栄養補給,心理的社会的な刺激,そして発育不良の子供の精神的発達:ジャマイカの研究
S M Grantham-McGregor1, C A Powell, S P Walker
1Tropical Metabolism Research Unit, University of the West Indies, Jamaica.
Lancet (London, England)
|July 6, 1991
まとめ
栄養補助食品と心理社会的刺激は,発育不良の子供の精神的発達を大幅に改善しました. 組み合わせた介入が最も効果的であり,栄養不良が成長遅滞の若者の認知能力の低下に寄与することを示唆しています.
科学分野:
- 子どもの発達 子供の発達 子供の発達
- 栄養科学とは,栄養科学である.
- 公衆衛生は公衆衛生である.
背景:
- 幼児期の栄養不良は,認知発達障害と関連しています.
- 栄養補給が栄養不良児の精神発達に与える影響に関する証拠は限られている.
- 慢性的な栄養不良のマーカーである子供の成長障害は,世界中で何百万人もの人に影響しています.
研究 の 目的:
- 栄養補充と心理的社会的刺激が,発育不良の子供の精神的発達に及ぼす影響を評価する.
- 介入が単独で,または組み合わせてより効果的かどうかを判断する.
- 成長遅滞児の精神的発達低下における栄養不良の役割を調査する.
主な方法:
- ジャマイカの9〜24ヶ月の発育阻害の子ども129人を対象としたランダム化制御試験.
- 4つのグループ:コントロール,サプリメントのみ,刺激のみ,および組み合わせた介入.
- 介入には,ミルクベースの配粉と2年間に渡って保健助手との毎週のホームプレイセッションが含まれていました.
- グリフィス精神発達スケールを使用して評価された精神発達.
主要な成果:
- 栄養補給と心理的社会刺激の両方が,子供の発達に重大な独立した利点を示しました.
- 組み合わせた介入は,いずれかの介入単独よりも著しく効果的でした.
- 補給効果は2.2 (ハンド・アイ) から12.4 (ロコモーター) に及び,刺激効果は6.4 (ハンド・アイ) から10.3 (ロコモーター) に及びました.
- 発育不全児の発達係数 (DQ) は当初より低く,対照群では減少した.
結論:
- 栄養補助食品と心理的社会的な刺激は,発育不良の子供の精神的な発達に肯定的な影響を及ぼします.
- 併用された介入は,追加的な効果と相乗効果をもたらします.
- 栄養不良は,成長遅滞児の精神発達障害に大きく寄与する要因である.
キーワード:
年齢因子 年齢因子アメリカ大陸はアメリカ大陸です.行動 行動 行動生物学 生物学 生物学とはカリブ海 カリブ海 カリブ海 カリブ海 カリブ海 カリブ海 カリブ海子供 子供 子供 子供 子供 子供子どもの発達 子供の発達 子供の発達コミュニティ・ワーカー コミュニティ・ワーカーコントロールグループ コントロールグループデータ分析 データ分析保健医療の提供について人口統計的要因 人口統計的要因発展途上国 開発途上国病気 病気 病気経済的な要因 経済的な要因健康 健康 健康 健康とは医療スタッフ 医療スタッフ幼児の栄養についてジャマイカ ジャマイカ ジャマイカ ジャマイカ ジャマイカ ジャマイカ栄養失調 栄養失調 栄養失調 栄養失調 栄養失調測定方法 測定方法北米 北米 北米栄養素 栄養素 栄養素 栄養素栄養失調症 栄養失調症について人口の人口は,人口です.人口の特徴について心理社会的要因 心理社会的要因研究方法論 研究方法論社会経済的要因 社会経済的要因補給給食 - 有益な効果青春 青春 青春 青春 青春
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