广东地区不同食物转换模式对0～18月龄婴幼儿体格发育的影响  

Influence of complementary feeding on the physical status of 0～18 months old children in Guangdong area.

作　　者：钱兴国[1] 马丽萍[2] 池岚[2] 苏宜香[2] 陈卫红[3] 叶艺[4] 

机构地区：[1]广州医学院荔湾医院,广东广州510170 [2]中山大学公共卫生学院营养系,广东广州510080 [3]江门市新会妇幼保健院,广东江门529100 [4]佛山市南海妇幼保健院,广东佛山528200

出　　处：《中国儿童保健杂志》2010年第9期641-643,共3页Chinese Journal of Child Health Care

基　　金：达能膳食营养研究与宣教基金资助项目(2004-01)

摘　　要：【目的】了解广东地区0~18月龄婴幼儿不同食物转换模式及对其体格发育的影响,为促进婴幼儿科学喂养提供依据。【方法】整群抽取广东省城市、城镇、农村3 844名婴幼儿,对其食物转换现况进行问卷调查并测量婴幼儿体格发育情况。【结果】1）在4-6月龄间引入其他食物的婴幼儿体格发育优于4月龄前或晚于6月龄引入其他食物者;2）仅引入谷类或者谷类加蔬菜水果的婴幼儿身长、体重、头围、胸围、上臂围值小于引入谷类＋其他2种以上食物者,仅引入谷类的婴幼儿体重、胸围、上臂围值也小于引入谷类＋肉/蛋的婴幼儿;3）引入汤的0-10月龄婴幼儿Z分显著低于未引入汤者;引入凉茶的0-5月龄婴儿的HAZ、WAZ及6~18月龄婴幼儿的WAZ、WHZ均显著低于未引入凉茶者。【结论】婴儿引入其他食物时间宜在4~6月龄;引入多样化的食物较仅引入植物性食物更利于婴幼儿的体格发育,引入凉茶或汤是不利于婴幼儿体格发育的喂养行为。【Objective】 To know about the influence of complementary feeding on the physical status of 0~18-mo-old children in Guangdong area and provide evidence to scientific feeding. 【Methods】 3 844 children aged 0~18-mo were recruited from the urban,suburb and rural area of Guangdong.They were investigated on complementary feeding status and measured anthropometric indices. 【Results】 1）The anthropometric indices of children introduced complementary foods between 4~6-mo-old were significantly better than those introduced before 4-mo-old or after 6-mo-old respectively.2）The heights,weight,head circumference,chest circumference and mid-upper-arm circumference of children introduced only cereals or cereals and vegetables/fruits were lower than those introduced cereals and more than two other kinds of complementary foods.The weight,chest circumference and mid-upper-arm circumference of children introduced only cereals were lower than those introduced cereals and meat/egg.3）Z scores of 0~10-mo-old infant introduced soup were significantly lower than those not introduced.HAZ and WAZ of 0~5-mo-old infants and WAZ and WHZ of 6~18-mo-old children introduced herbal were significantly lower than those not introduced. 【Conclusions】 The appropriate time of introducing complementary food for infants is between 4~6-mo-old.Only introducing vegetal food is not good to children＇ growth.And complementary food should be diversiform.Introducing herbal or soup to 0~18 months children may not be good to their growth.

关 键 词：婴幼儿 食物转换 体格发育 

分 类 号：R153.2[医药卫生—营养与食品卫生学]