幼儿喂养环境和做法不仅会影响儿童的营养状况,还会为儿童提供各种外部刺激,影响儿童大脑的发育,特别是儿童的前1000天。以前没有描述过饮食过渡期儿童早期发育(ECD)与喂养方式之间的关系。
■这项研究使用了儿童早期综合发展项目的定量调查数据,以调查中国贫困农村地区在饮食过渡期间ECD与喂养方式之间的这种关联。有关儿童和家庭特征以及喂养方式的数据是通过护理人员填写的问卷收集的。通过五个方面探索了发展延迟,结构化,家长填写的年龄和阶段问卷。采用卡方检验和多因素logistic回归分析探讨ECD的相关因素。
■结果显示,在饮食过渡期内,有33.6%的儿童至少有一个发育迟缓区域。在评估的所有五个地区中,精细运动发育迟缓的患病率最高(17.7%),其次是通信(14.9%),解决问题(13.8%),个人社交技能(11.9%),和粗电机(11.8%),分别。发育迟缓几率增加的重要预测因素包括辅食类型(OR=0.70,95%CI=0.53-0.94),适当的喂食频率(OR=0.69,95%CI=0.52-0.90),母乳喂养时间和奶瓶喂养(OR=0.66,95%CI=0.50-0.88)。
■根据结果,在中国农村地区,儿童在饮食过渡期发育迟缓的患病率很高。儿童的喂养方式与他们的发育状况有关,包括喂养频率不足等因素,补充食物的种类,母乳喂养持续时间,家庭收入低。这些发现突出了早期识别和干预的重点和潜在方向。
Early childhood feeding environments and practices not only affect children\'s nutritional status but also provide children with a variety of external stimulations to affect the development of the child\'s brain, especially for the first 1,000 days of children. The relationship between early childhood development (ECD) and feeding practices during the dietary transitional period has not previously been described.
This study used quantitative survey data from the Integrated Early Childhood Development Project to investigate this association between ECD and feeding practices during the dietary transitional period in poor rural areas of
China. Data concerning the child and family characteristics and feeding practices were collected through the questionnaire completed by caregivers. Developmental delays were explored through a five-pronged, structured, parent-completed Age and Stage Questionnaire. The chi-squared test and multivariate logistic regression analyses were used to explore the associated factors in ECD.
The results showed that 33.6% of children had at least one area of developmental delay during the dietary transitional period. Of all five regions evaluated, the prevalence of fine motor developmental delays was highest (17.7%), followed by communication (14.9%), problem-solving (13.8%), personal-social skills (11.9%), and gross motor (11.8%), respectively. Significant predictors of increased odds of developmental delay included types of complementary foods (OR = 0.70, 95% CI = 0.53-0.94), adequate feeding frequency (OR = 0.69, 95% CI = 0.52-0.90), and breastfeeding time and bottle feeding (OR = 0.66, 95% CI = 0.50-0.88).
According to the results, a high prevalence of developmental delay was observed in children during the dietary transitional period in the rural areas of
China. The feeding practices of children were associated with their developmental status, including factors such as inadequate feeding frequency, types of complementary foods, breastfeeding duration, and low family income. These findings highlight the focus and potential direction for early identification and intervention.