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母乳妈妈的饮食是造成宝宝超重的原因吗?

(2010-08-17 14:44:42)
标签:

宝宝超重

母乳妈妈

饮食

杂谈

分类: Pregnancy-哺乳预备生
Worried that my diet is causing baby to be overweight
担心我的饮食是造成宝宝超重的原因

NAME: Angelina
BABY'S NAME: Annalisa
BABY'S AGE: 6 months

My daughter is exclusively breastfed, yet contrary to anything I'd ever heard on the subject she is quite chubby (in the 100th percentile for her weight).  Is the fat content of my milk variable to my diet or is it consistent?  I'm concerned that I may have too much fat in my diet and am causing her to be overweight.  She eats only every four to five hours and sleeps through the night.  My pediatrician has commented that I should be concerned about her weight, but offered no advice except to let her fuss a little before I feed her. 

的女儿是全母乳的宝宝,但是她长得相当胖(体重生长曲线一直在100%)。我的奶水中的脂肪含量是随着我的饮食变化而变化呢?还是含量恒定的呢?我担心是因为我吃进太多含脂肪的食物导致她超重。她4-5个小时吃一次,而且已经能够睡整夜。我的儿科医生只是说我应该注意她的体重了,但除了建议让她在吃奶前少量活动(阳阳妈注:这句话这样翻译有点奇怪,不太理解医生何以会这样说。)外再没有其他建议了。

You mention that your daughter is in the 100th percentile for weight, but the more important growth indicator is really her weight-for-length percentile.  I have two children who were both well-above the 100th percentile for both weight and length.  Thus, their weight-for-length percentiles were quite average.  This is what is most important when monitoring a baby's growth.

提到你的女儿的体重生长曲线一直在100%,但实际上更重要的宝宝的生长发育指标是体重-身高百分点(阳阳妈注:应该是指BMI指标)。我的两个孩子的身高和体重生长曲线都在100%以上。因此,他们的体重-身高的百分点就是平均值了。这个指标是在监测宝宝生长发育的最重要的指标。

Regardless, you should know that, physiologically, your daughter is probably at the fattest time in her life.  Babies fat increase between four to six months of age is incredible!  I want to reassure you that the fat content in your diet does not affect the amount of fat in your breastmilk.  It does affect the fat composition of your breastmilk (i.e. whether it is primarily polyunsaturated or saturated), but this has no bearing on your baby's weight.

论如何,你应该知道从生理学上来说,你的女儿正处在她一生中最胖的阶段。婴儿在4-6个月大时增胖的速度是令人难以置信的。不要担心,母乳妈妈饮食中的脂肪含量并不会影响母乳中的脂肪数量。虽然它确实会影响母乳中的脂肪种类(也就是说其中的脂肪到底是不饱和脂肪还是饱和脂肪),但这并不影响宝宝的体重。

Your daughter's eating every four to five hours and her sleeping through the night are reasonable for her age (6 months).  I recommend that you focus on her activity and not her weight. Encourage your baby to be down on the floor playing as much as possible.  Encourage her to reach for toys, to "swim" on the ground (I assume she is not crawling yet), and be active for her developmental stage. Minimize the amount of time that she is in a baby swing, a bouncy chair, or a playpen.

的女儿4-5个小时吃一次,并且能够睡整夜,对于这么大的宝宝来说也是正常的。
我建议你多注意她的活动能力,而非她的体重。鼓励你的宝宝在地板上尽情地玩。鼓励她伸手去拿玩具,或者在地板上“游泳”(我猜想她还不会爬),更加积极地面对她的发育阶段(阳阳妈注:这句好象不是很通顺。)。尽量减少她待在婴儿摇篮、摇椅或者婴儿围栏里的时间。

Since your daughter is 6 months old, you are probably considering the introduction of solid foods to supplement her breastfeedings.  I recommend that you give her finger or fist foods that she can feed herself, rather than baby food that requires you to spoon feed her. This way, she will control her intake completely.  Mothers (or other caregivers) have no way of knowing when a baby has had enough to eat.  A baby, however, knows when he or she is full!  When you are introducing solids, it sometimes help to breastfeed for a short time first so that your baby is not too hungry.  Then, put her in a highchair or in your lap and place small pieces of soft food (i.e. bananas, liver, ground beef) in front of her.  The La Leche League has long recommended that meats be introduced to breastfed babies first, followed by vegetables, fruits, and then cereal.  This keeps the protein-calorie ratio up, which is important for breastfed babies, and also provides them with iron in the most bio-available form to replenish the iron stores used up during the first months of life.     

然你的女儿已经6个月大了,你大概也正在考虑给她添加辅食了。我建议你给她指头或者拳头大小的食物而不是那些需要你用小勺喂给她的婴儿食品,这样她就可以自己吃了。这样,她就可以完全控制她的摄入量了。母亲(或者其它照顾者)无法知道宝宝什么时候吃饱了。然而,宝宝自己则知道这一点。添加辅食时,可以先喂些奶,让宝宝不至太饿,这样会有助于宝宝接受辅食。然后,把她放进高脚餐椅或者你的膝上,并且放一些软质的食物(比如香蕉、肝或者绞细的牛肉)在她的面前。
国际母乳会推荐以给宝宝添加辅食时,首先添加肉类食物,然后是蔬菜、水果和谷类食品。保持蛋白质-热量的比率逐渐升高,这一点对于母乳宝宝是非常重要的。这样也可以给母乳宝宝以最容易吸收的形式提供铁,以补足前几个月已经被耗尽的铁。

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