伊朗早产婴儿的生长模式 (波斯出生队列):一个前性出生队列研究
Golnaz Rezaeizadeh1, Hossein Poustchi2, Maryam Sharafkhah2
1Digestive Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
The Lancet. Global health
|November 13, 2025
概括
过早出生的婴儿面临着持续的生长问题,特别是增加浪费风险,需要早期的营养支持. 追赶增长因早产而异,严重病例显示持续的赤字.
科学领域:
- 儿童营养学 儿童营养学
- 增长监测 增长监测 增长监测
- 公共卫生 公共卫生
背景情况:
- 儿童成长障碍,通常是由于营养不良,增加了长期的健康风险.
- 过早出生的婴儿特别容易出现生长问题,需要早期的支持.
- 在早产婴儿的追赶增长干预的最佳时间仍然不清楚.
研究的目的:
- 检查早产婴儿的生长模式.
- 识别早产婴儿有增长障碍的风险.
- 为最佳增长指导早期干预策略.
主要方法:
- 使用了来自伊朗四个城市的PERSIAN出生队列数据.
- 评估成长指标,包括身高与年龄的Z分数 (HAZ),体重与年龄的Z分数 (WAZ) 和BMI与年龄的Z分数 (BMI-Z).
- 采用了概括估计方程和定量回归来分析BMI-Z分布上的早产产生的影响.
主要成果:
- 10.48%的出生是早产;严重的早产婴儿表现出持续的HAZ和WAZ缺陷和更高的体重不足风险.
- 晚期和中度早产的婴儿在36-48个月内实现了追赶增长,没有增加迟缓或体重不足的风险.
- 所有早产类别都表现出更高的浪费率和更低的BMI-Z,而肥胖风险没有显著差异.
结论:
- 过早出生的婴儿面临着持续的成长挑战,包括增加浪费风险,即使在其他指标上赶上.
- 早期,有针对性的营养干预对于预防浪费和支持早产婴儿最佳生长至关重要.
- 根据早产程度,增长轨迹有很大的差异,这强调了需要量身定制的支持.
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