2-12月龄婴儿生长迟缓的危险因素

Rina Pratiwi, A. Pramono, Galuh Hardaningsih
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引用次数: 1

摘要

背景:增长放缓是一种增长扰动状态,其特征是增长速度比以前的增长图表慢。生长迟缓会导致免疫反应、认知、身体和精神运动障碍、行为障碍、学习问题、更高的感染风险和死亡率。目的:分析2 ~ 12月龄婴幼儿生长迟缓的危险因素。材料与方法:在三宝垄市公共卫生中心进行病例对照研究。研究对象为2岁至12个月大、生长迟缓的婴儿。变量分为纯母乳喂养、母亲教育、母亲就业、社会经济地位、感染、母亲营养和胎龄。对116名婴儿进行了人体测量和问卷调查。统计检验采用卡方分析和多变量分析。结果:卡方分析显示,母乳喂养(p=0.016)和性别(p=0.04)与2-12月龄婴儿生长迟缓有显著关系。在标准父母收入(p=0.809)下,急性呼吸道感染(ARTI) (p=0.377)、腹泻(p=0.243)、母亲营养(p=1.00)、胎龄(p=0.77)、母亲受教育程度低(p=0.83)、母亲职业(p=0.26)与2-12月龄婴儿生长迟缓无显著关系。多因素分析显示,性别(p=0.035)和母乳喂养(p=0.019)是影响生长迟缓的最主要因素。结论:母乳喂养和性别是2-12月龄婴幼儿生长迟缓的危险因素。需要进一步研究如何在生命的最初1000天内防止生长迟缓,从而避免在以后的生活中发育迟缓。
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Risk factor of growth faltering in infants aged 2-12 months
Background: Growth faltering is a condition of growth disturbance that marked by slower growth velocity compared with previous growth chart. Growth faltering can cause effects in immune response, cognitive, & physical and psychomotor disturbance, behavioral disorder, learning problems, higher risk of infection and mortality.Objectives: To analyze risk factor of growth faltering in infant aged 2-12 months.Materials and Methods: A case control study was conducted in Public Health Center in Semarang city. Subject were infants aged 2 until 12 months with growth faltering. Variables were divided to exclusive breastfeeding, mother’s education, mother’s employment, social economic status, infection, mother’s nutrition and gestational age. Anthropometric and questionnaire data were obtained and analyzed among 116 infants. Statistic test used Chi square and multivariate analysis.Results: Chi-square analysis showed that breastfeeding (p=0.016) and gender (p=0.04) had a significant relationship with growth faltering in infant 2-12 months. Under standard parent’s income (p=0.809), Acute Respiratory Tract Infection (ARTI) (p=0.377), diarrhea (p=0.243), mother’s nutrition (p=1.00), gestational age (p=0.77), low mother’s education (p=0.83) and working mother (p=0.26) didn’t have a significant relationship with growth faltering in infant aged 2-12 months. Multivariate analysis showed that gender (p=0.035) and breastfeeding (p=0.019) were the most influencing variable to growth faltering. In 2-6 group, breastfeeding pattern had significant relationship with growth faltering (p=0.77)Conclusions: Breastfeeding and gender were risk factors of growth faltering in infant aged 2-12 months. Further research needed on how to prevent growth faltering in first 1000 days of life so it may avoid stunting in later life.
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