Practice to Introduce Complementary Foods to Infants in Taiwan-Changes from 1997 to 2008

臺灣地區1997至2008年嬰兒副食品餵食狀況之變遷

Jia-Rong Lin ； Min-Su Tzeng ； Mei-Ding Kao ； Yi-Hsin Yang ； Wen-Harn Pan

《Asia Pacific Journal of Clinical Nutrition》 20卷2期 (2011/06) Pp. 337-345

https://doi.org/10.6133/apjcn.2011.20.2.24

摘要

本研究旨在了解目前臺灣嬰兒副食品餵食狀況並比較過去10年來的變遷。探討層面包括嬰兒副食品添加方式、嬰兒主要照顧者餵食副食品遭遇的問題、解決問題及嬰兒餵食知識資訊來源。研究方法以「2005-2008臺灣營養健康家戶調查」為探討主軸，並與「1997-1999臺灣地區嬰幼兒營養調查」結果比較，兩份調查皆由專業訓練訪員進行問卷訪談。結果顯示，2005-2008年間，7-12個月的嬰兒，於建議的4-6個月齡開始吃米（麥）糊或果（菜）汁者都佔約50%。10-12個月的嬰兒符合建議時間攝取的比例差異很大，從餅乾（51.1%）到豆腐（1.1%）。與1997-1999年調查結果相比較，2005-2008年嬰兒符合建議時間攝取的比例中，只有糕餅、稀飯及果（菜）泥等三項高於1997-1999年。兩份調查中，副食品的添加超過80%由母親決定；超過75%嬰兒從奶瓶中攝取米（麥）糊。2005-2008年調查常遭遇的問題以「嬰兒不吃」最多。嬰兒主要照顧者在嬰兒餵養知識雖有提升，但部分觀念的改善仍有加強之必要。近十年來臺灣地區嬰兒副食品的添加有延遲的現象，是否會影響1歲以上幼兒食物的正常攝取值得注意。同時建議政府機關在推廣母乳哺育之餘，應適時考慮修正嬰兒副食品添加之時間。

關鍵字

副食品 ； 嬰兒照顧者 ； 營養知識 ； 嬰兒

並列摘要

The purpose of the study was to understand present infant complementary foods eating and compare trends over the past 10 years in Taiwan. We investigated the methods used to introduce infants to complementary foods, difficulties encountered, sources of information and the principle caregiver's knowledge about infant feeding. This study focused on findings from the 2005-2008 Nutrition and Health Survey in Taiwan (NAHSIT) and compared with those from the 1997-1999 Child NAHSIT. Interviews in both surveys were carried out by trained interviewers. In 2005-2008 survey, 50% of infants aged 7-12 months had started eating baby cereals or juice at age 4- 6 months as recommended. The proportions of infants aged 10-12 months who were introduced to particular complementary foods at recommended periods varied from biscuits (51.1%) to tofu (1.1%). The proportions were higher in 2005-2008 than in 1997-1999 for only 3 items. In both survey, more than 80% of mothers were the one who made the decision to introduce their children to complementary foods. More than 75% of caregivers fed baby cereals to their babies from milk bottles. In 2005-2008, the most commonly encountered problem was that the child wouldn't eat. Nutrition knowledge of the caregivers have improved since 1999, but still needs fostering. The timing to introduce complementary foods become later than ten years ago. Whether the delay will affect the normal dietary intakes of children after one year of age needs attention. The government should not only promote breastfeeding, but also reevaluate current evidence-based recommendation on complementary food introduction time.

並列關鍵字

complementary foods ； caregiver ； encountered problem ； nutrition knowledge ； infant