摘要
目的:探讨婴幼儿喂养指数法(ICFI)评价6~23月龄婴幼儿的喂养状况的临床价值。方法:于2015年6月至2016年2月,按照多阶段分层整群随机抽样的方法,抽取1418例6~23月龄婴幼儿作为调查对象。根据世界卫生组织(WHO)喂养建议建立喂养指数体系(包括母乳喂养、奶瓶喂养、膳食多样性、食物频率和喂养频率),进行ICFI评分。结果:本次共调查1418例婴幼儿,男766例(54.02%),女652例(45.98%)。6~8月龄组482例(33.99%),9~11月龄组457例(32.23%),12~23月龄组479例(33.78%)。母乳喂养率为45.06%,随月龄增加母乳喂养率降低(x^2=234.486,P<0.05)。奶瓶喂养率为74.75%,随月龄增加奶瓶喂养率升高(x^2=75.671,P<0.05)。膳食多样性总满分率为67.42%,满分率随月龄增加而增加(x^2=154.146,P<0.05)。6~8、9~11月龄食物频率总满分率由高到低依次为谷类、蔬菜/水果、蛋/鱼/禽肉类、豆类及其制品、畜肉类;12~23月龄依次为奶类及其制品、蔬菜/水果、蛋/鱼/禽肉类、畜肉类、豆类及其制品。三个月龄组间食物频率评分随月龄增加而增加(F=1240.819,P<0.05)。喂养频率满分率为41.11%(583/1418),随月龄增加而降低(x^2=149.05,P<0.05)。结论:ICFI可客观地反映婴幼儿的喂养状况,目前6~23月龄婴幼儿喂养状况不容乐观,喂养状况随着月龄减小而变差。
Objective: To evaluate the clinical value of feeding status of infants aged 6 to 23 months by using the infant feeding index method(ICFI). Methods: A total of 1418 infants aged from 6~23 months were selected as the investigation subjects according to multistage stratified cluster random sampling method from June 2015 to February 2016. A feeding index system(including breastfeeding, bottle feeding, dietary diversity, food frequency and feeding frequency) was established in accordance with World Health Organization(WHO) feeding recommendations and conducted ICFI scoring. Results: A total of 1418 infants were investigated, including 766 males(54.02 %) and 652 females(45.98 %). There were 482 cases(33.99 %) in the 6~8 month ages group, 457 cases(32.23 %) in the 9~11 month ages group and 479 cases(33.78 %) in the 12~23 month ages group. The breastfeeding rate was 45.06 % and the breastfeeding rate decreased with month age(x^2=234.486, P<0.05). The rate of bottlefeeding was 74.75 % and the bottlefeeding rate increased with month age(x^2=75.671, P<0.05). The total full score rate of dietary diversity was 67.42 % and the score was increased with month age(x^2=154.146, P<0.05). From 6~8, 9~11 month ages, the total full score rate of food frequency from high to low were: cereals, vegetables/fruits, eggs/fish/poultry meats, beans and its products, meats. From 12~23 month ages, the total full score rate of food frequency from high to low were: milk and its products, vegetables/fruits, eggs/fish/poultry meats, meats, beans and its products. The frequency of food frequency between the three month-age-groups increased with month age(F=1240.819, P<0.05). The full socre rate of feeding frequency was 41.11%(583/1418), which decreased with the increase of month age(x^2=149.05, P<0.05). Conclusion: ICFI can objectively reflect the feeding status of infants. At present, the feeding status of infants between 6~23 month ages are not optimistic. The younger the month age, the worse the feeding status.
作者
袁飒
应艳红
黄建玲
应海燕
李智敏
潘建平
YUAN Sa;YING Yan-hong;HUANG Jian-ling;YING Hai-yan;LI Zhi-min;PAN Jian-ping(Department of Child Health Outpatient,3201 Hospital Affiliated to Medical Department of Xi'an Jiaotong University,Hanzhong,Shaanxi,723000,China;Department of Children's Health and Maternal and Child Health,School of Public Health,Medical Department of Xi'an Jiaotong University,Xi'an,Shaanxi,710061,China)
出处
《现代生物医学进展》
CAS
2020年第22期4283-4287,共5页
Progress in Modern Biomedicine
基金
陕西省科技厅科技计划项目(2016JQ8220)
三二〇一医院科研基金项目(3201yk201525)。
关键词
母乳喂养
婴幼儿喂养指数法
喂养状况
辅食添加
Breastfeeding
Infant feeding index method
Feeding status
Complementary food
