Characterising school-age health and function in rural Zimbabwe using the SAHARAN toolbox.
Characterising school-age health and function in rural Zimbabwe using the SAHARAN toolbox.
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DOI：
10.1371/journal.pone.0285570
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
Prendergast, Andrew
中科院分区：
文献类型：
--
作者：
Piper, Joe;Mazhanga, Clever;Mapako, Gloria;Mapurisa, Idah;Mashedze, Tsitsi;Munyama, Eunice J.;Mwapaura, Marian C.;Chidhanguro, Dzivaidzo F.;Mpofu, Eddington V.;Mutasa, Batsirai;Gladstone, Melissa J.;Wells, Jonathan;Langhaug, Lisa;Tavengwa, Naume;Ntozini, Robert;Prendergast, Andrew
我们开发了学龄健康，活动，弹性，人体测量和神经认知（SAHARAN）工具箱，以解决学龄评估工具，结合联合收割机的增长，身体和认知功能的短缺。在这里，我们提出了一）SAHARAN工具箱的开发，可接受性和可行性;二）试点队列的特点;和iii）在队列中测量的域之间的关联。用人体测量法、膝跟长度和皮褶厚度测量生长。生物阻抗分析测量瘦体重指数和相位角。认知使用心理加工指数进行评估，该指数来自考夫曼儿童成套评估（第2版）、精细运动手指敲击任务和学校成绩测试（SAT）。身体机能结合握力、跳远和20米梭跑测试产生身体总评分。同时进行护理人员问卷调查。SAHARAN工具箱在津巴布韦农村地区实施是可行的，经过一些小的修改后，儿童和照顾者高度接受。80名平均（SD）年龄为7.6（0.2）岁的儿童的平均年龄别身高（HAZ）和年龄别体重Z评分（WAZ）分别为-0.63（0.81）和-0.55（0.85）。瘦体重指数和总皮褶厚度与WAZ和BMI Z评分相关，但与HAZ无关。总身体评分与HAZ（1.29，95% CI 0.75，1.82，p<0.001）和瘦体重指数（0.50，95% CI 0.16，0.83，p = 0.004）的单位增加相关，但与皮褶厚度无关。SAT与心理处理指数和儿童社会情绪评分的单位增加有关。照顾者问卷调查发现，逆境和粮食不安全的程度很高。撒哈拉工具箱提供了一个可行和可接受的儿童中期成长和功能的整体评估。我们发现，生长、身高调整后的瘦体重和身体功能之间存在明显的联系，但与认知功能无关。撒哈拉工具箱可用于撒哈拉以南非洲其他地区的学龄儿童成长、发展和功能。
We developed the School-Age Health, Activity, Resilience, Anthropometry and Neurocognitive (SAHARAN) toolbox to address the shortage of school-age assessment tools that combine growth, physical and cognitive function. Here we present i) development, acceptability and feasibility of the SAHARAN toolbox; ii) characteristics of a pilot cohort; and iii) associations between the domains measured in the cohort. Growth was measured with anthropometry, knee-heel length and skinfold thicknesses. Bioimpedance analysis measured lean mass index and phase angle. Cognition was assessed using the mental processing index, derived from the Kaufman Assessment Battery for Children version 2, a fine motor finger-tapping task, and School Achievement Test (SAT). Physical function combined grip strength, broad jump and the 20m shuttle-run test to produce a total physical score. A caregiver questionnaire was performed in parallel. The SAHARAN toolbox was feasible to implement in rural Zimbabwe, and highly acceptable to children and caregivers following some minor modifications. Eighty children with mean (SD) age 7.6 (0.2) years had mean height-for-age (HAZ) and weight-for-age Z-scores (WAZ) of -0.63 (0.81) and -0.55 (0.85), respectively. Lean mass index and total skinfold thicknesses were related to WAZ and BMI Z-score, but not to HAZ. Total physical score was associated with unit rises in HAZ (1.29, 95% CI 0.75, 1.82, p<0.001), and lean mass index (0.50, 95% CI 0.16, 0.83, p = 0.004), but not skinfold thicknesses. The SAT was associated with unit increases in the mental processing index and child socioemotional score. The caregiver questionnaire identified high levels of adversity and food insecurity. The SAHARAN toolbox provided a feasible and acceptable holistic assessment of child growth and function in mid-childhood. We found clear associations between growth, height-adjusted lean mass and physical function, but not cognitive function. The SAHARAN toolbox could be deployed to characterise school-age growth, development and function elsewhere in sub-Saharan Africa.
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DOI：
10.1016/s2352-4642(17)30117-7
发表时间：
2017-12
期刊：
The Lancet. Child & adolescent health
影响因子：
--
作者：
Gladstone M;Abubakar A;Idro R;Langfitt J;Newton CR
通讯作者：
Newton CR
影响因子：
4.5
作者：
Gillison FB;Grey EB;Cumming SP;Sherar LB
通讯作者：
Sherar LB
影响因子：
1.9
作者：
Gandure, Sithabiso;Drimie, Scott;Faber, Mieke
通讯作者：
Faber, Mieke
影响因子：
4.5
作者：
Chibanda, Dixon;Mangezi, Walter;Shetty, Avinash K.
通讯作者：
Shetty, Avinash K.
影响因子：
6.5
作者：
Bhalla, Garima;Handa, Sudhanshu;Seidenfeld, David
通讯作者：
Seidenfeld, David