Long-term effects of child nutritional status on the accumulation of health human capital.
Long-term effects of child nutritional status on the accumulation of health human capital.
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DOI：
10.1016/j.ssmph.2023.101533
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发表时间：
2023-12
影响因子：
4.7
通讯作者：
Kaliappan, Shivee Ranjanee
中科院分区：
文献类型：
--
作者：
Li, Sa;Nor, Norashidah Mohamed;Kaliappan, Shivee Ranjanee
关于儿童营养对成人健康和人力资本影响的研究在发达国家已经得到了广泛的研究，但中国对这一课题的研究却很有限。如今，在儿童营养状况方面，虽然中国在解决儿童营养不良问题上取得了重大进展，但地区差异依然存在，相反，儿童超重的患病率仍在上升。在成人健康人力资本方面，我国居民慢性非传染性疾病负担逐步增加，超过50%的居民超重或肥胖，肥胖是其他慢性病的危险因素之一。因此，本研究利用1991年至2015年具有全国代表性的中国健康与营养调查数据，结合儿童时期的个体信息，考察儿童营养与成人健康人力资本之间的关系。基于双向固定效应模型和Logit模型，研究发现，以年龄身高z得分(HAZ)衡量的儿童营养状况对以身高、体重指数(BMI)、自评健康(SRH)、最近四周是否患病(SH)衡量的成人健康人力资本有显著且持续的影响。BMI-for-age z Score(BMIZ)显著且持续地影响通过BMI、血压和感知压力(PS)测量的成人健康人力资本。其中，这项研究特别强调儿童后期和青春期(超过6岁)对逐渐增加的身高和持续存在的高血压的长期影响。总而言之，减少儿童超重，促进整个童年的线性增长和发育，可以减轻国家未来的疾病负担。本研究的亮点如下。首先，本研究采用多维度的方法对健康人力资本进行测量。其次，这项研究通过考察发展中国家面临的双重负担营养不良的长期影响，填补了研究空白。第三，本研究探讨了儿童营养的潜在追赶过程及其对成人健康结果的影响。
Research on the impact of childhood nutrition on adult health and human capital has been extensively studied in developed countries, but research in China on this topic is limited. Nowadays, for children's nutritional status, while significant progress has been made in addressing childhood undernutrition in China, regional disparities persist, conversely, the prevalence of childhood overweight continues to rise. For adults' health human capital, the burden of chronic non-communicable diseases among Chinese residents is gradually increasing, over 50% of Chinese residents are overweight or obese, with obesity being one of the risk factors for other chronic diseases. Therefore, this study uses national representative data from 1991 to 2015 China Health and Nutrition Survey (CHNS), matched with individual information from their childhood, to examine the relationship between childhood nutrition and adult health human capital. Based on the two-way fixed effects models and logit models, the study finds that childhood nutrition status measured by height-for-age z score (HAZ) significantly and continuously has been influencing adult health human capital measured by height, BMI, self-rated health (SRH), whether have been sick in last four weeks (SH). BMI-for-age z score (BMIZ) significantly and continuously influence adult health human capital measured by BMI, blood pressure, and perceived stress (PS). Among that, this study places special emphasis on the long-lasting effects of late childhood and adolescence (ages exceeding 6) on the progressive height accumulation and sustained presence of elevated blood pressure. In conclusion, reducing childhood overweight and promoting linear growth and development throughout the whole childhood can reduce the future burden of disease on the nation. The highlights of this research are as follows. First, this study takes a multidimensional approach to measure health human capital. Second, the study fills a research gap by examining the long-term impacts of the double burden malnutrition faced by developing countries. Third, this study explores the potential catch-up process in childhood nutrition and its influence on adult health outcomes.
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影响因子：
3.7
作者：
Koshy B;Srinivasan M;Gopalakrishnan S;Mohan VR;Scharf R;Murray-Kolb L;John S;Beulah R;Muliyil J;Kang G
通讯作者：
Kang G
影响因子：
168.9
作者：
Adair, Linda S.;Fall, Caroline H. D.;Osmond, Clive;Stein, Aryeh D.;Martorell, Reynaldo;Ramirez-Zea, Manuel;Sachdev, Harshpal Singh;Dahly, Darren L.;Bas, Isabelita;Norris, Shane A.;Micklesfield, Lisa;Hallal, Pedro;Victora, Cesar G.
通讯作者：
Victora, Cesar G.
影响因子：
168.9
作者：
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者：
Uauy, Ricardo
影响因子：
5
作者：
Caruso, German;Miller, Sebastian
通讯作者：
Miller, Sebastian
影响因子：
3.9
作者：
Baran J;Weres A;Czenczek-Lewandowska E;Leszczak J;Kalandyk-Osinko K;Łuszczki E;Sobek G;Mazur A
通讯作者：
Mazur A