Pair-matched case-control study on factors associated with gastrointestinal heat retention in preschool children
10.3969/j.issn.1006-2157.2024.09.014
- VernacularTitle:学龄前期儿童胃肠积热相关因素的配对病例对照研究
- Author:
Jiyu JIANG
1
;
Xueyan MA
;
Tiegang LIU
;
He YU
;
Yuanshuo TIAN
;
Xueying QIN
;
Lin JIANG
;
Xiangzheng YANG
;
Hongzhi YIN
;
Xiaohong GU
Author Information
1. 北京中医药大学中医学院 北京 100029
- Keywords:
gastrointestinal heat retention;
case-control study;
preschool stage;
child
- From:
Journal of Beijing University of Traditional Chinese Medicine
2024;47(9):1297-1305
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify factors associated with gastrointestinal heat retention in preschool children,and to provide a foundational understanding for future clinical investigations. Methods A case-control study was performed,which involved children from kindergartens in the Longgang District of Shenzhen City,Guangdong Province,from May to July 2021. Using the Children's Gastrointestinal Heat Retention Diagnostic Self-assessment Scale,subjects were allocated into a case group (children diagnosed with gastrointestinal heat retention) and a control group (children without this condition). An online survey was used to collect data on dietary behaviors,caregivers' feeding behaviors,early antibiotic use,daily routines,and birth conditions. SPSS 27.0 software was used to facilitate precise sociodemographic matching and paired logistic regression analysis to explore the association between gastrointestinal heat retention and the above factors. Results From the analysis of 51,252 matched cases,the study found that several factors contributed to an increased risk of gastrointestinal heat retention. These factors included reduced food intake compared to peers,reports of picky eating by caregivers,distractions during meals,pronounced dietary preferences,disinterest in food,meal durations ≥ 25 min,reluctance to sample new foods,consistent refusal of specific food types for over one month,irregular meal locations,coercive feeding practices,use of micronutrient supplements,allowing children too much freedom in food choice,persuading children to eat,infrequent encouragement to experiment with new foods,early antibiotic introduction,inadequate sleep,and premature birth (P<0.05). In contrast,exclusive breastfeeding in the first six months,engagement in moderate to massive physical activity,and regular napping patterns were associated with a reduced risk of gastrointestinal heat retention (P<0.05). Conclusion The suboptimal dietary habits,improper feeding practices,insufficient physical activity,inadequate sleep,and premature antibiotic exposure may be significant risk factors for gastrointestinal heat retention. Future research dedicated to unraveling the cause of gastrointestinal heat retention should prioritize these elements.
