Physical growth delays and stress dysregulation in stunted and non-stunted Ukrainian institution-reared children
Physical growth delays and stress dysregulation in stunted and non-stunted Ukrainian institution-reared children
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DOI：
10.1016/j.infbeh.2008.04.001
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发表时间：
2008-09-01
影响因子：
2.1
通讯作者：
Juffer, Femmie
中科院分区：
文献类型：
--
作者：
Dobrova-Krol, Natasha A.;van Ijzendoorn, Marinus H.;Juffer, Femmie
为了研究机构养育对身体生长和压力调节的影响，我们检查了16个机构养育的儿童（3-6岁）在乌克兰，并将他们与18个本地家庭养育的儿童进行了年龄和性别配对比较。身体生长轨迹的基础上，档案的医疗记录和目前的测量身高，体重和头围进行了检查。应激调节研究的基础上，昼夜唾液皮质醇采样6次，在1天。31%的机构抚养的儿童在48个月时发育不良，而家庭抚养的儿童则没有。在机构抚养的儿童中，特别是在生命的第一年，观察到身体发育的严重延迟。从24个月起，在机构抚养的暂时发育不良的儿童中，身体发育有明显改善的趋势，到评估时，体重完全赶上，身高部分赶上。长期发育不良的机构养育的儿童表现出持续严重的生长迟缓。机构抚养和家庭抚养的孩子表现出相似的皮质醇昼夜生产模式，随着时间的推移而减少。然而，暂时发育迟缓的机构养育的儿童有显着较高的每日皮质醇总产量比长期发育迟缓的机构养育的儿童和家庭养育的儿童。这些数据证实了以前的研究结果与机构护理相关的身体发育迟缓和压力失调，但也指出了发育迟缓和非发育迟缓机构养育的儿童之间皮质醇产生的差异。(c)2008年爱思唯尔公司All rights reserved.
To study the effect of institutional rearing on physical growth and stress regulation we examined 16 institution-reared children (3-6 years old) in Ukraine and compared them with 18 native family-reared children pair-matched on age and gender. Physical growth trajectories were examined on the basis of archival medical records and current measurements of height, weight, and head circumference. Stress regulation was studied on the basis of diurnal salivary cortisol sampled six times during 1 day. 31% of institution-reared children were stunted at 48 months whereas none of the family-reared children were. Substantial delays in physical growth were observed in institution-reared children especially during the first year of life. From 24 months onwards a tendency for improvement in physical growth was evident among the temporarily stunted institution-reared children, with complete catch-up in weight and partial catch-up in height by the time of assessment. Chronically stunted institution-reared children demonstrated persistent severe growth delays. Institution-reared and family-reared children showed similar patterns of diurnal cortisol production with decreases over the day. However, temporarily stunted institution-reared children had a significantly higher total daily cortisol production than both chronically stunted institution-reared children and family-reared children. These data confirm previous findings regarding physical growth delays and stress dysregulation associated with institutional care, but also point to differences in cortisol production between stunted and non-stunted institution-reared children. (c) 2008 Elsevier Inc. All rights reserved.