Cross-cultural comparison of growth, maturation and adiposity indices of two contrasting adolescent populations in rural Senegal (West Africa) and Martinique (Caribbean)

Cross-cultural comparison of growth, maturation and adiposity indices of two contrasting adolescent populations in rural Senegal (West Africa) and Martinique (Caribbean)
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DOI:
10.1079/phn2003546
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发表时间:
2004-06-01
影响因子:
3.2
通讯作者:
Garnier, D
Garnier, D
中科院分区:
医学3区
文献类型:
--
作者:
Bénéfice, E;Caïus, N;Garnier, D

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目的:为了强调社会和环境(营养)因素在决定青春期生长突增和过度肥胖风险方面的重要性,对两个不同的青少年人群(一个来自塞内加尔(西非)农村地区,另一个来自马提尼克岛(法属西印度群岛))进行了比较。设计:对比人群的跨文化比较。来自塞内加尔的青少年属于自 1995 年以来进行随访的队列。来自马提尼克的青少年参加了一项覆盖整个岛屿的横断面营养调查。 受试者:共有 507 名来自塞内加尔的青少年(平均年龄:14.3 +/- 0.7 岁)(319 名女孩和 188 名男孩)和 703 名来自马提尼克岛的青少年(351 名男孩和 352 名女孩)进行了研究。结果:生长和成熟方面的差异非常显着:马提尼克岛的男孩比塞内加尔的男孩重 22.7 公斤,高 20.1 厘米。对于女孩来说,差异不太重要,但仍然很明显:体重 12.6 公斤,身高 10.5 厘米。在塞内加尔,几乎没有超重的青少年,但 18% 的女孩和 50% 的男孩可被视为营养不良。在马提尼克岛,19% 的女孩和 23% 的男孩超重或肥胖。马提尼克岛的少女在性方面也比塞内加尔的少女更加成熟。当塞内加尔女孩初潮后重复比较时,体重和体重指数的差异消失了,但塞内加尔女孩仍然比马提尼克岛女孩矮。结论:青少年极易受到营养变化的影响,他们的特殊情况需要纳入营养预防计划。
Objectives: To stress the importance of social and environment (nutritional) factors in determining the growth spurt during puberty and the risk of excessive adiposity, two contrasting adolescent populations, one from a rural area of Senegal (West Africa) and the other from Martinique (French West Indies), were compared.Design: Cross-cultural comparison of contrasting populations. Adolescents from Senegal belonged to a cohort followed up since 1995. Adolescents from Martinique participated in a cross-sectional nutritional survey that covered the entire island.Subjects: A total of 507 adolescents (mean age: 14.3 +/- 0.7 years) from Senegal (319 girls and 188 boys) and 703 adolescents from Martinique (351 boys and 352 girls) were surveyed.Results: Differences in growth and maturation were striking: boys in Martinique were 22.7 kg heavier and 20.1 cm taller than boys in Senegal. Differences were less important for girls but still evident: 12.6 kg in weight and 10.5 cm in stature. In Senegal, there were virtually no overweight adolescents, but 18% of girls and 50% of boys could be considered as malnourished. In Martinique, 19% of girls and 23% of boys were overweight or obese. Adolescent girls from Martinique were also sexually more mature than adolescent girls from Senegal. When comparisons were repeated after Senegalese girls reached menarche, differences in weight and body mass index disappeared, but Senegalese girls were still shorter than girls from Martinique.Conclusions: Adolescents are extremely susceptible to nutritional changes and their particular situation needs to be incorporated into nutritional prevention programmes.