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母乳喂养时长对儿童脂肪重积聚时间的影响

林丹 陈迪迪 李云 温晓飒 黄俊 史慧静 汪玲

林丹, 陈迪迪, 李云, 温晓飒, 黄俊, 史慧静, 汪玲. 母乳喂养时长对儿童脂肪重积聚时间的影响[J]. 中国学校卫生, 2022, 43(6): 809-812. doi: 10.16835/j.cnki.1000-9817.2022.06.003
引用本文: 林丹, 陈迪迪, 李云, 温晓飒, 黄俊, 史慧静, 汪玲. 母乳喂养时长对儿童脂肪重积聚时间的影响[J]. 中国学校卫生, 2022, 43(6): 809-812. doi: 10.16835/j.cnki.1000-9817.2022.06.003
LIN Dan, CHEN Didi, LI Yun, WEN Xiaosa, HUANG Jun, SHI Huijing, WANG Ling. Effect of breastfeeding duration on age at adiposity rebound in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(6): 809-812. doi: 10.16835/j.cnki.1000-9817.2022.06.003
Citation: LIN Dan, CHEN Didi, LI Yun, WEN Xiaosa, HUANG Jun, SHI Huijing, WANG Ling. Effect of breastfeeding duration on age at adiposity rebound in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(6): 809-812. doi: 10.16835/j.cnki.1000-9817.2022.06.003

母乳喂养时长对儿童脂肪重积聚时间的影响

doi: 10.16835/j.cnki.1000-9817.2022.06.003
基金项目: 

上海市加强公共卫生体系建设第五轮重点学科建设项目 GWV-10.1-XK08

详细信息
    作者简介:

    林丹(1983-),女,福建福州人,在读博士,副编审,主要研究方向为生命早期保健和慢性病预防

    通讯作者:

    史慧静,E-mail:hjshi@fudan.edu.cn

    汪玲,E-mail:lingwang@fudan.edu.cn

  • 利益冲突声明  所有作者声明无利益冲突。
  • 中图分类号: R 723.14 R 179

Effect of breastfeeding duration on age at adiposity rebound in children

  • 摘要:   目的  研究儿童出生后母乳喂养时长对于儿童脂肪重积聚发生时间的影响,为生命早期养育照护和肥胖预防提供科学依据。  方法  选取上海市闵行区2019年9月入学的6 148名小学一年级学生为研究对象,回顾性获得1~80月龄时的身长(身高)和体重检查记录,采用自然3次样条函数拟合体质量指数(BMI)的生长轨迹,计算脂肪重积聚时间。通过多元线性回归模型和广义相加模型分析出生后母乳喂养持续时长与脂肪重积聚时间的关系。  结果  研究对象的平均母乳喂养时间为(3.71±3.28)个月。男童母乳喂养时长≤4个月的报告率为69.63%,女童为70.45%。母乳喂养时长与脂肪重积聚时间存在正向线性关系[男童:B值(B值95%CI)=0.16(0.02~0.30),女童:B值(B值95%CI)=0.34(0.18~0.51),总体:B值(B值95%CI)=0.23(0.12~0.34)](P值均 < 0.05)。  结论  母乳喂养时长独立影响脂肪重积聚发生时间,在24月龄内延长母乳喂养时长可能有助于推迟儿童脂肪重积聚时间,从而帮助降低生命后期超重肥胖的发病风险。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • 图  1  儿童随母乳喂养时长变化的脂肪重积聚时间

    Figure  1.  Timing of adiposity rebound changed with breastfeeding duration in children

    表  1  不同性别儿童基本特征情况比较

    Table  1.   Comparison of the basic characteristics of children with different genders

    性别 人数 母亲孕期并发症 早产* 剖宫产 母亲一胎多产* 食欲好
    贫血* 高血压* 糖尿病*
    3 214 6(0.24) 6(0.24) 18(0.72) 129(4.01) 1 557(48.47) 40(1.76) 3 161(98.35)
    2 934 8(0.36) 7(0.31) 12(0.54) 120(4.10) 1 346(45.88) 42(2.03) 2 877(98.06)
    χ2 0.24 0.03 0.35 0.01 4.05 0.29 0.60
    P 0.46 0.63 0.42 0.86 0.04 0.51 0.39
    性别 人数 出生体重 睡眠缺乏 睡眠过度
    巨大儿 大于胎龄儿 0~3月龄* 4~11月龄* 12~24月龄* 0~3月龄* 4~11月龄* 12~24月龄*
    3 214 282(8.98) 346(11.36) 57(1.78) 1 185(36.93) 11(0.34) 52(1.62) 22(0.69) 101(3.15)
    2 934 137(4.82) 311(11.20) 34(1.28) 1 087(40.91) 7(0.25) 60(2.12) 7(0.26) 106(3.87)
    χ2 39.00 0.02 2.06 9.55 0.16 1.80 4.66 2.07
    P < 0.01 0.85 0.13 < 0.01 0.50 0.15 0.02 0.13
    注: ()内数字为报告率/%;巨大儿报告率计算时,分母排除了低出生体重儿童;大于胎龄儿报告率计算时,分母排除了小于胎龄儿;*表示数据有缺失。
    下载: 导出CSV

    表  2  儿童母乳喂养时长与脂肪重积聚时间的线性回归分析[B值(B值95%CI)]

    Table  2.   Linear regressions of breastfeeding duration and the age at adiposity rebound in children[B(B 95%CI)]

    模型 男(n=3 214) 女(n=2 934) 总体(n=6 148)
    单因素 0.15(0.04~0.26)* 0.02(-0.08~0.13) 0.09(0.01~0.16)*
    模型1 0.17(0.03~0.31)* 0.03(-0.11~0.17) 0.10(0.00~0.20)*
    模型2 0.16(0.02~0.30)* 0.34(0.18~0.51)** 0.23(0.12~0.34)**
    注: *P < 0.05,**P < 0.01。
    下载: 导出CSV
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出版历程
  • 收稿日期:  2021-12-16
  • 修回日期:  2022-01-10
  • 网络出版日期:  2022-06-23
  • 刊出日期:  2022-06-25

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