本文聚焦6~23月龄婴幼儿的辅食添加与身体运动,阐述二者对健康发育的协同重要性。儿童健康发展需秉持“吃-动并重”理念,营养可为机体发育构建提供物质基础,身体活动为机体提供各类发育所需要的信号刺激保障,二者通过共享的机制协同促进儿童体格生理、认知行为与大脑智能的全面优质发育。本文重点介绍吃-动并重策略的概念和重要性,重温辅食添加的核心知识,以及不同年龄阶段身体活动的具体要求和做法等。吃-动并重的策略和方法,也将为“五健”行动提供重要的技术支持。
Abstract
This paper focuses on complementary feeding and physical activity in infants and toddlers aged 6 – 23 months, elaborating on their synergistic importance for healthy development.Children′s healthy development should follow the concept of giving equal importance to nutrition and physical activity.Nutrition provides the material basis for growth and development, whereas physical activity provides the signaling stimuli required for various aspects of development.Through shared biological mechanisms, they act synergistically to promote high-quality and comprehensive development in children′s physical growth, physiological function, cognition, behavior, and brain development.This paper highlights the concept and significance of the eat-move strategy, reviews core knowledge on complementary feeding, and outlines specific requirements and practices for physical activity at different age stages.The strategies and methods of integrating nutrition and physical activity may also provide important technical support for the Five Health Promotion Initiative.
关键词
营养 /
喂养 /
身体活动 /
辅食添加 /
婴幼儿
Key words
nutrition /
feeding /
physical activity /
complementary feeding /
infants and toddlers
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参考文献
[1] European Society for Paediatric Gastroenterology, Hepatology & Nutrition (ESPGHAN), European Academy of Paediatrics, European Society for Paediatric Research (ESPR), et al.World Health Organization (WHO) guideline on the complementary feeding of infants and young children aged 6-23 months 2023: A multisociety response[J].J Pediatr Gastroenterol Nutr, 2024, 79(1): 181-188.
[2] 中国营养学会.中国 7~24 月龄婴幼儿喂养指南[M].//中国营养学会.中国居民膳食指南.北京:人民卫生出版社,2022.
[3] 王健.身体活动与学龄前儿童早期发展[J].中国儿童保健杂志,2022, 30(6): 585-590.
Wang J.Physical activity and early childhood development of preschool children[J].Chin J Child Health Care, 2022, 30(6): 585-590.(in Chinese)
[4] Bangsbo J, Krustrup P, Duda J, et al.The Copenhagen Consensus Conference 2016: children, youth, and physical activity in schools and during leisure time[J].Br J Sports Med,2016,50 (19):1177-1178.
[5] St Laurent CW, Burkart S, Andre C, et al.Physical activity, fitness, school readiness, and cognition in early childhood: A systematic review[J].J Phys Act Health, 2021, 18 (8):1004-1013.
[6] 张霆.儿童早期发育的表观遗传运动调控机制的认识进展[J].中国儿童保健杂志, 2024,32 (8):821-825.
Zhang T.Advances in understanding epigenetic motor regulation mechanisms in early childhood development[J].Chin J Child Health Care, 2024, 32(8): 821-825.(in Chinese)
[7] Murphy RM, Watt MJ, Febbraio MA.Metabolic communication during exercise[J].Nat Metab, 2020, 2 (9):805-816.
[8] Zhang Z, Predy M, Hesketh KD, et al.Characteristics of tummy time and dose-response relationships with development in infants[J].Eur J Pediatr, 2023, 182(1):113-121.
[9] Carson V, Zhang Z, Predy M, et al.Longitudinal associations between infant movement behaviours and development[J].Int J Behav Nutr Phys Act, 2022 , 19(1):10.
[10] Karen U, Cynthia S, Sunkyung Y, et al.Evaluation of a “tummy time” intervention to improve motor skills in infants after cardiac surgery[J].Cardiol Young, 2022, 32(8):1210-1215.
[11] Hewitt L, Kerr E, Stanley RM, et al.Tummy time and infant health outcomes: A systematic review[J].Pediatrics,2020,145:e20192168.
[12] Huang Y, Wang X, Meng N, et al.Suboptimal status of tummy time for infants in early childhood education institutions in urban China: A cross-sectional study[J].J Glob Health, 2024, 14:04048.
[13] Verduci E, Fiore G, Agostinelli M, et al.Feeding practices in the introduction of complementary feeding and implications for future healthy eating[J].Ann Nutr Metab, 2025, 81(Suppl 2):44-55.
[14] WHO Multicentre Growth Reference Study Group.WHO motor development study: Windows of achievement for six gross motor development milestones[J].Acta Paediatrica,2006,450:86-95.
[15] Rachwani J, Hoch J, Adolph KE.Action in development: Plasticity, variability, and flexibility[M]//The Cambridge handbook of infant development: Brain, behavior, and cultural context.New York: Cambridge University Press,2020:469-494.
[16] 朱宗涵,郭金.对儿童早期发展重要发育领域的思考[J].教育生物学杂志, 2026, 14(1):1-5.
Zhu ZH,Guo J.Rethinking key developmental domains in early childhood development[J].Journal of Bio-education, 2026,14(1):1-5.(in Chinese)
[17] World Health Organization.Guideline for 24-h physical activity, sedentary behaviour and sleep for children under 5 years of age[M/OL].Geneva: World Health Organization, (2019-04-02).https://www.who.int/publications/i/item/9789241550536
[18] World Health Organization.Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age[EB/OL].(2019-04-02)[2026-01-31] .https://www.who.int/publications/i/item/9789240014886
[19] 国家卫生健康委.3岁以下婴幼儿健康养育照护指南(试行)[EB/OL].(2022-11-01)[2026-01-31].http://www.nhc.gov.cn/fys/c100077/202211/6e6de36e041f4308a0b1d887ec9a1eb4.shtml
[20] 国家卫生健康委.健康儿童行动提升计划(2021—2025年)[EB/OL].(2021-10-01)[2026-01-31].https://www.gov.cn/zhengce/zhengceku/2021-11/05/content_5649019.htm
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