足月低体重儿的喂养方式和营养状况的人体测量分类。前瞻性队列研究

IF 2.2 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Early human development Pub Date : 2024-04-03 DOI:10.1016/j.earlhumdev.2024.106005
Carlos Javier Avendaño-Vásquez , Magda Liliana Villamizar-Osorio , Claudia Jazmín Niño Peñaranda , Judith Medellín Olaya , Nadia Carolina Reina Gamba
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引用次数: 0

摘要

背景约 50% 的低出生体重儿是足月新生儿,与平均出生体重儿相比,低出生体重儿的婴儿死亡率较高。分析高危人群的喂养方式对于解决婴儿期营养不良和发育迟缓问题至关重要:队列研究。对 73 名出生体重不足的足月新生儿进行前瞻性随访,直至其满 6 个月。对喂养方式和营养人体测量分类进行了分析。结果最常见的喂养方式是纯母乳喂养。母乳替代品在这一人群中很常见。在出生后的头六个月中,营养不良的风险从 2.7 % 到 19.2 % 不等,超重的风险从 4.1 % 到 11.0 % 不等。在随访期间,低身高风险是最常见的人体测量分类。出生体重低的婴儿的平均头围是一致的。在所研究的人群中,纯母乳喂养是最常见的喂养方式,但使用母乳替代品的情况也很普遍。年龄身高偏低是最常见的人体测量分类。体重增长率似乎是合理的,但还需要根据性别差异、母乳成分分析以及与生长有关的社会环境因素开展进一步研究。
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Feeding practices and anthropometric classification of nutritional status in low-birth-weight infants at term. A prospective cohort study

Background

About 50 % of LBW occurs in term newborns, which is associated with higher infant mortality rates compared to infants of average birth weight. Analysis of feeding practices in at-risk groups is essential to address malnutrition and stunting in infancy.

Aim

To identify feeding practices and anthropometric classification of nutritional status in a cohort of low-birth-weight term infants.

Methods

Methods: Cohort study. A prospective follow-up of 73 term newborns with low birth weight up to six months of age was performed. Feeding practices and anthropometric classification of nutritional were analysed. Data were processed by univariate analysis and multivariate linear regression.

Results

The most common feeding practice was exclusive breastfeeding. Breast milk substitutes are frequent in this population group. The risk of undernutrition ranged from 2.7 % to 19.2 % and of overweight from 4.1 % to 11.0 % during the first six months of life. Low height-for-age risk was the most frequent anthropometric classification during the follow-up period. Average head circumference was consistent in infants with low birth weight. Gestational risk classification, breastfeeding during the first hour of life, and sex of the newborn were predictors of variations in anthropometric indicators.

Conclusions

Exclusive breastfeeding is the most common feeding practice in the population group studied, but using breast milk substitutes is also prevalent. Low height-for-age is the most frequent anthropometric classification. The weight growth rate seems reasonable, but further studies are needed based on gender differences, analysis of the composition of breast milk, and socio-environmental factors involved in growth.

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来源期刊
Early human development
Early human development 医学-妇产科学
CiteScore
4.40
自引率
4.00%
发文量
100
审稿时长
46 days
期刊介绍: Established as an authoritative, highly cited voice on early human development, Early Human Development provides a unique opportunity for researchers and clinicians to bridge the communication gap between disciplines. Creating a forum for the productive exchange of ideas concerning early human growth and development, the journal publishes original research and clinical papers with particular emphasis on the continuum between fetal life and the perinatal period; aspects of postnatal growth influenced by early events; and the safeguarding of the quality of human survival. The first comprehensive and interdisciplinary journal in this area of growing importance, Early Human Development offers pertinent contributions to the following subject areas: Fetology; perinatology; pediatrics; growth and development; obstetrics; reproduction and fertility; epidemiology; behavioural sciences; nutrition and metabolism; teratology; neurology; brain biology; developmental psychology and screening.
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