来自阿根廷和德国的脑儿童和青少年的生长模式
Maria de Las Mercedes Ruiz Brunner1,2, Eduardo Cuestas3,4, Rüdiger von Kries5
1Instituto de Investigación en Ciencias de la Salud, Universidad Nacional de Córdoba, Consejo Nacional de Investigaciones Científicas y Técnicas, Córdoba, Argentina. mercedesruizb@fcm.unc.edu.ar.
Scientific reports
|June 2, 2023
概括
在阿根廷和德国之间,脑 (CP) 儿童的生长模式有显著差异. 诸如运动障碍和养方式等因素会影响生长,突出显示出需要量身定制的生长图表.
科学领域:
- 儿科 儿科 儿科
- 增长和发展 增长和发展
- 大脑麻研究研究
背景情况:
- 患有脑 (CP) 的儿童经常表现出生长偏差.
- 对CP增长模式的国际比较是有限的.
- 现有的增长图表可能不准确地反映了CP特定的增长轨迹.
研究的目的:
- 分析和比较不同国家的CP儿童的生长模式.
- 根据种族,运动功能和养方法来确定生长参数的差异.
- 评估现有的CP儿童生长图的适用性.
主要方法:
- 一项涉及799名阿根廷 (399) 和德国 (400) 儿童 (2-19岁) 患有CP的横截面研究.
- 增长指标 (身高,体重,BMI) 被转换为z分数.
- 使用通用线性模型与世界卫生组织 (WHO) 和美国CP增长图进行比较.
主要成果:
- 与世卫组织参考数据相比,阿根廷儿童的身高z-score (HAZ) 与年龄相比下降更快,而不是德国儿童.
- 身体质量指数z分数 (BMIZ) 随着年龄的增长而下降,这些儿童患有严重运动障碍 (GMFCS IV-V).
- 在使用输卵管的儿童中,BMIZ随着年龄的增长而增加,在口服养的阿根廷儿童中,体重z分数 (WAZ) 降低.
结论:
- 患有脑膜炎的儿童的生长模式在国际上有所不同,受种族,运动障碍和养方式的影响.
- 世卫组织标准的生长图表显示,CP儿童对HAZ的适应性不佳.
- 美国CP增长图表显示,BMIZ和WAZ在这个人群中更适合BMIZ和WAZ.
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