武汉市江汉区婴幼儿体格发育现状及影响因素分析  

Analysis on the current situation and effect factors of physical development of infants in Hanjiang District of Wuhan city

作　　者：蒋蔚蔚[1] 熊超[2] 张清凯[3] 张静[2] 

机构地区：[1]华中科技大学第一临床学院 [2]华中科技大学同济医学院公共卫生学院儿少卫生与妇幼保健学系,湖北武汉430030 [3]武汉市江汉区妇幼保健所

出　　处：《中国妇幼保健》2011年第33期5167-5169,共3页Maternal and Child Health Care of China

基　　金：国家妇幼保健中心城市婴幼儿营养与喂养干预研究项目〔2010-FY-003〕

摘　　要：目的:了解武汉市江汉区婴幼儿体格发育状况及影响因素。方法:整群随机抽取武汉市江汉区2个社区婴幼儿为调查对象,测量体重和身高,并对其抚养人进行问卷调查。结果:共调查720例婴幼儿,其中男373例(51.81%),女347例(48.19%);4个月内母乳喂养率为72.50%,4～6个月食物转换率为84.17%;1～3月龄,4～6月龄,12～15月龄和21～30月龄组婴幼儿年龄别身长低于2005年中国九市儿调标准,24月以下婴幼儿年龄别体重高于中国九市儿调标准。多因素分析结果显示,月龄、性别、出生身长、出生体重、家长文化程度、家庭经济水平、主要看护人和营养补充剂添加情况与婴幼儿生长发育相关;4个月内母乳喂养婴儿较非母乳喂养婴儿体重轻。结论:武汉市江汉区婴幼儿体重发育水平较好而身长发育相对不足。体格发育受出生情况、喂养状况和家庭经济文化水平影响,需采取综合干预措施促进婴幼儿体格协调发育。Objective：To understand the situation and effect factors of physical development of infants in Hanjiang District of Wuhan city.Methods：Cluster random sampling method was used to select the infants from two communities of Jianghan District as study objects.Their body heights and body weights were measured,and their caregivers were surveyed by a questionnaire.Results：720 infants were investigated totally,including 373 boys（51.81%） and 347 girls（48.19%）.The breastfeeding rate within 4 months after birth was 72.50%,and 84.17% of them added complement food at 4～6 months after birth.The body heights of infants in 1～3-month group,4～6-month group,12～15-month group and 21～30-month group were lower than Chinese nine municipal standard published in 2005,and the body weights of infants under 24 months were higher than Chinese nine municipal standard published in 2005.The result of multivariate analysis showed that age,gender,birth height,birth weight,educational levels of parents,familial economic level,main caregivers and supplementation of dietary supplement were related to infantile growth and development;the body weight of infants with breastfeeding within 4 months was lighter than that of infants without breastfeeding.Conclusion：The weight development of infants in Jianghan District of Wuhan city is good,while the height development is relatively insufficient.Physical development can be affected by birth condition,feeding condition and familial economic and educational levels,comprehensive interventional measures should be taken to promote the coordinated physical development of infants.

关 键 词：婴幼儿 生长发育 影响因素 

分 类 号：R174[医药卫生—妇幼卫生保健]