5岁以下儿童肥胖与婴儿期喂养行为关系的研究

Relation between obesity and infancy feeding patterns in children aged under 5 years

【目的】探讨5岁以下儿童肥胖与婴儿期内喂养行为的关系。【方法】采用整群分层抽样的方法对济南市10个县(市)区5岁以下儿童母亲10 106人进行问卷调查及体格测量。【结果】济南市5岁以下肥胖儿童、正常儿童母乳喂养率分别为62.03%、82.58%。各类辅食添加正常儿童晚于肥胖儿童,差异有显著性(P<0.05)。Logistic回归显示按时喂养、混合喂养、人工喂养、过早添加辅食、进食过多的零食是5岁以下儿童肥胖发生的危险因素。足月产、按需喂养、适时添加辅食、适时断奶、减少零食的摄入是降低肥胖发生的保护性因素。【结论】科学的喂养方式是降低儿童肥胖发病率的保障。给家长切实可行的喂养知识指导很有必要。

[Objective] To study the relation between obesity and infancy feeding patterns in children aged under 5 years. [Methods] 10 106 children younger than 5 years old were selected by cluster sampling. The questionnaire of nutrition were answered,and the weight and height of the children were measured. [Results] Breasting feeding rate in obesity children and normal children were 62.03 % and 82.58% respectively. Obvious difference existed between obesity children and normal children at adding complementary foods. Feeding on time, adding complementary foods too early, taking more foods were risk factors for obesity in children under the age of 5 years. Full term infant,feeding on need,timely ablactation and timely complementary food, reducing food take in were protective factors to avoid obesity and malnutrition. [Conclusions] Scientific feeding patterns is an important measurement to descend the rate of obesity. It is necessary to give parents applicable directions.