Comparison of nutrition and feeding practices between 8-month-old infant of local and migrants in Beijing community

目的 了解调查地区户籍与流动8月龄婴儿的喂养及营养情况,为有针对性的对不同户籍儿童喂养指导提供依据.方法 采用横断面研究,选取2014年在北京某社区接受常规儿童保健,排除早产、低出生体重、先天缺陷及心、肝、肾、血液系统疾病的所有8月龄婴儿为调查对象,并通过问卷收集婴儿喂养及营养情况进行统计分析.结果 调查地区本市和流动人口婴儿6月龄内辅食添加率分别为52％和65.1％(P＜0.05),早开奶率分别为41.8％和21.9(P＜0.05),最小膳食多样性分别为57.7％和36.7％ (P＜0.05),奶瓶使用率分别为78.6％和54.4％ (P＜0.01).本市和流动人口婴儿年龄别身长(LAZ)均值分别为0.93±1.071和0.54±1.130(P＜0.01),年龄别头围(HCZ)均值分别为0.44±0.910和0.11±0.978(P＜0.01),低体重率分别为0.5％和4.1％(P＜0.05),贫血患病率分别为27.6％和47.3％ (P＜0.01).母亲喂养知识掌握情况本市户籍优于流动人口(P＜0.01).结论 调查地区流动人口8月龄婴儿喂养和营养状况不容乐观.Objective To study the feeding practices and child nutrition of different household registration infant aged 8-month in surveyed area,and to find the existing problems and provide evidence for feeding intervention.Methods A cross-sectional study was conducted.Infants aged 8-month were selected who accepted a conventional community child health services in Beijing in 2014,excluding those of premature birth,low birth weight and congenital birth defects and heart,liver,kidney,blood diseases babies.Questionnaire on infant feeding practices and nutrition were surveyed and analyzed.Results Several indicators related to the local population and migrants were surveyed:complementary feeding rates before 6 months were 52％ and 65.1％ (P＜0.05),early initiation of breastfeeding were 41.8％ and 21.9％ (P＜0.05),minimum dietary diversity rate were 57.7％ and 36.7％ (P＜0.05),Bottle feeding rate were 78.6％ and 54.4％ (P＜0.01),mean of length for age z-score (LAZ) were 0.93 ± 1.071 and 0.54 ±-1.130 (P＜0.01),mean of height for head circumference z-score (HCZ) were 0.44±0.910 and 0.11±0.978 (P＜0.01),underweight rate were 0.5％ and 4.1％ (P＜0.01),prevalence of anemia were 27.6％ and 47.3％ (P＜0.01),respectively.The mothers' feeding knowledge in local population was better than the migrants.Conclusion Feeding practices and nutrition of 8-month-old infant of migrants are not optimistic in the surveyed area.4405-4082