从出生到24个月的婴儿生长和身体组成:婴儿的发育是相同的吗?
Shane A Norris1,2, Lukhanyo H Nyati3,4, Alexia Murphy-Alford5
1SAMRC Developmental Pathways for Health Research Unit, Department of Pediatrics, University of the Witwatersrand, Johannesburg, South Africa.
European journal of clinical nutrition
|January 3, 2024
概括
婴儿的身体组成在六个不同的国家有很大差异,甚至在那些具有理想长度的国家中也是如此. 超出身高对年龄Z-score的因素会影响幼儿时代的脂肪量.
科学领域:
- 儿童营养学 儿童营养学
- 增长和发展 增长和发展
- 身体组成分析 身体成分分析
背景情况:
- 婴儿期对于建立长期健康影响的成长轨迹至关重要.
- 在全球不同环境中,婴儿的长度体质构成仍未得到充分研究.
研究的目的:
- 来自六个经济和种族多样化的国家的婴儿的纵向身体组成的调查.
- 评估身高对年龄Z分数对身体组成参数的影响.
主要方法:
- 使用世卫组织多中心生长参考研究标准招募的母婴双.
- 测量无脂肪质量 (FFM),脂肪质量 (FM),脂肪质量指数 (FMI) 和无脂肪质量指数 (FFMI) 从出生到24个月.
- 计算的身高对年龄 (HAZ),体重对年龄 (WAZ) 和体重对长度 (WHZ) Z-score;基于HAZ的组进行了比较.
主要成果:
- 高度对年龄的Z-分数在0-6个月和3-24个月之间显示出可变的表现.
- 发育迟缓的发病率在24个月后在男孩中达到10.3%,在女孩中达到7.8%.
- 24个月后,女孩的FMI比男孩高10%;根据HAZ类别存在显著的FFM和FM差异.
结论:
- 在多个国家的样本中,理想长度的婴儿的身体组成异质.
- 接近世卫组织标准的HAZ降低了FFM异质性,但没有FM,表明其他因素影响肥胖.
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