印度婴儿的生长动态使用隐藏轨迹模型在聚合调查数据集中的增长动态
Aswathi Saji1, Jeswin Baby1,2, Prem Antony1
1Division of Epidemiology and Biostatistics, St. John's Research Institute, Bangalore, India.
Frontiers in public health
|January 22, 2025
概括
印度儿童的成长轨迹在第一年有很大差异. 虽然大多数儿童的长度与年龄相比Z分数 (LAZ) 和体重与年龄相比Z分数 (WAZ) 呈现稳定,但其他儿童的体重与年龄相比Z分数有所下降,这凸显了早期干预的必要性.
科学领域:
- 儿科生长与发展 儿科生长与发展
- 公共卫生 营养 公共卫生 营养
- 生物统计学 生物统计学
背景情况:
- 国家数据显示,印度儿童的体重和身长测量早期下降.
- 早期发现生长轨迹对于有效的公共卫生干预至关重要.
- 了解生命第一年的生长模式对于印度儿童健康至关重要.
研究的目的:
- 识别和描述印度儿童从出生到12个月的不同成长轨迹.
- 分析城市和农村印度人口的增长模式.
- 根据性别和其他人口因素区分成长轨迹.
主要方法:
- 利用印度四项纵向研究的数据.
- 采用隐性类混合建模 (LCMM) 来识别同质增长轨迹的群体.
- 根据性别,出生地点,居住区和母亲的教育,分析了长度相对年龄的Z分数 (LAZ) 和体重相对年龄的Z分数 (WAZ).
主要成果:
- 在男孩和女孩中确定了LAZ和WAZ的独特生长轨迹.
- 大多数儿童 (>80%的LAZ,~50%的WAZ) 呈现出稳定或增长的增长.
- 在男孩和女孩的子组中观察到LAZ的显著下降,速度各不相同.
结论:
- 印度儿童在生命的第一年表现出异质的生长模式.
- 对于LAZ和WAZ来说,主要的增长轨迹保持稳定,但显著的比例显示了最初的下降.
- 这些发现强调了监测各种增长轨迹的重要性,以便及时进行干预.
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