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JAMA Pediatr:母乳喂养与儿童肥胖和高血压

2017-05-08 zhangfan MedSci原创

母乳喂养导致婴儿在出生后1-2.8岁身高增长加快,2.8-14.5岁体重增长加快,2.8至8.5岁BMI增加加快,但延长母乳喂养时间不会导致儿童肥胖与高血压风险降低

先前的研究表明,母乳喂养可降低儿童肥胖和高血压(BP)的风险,但上述研究是观察性研究。近日研究人员进行对照试验就延长母乳喂养时间对儿童16岁时体重和血压的长期影响开展研究。

这项随机促进母乳喂养干预试验在白俄罗斯产科医院和附属医院进行,共17046名母婴参与,其中13557名(79.5%)儿童完成16岁时的随访。研究人员检测参试儿童的BMI指数、脂肪和无脂肪体重指数和体脂百分比、腰围、超重与肥胖、身高和血压。

参试儿童平均年龄16.2岁,与对照组相比,干预试验大大增加母乳喂养的持续时间(3个月的纯母乳喂养:45% vs 6%)。干预组与对照组16岁时BMI的平均差异为0.21 (95% CI, 0.06-0.36);脂肪质量指数差异0.21 kg/m2 (95% CI, -0.03- 0.44);无脂质量指数差异为0.00 kg/m2 (95% CI, -0.21 - 0.22);体脂百分比差异为0.71% (95% CI, -0.32 - 1.74);腰围差异为-0.73 cm (-2.48cm - 1.02cm);身高差异为0.05 cm (95% CI, -0.85cm-0.94cm);收缩压差异为-0.54 mm Hg(95% CI, -2.40 - 1.31);舒张压差异为0.71 mm Hg(95% CI, -0.68 - 2.10)。超重的比值比1.14 (95% CI, 1.02-1.28),肥胖的比值比为1.09 (95% CI, 0.92-1.29)。与对照相比,母乳喂养导致婴儿在出生后1-2.8岁身高增长加快,2.8-14.5岁体重增长加快,2.8至8.5岁BMI增加加快。

研究表明,与对照相比,延长母乳喂养时间不会导致儿童肥胖与高血压风险降低。

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    2017-12-22 feather89
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    2017-05-10 仁医06
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    2017-05-08 I come

    学习了,研究有意思

    0

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    2017-05-08 胖红

    学习了很多的事情

    0

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