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目的了解6月龄儿童贫血发生与喂养方式及辅食添加的关系,为制定保健策略提供依据。方法整群抽取闵行区常规儿童保健中年满6个月有血红蛋白记录的正常足月出生儿童10 617人,对其喂养方式、辅食添加种类、两次保健期间的患病情况,体格发育情况进行回顾分析。结果无添加辅食儿童的贫血发生率高于已添加辅食儿童,其三组喂养方式间的贫血发生未见差异。辅食添加类别数为1项的儿童患贫血风险是辅食添加类别数为2项及以上的1.5倍。男性、非本市户籍、出生体重<2 500g或≥4 000g、无辅食添加、无蛋黄摄入是贫血发生危险因素。结论今后应加强相关知识的宣传,提高家长的营养知识、喂养态度和喂养技术,对有贫血发生危险因素的儿童及时添加多样性的辅食,以降低6月龄儿童患贫血的风险。
Objective To understand the relationship between anemia and feeding mode and complementary food supplement in 6-month-old children, and provide basis for formulating health care strategy. Methods A total of 10 617 normal term-born children with hemoglobin were enrolled in routine child health care of Minhang District. Their feeding patterns, types of supplementary food supplement, prevalence and physical development during the two health periods Retrospective analysis. Results The incidence of anemia in children without food supplement was higher than that of children with food supplement, and there was no difference in anemia among the three feeding methods. The risk of anemia in children with a supplement supplement of 1 category is 1.5 times that of 2 or more supplement supplements. Male, non-city domicile, birth weight <2 500g or ≥ 4000g, no food supplement, no egg yolk intake is a risk factor for anemia. Conclusions In the future, publicity of relevant knowledge should be strengthened to improve parents’ nutritional knowledge, feeding attitude and feeding techniques. Children with anemia risk factors should be provided with diversified supplementary food in time to reduce the risk of anemia in children aged 6 months.