什么是正常生长? 婴儿和儿童生长评估的原则,实用性和陷
Tanis R Fenton1, Nicole Gilbert1, Seham Elmrayed1,2
1Community Health Sciences, O'Brien Institute of Public Health, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Annals of nutrition & metabolism
|November 27, 2024
概括
准确的儿童成长评估需要了解个体的遗传潜力,而不仅仅是人口标准. 进行全面的连续测量至关重要,以避免误诊生长不稳定,并确保儿童的最佳发展.
科学领域:
- 儿科健康 儿科健康
- 增长监测 增长监测 增长监测
- 公共卫生监督 公共卫生监督
背景情况:
- 增长评估对公共卫生和临床护理至关重要.
- 世界卫生组织 (WHO) 的增长标准定义了人口规范,使用z-score来衡量衰退,衰减和超重.
- 现有的知识差距挑战了准确的个人增长评估.
研究的目的:
- 审查评估儿童和早产婴儿正常生长的原则.
- 识别和解决当前增长评估实践中的陷.
- 为了定义正常的个体生长,考虑遗传潜力和环境因素.
主要方法:
- 对评估儿童和早产婴儿正常生长的原则的审查.
- 分析影响生长的因素 (遗传学,营养,环境,社会经济地位).
- 讨论适当的人类测量技术和解释.
主要成果:
- 正常生长在种群和个体之间有所不同.
- 个体成长受到遗传和环境因素的复杂相互作用的影响.
- 连续测量和校正年龄对于准确的评估至关重要,特别是在早产婴儿中.
结论:
- 正常的个体生长是通过人类学进展实现遗传潜力.
- 错误诊断生长迟缓可能是由于单次测量或未经纠正的早产导致的.
- 医疗保健提供者对儿童体型的沟通对于父母的支持和避免污名化至关重要.
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