不同妇女群体的婴儿喂养实践:健康开端研究。

IF 1.7 Q2 PEDIATRICS Clinical Medicine Insights-Pediatrics Pub Date : 2019-01-20 eCollection Date: 2019-01-01 DOI:10.1177/1179556518824362
Jill Landsbaugh Kaar, Katherine A Sauder, Allison Lb Shapiro, Anne P Starling, Brandy M Ringham, Susan L Johnson, Dana Dabelea
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引用次数: 4

摘要

背景:描述一组不同的母子对的婴儿喂养实践,并确定与遵守美国儿科学会(AAP)建议相关的因素。方法:在科罗拉多州丹佛市的一项正在进行的纵向产前队列健康开始研究中,对835对母子进行数据分析。在出生后4至6个月和18至24个月获得婴儿喂养实践的母亲报告。根据美国儿科学会(AAP)的以下建议进行了分类:前6个月纯母乳喂养,持续母乳喂养至12个月,并在6个月左右引入固体食物。满足所有3条建议的参与者被归类为“坚持”。其他所有人都被归类为“不坚持”。结果:约77%的二人组没有完全遵守美国儿科学会的建议。每周工作35小时或怀孕前体重指数较高的女性更有可能不坚持。年龄较大、受过大学教育或子女出生时体重大于胎龄的妇女不坚持服药的可能性较小。结论:在一个大型当代队列中,大多数妇女没有遵守美国儿科学会婴儿喂养建议。我们的研究结果强调了可能需要额外支持以优化婴儿喂养实践的特定妇女亚组。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Infant Feeding Practices In a Diverse Group of Women: The Healthy Start Study.

Background: To describe infant feeding practices among a diverse group of mother-offspring pairs and identify factors associated with adherence to the American Academy of Pediatrics (AAP) recommendations.

Methods: Data were analyzed from 835 mother-offspring dyads in The Healthy Start Study, an ongoing longitudinal prebirth cohort in Denver, Colorado. Maternal report of infant feeding practices was obtained at 4 to 6 months and 18 to 24 months postnatally. Practices were classified according to the following AAP recommendations: exclusive breastfeeding for first 6 months, continued breastfeeding through 12 months, and introduction of solid foods around 6 months of age. Participants who met all 3 recommendations were categorized as "adherent." All others were categorized as "not adherent."

Results: About 77% of dyads did not adhere fully to the AAP recommendations. Women who worked ⩾35 hours/week or had a higher prepregnancy body mass index were more likely to be nonadherent. Women who were older, college educated, or had offspring with greater weight for gestational age at birth were less likely to be nonadherent.

Conclusions: Most of the women in a large contemporary cohort are not adhering to AAP infant feeding recommendations. Our results highlight the specific subgroups of women who may need additional support to optimize infant feeding practices.

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