什么时候发生了儿童线性成长的重大损失?
Dwi Sisca Kumala Putri1, Yekti Widodo1, Hartono Gunardi2
1National Research and Innovation Agency, Health Research Organization, Jakarta, Indonesia.
PloS one
|September 14, 2023
概括
早期预防发育迟缓至关重要. 小于妊娠年龄 (SGA) 的婴儿表现出更快的初始增长,但落后于正常的同龄人,突出了在生命的前500天内进行干预的必要性.
科学领域:
- 儿科 儿科 儿科
- 人类成长和发展 人类成长和发展
- 营养流行病学 营养流行病学
背景情况:
- 线性生长失速,以身高对年龄Z分数 (HAZ) 衡量,是儿童早期的一个重大问题.
- 了解前两年的增长模式对于识别关键时期和有效干预至关重要.
研究的目的:
- 描述婴儿的线性成长的模式.
- 在前两年分析长度对年龄Z分数 (LAZs) 的变化.
- 根据出生体重和身长状况,比较生长轨迹,特别是怀孕年龄小 (SGA) 与正常婴儿.
主要方法:
- 来自印度尼西亚博戈尔儿童成长和发育纵向研究的408名儿童的分析.
- 根据出生体重和长度将婴儿分为正常和SGA.
- 在三个时期的LAZ (Δ LAZ) 变化计算:0-6,6-12和12-23个月.
- 应用通用线性模型单变量分析来比较SGA和正常儿童之间的生长差异.
主要成果:
- 满期SGA婴儿在前六个月表现出更高的线性生长速度,但在两岁时没有达到与正常婴儿相同的成长.
- 在研究期间结束时,SGA婴儿的发育迟缓率更高.
- 在0-6个月期间,在SGA和正常婴儿中观察到显著的LAZ下降.
结论:
- 生命的前1000天仍然是预防衰老的关键窗口.
- 干预措施应早些时候开始,重点关注前500天,包括产前期,以有效打击发育迟缓.
相关概念视频
Nature and Nurture
20.5K
Many human characteristics, like height, are shaped by both nature—in other words, by our genes—and by nurture, or our environment. For example, chronic stress during childhood inhibits the production of growth hormones and consequently reduces bone growth and height. Scientists estimate that 70-90% of variation in height is due to genetic differences among individuals, and 10-30% of variation in height is due to differences in the environments that individuals experience,...
20.5K
Signs of Puberty
409
Puberty is a critical phase, typically beginning between the ages of 8 and 13 in girls and 9 and 14 in boys, though timing can vary based on genetics, environmental factors, and overall health. This period is characterized by the development of secondary sexual characteristics and the attainment of reproductive potential. Endocrine changes underpin puberty, with hormonal surges of Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH) instigated by Gonadotropin-Releasing Hormone (GnRH)...
409
Growth of Cartilage and Bone Tissue
3.4K
Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
3.4K
Changes in the Appendicular Skeleton with Age
2.1K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
2.1K
Life Histories
18.0K
Overview
18.0K
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K


