母乳喂养对幼儿健康指标的影响

S. Mkrtchyan, R. Dunamalyan, M. Mardiyan, L. Ghukasyan, G. Mirijanyan
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摘要

就卫生保健系统而言,促进和覆盖母乳喂养被认为是具有成本效益的公共卫生措施。研究的目的是评估母乳喂养对婴儿健康和生活质量(QL)参数的影响。这项观察性前瞻性研究包括从埃里温州立医科大学综合诊所挑选的1790名新生儿(“Mouratsan”,样本=746,“Heratsi”,样本=1044)。数据收集时间为2016年1月至2017年12月。儿童生活质量评价采用经验证和改编的QUALIN问卷进行。与儿童健康状况有关的数据是从调查地区综合诊所提供的"儿童发展史"卡片上收集的。1770名1岁儿童中,1681名曾经母乳喂养,1224名(69.1%)纯母乳喂养至3个月,母乳喂养中位时间为6 - 7个月,45%母乳喂养超过6个月,15%母乳喂养超过1年。曾经母乳喂养和从未母乳喂养亚组的QL评分有显著差异。母乳喂养的持续时间对QL评分也有影响。上述研究结果证实,亚美尼亚幼儿的母乳喂养对他们的健康、生活质量和发病率具有重要意义。
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THE EFFECT OF BREASTFEEDING ON THE HEALTH INDICATORS OF YOUNG CHILDREN
Promotion and coverage of breastfeeding are considered to be the cost-effective public health measures in terms of Healthcare System. The aim of the research is to assess an influence of breastfeeding on infants’ health and quality of life (QL) parameters. This observational prospective study included 1790 newborns selected from Yerevan State Medical University’s Polyclinics (“Mouratsan”, sample=746, and “Heratsi”, sample=1044). Data collection took a period between January 2016 and December 2017. Evaluation of children’s quality of life was performed with the help of the validated and adapted QUALIN questionnaire. The data related to child’s health condition were collected from the “Child Development History” cards available at the polyclinics of the investigated area. Among 1770 one year old children 1681 were ever breastfed, 1224 (69.1%) were exclusively breastfed up to 3 months, the median duration of breastfeeding was 6–7 months, 45% were breastfed for more than 6 months, and 15% were breastfed for more than 1 year. There is a significant difference between the QL scores of the ever breastfed and the never breastfed subgroups. Duration of the breastfeeding also have an influence on QL scores. The given study’s results confirm that breastfeeding among the early aged Armenian children is of great importance in their health, influencing on quality of life and morbidity rates.
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