印度5岁以下儿童的地理高度和发育迟缓
Santosh Bhagwanrao Phad1, Laeek Ahemad Siddiqui1, Kacho Amir Khan2
1International Institute for Population Sciences, Mumbai, India.
BMJ nutrition, prevention & health
|July 5, 2024
概括
更高的海拔增加了印度5岁以下儿童的衰老风险. 2000米以上的农村儿童面临着40%更高的发育迟缓的风险,这凸显了对高海拔地区有针对性的干预措施的需要.
科学领域:
- 环境健康 环境健康
- 儿童营养学 儿童营养学
- 全球健康 全球健康
背景情况:
- 之前的研究表明,高地理高度与儿童发育迟缓风险增加之间存在联系.
- 专门针对印度环境及其独特挑战的证据仍然有限.
- 高空暴露可能会对粮食安全,医疗保健,氧气水平和营养吸收产生负面影响,导致营养不良.
研究的目的:
- 检查地理高度与印度五岁以下儿童发育迟缓之间的关联.
- 提供特定背景的证据,以高度作为印度儿童衰老的决定因素.
- 为脆弱的高海拔人口制定公共卫生战略.
主要方法:
- 利用了2015-2016年国家家庭健康调查的数据,涵盖了超过167,555名5岁以下的儿童.
- 采用后勤回归分析来评估高度和衰退之间的关系.
- 根据各种儿童,母亲和家庭特征进行调整,以隔离高度的影响.
主要成果:
- 在较高的地理高度和增长迟缓的风险之间观察到显著的积极关联.
- 居住在2000米以上的儿童与1000米以下的儿童相比,经调整后的发育迟缓几率高出40%.
- 高度和衰老之间的关系在农村人口中更为明显.
结论:
- 这项研究证实,地理高度是印度儿童发育迟缓的重要危险因素.
- 生活在较高海拔地区的农村儿童尤其容易受到伤害.
- 专注于改善高海拔地区粮食安全,医疗保健和营养的干预措施对于减少衰老的流行率至关重要.
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