关键词: childhood formula obesity risk factors solids timing

来  源:   DOI:10.3390/children9071030

Abstract:
In Lebanon, there has been an alarming increase in childhood overweight and obesity. In addition, most mothers do not meet the WHO recommendation that infants should be introduced to formula or solids only during the second half of their first year. Because the study population, Burj Hammoud, which is a low socioeconomic district, is small, we performed an exploratory analysis of infant feeding patterns and the effects of introducing formula and solids within six months, respectively, on childhood overweight/obesity among 10-year-old children. A total of 101 mothers were recruited from seven intercommunity dispensaries located across the district. Descriptive, univariate and multivariate logistic regression analyses were performed. There were 86.1% infants initiating breastfeeding, 18% exclusively breastfeeding at 6 months of age, 67.1% and 52.6% starting formula and solids by 6 months, respectively, and 53.5% becoming overweight/obese by the age of 10 years. Working mothers were significantly less likely to introduce formula but not solids within the first six months of infancy. Based on two case-control studies, after controlling for maternal employment, there were 2.278- and 1.511-fold significantly higher odds of introducing solids and formula before the age of 6 months compared with after the age of 6 months, respectively, for the overweight/obese individuals among 10-year-olds. Future research should focus on conducting a larger study by incorporating other low socioeconomic regions to confirm these relationships.
摘要:
在黎巴嫩,儿童超重和肥胖人数惊人地增加。此外,大多数母亲不符合世卫组织的建议,即婴儿应该只在第一年的下半年开始使用配方奶粉或固体。因为研究人群,BurjHammoud,这是一个低社会经济的地区,很小,我们对婴儿喂养模式和六个月内引入配方奶粉和固体的影响进行了探索性分析,分别,关于10岁儿童的儿童超重/肥胖。从该地区的七个社区间药房共招募了101名母亲。描述性的,进行了单因素和多因素logistic回归分析.有86.1%的婴儿开始母乳喂养,18%的纯母乳喂养在6个月的年龄,到6个月,起始配方和固体分别为67.1%和52.6%,分别,53.5%的人在10岁时变得超重/肥胖。工作母亲在婴儿期的前六个月内引入配方奶粉的可能性大大降低,但不是固体。根据两项病例对照研究,在控制了孕产妇就业后,与6个月大之后相比,在6个月大之前引入固体和配方食品的几率分别为2.278和1.511倍,分别,对于10岁儿童中的超重/肥胖个体。未来的研究应侧重于通过纳入其他低社会经济区域来进行更大的研究,以确认这些关系。
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