北京市和湖南省郴州市4~8月龄婴儿蔬菜水果添加情况的追踪性调查

A follow-up study on the introduction of vegetables and fruits during infants aged 4-8 months in Beijing and Chenzhou City of Hunan Province

目的:追踪调查北京市和湖南省郴州市两地4~8月龄婴儿的蔬菜、水果添加时间与添加种类,探索与蔬果添加行为有关的母婴特征。方法:采用方便抽样,在婴儿12~16周龄招募228对健康母婴,婴儿4月龄时正式进入研究,对其进行为期4个月的随访(n=204)。记录母婴对的基本信息以及婴儿的蔬菜、水果首次添加时间和添加种类等信息。使用秩和检验分析与蔬菜、水果添加有关的母婴因素,运用多重线性回归分析部分母婴因素与首次蔬菜添加时间以及8月龄婴儿蔬果添加种类数的关系。结果:参与调查的204名婴儿的蔬菜添加时间集中在7月龄,水果添加时间主要集中在6月龄,水果添加时间早于蔬菜(P<0.001),添加水果的种类数高于蔬菜(P=0.045)。48%(n=98)的8月龄婴儿添加的蔬果不超过3种,仅9.8%(n=20)的婴儿在8月龄时已添加10种以上的蔬果。菠菜等绿叶蔬菜是最常添加的蔬菜,苹果是最常添加的水果。多重线性回归显示,35岁以上的乳母给婴儿添加蔬菜的时间比35岁及以下的乳母晚0.6个月,4月龄纯母乳喂养的婴儿首次添加蔬菜的时间比混合喂养的婴儿晚0.4个月,受教育程度为大学本科及以上的乳母给婴儿添加蔬果的种类数比学历为初中及以下的乳母多2~3种。结论:调查结果显示婴儿的水果添加时间早于蔬菜,绿叶蔬菜和苹果是最常添加的蔬果,纯母乳喂养、母亲分娩年龄较高的婴儿蔬菜添加时间较晚,母亲文化程度较低的婴儿蔬果添加种类较少,故分娩年龄较高以及文化程度较低的乳母应受到婴儿合理辅食添加健康宣教的重点关注。

Objective:To investigate the introduction of vegetables and fruits in 4-8 months old infants,and to describe the maternal and infants’characteristics associated with the introduction of vegetables and fruits.Methods:Mother-infant dyads(n=228)were recruited from 12 to 16 weeks postpartum and formally entered the study at 4 months of age.Data collected via face to face interview at 4-8 months postpartum,including the timing and types of added vegetables and fruits,as well as a variety of maternal and infant characteristics(n=204).Rank sum test and multiple linear regression were used to analyze the maternal and infant characteristics related to the introduction of vegetables and fruits.Results:The time of introducing vegetables was concentrated at the age of 7 months,and the time of adding fruits was mainly at 6 months.Fruits were added earlier than vegetables(P<0.001),and the variety of the added fruits was higher than that of vegetables(P=0.045).48%(n=98)of infants had no more than three types of fruits and vegetables at 8 months.Only 9.8%(n=20)had added more than 10 kinds of fruits and vegetables at 8 months.Green leafy vegetables were the most commonly added vegetable,and apple was the most popular fruit.Compared with women who were 35 years of age or younger,women beyond 35 years old introduced vegetables to their babies 0.6 months later.4-month-old exclusively breastfed infants had vegetables 0.4 months later than mixed-fed infants.Women with a bachelor’s degree or above added 2-3 more types of fruits and vegetables to their babies than those with junior high school education and below.Conclusion:The adding time of fruits was earlier than that of vegetable.Apples and green leafy vegetables are commonly added.Women with lower educational backgrounds add fewer types of fruits and vegetables to their babies.Mothers who choose exclusive breastfeeding and those over 35 years of age at childbirth add vegetables to their babies later than others.They should be targeted for health promotion programs that aim to improve the intake of fruits and vegetables among infants.