【作者】 方志峰； 杨虹； 唐振柱； 许晶晶； 赵琳； 韦元元； 陈兴乐； 李蕙菱； 刘玄华；

【Author】 FANG Zhifeng YANG Hong TANG Zhenzhu.et al. (Center for Disease Control and Prevention of Guangxi,Nanning 530028,China)

【机构】 广西壮族自治区疾病预防控制中心；

【摘要】 目的了解广西贫困地区2岁以下婴幼儿喂养方式和辅食添加情况,为有针对性实施婴幼儿营养与健康状况的改善提供科学依据。方法 2008年,随机选择广西国家级贫困县平果县、融水县、天等县、巴马县开展2岁以下婴幼儿营养健康状况调查。采用整群分层抽样法,对每个调查县随机抽取2个乡、每个乡2个村共653名婴幼儿。结果广西贫困地区2岁以下婴幼儿开奶时间的中位数为12.1h;断奶时间的中位数为8.8月;6月龄内婴幼儿纯母乳喂养、混合喂养和人工喂养的比例分别为24.3%、73.2%、2.5%;48.9%婴幼儿在4月龄内添加了辅食,39.2%在4～6月龄添加辅食,11.9%在6月龄后添加辅食;婴幼儿配方奶、普通奶类、谷类、肉类、动物肝、血、蛋类、豆类及其制品、蔬菜、水果、AD补充剂添加率分别为12.7%、32.6%、90.4%、84.8%、38.6%、60.5%、38.7%、72.1%、68.3%、7.2%。结论广西贫困地区婴幼儿母乳喂养率较低,开奶时间晚,断奶时间早,辅食添加不合理,奶制品和动物性蛋白摄入低。应引起相关部门的重视,在贫困地区普及母乳喂养知识,合理添加辅食,有效降低婴幼儿营养不良患病率,提高婴幼儿身体素质。更多还原

【Abstract】 Objective To gain the baseline data on feeding and introduction of complementary food of infants under 2 of depressed area,Guangxi for planning scientific intervention measure for infants nutrition and health improve- ment.Methods Three stages stratified cluster sampling was applied in this program.Four state poverty counties( Pingguo,Rongshui,Tiandeng,and Bama) were selected at first stage,two townships were selected in every selected poverty county at the second stage,and at the third stage two villages were selected in every selected township,all infants under 2 were selected at the selected villages.The total sample is 653 infants.Results Infants median time of breast feeding for the first time was 12.1 hours.The average weaning time was 8.8 months.The rates of breast feeding, mixed feeding and artificial feeding of infants under six months were 24.3%,73.2%and 2.5%,respectively.48.9% of the infants had accepted complementary food below four months,39.2%accepted in 4 to 6 months and 11.9%after six months.The introduction rates of infantformula,ordinary milk,grain,meat,liver,blood,egg,pulses and derived products,vegetable,fruit and vatimin A and D supplement were 12.7%、32.6%、90.4%、84.8%、38.6%、60.5%、38.7%、72.1%、68.3%、7.2%,respectively.Conclusion The rate of breast-feeding in depressed areas was still very low.The breast feeding for the first time was too late,the weaning time was too early,introduction of complementary food was unreasonable,and the intake of milk products and animal protein was low.Government should pay more attention to develop health education about breast-feeding,scientific complementary food of infants to decrease the prevalence of infants malnutrition and to improve infants health status.更多还原