8个城市1～4岁母乳喂养儿童体格生长百分位曲线研究

冯围围; 黄小娜; 王惠珊; 宫丽敏; 徐轶群; 潘晓平; 金曦

文章摘要

冯围围,黄小娜,王惠珊,宫丽敏,徐轶群,潘晓平,金曦.8个城市1～4岁母乳喂养儿童体格生长百分位曲线研究[J].中华流行病学杂志,2017,38(4):503-507

8个城市1～4岁母乳喂养儿童体格生长百分位曲线研究

Percentile curves on growth among breastfed 1-4 year olds in 8 urban areas

收稿日期:2016-08-11 出版日期:2017-04-27

DOI：10.3760/cma.j.issn.0254-6450.2017.04.018

中文关键词: 母乳喂养儿童体格生长百分位曲线

英文关键词: Breastfed Child Physical growth Percentile curves

基金项目:

作者	单位	E-mail
冯围围	100081 北京, 中国疾病预防控制中心妇幼保健中心儿童保健部
黄小娜	100600 北京, 联合国儿童基金会驻中国办事处营养与卫生及水和环境处
王惠珊	100081 北京, 中国疾病预防控制中心妇幼保健中心儿童保健部	wanghuishan@chinawch.org.cn
宫丽敏	100081 北京, 中国疾病预防控制中心妇幼保健中心儿童保健部
徐轶群	100081 北京, 中国疾病预防控制中心妇幼保健中心儿童保健部
潘晓平	100081 北京, 中国疾病预防控制中心妇幼保健中心儿童信息部
金曦	100081 北京, 中国疾病预防控制中心妇幼保健中心

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中文摘要:

目的制定城市母乳喂养儿童1～4岁年龄别体重、身长（身高）、头围和BMI百分位参考值及百分位曲线。方法利用2008－2012年我国8个城市地区1 025名母乳喂养儿童1～4岁期间的体格生长纵向随访数据，采用MLwiN2.25软件构建年龄别体重、年龄别身长（身高）、年龄别头围和年龄别BMI多水平模型，同期引入家庭社会人口学特征、母亲围产期因素、父母生物学特征以及婴儿性别、年龄、泥糊状食物摄入、患病情况等相关因素。基于模型进行体格生长指标百分位参考值（P₃、P₁₅、P₅₀、P₈₅、P₉₇）预测以及百分位曲线的拟合。结果制定出城市母乳喂养儿童1～4岁体格生长百分位参考值及相关百分位曲线。男、女童年龄别体重、身长（身高）、头围和BMI比较差异均有统计学意义（均P< 0.001），且男童的体重、身长（身高）、头围和BMI比女童分别平均高0.56～0.76 kg、0.89～1.12 cm、0.64～0.91 cm、0.31～0.52 kg/m²。结论本研究结果来源于纵向数据，能够为我国城市地区母乳喂养儿童体格发育评价提供更为科学的循证依据。

英文摘要:

Objective To construct the growth percentile curves of weight-, length/height-,head circumference and BMI for 1 to 4 year-olds who had been breastfed in urban areas. Methods Data was from the longitudinal study on 1 025 breastfed children aged 1 to 4 years, in 8 urban areas during 2008-2012. MLwiN2.25 was selected to construct the multi-level models of weight-for-age,length for-age, head circumference-for-age and BMI-for-age. The models included many growth relevant factors including gender, age, family and social demographic characteristics, perinatal factors, parent biological characteristics, dietary patterns and diseases of childen. Based on these models, predicted values (P₃, P₁₅, P₅₀, P₈₅, P₉₇) were estimated to fit the percentiles reference curves. Results The percentiles reference curves of weight-, length/height, head circumferenceand BMI-for-age for the 1-4 year-olds who had been breastfed in the urban areas were developed. Differences of all the indicators between boys and girls were statistically significant (P< 0.001). Weight, length/height, head circumference and BMI were higher in boys than those in girls, with an average differences as 0.56-0.76 kg, 0.89-1.12 cm, 0.64-0.91 cm and 0.31-0.52 kg/m². Conclusion The percentiles reference curves on growth, constructed by the longitudinal observational data and scientific method, were important in reflecting the development of breastfed children in urban areas.

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