青少年怀孕与儿童营养不良有关:系统审查和元分析
Caroline Welch1, Christopher K Wong1, Natasha Lelijveld1,2
1Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Maternal & child nutrition
|October 2, 2023
概括
青少年母亲的孩子面临中度和严重体重不足的风险增加. 推迟怀孕和改善青少年营养的干预措施对于打击儿童营养不良至关重要.
科学领域:
- 全球健康 全球健康
- 孕产妇和儿童的健康
- 营养流行病学 营养流行病学
背景情况:
- 青少年怀孕与胎儿的不良结果和儿童营养不良的增加有关.
- 有限的证据表明,母亲年轻的年龄如何影响新生儿期以外的儿童人体测量.
研究的目的:
- 系统地审查和元分析青少年怀孕与儿童衰减和体重不足之间的关联.
- 探索影响这些关联的潜在潜在的社会和生物因素.
主要方法:
- 系统地搜索自1990年以来出版的英语同行评审文献.
- 包括报告关于低收入和中等收入国家青少年母亲出生的儿童 (≤59个月) 消耗和/或体重不足的数据的研究.
- 来自57项符合条件的研究数据的元分析和定性综合.
主要成果:
- 青春期母亲的孩子与成年母亲的孩子相比,患中度 (OR:1.12) 和严重体重不足 (OR:1.21) 的风险更高.
- 青少年怀孕和衰竭之间的关联在统计学上没有显著性 (中度OR:1.05,严重OR:1.16).
- 定性合成支持了元分析的发现,有限的证据表明母亲的营养状况是中间因素.
结论:
- 在低收入和中等收入国家,青少年怀孕是儿童体重不足的重要风险因素.
- 干预措施应侧重于延迟青少年怀孕和提高青少年营养状况.
- 解决这些因素可以帮助打破代际营养不良循环.
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