发育迟缓及其与五岁以下儿童养问题的关联:马来西亚库安丹区的一项病例对照研究
N A Kamaruzaman1, A L Musa2, H Pasi3
1International Islamic University Malaysia, Kulliyyah of Medicine, Department of Family Medicine, Kuantan, Pahang, Malaysia.
The Medical journal of Malaysia
|August 1, 2024
概括
养问题显著增加了幼儿的衰老风险. 不足够的食物量,种类和频率,以及较低的出生体重和母亲的身高,是导致发育迟缓的关键风险因素.
科学领域:
- 儿童营养学 儿童营养学
- 儿童健康结果的结果
- 营养不良研究 营养不良研究
背景情况:
- 发育迟缓,以年龄相对较低的身高为特征,是婴儿和幼儿最常见的营养不良形式.
- 慢性营养不良是导致衰老的主要原因.
- 了解衰老与养问题的关联对于早期干预至关重要.
研究的目的:
- 确定6-59个月龄的儿童中发育迟缓和养问题之间的关联.
- 识别导致这个年龄段人群发育迟缓的危险因素.
- 为了告知库安丹地区的有针对性的营养干预措施.
主要方法:
- 一项涉及160名儿童 (1:3比) 的病例对照研究.
- 通过有关社会人口统计和养的母亲问卷收集的数据,根据世卫组织IMCI指南进行了调整.
- 用于识别衰老风险因素的二进制逻辑回归分析 (p<0.05).
主要成果:
- 患有养问题的儿童患衰老的风险是其4倍以上 (OR:4.2).
- 不足够的食物量 (OR:6.2),品种 (OR:4.2) 和频率 (OR:2.8) 显著增加了发育迟缓的风险.
- 较低的出生体重 (OR:0.2),较短的分娩周 (OR:0.6) 和较短的母亲身高 (OR:0.89) 与增长迟缓风险有关.
结论:
- 营养问题,特别是食物数量,品种和频率不足,是导致发育迟缓的重要因素.
- 较低的出生体重,早产和较短的母亲身高被确定为衰老的危险因素.
- 改善营养问题的检测和干预策略对于预防儿童发育迟缓至关重要.
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