Early malnutrition predicts parent reports of externalizing behaviors at ages 9-17.
Early malnutrition predicts parent reports of externalizing behaviors at ages 9-17.
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DOI：
10.1179/147683011x13009738172521
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发表时间：
2011-07
影响因子：
3.6
通讯作者：
Fitzmaurice G
中科院分区：
文献类型：
--
作者：
Galler JR;Bryce CP;Waber DP;Medford G;Eaglesfield GD;Fitzmaurice G
旨在确定在一岁内经历过营养不良的青少年中外化行为是否比健康对照青少年更普遍。之前营养不良的青少年的父母和匹配的健康对照组在青少年 9-15 岁时完成了行为评分量表，并在 2 年后，当他们 11-17 岁时再次完成了行为评分量表。应用纵向多元回归分析来评估根据基线年龄、性别、家庭生活水平和母亲抑郁症状调整后的组间差异。在这两种情况下，幼儿期营养不良都与执行功能问题有关。营养不良还预示着，父母报告的 9 至 15 岁儿童对同龄人的攻击性水平明显高于 11 至 17 岁儿童。这些发现与基线年龄、性别、家庭生活水平和母亲抑郁症状无关。在随访期间，问题行为总体上有所减少。父母们报告说，在生命的第一年遭受中度至重度蛋白质-能量营养不良的青少年在整个青春期的执行功能方面持续存在问题，而攻击性的报告虽然在该群体年轻时更常见，但在随访中并没有持续存在。
To determine whether externalizing behaviors are more prevalent in youth who have experienced an episode of malnutrition in the first year of life than in healthy comparison youth. Parents of previously malnourished youth and a matched healthy comparison group completed a behavior rating scale when the youth were 9–15 years of age and again, 2 years later, when they were 11–17 years of age. Longitudinal multiple regression analysis was applied to evaluate group differences adjusted for baseline age, sex, household standard of living, and maternal depressive symptoms. Early childhood malnutrition was associated with problems in executive functioning at both occasions. Malnutrition also predicted discernibly higher parent-reported levels of aggression toward peers at 9–15 years than at 11–17 years. These findings were independent of baseline age, sex, household standard of living, and maternal depressive symptoms. Problem behaviors in general decreased during follow-up. Parents report persisting problems with executive functioning through adolescence in youth who suffered an episode of moderate-to-severe protein-energy malnutrition in the first year of life, while reports of aggression, although more common when this cohort were younger, did not persist at follow-up.