- 期刊
- OpenAccess
長期追蹤臺灣不同出生體重兒童1-10歲飲食攝取與生長發展
Dietary intakes from 1 to 10 years old and their relationship with growth development by different birth weight groups in Taiwan
摘要
目標：分析不同出生體重組別兒童1-10歲之營養素攝取及生長發展。方法：招募新生兒以出生體重之第25及75百分位分為相對低出生體重組（relative low birth weight, rLBW）、相對適當出生體重組（relative adequate birth weight, rABW）及相對高出生體重組（relative high birth weight, rHBW），每年定期以電話訪問收集24小時飲食回憶與體位等資料，持續追蹤至10歲（n=94）。結果：不同出生體重兒童0-10歲體重、身高和BMI均達顯著差異，10年來rHBW組兒童體位均顯著較高（p＜0.05），rLBW組依然保持最低。rLBW組體重、身高與BMI生長追上的比例顯著高於rHBW組。全體兒童每公斤體重熱量及能量營養素攝取10年來隨時間增加而降低（p for trend＜0.001），但每公斤體重蛋白質攝取均較建議值高（10歲攝取量為1.8g/kg）。不同出生體重分組之間10歲時熱量及營養素攝取多未出現顯著差異（p＞0.05）。相關性分析中，兒童歷年每公斤體重熱量及能量營養素多與10歲體位呈負相關，意味著早期每公斤體重熱量及能量營養素攝取量低，10歲體位較高。結論：出生體重仍對兒童10歲時體位發展有影響，而兒童早期之每公斤體重熱量及能量營養素亦提供了兒童未來生長之重要指標。
並列摘要
To explore whether dietary nutrient intakes were different in children with different birth weights and how nutrition status affects growth development from 1 to 10 years old. Methods: The newborns were divided into three groups according to the 25th and 75th percentile cut points: relative low birth weight (rLBW), relative adequate birth weight (rABW) and relative high birth weight (rHBW). We collected the 24-hour dietary recalls, anthropometric measures every year by telephone interviews from 1 to 10 years old. Results: From birth to 10 years old, the anthropometric measurements including weight, height and BMI were significantly different (p < 0.05) among the three birth weight groups; the rHBW group was always with highest and the rLBW group with the lowest mean. Although energy per kilogram of body weight and the energy nutrient intakes per kilogram of body weight intake decreased year by year, the protein intake per kilogram of body weight was higher than the recommended dietary allowance (1.8 g/kg at 10 years old). The results showed that energy and nutrient intakes were not significantly different among the three birth weight groups (p > 0.05). In addition, the results found the higher intakes of energy per kilogram of body weight and the energy related nutrients per kilogram of body weight, the body weight, height and BMI were lower at the age of 10 years. Conclusions: Although the birth weight still had influence on body size at 10 years old, this study found that the energy per kilogram of body weight and energy providing nutrients per kilogram of body weight intakes were important indicators of growth status for children.