早期成长和对长期神经发育和人力资本的影响
Doris González-Fernández1, Tricia S Williams2, Tyler Vaivada1
1Centre for Global Child Health, The Hospital for Sick Children, Toronto, Ontario, Canada.
Annals of nutrition & metabolism
|November 27, 2024
概括
早期生长对于成年人的健康和智力至关重要. 怀孕和婴儿期的干预可以改善儿童发育和长期的人力资本,特别是在资源较低的环境中.
科学领域:
- 围产期和发育健康
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 儿童早期的成长轨迹 (最初的1000天) 显著影响成年人的智力,技能和健康.
- 负面的妊娠结果和婴儿营养是长期神经发育的关键决定因素.
- 人力资本的发展受到从受孕到幼儿时期的因素的影响.
研究的目的:
- 审查关于不良妊娠结果和婴儿营养对神经发育影响的证据.
- 总结有效的干预措施,以改善儿童发展和人力资本.
- 突出全球儿童发展评估的挑战.
主要方法:
- 对当前关于怀孕结果和儿童发育的证据的文献综述.
- 综合了有关神经迟缓和发育障碍风险因素的数据.
- 识别和总结有效的预防干预措施.
主要成果:
- 低出生体重,早产和对于妊娠年龄来说小是神经延迟的关键围产期风险因素.
- 营养缺乏 (铁,,叶酸) 和环境压力因素对大脑发育产生负面影响.
- 改善孕产妇营养,延迟带紧,母乳养和培养护理等干预措施是有效的.
结论:
- 尽管发达国家有所减少,但在资源较少的环境中仍然存在不良的神经结果.
- 缺乏针对儿童发展的标准化全球测量方法,这阻碍了跨研究的比较.
- 针对母亲健康和幼儿保健的有效干预措施对于增强人力资本至关重要.
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