【目的】 探讨早期喂养方式对婴幼儿肥胖发生及转归的影响,为临床有效预防提供策略。 【方法】 回顾调查522名在南京市妇幼保健院儿保科体检的2岁儿童,按其0~4个月喂养方式不同分成母乳喂养组与人工喂养组,比较两组儿童在不同月龄(3、6、9、12、18及24个月)时超重及肥胖的发生率;并纵向观察3月龄组超重及肥胖儿童随月龄增长超重及肥胖的转归情况。 【结果】 人工喂养组儿童各月龄肥胖发生率、超重加肥胖发生率呈先递增后递减趋势,母乳喂养组则呈现随月龄增加递减趋势。其中18月龄母乳喂养组儿童肥胖发生率显著低于人工喂养组,12、24月龄母乳喂养组儿童超重加肥胖发生率显著低于人工喂养组(P＜0.05);两组中3月龄发生超重及肥胖的儿童在后期各月龄肥胖发生率逐渐下降,以母乳喂养组下降更明显(P＜0.05)。 【结论】 早期母乳喂养对2岁以内儿童超重及肥胖的发生有保护作用;母乳喂养对早期超重及肥胖儿童后期超重及肥胖的发生亦有保护作用。
Abstract
【Objective】 To investigate the effects of early feeding types on the development of infant obesity. 【Methods】 A retrospective study was used to survey 522 children(aged 2) who had regular health care in Nanjing Maternal and Child Health Hospital. According to the feeding types before 4 months old, they were classified into breast feeding group and bottle feeding group. The prevalence of overweight and obesity in different months were compared between the two groups. 【Results】 The prevalence of obesity and overweight in bottle feeding group were elevated with age increased and reached peak in 12 months old, then decreased gradually, while they were gradually declined with age increased in breast feeding group. In 18 months old, obesity was more prevalent in the infants with bottle feeding than that with breast feeding(P＜0.05). In 12 and 24 months old, the rates of overweight and obesity were significantly higher in bottle feeding group than that with breast feeding(P＜0.05). Furthermore, in both groups, the prevalence of obesity and overweight were both declined with age increased in 3 months old obesity and overweight children, especially in breast feeding group(P＜0.05). 【Conclusion】 Early breast feeding may have a potential benefit in preventing the occurrence and aggravation of infant obesity and overweight within 2 yeas old.
关键词
肥胖 /
超重 /
喂养方式 /
纵向观察 /
婴幼儿
Key words
obesity /
overweigh /
feeding types /
longitudinal observation /
infant
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参考文献
[1] 张庆莲,汪云利.儿童肥胖的现状与预防[J].成都医学院学报,2006,1(1):72-76.
[2] 蒋竞雄.儿童单纯性肥胖症的干预[J].中国儿童保健杂志,2007,15(3):219-220.
[3] Li L, Parson TJ, Power C. Breast feeding and obesity in childhood: cross-sectional study[J]. BMJ,2003,327(7420):904-905.
[4] Tammy JC. Breast feeding and obesity. The evidence regarding its effect on obesity is inconclusive[J]. BMJ,2003,327:879-880.
[5] Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health[J]. Obes Rev,2004,5:4-85.
[6] Haslam DW, James WP. Obesity[J]. Lancet,2005,366:1197-1209.
[7] Oddy WH, Scott JA, Graham KI, et al. Breastfeeding influences on growth and health at one year of age[J]. Breatfeed Rev,2006,14(1):15-23.
[8] Burdette HL, Whitaker RC, Hall WC, et al. Breastfeeding, introduction of complementary foods, and adiposity at 5 y of age[J]. Am J Clin Nutr,2006,83(3):550-558.
[9] Lucas A. Long-term programming effects of early nutrition-implications for the preterm infant[J]. J Perinatol,2005,25(S2):2-6.
[10] Martorell R, Stein AD, Schroeder DG.Early nutrition and later adiposity[J]. J Nutr,2001,131(S3):874-880.
[11] Savino F, Costamagna M, PrinoA. Leptin levels in breast-fed and formula-fed infants[J]. Acta Paediatr,2002,91(9):897-902.
[12] Das UN, Meguid MM. Nutrition, physical activity, and obesity[J]. Lancet,2002,360(9341):1249-1250.
[13] Gillman MW, Rifas SSL, Camargo CA, et al. Rick of overweight among adolescents who were breastfed as infants[J]. JAMA,2001,285:2461-2467.
[14] 余涛,毛萌.儿童单纯性肥胖的诊断和治疗[J].实用儿科临床杂志,2007,22(11):874-876.
基金
国家自然科学基金项目(30801256);江苏省自然科学基金项目(BK2008078)
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