婴幼儿喂养指数法评价6~23月龄婴幼儿喂养状况的临床价值  

The Clinical Value of Infant Feeding Index Method to Evaluate the Feeding Status of Infants Aged 6~23 Months

作　　者：袁飒 应艳红[1] 黄建玲[1] 应海燕[1] 李智敏 潘建平 YUAN Sa;YING Yan-hong;HUANG Jian-ling;YING Hai-yan;LI Zhi-min;PAN Jian-ping(Department of Child Health Outpatient,3201 Hospital Affiliated to Medical Department of Xi'an Jiaotong University,Hanzhong,Shaanxi,723000,China;Department of Children's Health and Maternal and Child Health,School of Public Health,Medical Department of Xi'an Jiaotong University,Xi'an,Shaanxi,710061,China)

机构地区：[1]西安交通大学医学部附属三二〇一医院儿童保健门诊,陕西汉中723000 [2]西安交通大学医学部公共卫生学院儿少卫生与妇幼保健学系,陕西西安710061

出　　处：《现代生物医学进展》2020年第22期4283-4287,共5页Progress in Modern Biomedicine

基　　金：陕西省科技厅科技计划项目(2016JQ8220);三二〇一医院科研基金项目(3201yk201525)。

摘　　要：目的:探讨婴幼儿喂养指数法(ICFI)评价6~23月龄婴幼儿的喂养状况的临床价值。方法:于2015年6月至2016年2月,按照多阶段分层整群随机抽样的方法,抽取1418例6~23月龄婴幼儿作为调查对象。根据世界卫生组织(WHO)喂养建议建立喂养指数体系(包括母乳喂养、奶瓶喂养、膳食多样性、食物频率和喂养频率),进行ICFI评分。结果:本次共调查1418例婴幼儿,男766例(54.02%),女652例(45.98%)。6~8月龄组482例(33.99%),9~11月龄组457例(32.23%),12~23月龄组479例(33.78%)。母乳喂养率为45.06%,随月龄增加母乳喂养率降低(x^2=234.486,P<0.05)。奶瓶喂养率为74.75%,随月龄增加奶瓶喂养率升高(x^2=75.671,P<0.05)。膳食多样性总满分率为67.42%,满分率随月龄增加而增加(x^2=154.146,P<0.05)。6~8、9~11月龄食物频率总满分率由高到低依次为谷类、蔬菜/水果、蛋/鱼/禽肉类、豆类及其制品、畜肉类;12~23月龄依次为奶类及其制品、蔬菜/水果、蛋/鱼/禽肉类、畜肉类、豆类及其制品。三个月龄组间食物频率评分随月龄增加而增加(F=1240.819,P<0.05)。喂养频率满分率为41.11%(583/1418),随月龄增加而降低(x^2=149.05,P<0.05)。结论:ICFI可客观地反映婴幼儿的喂养状况,目前6~23月龄婴幼儿喂养状况不容乐观,喂养状况随着月龄减小而变差。Objective: To evaluate the clinical value of feeding status of infants aged 6 to 23 months by using the infant feeding index method(ICFI). Methods: A total of 1418 infants aged from 6~23 months were selected as the investigation subjects according to multistage stratified cluster random sampling method from June 2015 to February 2016. A feeding index system(including breastfeeding, bottle feeding, dietary diversity, food frequency and feeding frequency) was established in accordance with World Health Organization(WHO) feeding recommendations and conducted ICFI scoring. Results: A total of 1418 infants were investigated, including 766 males(54.02 %) and 652 females(45.98 %). There were 482 cases(33.99 %) in the 6~8 month ages group, 457 cases(32.23 %) in the 9~11 month ages group and 479 cases(33.78 %) in the 12~23 month ages group. The breastfeeding rate was 45.06 % and the breastfeeding rate decreased with month age(x^2=234.486, P<0.05). The rate of bottlefeeding was 74.75 % and the bottlefeeding rate increased with month age(x^2=75.671, P<0.05). The total full score rate of dietary diversity was 67.42 % and the score was increased with month age(x^2=154.146, P<0.05). From 6~8, 9~11 month ages, the total full score rate of food frequency from high to low were: cereals, vegetables/fruits, eggs/fish/poultry meats, beans and its products, meats. From 12~23 month ages, the total full score rate of food frequency from high to low were: milk and its products, vegetables/fruits, eggs/fish/poultry meats, meats, beans and its products. The frequency of food frequency between the three month-age-groups increased with month age(F=1240.819, P<0.05). The full socre rate of feeding frequency was 41.11%(583/1418), which decreased with the increase of month age(x^2=149.05, P<0.05). Conclusion: ICFI can objectively reflect the feeding status of infants. At present, the feeding status of infants between 6~23 month ages are not optimistic. The younger the month age, the worse the feeding status.

关 键 词：母乳喂养 婴幼儿喂养指数法 喂养状况 辅食添加 

分 类 号：R723[医药卫生—儿科]