生命第一年的衰退:对出生队列的路径分析
Martha Mwangome1,2, Moses Ngari1,2, Daniella Brals2,3
1KEMRI/Wellcome Trust Research Programme, Kilifi, Kenya.
PLOS global public health
|February 16, 2024
概括
婴儿在第一年的发育迟缓是复杂的,受产前因素,出生大小和早期养的影响. 针对早产,纯母乳养和母亲健康的干预措施对于预防至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 营养流行病学 营养流行病学
背景情况:
- 婴儿营养不良,特别是六个月以下婴儿的发育迟缓,是研究不足的.
- 产前和童年早期的因素显著影响儿童发育迟缓.
- 了解早期衰退途径对于有效的干预至关重要.
研究的目的:
- 检查从出生到12个月的婴儿中导致发育迟缓的途径.
- 调查父母,家庭,出生特征和婴儿疾病在早期衰老中的作用.
- 用一个假设框架和结构方程建模用于路径分析.
主要方法:
- 布基纳法索1017名婴儿的出生队伍的二次分析.
- 长度随访一年,评估出生时,3,6个月和12个月的发展迟缓.
- 结构方程建模 (SEM) 探索直接和间接的途径,以缩.
主要成果:
- 发育迟缓的发病率在出生时为7.4%,在3个月后升至23%,在6个月后升至20%,在12个月后升至18%.
- 以前的发育迟缓 (出生时,3个月和6个月) 显著预测了12个月后的发育迟缓.
- 过早分娩,双胞胎分娩和非排他性母乳养与增长迟缓风险有关.
结论:
- 早期发育迟缓受到儿童,母亲,父亲和家庭因素的复杂相互作用的影响.
- 专注于早产,子宫内生长,纯母乳养和母亲福祉的干预措施至关重要.
- 解决这些因素可以帮助减少在生命的关键第一年期间的发展迟缓.
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