低所得国や中所得国における子供の無駄遣いと同時に発育阻害
Andrew Mertens1, Jade Benjamin-Chung2,3,4, John M Colford2
1Division of Epidemiology and Biostatistics, University of California, Berkeley, Berkeley, CA, USA. amertens@berkeley.edu.
Nature
|September 13, 2023
まとめ
子供の消耗はダイナミックで,これまで考えられていたよりも多くの子供たちがエピソードを経験しています. 生後6ヶ月までの早期介入は 予防と死亡リスクの軽減に不可欠です
科学分野:
- 世界保健
- 小児科
- 栄養学
背景:
- 子供の無駄遣いは 世界的に深刻な健康問題で 2030年までに 撲滅を目標としています
- 現在の測定方法 (横断調査) は,発症,回復,持続を含む無駄のダイナミックな性質を捉えることができない.
- これらのダイナミクスを理解することは 効果的な介入と疾病負担の正確な推定に不可欠です
研究 の 目的:
- 子供の消耗の動態を理解するために 縦断的なデータを分析します
- 発症と回復の臨界期を特定する.
- 栄養失調を撲滅するための 標的を絞った介入を促す
主な方法:
- 子供の成長に関する21の縦断的なコホートデータを分析した.
- 生後24ヶ月間の体重対長さのZスコアの検査
- 浪費の発生率,回復,持続性,および関連するリスク要因の評価
主要な成果:
- 妊娠中絶はダイナミックなプロセスで 発症率は出生から3ヶ月間でピークに達します
- 子供の有意な割合 (29. 2%) は少なくとも1回の消耗エピソードを経験し,ポイントの罹患率をはるかに上回ります.
- 早期の消耗 (6ヶ月前) は,より早い回復と関連しているが,後期の成長障害,発育不全,および死亡率のリスクが増加している.
- 体重対長さのzスコアの季節的な変動は降雨量と相関しており,季節的な介入の可能性を示唆しています.
結論:
- 出生から6ヶ月の間,母親の栄養を介して,消耗を防ぐための介入は不可欠です.
- 6ヶ月から59ヶ月までの子供に焦点を当てた現在のプログラムは,早期のライフ戦略で補完されるべきです.
- 季節的な浪費パターンに対処することで,関連する地域での介入の効果が向上する可能性があります.
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