THE LONG-TERM EFFECTS OF EARLY KWASHIORKOR COMPARED WITH MARASMUS .4. PERFORMANCE ON THE NATIONAL HIGH-SCHOOL ENTRANCE EXAMINATION

THE LONG-TERM EFFECTS OF EARLY KWASHIORKOR COMPARED WITH MARASMUS .4. PERFORMANCE ON THE NATIONAL HIGH-SCHOOL ENTRANCE EXAMINATION
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DOI:
10.1203/00006450-199009000-00018
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发表时间:
1990-09-01
期刊:
影响因子:
3.6
通讯作者:
SALT, P
SALT, P
中科院分区:
医学3区
文献类型:
--
作者:
GALLER, JR;RAMSEY, FC;SALT, P

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这是关于Barbadian学龄儿童早期营养不良的长期影响的一系列研究之一。这是关于早期营养不良与后来在巴巴多斯所有11岁儿童分配高中入学的国家考试中表现之间关系的第一份报告。我们比较了103名有消瘦或夸希霍尔科症病史的男孩和女孩在11岁以上考试中的成绩,与63名健康对照儿童的成绩,以及同一年岛上儿童总人口的成绩。我们报告说,有任何一种营养不良病史的儿童仅限于婴儿期,在全国高中考试中的分数明显低于健康对照儿童。11分以上分数的降低与老师报告的课堂注意力缺陷密切相关,这些报告记录了儿童在5至8岁时的注意力缺陷,还与智商和学习表现密切相关。早期营养不良对11+考试的成绩有独立的影响,即使在家庭环境条件得到控制的情况下,有婴儿营养不良史的儿童也可以获得未来的机会。
This is one of a series of studies on the long-term effects of early childhood malnutrition in Barbadian school children. This is the first report of the relationship between early malnutrition and later performance on a national examination administered to all 11-y-old children in Barbados to assign high school seats. We compared scores achieved on the 11-plus examination by 103 boys and girls with histories of marasmus or kwashiorkor with those obtained by 63 healthy comparison children and also with scores obtained by the total island population of children during the same years. We report that children with histories of either type of malnutrition confined to infancy had significantly lower scores on the national high school examination than healthy comparison children. Reduced 11-plus scores were closely associated with teacher reports of attention deficits in the classroom documented when the children were as young as 5 to 8 y of age and also with IQ and academic performance. Early malnutrition had independent effects on performance on the 11-plus examination even when home environmental conditions were controlled for future opportunitires available to children with histories of infantile malnutrition.