喂养方式对0~5月龄婴儿睡眠状况的影响  

Effects of feeding patterns on sleep of infants aged 0-5 months

作　　者：宋沁峰 李宏田[1,2,3] 周玉博[1,2] 孟莹[1,2] 刘建蒙 Song Qinfeng;Li Hongtian;Zhou Yubo;Meng Ying;Liu Jianmeng(Institute of Reproductive and Child Health(National Health Commission Key Laboratory of Reproductive Health),Peking University Health Science Center,Beijing 100191,China;Department of Epidemiology and Biostatistics,School of Public Health,Peking University Health Science Center,Beijing 100191,China;Center for Intelligent Public Health,Institute for Artificial Intelligence,Peking University,Beijing 100191,China)

机构地区：[1]北京大学生育健康研究所(国家卫生健康委员会生育健康重点实验室),北京100191 [2]北京大学公共卫生学院流行病与卫生统计学系,北京100191 [3]北京大学人工智能研究院智慧公众健康研究中心,北京100191

出　　处：《中华围产医学杂志》2022年第11期852-858,共7页Chinese Journal of Perinatal Medicine

基　　金：惠氏营养品(中国)有限公司资助项目(MED20160331A)。

摘　　要：目的了解0~5月龄婴儿睡眠状况及喂养方式与睡眠状况的关联。方法2019年2月至8月,基于微信公众号采用标准化"简明婴儿睡眠问卷"开展婴儿睡眠时间和睡眠习惯的横断面调查,同时收集母婴基本特征及喂养方式等信息。应用多重线性回归和多分类logistic回归分析喂养方式与睡眠状况的关联。结果共调查到0~5月龄单胎母婴28444对,来自中国内地31个省级行政区。婴儿夜晚和白天睡眠时间中位数分别为9 h和6 h,睡眠地点以父母床为主(53.5%,15221/28444),仰卧者占46.0%(13092/28444),夜醒2次及以上者占84.7%(24078/28444),夜醒≥2 h者占58.3%(16597/28444),睡眠潜伏期≥1 h者占89.7%(25523/28444),喂养时入睡者占比最大(40.2%,11426/28444)。纯母乳喂养者7164例(25.2%),纯奶粉喂养者4097例(14.4%),混合喂养者17183例(60.4%)。与纯母乳喂养婴儿相比,纯奶粉喂养婴儿夜晚睡眠时间较短(aβ=-0.14,95%CI:-0.22~-0.06),混合喂养婴儿夜晚睡眠时间较长(aβ=0.08,95%CI:0.02~0.13);纯奶粉喂养婴儿总体睡眠时间倾向少于推荐标准(aOR=1.10,95%CI:1.00~1.21);纯奶粉和混合喂养婴儿睡在独立房间婴儿床可能性更低(aOR=0.50,95%CI:0.44~0.56;aOR=0.35,95%CI:0.32~0.38),纯奶粉喂养婴儿与父母同床睡可能性更低(aOR=0.91,95%CI:0.83~0.99),而混合喂养者与父母同床睡可能性更高(aOR=1.19,95%CI:1.11~1.27);混合喂养婴儿仰卧可能性较高(aOR=1.12,95%CI:1.06~1.18);纯奶粉喂养婴儿夜醒时间达到4 h的可能性较高(aOR=1.12,95%CI:1.01~1.25);P值均<0.05。结论纯母乳喂养是有益于婴儿睡眠时间的最佳喂养方式,但其伴随的睡眠地点、睡眠姿势等睡眠习惯问题应予以重视,以实现婴儿睡眠与喂养的双促进。Objective To investigate the sleep of infants aged 0 to 5 months and explore its association with feeding patterns.Methods A cross-sectional survey on infant sleep was conducted from February to August 2019 using"Brief Infant Sleep Questionnaire"posted on a WeChat public account,which mainly included two dimensions of sleep duration and habits.In addition,information on maternal and infant characteristics as well as feeding patterns was also collected.Multiple linear regression and multinomial logistic regression were used to analyze the association between sleep and feeding patterns.Results This study included 28444 singleton infants aged 0 to 5 months and their mothers from 31 provincial-level administrative regions in China's Mainland.The median sleep duration of infants at night and during the day was 9 h and 6 h,respectively.These infants sharing the bed with their parents accounted for 53.5%(15221/28444).Of all infants,46.0%(13092/28444)slept on their backs;84.7%(24078/28444)woke up two times or more at night;58.3%(16597/28444)stayed awake 2 h or more at night;89.7%(25523/28444)had a sleep latency of 1 h or more.Falling asleep while being fed was the most common way to fall asleep(40.2%,11426/28444).The numbers of infants who were exclusively breastfed,exclusively formula-fed and mixed-fed were 7164(25.2%),4097(14.4%)and 17183(60.4%),respectively.Compared with exclusively breastfed infants,exclusively formula-fed infants slept for shorter periods at night(aβ=-0.14,95%CI:-0.22 to-0.06,P<0.05),while mixed-fed infants slept longer(aβ=0.08,95%CI:0.02-0.13,P<0.05).Exclusively formula-fed infants had less overall sleep time than recommended(aOR=1.10,95%CI:1.00-1.21,P<0.05).Exclusively formula-fed and mixed-fed infants were less likely to sleep in cribs in separate rooms(aOR=0.50,95%CI:0.44-0.56;aOR=0.35,95%CI:0.32-0.38;both P<0.05).Exclusively formula-fed infants were less likely to share the bed with their parents(aOR=0.91,95%CI:0.83-0.99,P<0.05),but the likelihood in mixed-fed infants was high(aOR=1.19,95%CI:

关 键 词：睡眠 母乳喂养 摄食行为 喂饲方法 婴儿 

分 类 号：R174[医药卫生—妇幼卫生保健]