在初级保健中,5岁以下儿童的发育水平和营养状况之间的关联
Miguel Á Villasis-Keever1, Antonio Rizzoli-Córdoba2, Blanca B Mares-Serratos3
1Evidence Analysis and Synthesis Research Unit, Pediatrics Hospital, Centro Médico Nacional Siglo XXI, Mexican Institute of Social Security (IMSS), Mexico City.
Boletin medico del Hospital Infantil de Mexico
|March 15, 2025
概括
营养不良,包括营养不良和超重/肥胖,显著增加了幼儿发育问题的风险. 早期识别和干预对于儿童发展结果至关重要.
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:
- 营养不良是儿童发育障碍的一个已知的危险因素.
- 与营养不良相比,超重和肥胖对儿童发育的影响不太清楚.
- 这项研究解决了有关各种营养状况对儿童发育影响的知识差距.
研究的目的:
- 确定营养不良,超重和肥胖对1-59个月儿童发育的影响.
- 在墨西哥的农村和城市人口中分析这些影响.
主要方法:
- 使用儿童发育评估 (EDI) 测试对墨西哥瓜纳胡阿托州1-59个月的34,972名儿童进行了测试 (2013-2015).
- 营养状况使用世界卫生组织的体重与身高比率进行分类.
- 后勤回归分析被用来计算发育结果的几率比率 (OR),调整为共变量.
主要成果:
- 很大一部分参与者 (9.1%) 营养不良,5.0% 超重或肥胖.
- 随着营养不良的严重程度的增加,观察到异常发展的几率更高 (严重的OR:14.903).
- 超重/肥胖也显示出异常发育的风险增加 (OR:1.160),以及营养不良.
结论:
- 营养不良和超重/肥胖都是5岁以下儿童发育问题的重要危险因素.
- 研究结果强调营养不良影响儿童发展的双重负担.
- 强调需要全面的营养策略来支持健康的儿童发育.
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