营养补充,心理社会刺激和缩儿童的精神发展:牙买加研究
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
概括
营养补充剂和心理社会刺激显著改善了缩儿童的精神发育. 综合干预最有效,表明营养不良有助于增长迟缓的年轻人的认知结果差.
科学领域:
- 儿童发展 儿童发展
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 儿童早期营养不良与认知发育受损有关.
- 对营养补充对营养不良儿童精神发育的影响的证据有限.
- 儿童发育迟缓是慢性营养不良的标志,影响全球数百万人.
研究的目的:
- 评估营养补充和心理社会刺激对缩儿童精神发育的影响.
- 为了确定干预措施是否独立或组合更有效.
- 调查营养不良对增长迟缓儿童精神发育不良的作用.
主要方法:
- 一项随机对照试验,涉及129名9-24个月龄的牙买加缩儿童.
- 四组:对照组,仅供补充,仅供刺激,以及联合干预.
- 干预措施包括基于牛奶的配方奶粉和每周在家里与卫生助理一起玩游戏,持续2年.
- 使用格里菲斯精神发展尺度评估的心理发展.
主要成果:
- 营养补充和心理社会刺激都对儿童发育产生了显著的独立益处.
- 综合干预比单独的干预要有效得多.
- 补充效应范围从2.2 (手眼) 到12.4 (运动器);刺激效应范围从6.4 (手眼) 到10.3 (运动器).
- 发育迟缓的儿童发育系数 (DQ) 最初较低,在对照组下降.
结论:
- 营养补充剂和心理社会刺激对缩儿童的精神发育产生积极影响.
- 综合干预可以产生附加效益和协同效益.
- 营养不良是导致增长迟缓儿童精神发育受损的重要因素.
关键词:
年龄因素 年龄因素美国的美洲.行为行为行为.生物学 生物学 生物学在加勒比海加勒比海加勒比海加勒比海.孩子孩子孩子孩子孩子孩子儿童发展 儿童发展社区工作者 社区工作者控制小组 控制小组数据分析 数据分析提供医疗保健服务.人口结构因素 人口结构因素发展中国家 发展中国家疾病 疾病 疾病经济因素 经济因素卫生健康 卫生健康 卫生健康卫生工作人员 卫生工作人员婴儿营养 婴儿营养牙买加 牙买加 牙买加 牙买加营养不良 营养不良 营养不良测量方法 测量方法北美北美北美北美北美 北美北美营养 营养 营养 营养 营养营养障碍 营养障碍 营养障碍人口人口的人口人口.人口特征 人口特征心理社会因素 心理社会因素研究方法研究方法研究方法学社会经济因素 社会经济因素补充养 - - 有益效果年轻人 年轻人 年轻人 年轻人 年轻人相关概念视频
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