Developmental performance of hospitalized severely acutely malnourished under-six children in low- income setting.
Developmental performance of hospitalized severely acutely malnourished under-six children in low- income setting.
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DOI：
10.1186/s12887-017-0950-5
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发表时间：
2017-11-28
期刊：
影响因子：
2.4
通讯作者：
Granitzer M
中科院分区：
文献类型：
--
作者：
Abessa TG;Bruckers L;Kolsteren P;Granitzer M
回顾性研究表明，严重急性营养不良（SAM）影响儿童发育。然而，SAM在急性期对不同年龄儿童的影响程度尚不清楚。本研究旨在比较6岁以下严重急性营养不良儿童与年龄和性别匹配的非营养不良健康儿童的发育表现。310例SAM患儿（男155例，女155例）的发育表现；平均年龄30.7月；将吉马大学医院营养康复科收治的310名年龄和性别匹配的非营养不良健康儿童（男155名，女155名；平均年龄29.6个月；SD = 15.4个月）与埃塞俄比亚吉马镇的儿童进行比较。采用两种文化适应工具：(1)丹佛ii -吉玛量表（Denver II-Jimma）评估儿童在个人社交（PS）、精细运动（FM）语言（LA）和大运动（GM）技能方面的表现；(2)年龄和阶段问卷：社会情感（ASQ:SE）评估儿童的社会情感（SE）技能。采用多变量泊松回归分析比较营养不良儿童与非营养不良儿童的发育表现得分。1岁儿童在GM、FM、PS和LA方面的发展表现分别延迟了300%、200%、140%和71.4%。对于三岁的儿童，SAM使他们在GM上的发展表现延迟80%，在FM和LA上各延迟50%，在PS上延迟28.6%。在丹佛II-Jimma上评估的技能中，GM受影响最大，PS受影响最小。年龄较小的SAM儿童在所有发展领域都比年龄较大的儿童受到更大的影响。随着年龄的增长，FM、GM、LA和PS的延迟普遍降低。社交情绪行为问题似乎在非常年幼和年长的年龄段最为明显。SAM对6岁以下儿童的不同发展维度有不同的年龄效应。本文的在线版本（10.1186/s12887-017-0950-5）包含补充材料，授权用户可使用。
Retrospective studies show that severe acute malnutrition (SAM) affects child development. However, to what extent SAM affects children of different ages at its acute stage is not well documented. This study was aimed at comparing the developmental performance of severely acutely malnourished children under six with that of age and gender-matched non-malnourished healthy children. The developmental performances of 310 children with SAM (male = 155, female = 155); mean age = 30.7 mo; SD = 15.2 mo) admitted to the nutritional rehabilitation unit (NRU) at Jimma University’s Hospital was compared with that of 310 age and gender-matched, non-malnourished healthy children (male = 155, female = 155; mean age = 29.6 mo; SD = 15.4 mo) living in Jimma Town in Ethiopia. Two culturally adapted tools were used: (1) the Denver II-Jimma, to assess the children’s performance on personal social (PS), fine motor (FM) language (LA), gross motor (GM) skills, and (2) the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE), to assess social-emotional (SE) skills. Multivariable Poisson regression analysis was conducted to compare the developmental performance scores of SAM and non-malnourished children. For one-year-old children, SAM delays their developmental performance on GM, FM, PS and LA by 300%, 200%, 140% and 71.4% respectively. For three-years-old children, SAM delays their developmental performance on GM by 80%, on FM and LA by 50% each, and on PS by 28.6%. Of the skills assessed on Denver II-Jimma, GM is the most, and PS is the least affected. Younger SAM children are more affected than older ones on all the domains of development. The delay in FM, GM, LA and PS generally decreases with an increase in age. Social-emotional behavior problems seem to be most pronounced in the very young and older age ranges. SAM has a differential age effect on the different dimensions of development in children under 6 years of age. The online version of this article (10.1186/s12887-017-0950-5) contains supplementary material, which is available to authorized users.
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影响因子：
3.6
作者：
GALLER, JR;RAMSEY, FC;SALT, P
通讯作者：
SALT, P
影响因子：
7.1
作者：
GRAVES, PL
通讯作者：
GRAVES, PL
影响因子：
4.5
作者：
Abessa TG;Worku BN;Kibebew MW;Valy J;Lemmens J;Thijs H;Yimer WK;Kolsteren P;Granitzer M
通讯作者：
Granitzer M
DOI：
10.1111/j.1469-7610.2010.02208.x
发表时间：
2010-07-01
影响因子：
7.6
作者：
Galler, J. R.;Bryce, C. P.;Harrison, R.
通讯作者：
Harrison, R.
影响因子：
3.7
作者：
Fledderjohann J;Agrawal S;Vellakkal S;Basu S;Campbell O;Doyle P;Ebrahim S;Stuckler D
通讯作者：
Stuckler D