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Determinants of infant growth in the slums of Dhaka: size and maturity at birth, breastfeeding and morbidity.
European Journal of Clinical Nutrition ( IF 3.6 ) Pub Date : 2001-04-18 , DOI: 10.1038/sj.ejcn.1601141
S E Arifeen 1 , R E Black , L E Caulfield , G Antelman , A H Baqui
Affiliation  

OBJECTIVE To investigate the influences of size at birth, breastfeeding and morbidity on growth during infancy in poor areas of urban Bangladesh. DESIGN This was a prospective observational study of a cohort of newborn infants followed until 12 months of age. SETTING Slum areas of Dhaka City in Bangladesh. SUBJECTS A total of 1654 newborn infants were enrolled at birth, and follow-up was completed for 1207 infants. Repeated anthropometric measurements and interviews of caretakers on infant feeding and morbidity were conducted. A mixed effects regression method was used for modeling infant growth. RESULTS After adjusting for other variables, mean differences in body weight by birth weight and length, small-for-gestational age and prematurity categories remained relatively constant throughout infancy. A positive impact of exclusive breastfeeding in the first 3 5 months on infant growth was detectable at 12 months of age. Although the bigger babies in the sample tended to grow relatively even bigger; exclusive breastfeeding appeared to counteract this pattern. Reported diarrhoea was associated with lower body weights and lengths even after adjusting for feeding patterns. CONCLUSIONS Size at birth has an important role in determining growth during infancy. Effective strategies for improving birth weight, poorly addressed till now in Bangladesh, are needed. The sustained effect on growth and the even more beneficial effect in lighter infants are compelling reasons for promotion of exclusive breastfeeding in early infancy.

中文翻译:

达卡贫民窟婴儿生长的决定因素:出生时的大小和成熟度,母乳喂养和发病率。

目的探讨孟加拉城市贫困地区婴儿出生时的大小,母乳喂养和发病率对婴儿期生长的影响。设计这是对一组直到12个月大的新生儿的前瞻性观察研究。在孟加拉国达卡市设置贫民区。对象出生时共有1654例新生儿入组,并完成了1207例婴儿的随访。进行了重复的人体测量和对婴儿的喂养和发病率的看护者访谈。混合效应回归方法用于模拟婴儿生长。结果在调整了其他变量后,按出生体重和身长,小胎龄和早产类别划分的平均体重差异在整个婴儿期都保持相对恒定。在12个月大时,可以发现头3到5个月纯母乳喂养对婴儿生长有积极影响。尽管样本中较大的婴儿倾向于相对较大地成长;纯母乳喂养似乎可以抵消这种情况。即使调整了喂养方式,报告的腹泻也与较低的体重和体长有关。结论出生时的大小在决定婴儿期的生长方面具有重要作用。需要有效的提高出生体重的策略,到目前为止,在孟加拉国尚未得到解决。对生长的持续影响以及对较轻婴儿的更有益影响是促使婴儿早期纯母乳喂养的重要原因。尽管样本中较大的婴儿倾向于相对较大地成长;纯母乳喂养似乎可以抵消这种情况。即使调整了喂养方式,报告的腹泻也与较低的体重和体长有关。结论出生时的大小在决定婴儿期的生长方面具有重要作用。需要有效的提高出生体重的策略,到目前为止,在孟加拉国尚未得到解决。对生长的持续影响以及对较轻婴儿的更有益影响是促使婴儿早期纯母乳喂养的重要原因。尽管样本中较大的婴儿倾向于相对较大地成长。纯母乳喂养似乎可以抵消这种情况。即使调整了喂养方式,报告的腹泻也与较低的体重和体长有关。结论出生时的大小在决定婴儿期的生长方面具有重要作用。需要有效的提高出生体重的策略,到目前为止,在孟加拉国尚未得到解决。对生长的持续影响以及对较轻婴儿的更有益影响是促使婴儿早期纯母乳喂养的重要原因。结论出生时的大小在决定婴儿期的生长方面具有重要作用。需要有效的提高出生体重的策略,到目前为止,在孟加拉国尚未得到解决。对生长的持续影响以及对较轻婴儿的更有益影响,是促使婴儿早期纯母乳喂养的令人信服的理由。结论出生时的大小在决定婴儿期的生长方面具有重要作用。需要有效的提高出生体重的策略,到目前为止,在孟加拉国尚未得到解决。对生长的持续影响以及对较轻婴儿的更有益影响,是促使婴儿早期纯母乳喂养的令人信服的理由。
更新日期:2019-11-01
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