条件Logistic回归分析显示,喂养指数的主要促进因素为母乳喂养(OR=2.864,95%CI:1.023~8.015,P=0.045)、配方奶时间(OR=2.185,95%CI:1.138~4.195,P=0.019)、月龄(OR=2.426,95%CI:1.276~4.612,P=0.007)。结论 早产低出生体重儿喂养指数较低,需采取相关干预措施。

Abstract

Objective To explore the feeding index and influencing factors in preterm low birth weight infants,in order to provide reference for improving their feeding and nutritional status. Methods A total of 100 preterm low birth weight infants at the corrected age of 6 to 24 months,who underwent health check-ups at the PKUFH-Ningxia Women and Children's Hospital between June 2023 and March 2024,were selected as the case group.Meanwhile,108 healthy infants and toddlers undergoing routine check-ups during the same period were selected as the control group.The feeding indices were compared and analyzed between the two groups. Results The overall feeding index score for preterm low birth weight infants was 10.56±4.77.Scores for the 6 - 8 month age group,the 9 - 11 month age group,and the overall score in the preterm low birth weight infants were lower than those in the control group,but only the difference in the 6 - 8 month age group was statistically significant (P< 0.05).Unconditional Logistic regression analysis showed that the main facilitators of the feeding index were breastfeeding (OR=2.864,95%CI:1.023 - 8.015,P=0.045),formula feeding duration (OR=2.185,95%CI:1.138 - 4.195,P=0.019),and age in months (OR=2.426,95%CI:1.276 - 4.612,P=0.007). Conclusion The feeding index in preterm low birth weight infants is relatively low,indicating the need for relevant intervention measures.

关键词

早产 / 低出生体重儿 / 喂养指数 / 营养

Key words

premature / low birth weight infants / feeding index / nutrition

引用本文

导出引用
李晓强, 郭之荣, 马争迎, 王利霞, 沈玮. 早产低出生体重儿喂养指数及影响因素分析[J]. 中国儿童保健杂志. 2024, 32(11): 1256-1260 https://doi.org/10.11852/zgetbjzz2024-0320
LI Xiaoqiang, GUO Zhirong, MA Zhengying, WANG Lixia, SHEN Wei. Feeding index and its influencing factors of preterm and low birth weight infants[J]. Chinese Journal of Child Health Care. 2024, 32(11): 1256-1260 https://doi.org/10.11852/zgetbjzz2024-0320
中图分类号: R722.6   

参考文献

[1] 房晓祎,张霭润,林瀚妮,等.早产儿住院期间及出院后早期营养状况分析[J].中国儿童保健杂志,2019,27 (6):642-645.
Fang XY,Zhang AR,Lin HN,et al.Analysis of nutritional status of preterm infants during hospitalization and the early period after discharge [J].Chin J Child Health Care,2019,27 (6):642-645.(in Chinese)
[2] Khatoon T,Mollah MA,Choudhury AM,et al.Association between infant-and child-feeding index and nutritional status:Results from a cross sectional study among children attending an urban hospital in Bangladesh[J].Health Popul Nutr,2011,29(4):349-356.
[3] Lohia N,Udipi SA.Infant and child feeding index reflects feeding practices,nutritional status of urban slum children[J].BMC Pediatr,2014,14:290.
[4] 赖建强,荫士安,马冠生,等.6~24月龄婴幼儿喂养指数分布以及与生长发育的相关性研究[J].卫生研究,2005,34(5):617-619.
Lai JQ,Yin SA,Ma GS,et al.Distribution of feeding index and association between feeding index and growth of infants and young child aged 6-24 months[J].Journal of Hygiene Research,2005,34(5):
617-619.(in Chinese)
[5] 闫玲,曾果,孙要武,等.6~24月龄中国婴幼儿喂养指数评价方法的建立[J].卫生研究,2012,41(2):209-214.
Yan L,Zeng G,Sun YW,et al.Methodology of infant and young child feeding index for children aged 6-24 months in China[J].Journal of Hygiene Research,2012,41(2):209-214.(in Chinese)
[6] Sawadogo PS,Martin-Prevel Y,Savy M,et a1.An infant and child feeding index is associated with the nutritional status of 6-3-month-old children in rural Burkina Faso[J].J Nutr,2006,136:656-663.
[7] 丁心悦,于冬梅,赵丽云.婴幼儿喂养指数及与生长发育关系研究进展[J].中国公共卫生,2018,34 (4):613-615.
Ding XY,Yu DM,Zhao LY.Progress in researches on associations of infant and child feeding index with growth and development[J].Chinese Journal of Public Health,2018,34 (4):613-615.(in Chinese)
[8] 李晓庆.6~24月龄缺铁性贫血患儿喂养现状及影响因素分析[D].吉林:吉林大学,2018.
Li XQ.The analysis of the current feeding status and influencing factors of infants aged 6 to 24 months with iron deficiency anemia[D].Jilin:Jilin University,2018.(in Chinese)
[9] 黄苗,张慧文,顾莺,等.先心病患儿辅食喂养现状及影响因素的多中心研究[J].护理学杂志,2016,31(3):30-33.
Huang M,Zhang HW,Gu Y,et al.Complementary feeding practices and associated factors among infants with congenital heart disease:A multi-center survey [J].Journal of Nursing Science,2016,31(3):30-33.(in Chinese)
[10] 王丽芳.新疆南疆0~36月龄婴幼儿喂养指数和营养不良状况调查研究[D].乌鲁木齐:新疆医科大学,2022.
Wang LF.Investigation on feeding Index and malnutrition of infants aged 0~36 months in southern xinjiang[D].Urumqi:Xinjiang Medical University,2022.(in Chinese)
[11] 雷方良,屈鹏飞,李姗姗,等.我国西部农村地区6~35个月龄婴幼儿喂养指数分布与营养状况的关联 [J].中国妇幼保健,2016,31 (1):134-137.
Lei FL,Qu PF,Li SS,et al.Correlation between distribution of feeding index and nutritional status of infants aged 6-35 months in rural areas of western China [J].Maternal and Child Health Care of China,2016,31 (1):134-137.(in Chinese)
[12] 石艳玲.湖南省贫困地区婴幼儿喂养指数与营养状况的相关性及影响因素研究[D].长沙:中南大学,2014.
Shi YL.Study on the correlation between ICFI and nutrion and the factors related of ICFI in poor areas,Hunan[D].Changsha:Central South University,2014.(in Chinese)
[13] 张海林,张菲,黄静,等.6~24个月龄婴幼儿喂养指数分布与铁、钙营养状况相关性的探讨[J].中国妇幼保健,2017,32 (3):523-525.
Zhang HL,Zhang F,Huang J,et al.Study on the correlation between the distribution of feeding index and the nutritional status of iron and calcium in infants aged 6 to 24 months[J].Maternal and Child Health Care of China,2017,32 (3):523-525.(in Chinese)
[14] 陈潇,张玉侠,顾莺.慢性胆汁淤积性肝病患儿辅食喂养现况及影响因素研究[J].护理学杂志,2018,33 (9):25-29.
Chen X,Zhang YX,Gu Y.Status and determinants of complementary feeding practices in children with cholestatic liver disease[J].Journal of Nursing Science,2018,33 (9):25-29.(in Chinese)
[15] 朱艳红,徐要选,陈平,等.沧州市6~24月龄婴幼儿喂养指数调查[J].华南预防医学,2022,48(5):530-533.
Zhu YH,Xu YX,Chen P,et al.Investigation on feeding index of infants aged 6 to 24 months in Cangzhou City[J].Preventive medicine in south China,2022,48(5):530-533.(in Chinese)
[16] 石振银,吴小平,王玉明.甘肃省3岁以下婴幼儿喂养指数研究[J].现代预防医学,2020,47 (15):2755-2757,2847.
Shi ZY,Wu XP,Wang YM.Evaluation of feeding index of infants and children under 3 years old,Gans[J].Modern Preventive Medicine,2020,47 (15):2755-2757,2847.(in Chinese)
[17] 田美娜,张翠,牛蓓,等.河北省某贫困县6~23月龄婴幼儿喂养指数评价[J].现代预防医学,2020,47 (24):4461,4464.
Tian MN Zhang C,Niu B,et al.Feeding index evaluation of infants aged 6-23 months in a povertystricken county of Hebei province[J].Modern Preventive Medicine,2020,47 (24):4461-4464.(in Chinese)
[18] 杨文博,张忠远,林锡德,等.贫困农村婴幼儿喂养指数评分影响因素的多水平模型分析[J].中国妇幼保健,2020,35 (2):335-337.
Yang WB,Zhang ZY,Lin XD,et al.Multi-level model analysis of influencing factors of infant feeding index score in poor rural areas [J].Maternal and Child Health Care of China,2020,35 (2):335-337.(in Chinese)
[19] 李永红,马一倩.婴幼儿喂养指数与喂养人知信行为关系研究 [J].现代医学,2020,48 (1):35-39.
Li YH,Ma YQ.Study on the relationships between infant and child feeding index and feeder's knowledge,belief and behavior [J].Modern Medical Journal,2020,48 (1):35-39.(in Chinese)
[20] 李晓强,王利霞,沈玮,等.早产儿出生后1年生长速度及影响因素分析[J].中国妇幼保健,2024,39 (1):93-96.
Li XQ,Wang LX,Shen W,et al.Analysis on growth rate and influencing factors of premature infants within one year after birth [J].Maternal and Child Health Care of China,2024,39 (1):93-96.(in Chinese)
[21] 宁月,罗丽艳,段江,等.不同强化喂养方式对早产极低出生体重儿营养代谢及生长速率的影响 [J].中国儿童保健杂志,2024,32 (1):84-88.
Ning Y,Luo LY,Duan J,et al.Effects of different fortified feeding methods on the nutrient metabolism and growth rate of very low birth weight preterm infants[J].Chin J Child Health Care,2024,32 (1):84-88.(in Chinese)

基金

中央高水平医院临床科研业务费资助[北京大学第一医院青年临床研究专项(2023YC14)]

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