安徽医科大学儿少卫生与妇幼保健学系;
目的探讨喂养方式、母乳喂养持续时间与婴幼儿智力发育水平的关联,为促进母乳喂养及最佳持续时间提供科学依据。方法该研究是基于孕妇人群为基础的队列研究,选择马鞍山市妇幼保健机构作为研究现场。采用自编问卷收集喂养模式信息,使用《0～6岁小儿神经心理发育检查表》对婴幼儿进行智力测试,应用Logistic回归模型分析喂养方式及母乳喂养持续时间对婴幼儿智力发育的影响。结果调整了多种混杂因素后,与人工喂养(MF)相比,纯母乳喂养(EBF)可增加婴幼儿获得更高总发育商数(DQ)、大运动发育商数的可能性,几乎纯母乳喂养(AEBF)可增加婴幼儿获得更高精细动作发育商数的可能性。与从未母乳喂养相比,其他母乳喂养持续时间(DABF)达到5～6个月可增加婴幼儿获得更高的总发育商数的可能性,母乳喂养为主持续时间(DEABF)达到3～4个月及DABF达到3～4、5～6、>6个月时均可增加婴幼儿获得更高的精细动作发育商数的可能性,DEABF达到3～4个月及DABF>6个月时可增加婴幼儿获得更高的语言发育商数的可能性。结论选择母乳喂养及延长母乳喂养时间,尤其是母乳喂养时间达到5～6个月及以上时将有益于婴幼儿的智力发育。
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基本信息:
DOI：10.19405/j.cnki.issn1000-1492.2013.06.013
中图分类号:R174.4
引用信息:
[1]蔡传兰,郝加虎,陶芳标等.母乳喂养与婴幼儿智力发育水平关联的队列研究[J].安徽医科大学学报,2013,48(06):634-638.DOI:10.19405/j.cnki.issn1000-1492.2013.06.013.
基金信息:
“十一五”国家科技支撑计划重大项目(编号:2006BAI05A03);; 国家自然科学基金(编号:81072310、30901203)