粮食不安全和体重不稳定:美国对幼儿体重轨迹的多站点分析
Ana Poblacion1, Stephanie Ettinger de Cuba2, Maureen M Black3
1Children's HealthWatch, Boston Medical Center, Boston, Massachusetts.
Journal of the Academy of Nutrition and Dietetics
|December 7, 2024
概括
儿童的粮食不安全,而不是家庭的粮食不安全,与幼儿缓慢增加体重有关. 监测儿童的粮食不安全性对于防止生长失速和支持健康发展至关重要.
科学领域:
- 儿童营养学 儿童营养学
- 儿童发展 儿童发展
- 公共卫生 公共卫生
背景情况:
- 粮食不安全会对儿童的健康和发展产生负面影响.
- 现有的研究表明,粮食不安全与幼儿的纵向生长之间存在不一致的关联.
研究的目的:
- 检查家庭和儿童粮食不安全和0至2岁儿童体重轨迹之间的关系.
主要方法:
- 在美国4个城市 (2009-2018) 分析了814个不同种族的母亲和孩子对的纵向调查数据.
- 儿童在两次采访 (平均隔11个月) 之间评估了体重与年龄之间的z分数差异.
- 体重增加类别:预期的,缓慢的 (<-1.34 SD) 或快速的 (>+1.34 SD).
主要成果:
- 儿童粮食不安全与缓慢体重增加有显著的关联 (调整后RR2.44;95%CI1.16至5.13).
- 家庭粮食不安全与缓慢增加体重没有显著关联 (调整后RR为1.30;95%CI为0.69至2.51).
- 无论是家庭还是儿童的粮食不安全都与快速体重增加无关.
结论:
- 儿童粮食不安全是一个临床问题,因为它与早期儿童缓慢增加体重有关.
- 建议在儿童粮食不安全和家庭粮食不安全的同时监测儿童粮食不安全,以进行早期干预和预防生长迟缓.
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