2010年拉萨市农村6-35月龄婴幼儿喂养指数分布与体格发育的关联  

Association between the distribution of feeding index and physical development of infants and youngchildren aged 6 -35 months in rural areas of Lhasa in 2010

作　　者：王国栋[1] 颜虹[1] 康轶君[1] 党少农[1] 曾令霞[1] 裴磊磊[1] 张超[1] 

机构地区：[1]西安交通大学医学院公共卫生系流行病与卫生统计教研室,710061

出　　处：《中华预防医学杂志》2013年第7期608-611,共4页Chinese Journal of Preventive Medicine

基　　金：高等学校博士学科点专项科研基金（20070698084）;美国中华医学基金会项目（#02-778）;国家自然科学基金（300771835）

摘　　要：目的采用婴幼儿喂养指数（infant and child feeding index, ICFI）评价拉萨市农村地区婴幼儿喂养情况与体格发育之间的关系。方法于2010年7-8月在拉萨市农村地区，采用多阶段整群随机抽样方法抽取了540名6-35月龄藏族婴幼儿，6-8、9-11、12-35月龄组分别为70、79、391名、，使用自制调查问卷收集婴幼儿的基本情况、母乳喂养和辅食添加等信息，测量其身高和体重，进行ICFI评分（满分为17分），计算婴幼儿的年龄别体重Z评分（WAZ）、年龄别身高Z评分（HAZ）和身高别体重Z评分（WHZ），分析ICFI与HAZ、WAZ和WHZ的关联。结果540名6-35月龄藏族婴幼儿ICFI得分为（8．90±2．82）分；6-8、9-11及12-35月龄组得分分别为（6．84±3．16）、（8．16±2．78）和（9．41±2．55）分，差异有统计学意义（F=30．99，P〈0．05）。6-8、9-11及12-35月龄组WAZ分别为（0．10±1．18）、（-0．09±1．20）和（-0．38±0．96）分；HAZ分别为（-0．60±1．68）、（-0．02±1．72）和（-1．30±1．30）分；WHZ分另4为（0．62±1．23）、（0．69±0．96）和（0．43±0．95）分。9-11、12-35和6-35月龄组ICFI得分均与HAZ呈正相关（r值分别为0．25、0．12和0．09，P值均〈0．05）；与WAZ无相关性（r值分别为0．15、0．08和0．03，P值均〉0．05），与WHZ也无相关性（r值分别为-0．08、-0．02和-0．07，P值均〉0．05）。6-8月龄组婴幼儿ICFI得分与HAZ、WAZ、WHZ均无相关性（r值分别为0．06、0．16和-0．07，P值均〉0．05）。结论ICFI在一定程度上能够反映出该婴幼儿群体的生长发育状况，可用于拉萨市农村地区藏族婴幼儿喂养情况的综合评判。Objective Using infant and child feeding index （ICFI） to evaluate the relationship between infant feeding and physical development indicators in rural areas of Lhasa. Methods In July and August 2010 in the rural areas of Lhasa, the multi-stage cluster random sampling method was adopted to select 540 Tibetan children who were between 6 to 35 months of age. There were 70,79 and 391 cases in 6 to 8,9 to 11 and 12 to 35-month-old group respectively. The basic status of infants, information about breastfeeding and complementary feeding were collected by using designed questionnaires. Their height and weight were measured to calculate the childen＇ s weight for age Z-score （WAZ） , height for age Z-score （HAZ） and weight for height Z-score （WHZ） and assess feeding index score （out of 17 scores） and analyze the relationship between feeding index and HAZ, WAZ and WHZ. Results The mean ICFI score of 540 cases was 8.90 ±2. 82. It was 6.84 ±3.16,8. 16 ±2.78 and 9.41 ±2. 55 for 6 to 8,9 to 11 and 12 to 35-month-old infants respectively. There was significant difference between the different month group （ F = 30. 99 ,P 〈0. 05 ）. For the three month groups, the scores of WAZ were 0. 10 ± 1. 18, -0. 09 ± 1.20 and - 0. 38 ± 0. 96 ; HAZ were - 0. 60 ± 1.68, - 1.02 ± 1.72 and - 1.30 ± 1.30; WHZ were 0. 62 ± 1.23,0. 69±0. 96 and 0. 43 ± 0. 95 respectively. The ICFI scores of 9 to 11,12 to 35 and 6 to 35-month-old infants were positively correlated with HAZ （correlation coefficients were 0. 25,0. 12 and 0. 09 respectively, all P values 〈0. 05）. There was no correlation with WAZ （correlation coefficients were 0. 15,0. 08 and O. 03 respectively, all P values 〉 0. 05） and WI-IZ （correlation coefficients were - 0. 08, - 0. 02, and - 0. 07 respectively, all P values 〉 0. 05 ）. There were no correlation between ICFI score with HAZ,WAZ and WHZ for 6 to 8 month-old infants （correlation coeffie, ient were 0. 06,0. 16 and -0. 07 respectively, all P values 〉 0. 05）. Conclusion To

关 键 词：婴儿 生长 儿童发育 婴幼儿喂养指数 Z评分 

分 类 号：R1[医药卫生—公共卫生与预防医学]