Infant and Toddlers' Feeding Practices and Obesity amongst Low-Income Families in Mexico

墨西哥低收入家庭中嬰兒與學步幼兒的哺餵與肥胖之研究

Arturo Jimenez-Cruz ； Montserrat Bacardi-Gascon ； Alexandra Pichardo-Osuna ； Zally Mandujano-Trujillo ； Octelina Castillo-Ruiz

《Asia Pacific Journal of Clinical Nutrition》 19卷3期 (2010/09) Pp. 316-323

https://doi.org/10.6133/apjcn.2010.19.3.04

摘要

本篇研究目的在找出墨西哥三個城市的低收入家庭中，嬰兒與學步幼兒的肥胖危險因子。這是一個橫斷性研究，在三個基層醫療診所（Tijuana、Tuxtla及Reynosa），招募前來疫苗注射中心的母親及其嬰兒與學步幼兒為對象。母親及嬰幼兒於診所進行體位測量，並且訪談母親完成一份問卷。計810位母親及其5-24個月齡的嬰幼兒參與了這個研究。母親的平均年齡為24（21-28）歲，其中有57%為過重或肥胖。孩童的平均年齡為12.7（5-24）個月齡。這些孩童中，整體的過重盛行率為11%，及8%為肥胖，且盛行率隨年齡增加而上昇。月齡小於6個月的過重和肥胖盛行率，分別為3%和6%；幼兒月齡介於12-24個月的過重和肥胖盛行率，則增為13%和10%。其中有35%的嬰幼兒哺餵母乳超過6個月，而有92%的嬰幼兒在6個月齡前就餵食固體食品。孩童月齡6個月前即開始接受高脂肪含量點心及碳酸或非碳酸含糖飲料；有超過60%月齡12-24的幼兒，至少一個星期攝取一次高脂肪含量點心及碳酸或非碳酸飲料。攝取一個星期超過一次點心及碳酸或非碳酸飲料與過重或肥胖相關，粗勝算比為1.82（95% CI=1.24-2.65；p=0.002）。根據這些結果，建議應該進行預防性方案，始於懷孕期及繼續至哺餵期。

關鍵字

嬰兒肥胖 ； 哺餵方式 ； 母乳哺餵 ； 斷奶 ； 遷徙

並列摘要

The aim of this study was to determine the risk factors of childhood obesity among infants and toddlers from low-income families from three cities in México. This is a cross-sectional study of mothers and their infants and toddlers attending a vaccination centre at three primary care clinics in Tijuana, Tuxtla, and Reynosa. Anthropometric measurements of the mothers and children were conducted at the clinic and a questionnaire was administered to the mother. Eight-hundred and ten mothers and their 5 to 24 months old infants participated in the study. Average age for the mothers was 24 (21-28) years, and 57% of them were either overweight or obese. The children's average age was 12.7 (5-24) months. Overall overweight prevalence in this sample was 11% and obesity 8%, these increased with age, from 3% for overweight and 6 % for obesity before 6 months, to 13 and 10% between 12 to 24 months respectively. Thirty-five percent of infants were breastfed ≥6 month and 92% were introduced to other solid foods before 6 months. Introduction of high-fat content snacks (HFS) and carbonated and non-carbonated sweetened (CSD) drinks starts before 6 months and more than sixty percent of the children between 12 to 24 months of age were eating HFS and CSD sweetened drinks at least once a week. Consumption of snacks and CSD sweetened drinks (≥1 week) was associated with being overweight and obese (crude), OR, 1.82; 95% CI=1.24-2.65 (p=0.002). These results suggest that preventive programs should be initiated during pregnancy and continued.

並列關鍵字

infant obesity ； feeding practices ； breastfeeding ； weaning ； migration