摘要
目的 识别婴幼儿睡眠的典型模式及特征,并探讨睡眠模式与生后6个月内母乳喂养的关系。方法 通过一般情况问卷、简明婴儿睡眠问卷(Brief Infant Sleep Questionnaire,BISQ)及喂养情况问卷,调查1 148名7~35月龄婴幼儿的睡眠情况和喂养方式。采用K-means聚类分析其睡眠模式及特征,并通过多因素logistic回归分析探讨婴幼儿睡眠模式与母乳喂养之间的关联。结果 1 148名7~35月龄婴幼儿的睡眠模式可分为典型的3类:第1类为就寝时间早、睡眠时间长;第2类为入睡潜伏期短、睡眠时间中等;第3类为就寝时间晚、入睡潜伏期延长、睡眠时间不足。其中只有第3类为睡眠障碍模式。多因素logistic回归分析发现,与人工喂养的婴幼儿相比,生后6个月内的纯母乳喂养可降低69%睡眠障碍模式的发生风险(OR=0.31,95%CI:0.11~0.81,P<0.05);母乳喂养时间达4~6个月者,相较于1~3个月者,可降低40%睡眠障碍模式的发生风险(OR=0.60,95%CI:0.38~0.96,P<0.05)。结论 婴幼儿表现出不同的睡眠模式,母乳喂养可一定程度降低婴幼儿睡眠障碍模式的发生。
Objective To investigate the sleep patterns and characteristics of infants and young children and the association between sleep patterns and breastfeeding.Methods A general information questionnaire,Brief Infant Sleep Questionnaire(BISQ),and a questionnaire on feeding were used to investigate the sleep quality and feeding patterns of1 148 infants and young children aged 7-35 months.The K-means clustering method was used to identify sleep patterns and characteristics.A multivariate logistic regression analysis was used to investigate the association between sleep patterns and breastfeeding.Results Three typical sleep patterns were identified for the 1 148 infants and young children aged 7-35 months:early bedtime and long sleep time;short sleep latency and moderate sleep time;late bedtime,prolonged sleep latency,and insufficient sleep time.The third pattern showed sleep disorders.The multivariate logistic regression analysis showed that compared with formula feeding,exclusive breastfeeding within 6 months after birth reduced the risk of sleep disorder patterns by 69%(OR=0.31,95%CI:0.11-0.81).The risk of sleep disorder patterns was reduced by 40%(OR=0.60,95%CI:0.38-0.96) in the infants receiving breastfeeding for 4-6 months compared with those receiving breastfeeding for 1-3 months.Conclusions There are different sleep patterns in infants and young children,and breastfeeding can reduce the development of sleep disorder patterns.
作者
梁雅丽
马洁
张裕晓
张敏
何海燕
王守桂
黄月娥
LIANG Ya-Li;MA Jie;ZHANG Yu-Xiao;ZHANG Min;HE Hai-Yan;WANG Shou-Gui;HUANG Yue-E(School of Public Health,Wannan Medical College,Wuhu,Anhui 241002,China)
出处
《中国当代儿科杂志》
CAS
CSCD
北大核心
2022年第10期1154-1160,共7页
Chinese Journal of Contemporary Pediatrics
