Impact of parasitic infections and dietary intake on child growth in the schistosomiasis-endemic Dongting Lake region, China
Impact of parasitic infections and dietary intake on child growth in the schistosomiasis-endemic Dongting Lake region, China
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DOI：
10.4269/ajtmh.2005.72.534
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发表时间：
2005-05-01
影响因子：
3.3
通讯作者：
Sleigh, AC
中科院分区：
文献类型：
--
作者：
Zhou, H;Ohtsuka, R;Sleigh, AC
本文调查了中国洞庭湖区427名10-13岁儿童寄生虫感染和膳食摄入对生长发育的影响。测量身高、体重、上臂中围和皮褶厚度（肱三头肌、肱二头肌和肩胛下皮褶厚度），并采用Kato-Katz厚涂片技术检测粪便中日本血吸虫、蛔虫、鞭虫和姜片虫虫卵。采用半定量食物频率问卷对每个受试者的长期饮食摄入进行评估。结果表明，与中国农村儿童标准相比，研究儿童生长发育迟缓，其中女童感染沙门氏菌的频率较高。蛋白质和能量摄入量较低。感染沙门氏菌的儿童身高、体重和中上臂围均降低。日本，最严重的女孩与最少的能量和蛋白质摄入量。多元逐步回归分析表明，生长迟缓与S。日本血吸虫感染和缺乏蛋白质能量摄入。在儿童健康项目方面，在对学龄儿童进行定期血吸虫病筛查和治疗的同时，还需要对儿童和家长进行健康和营养教育。此外，应特别注意教育父母了解女孩的需要。
The simultaneous impacts of parasitic infections and dietary intake on growth patterns were investigated for 427 children aged 10-13 years in the schistosomiasis-endemic Dongting Lake region of China. Height, weight, mid-upper arm circumference, and skinfold thicknesses (triceps, biceps, and subscapular) were measured, and eggs of Schistosoma japonicum, Ascaris lumbricoides, Trichuris trichiura, and Fasciolopsis buski in the collected stool samples of each subject were detected by Kato-Katz thick smear technique. Long-term dietary intake of each subject was assessed with a semiquantitative food frequency questionnaire. The results demonstrate that the study children were retarded in growth compared with the standards of Chinese rural children; among them, the girls were more frequently infected for S. japonicium and had lower intakes of protein and energy. Reduced height, weight, and mid-upper arm circumference were noted in children infected with S. japonicum, most severely in the girls with the least energy and protein intakes. Multiple stepwise regression analysis indicated that growth retardation was significantly and substantially associated with S. japonicum infection and lack of protein-energy intakes. For child health programs, regular schistosomiasis screening and treatment in schoolchildren needs to be complemented by health and nutrition education for both children and parents. Also, special attention should be paid to educating parents about the needs of girls.