检查了东帝汶在五岁以下的农村儿童中衰退和浪费之间的负担和关系
Paluku Bahwere1, Debra S Judge2, Phoebe Spencer2
1ActionAgainst Hunger UK, London, United Kingdom.
PloS one
|October 25, 2024
概括
五岁以下儿童的消耗和发育迟缓是公共卫生问题. 综合干预至关重要,因为浪费是浪费.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 营养科学 营养科学
背景情况:
- 儿童浪费和发展迟缓是全球和东帝汶重要的公共卫生问题.
- 浪费和衰退之间的相互关系需要进一步研究,以便进行有效的编程.
- 在五岁以下的儿童中,在招募时观察到高发育迟缓 (54.6%) 和衰竭 (9.5%) 的高患病率.
研究的目的:
- 为了评估年龄对消耗和衰减患病率的影响.
- 为了研究消耗和衰退之间的重叠.
- 为了确定浪费参数对儿童线性成长追赶效应的影响.
主要方法:
- 对401名年龄在0-54个月的儿童进行了长度研究,并进行了反复的人类测量评估.
- 在25个月的中位随访期内,对Z分数 (HAZ) 和高度与年龄差异 (HAD) 的变化进行分析.
- 结构方程建模 (SEM) 使用路径分析来探索浪费和线性增长之间的关系.
主要成果:
- 发育迟缓的逆转发生在25.6%的最初发育迟缓的儿童中;积极的HAD变化发生在19.6%中.
- 基线Weight-for-Height Z-score (WHZ) 对积极的HAD变化没有显著的直接影响; WHZ变化介导的影响.
- 基线中上臂周长 (MUAC) 显示对积极的HAD变化有显著的积极直接影响.
结论:
- 由于它们的复杂相互关系,应整合针对浪费和衰老的干预措施.
- 浪费参数,特别是WHZ和基线MUAC的变化,影响了线性增长的追赶.
- 同时解决消耗和发育迟缓问题对于改善儿童成长结果至关重要.
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