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背景确定主要用人乳喂养儿童维生素D的补充率。识别与补充病人特性、父母观念和医生策略。方法基于实践研究网络进行前瞻观察研究。网络中儿科医生需完成关于人乳喂养婴儿维生素D补充调查问卷。6～24个月儿童的父母要完成孩子启动喂养类型、人乳喂养期限、补充配方和使用多种维生素的测试。父母要说明对补充维生素D的认同程度。结果 44名儿科医生做了回答,其中36.4%表明他们对所有人乳喂养儿童提出补充维生素D的建议。年龄相符被选儿童,共完成2364份调查问卷;有1140名人乳喂养婴儿至少6个月很少做维生素补充或未做补充。这些婴儿用维生素D为15.9%。维生素D的使用与父母对儿科医生建议补充(OR=7.8)、人乳含有所需维生素而无需补充(OR=0.12)的认同显著相关。主要用人乳喂养婴儿多数父母表示医生建议要补充维生素D,有44.6%给孩子做了补充。相反,有67%的父母认为人乳中含所需维生素,其中仅有3%给孩子补充了维生素D。结论仅有少数人乳喂养婴儿做了维生素D补充。需做好医生和父母的定向教育以增强对维生素D补充指南的依从性。
Background To determine the rate of vitamin D supplementation in children fed primarily with human milk. Identify and complement patient characteristics, parental beliefs and doctor strategies. The method is based on the practice research network for prospective observation. Pediatricians in the network are required to complete a supplementary vitamin D questionnaire on breastfeeding infants. Parents of children 6-24 months to complete the child start feeding type, duration of breastfeeding, supplementary formula and the use of multivitamins test. Parents to explain the degree of approval of vitamin D supplementation. Results A total of 44 pediatricians responded, of whom 36.4% indicated that they had recommended vitamin D supplementation for all breastfeeding children. A total of 2,364 questionnaires were completed by age-matched children; 1140 breast-fed infants received little or no vitamin supplementation for at least 6 months. These infants use vitamin D 15.9%. The use of vitamin D was significantly associated with a recommendation from parents to pediatricians (OR = 7.8) that human milk contains the required vitamins without supplementation (OR = 0.12). Mainly breastfeeding babies Most parents said the doctor recommended to add vitamin D, 44.6% of the children to do a supplement. In contrast, 67% of parents think that human milk contains the necessary vitamins, and only 3% of them have vitamin D supplemented. Conclusion Only a few breastfed babies did vitamin D supplementation. Good directional education for both doctors and parents needs to be done to increase adherence to supplemental vitamin D guidelines.