目的 探讨母亲生育年龄、喂养行为与高危儿早期运动发育的关系,促进其在高危儿早期干预中的作用。方法 对2020年3月—2021年2月出生的227例高危儿健康状况、喂养方式及辅食添加状况等资料进行调查。在6月龄时进行ASQ-3测评,采用Logistic回归分析喂养行为对高危儿早期发育的影响。结果 高危儿的纯母乳喂养率44.1%,4~6个月辅食添加率74.9%。ASQ-3粗大动作能区发育异常检出率25.1%。不同辅食添加状况、孕期胎儿异常情况及围生期窒息抢救史对高危儿男童粗大动作发育的影响差异有统计学意义(χ2值分别为5.77、4.45、5.70,P<0.05)。4～6个月未添加辅食(OR＝3.90,95%CI:1.27~12.03,P＝0.018)、母亲生育年龄<16岁或>35岁(OR=14.72,95%CI:1.71~127.00,P=0.014)是高危儿男童早期粗大动作发育异常的危险因素。结论 高危儿男童出生后4~6月未添加辅食、母亲生育年龄过小或过大均将增加其子代粗大动作发育问题的风险。应进一步加强育龄妇女的宣教与高危儿辅食添加方式的研究,促进早期干预效果。
Abstract
Objective To assess the association between maternal pregnancy age and feeding behavior with motor development among high-risk infants, in order to promote its application in the early intervention of high-risk infants. Methods A total of 227 high-risk infants who were born from March 2020 to February 2021 were investigated to get the information of health condition related risk factors, feeding patterns and complementary food addition condition were investigated and analyzed with Logistic regression analysis method. Results The rate of exclusive breastfeeding was 44.1% in high-risk infants within six months, and 74.9% began supplementary feeding when the high-risk infants were 4 to 6 months old. The detection rate of abnormalities in gross motor was 25.1%. There was significant difference in the effect of supplementary feeding patterns, fetal abnormalities during pregnancy and rescue history of perinatal asphyxia on gross motor development in male high-risk infants(χ2 =5.77,4.45,5.70, P＜0.05). Not adding supplements during 4 to 6 months old (OR=3.90, 95%CI:1.27 - 12.03, P=0.018) and maternal pregnancy age＜16 years old or ＞35 years old (OR=14.72, 95%CI:1.71 - 127.00, P=0.014) were risk factors for abnormalities in the early development of gross motor of male high-risk infants. Conclusions High-risk boys who are not given complementary foods 4 to 6 months after birth and whose maternal pregnancy age was <16 years old or >35 years old will be at an increased risk for gross motor developmental problems. Education of women at childbearing age is supposed to be strengthened, and further studies on adding complementary foods are warranted, thereby promoting early intervention effect.
关键词
高危儿 /
年龄与发育进程问卷-第三版 /
粗大动作发育 /
喂养行为 /
辅食添加
Key words
high-risk infants /
Ages & Stages Questionnaires-Third Edition /
fine motor development /
feeding behavior /
supplementary feeding
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参考文献
[1] 岳小静,杜琳,贾飞勇.婴幼儿喂养困难的研究进展[J].中国儿童保健杂志,2021, 29(7):738-741.
Yue XJ, Du L, Jia FY.Research progress of infant feeding difficulties[J].Chin J Child Health Care,2021,29(7):738-741.
[2] Aylward GP.Neuro developmental outcomes of infants born prematurely[J].Dev Behav Pediatr,2014,35(6):394-407.
[3] Fjortoft T, Grunewaldtk H, Lohaugeng C, et al. Assessment of motor behavior in high-risk-infants at 3 months predicts motor and cognitive outcomes in 10 years old children[J].Early Hum Dev,2013,89(10):787-793.
[4] Mathur A, Inder T. Magnetic resonance imaging-insights into brain injury and outcomes in premature infants[J].J Commun Disord,2009,42(4):248-255.
[5] 赵明月,项栋良,张春艳,等.高危儿早期干预的研究进展[J].中国儿童保健杂志,2022,30(5):531-534.
Zhao MY, Xiang DL, Zhang CY, et al.Research progress of early intervention in high-risk infants[J].Chin J Child Heal Care,2022,30(5):531-534.
[6] 杨玉凤.高危儿健康管理新理念[J].中国儿童保健杂志,2019,27(2):117-118.
Yang YF.New concept of health management for high-risk children Chinese[J].Chin J Child Health Care,2019,27(2):117-118.
[7] 胡江萍.母亲养育行为与儿童健康状况的关系[J].中国妇幼保健,2006,21(2):266-268.
Hu JP.The relationship between maternal rearing behavior and children's health[J]. Maternal and Child Health Care of China,2006,21(2):266-268.
[8] Squires J.ASQ-3TM[M].Springer New York,2013:101-102.
[9] 罗翠仪.家庭干预训练对高危儿运动发育的影响研究[J].世界复合医学,2021,7(12):8-12.
Luo CY.Effects of family intervention training on motor development of high-risk infants[J].World Journal of Complex Medicine, 2021,7(12):8-12.
[10] Squires J.ASQ-3 user's guide:Ages & stages questionnaires[J].Brookes Pub, 2009(1):23-24.
[11] 于燕.母亲参与婴幼儿保健对父母养育方式的影响[J/OL].实用临床护理学电子杂志,2017, 39 (1):185-185.
Yu Y.Effects of maternal involvement in infant and young child health care on parenting style[J/OL].Electronic Journal of Practical Clinical Nursing,2017, 39 (1):185-185.
[12] 楼孟波.喂养行为与婴幼儿生长发育的相关性分析[J].中国初级卫生保健, 2015, 29(4):2.
Lou MB.Correlation analysis between feeding behavior and infant growth and development[J].Chinese Primary Health Care,2015,29(4):2.
[13] 孙莞绮,江帆.影响婴幼儿大运动发育主要因素的研究进展[J].中国儿童保健杂志,2012,20(7):616-618.
Sun WQ,Jiang F.Research progress on the main factors affecting the development of gross motor in infants[J].Chin J Child Health Care,2012,20(7):616-618.
[14] 王德涛.美国0～1岁幼儿身体活动研究及启示[C].第十一届全国体育科学大会论文摘要汇编,2019,1(1):3676-3677.
Wang DT. A study on physical activity of American children and its implications 0~1[C]. Abstracts of the 11th National Sports Science Congress, 2019, 1(1):3676-3677.
[15] 杨青,花静,陈振江.家庭支持环境对3～4月龄婴儿ASQ粗大运动得分的影响研究[J].中国儿童保健杂志,2018,26(9):944-947.
Yang Q, Hua J, Chen ZJ. The influence of family support environment on gross motor score of month old infants 3~4 ASQ[J].Chin J Child Heal Care,2018, 26(9):944-947.
[16] 沈佩娜.不同性别婴儿动作发育观察分析[J].江苏预防医学,2007,1(2):56-57.
Shen PN.Observation and analysis of motor development in infants of different genders[J].Jiangsu Journal of Preventive Medicine,2007,1(2):56-57.
[17] 冯君.0～6岁早期家庭教育与大脑潜能开发[J].林区教学,2020,(10):119-124.
Feng J.Family education and brain potential development in early age 0~6[J]. Teaching of Forestry Region,2020,(10):119-124.
[18] 中华人民共和国国家卫生健康委员会.中国居民营养与慢性病状况报告(2020年)[J]. 营养学报,2020,42(6):521.
National Health Commission of the People's Republic of China.Report on nutrition and chronic diseases of Chinese residents (2020)[J].ACTA Nutrimenta SINICA,2020,42(6):521.
[19] 梁莉,刘文龙.早期喂养行为特点与婴幼儿运动发育状况的关系[J].中国妇幼保健,2016,31(17):3551-3553.
Liang L, Liu WL.Relationship between early feeding behavior characteristics and motor development of infants[J].Maternal and Child Health Care of China,2016,31(17):3551-3553.
[20] Wright CM, Cameron K, Tsiaka M, et al.Is baby-led weaning feasible? When do babies first reach out for and eat finger foods?[J].Maternal & Child Nutrition,2011,7(1):27-33.
[21] 安娜,韩彤妍.婴儿辅食添加研究新进展[J].中国儿童保健杂志,2019,27(7):733-736.
An N, Han TY. New progress of infant complementary food additive research[J].Chin J Child Heal Care,2019,27(7):733-736.
[22] 韩慧娟.ASQ-3对1,040例婴儿发育筛查结果分析[J/OL].国际感染病学(电子版),2019,8(3):210-211.
Han HJ. Analysis of screening results of the development of 1,040 infants by ASQ-3[J/OL].International of Infectious Diseases (Electronic Edition),2019,8(3):210-211.
基金
复旦-闵行康联体合作项目研究(2020FM17);上海市卫生健康委员会先进适宜技术推广项目(2019SY032)
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