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【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 investigate the relationship between obesity and feeding behavior in infants under 5 years of age. 【Method】 A total of 10 106 mothers of children under 5 years of age in 10 counties (cities) of Jinan City were surveyed and their physical measurements were conducted by stratified cluster sampling. [Results] The breastfeeding rates of obese and under-five children in Jinan were 62.03% and 82.58% respectively. All kinds of complementary food added normal children later than obese children, the difference was significant (P <0.05). Logistic regression showed that feeding on a regular basis, mixed feeding, artificial feeding, premature food supplement, and excessive snacking are risk factors for obesity in children under 5 years of age. Full-term production, feeding on an as-needed basis, supplemented with food in due course, timely weaning, reducing snack intake is to reduce the occurrence of obesity protective factors. 【Conclusion】 Scientific feeding is the guarantee to reduce the incidence of childhood obesity. It is necessary to give parents practical advice on feeding.