Soil-transmitted helminth infections and physical fitness in school-aged Bulang children in southwest China: results from a cross-sectional survey.

Soil-transmitted helminth infections and physical fitness in school-aged Bulang children in southwest China: results from a cross-sectional survey.
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DOI:
10.1186/1756-3305-5-50
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发表时间:
2012-03-16
影响因子:
3.2
通讯作者:
Steinmann P
Steinmann P
中科院分区:
医学2区
文献类型:
--
作者:
Yap P;Du ZW;Chen R;Zhang LP;Wu FW;Wang J;Wang XZ;Zhou H;Zhou XN;Utzinger J;Steinmann P

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慢性土壤传播蠕虫(STH)感染与身体健康状况下降有关,但现有证据有限。这项横断面调查的目的是评估测量儿童身体健康的可行性,并将其与性传播感染联系起来。本研究是在中国(P.R.中国)西南农村布朗族学龄儿童中进行的。使用标准化的质量控制方法来确定STH感染(Kato-Katz技术)、血红蛋白水平、人体测量(体重和身高)和身体素质(20米穿梭跑试验)。87%的依从性表明人们对所用方法的接受度很好。在69名有完整资料的儿童中,鞭虫、蛔虫和钩虫的感染率分别为81%、44%和6%。毛滴虫感染者在力竭运动中1min内可利用的最大氧气量(VO2max估计)比未感染儿童低1.94ml kg-1min-1(P=0.005)。在力竭之前,毛滴虫感染儿童少跑6.1420米(P=0.004)。此外,发育迟缓儿童的最大摄氧量估计值比正常儿童降低了1.63ml kg-1min-1(P=0.002),他们完成了5.3220米的圈数(P=0.001)。在发育迟缓和感染任何STH物种之间没有明显的联系。在农村、资源紧张的环境下实施体能测试是可行的。发育迟缓或感染了性传播疾病的儿童,特别是毛滴虫,身体健康会受到严重损害。我们已经启动了一项更大规模的研究,将确定在服用驱虫药后7个月内学龄儿童身体健康的动态变化。
Chronic soil-transmitted helminth (STH) infections have been associated with reduced physical fitness, but available evidence is limited. The aim of this cross-sectional survey was to assess the feasibility of measuring children's physical fitness and to relate it to STH infections. Our study was carried out among school-aged children of the Bulang ethnic group in rural southwest People's Republic of China (P.R. China). Standardized, quality-controlled methods were employed to determine STH infections (Kato-Katz technique), haemoglobin levels, anthropometry (body weight and height) and physical fitness (20-m shuttle run test). A compliance of 87% suggested good acceptance of the methods used. Among 69 children with complete data records, infection prevalence of Trichuris trichiura, Ascaris lumbricoides and hookworm were 81%, 44% and 6%, respectively. The maximum volume of oxygen that can be utilized within 1 min during exhaustive exercise (VO2 max estimate) of T. trichiura-infected children was 1.94 ml kg-1 min-1 lower than that of their non-infected counterparts (P = 0.005). Until exhaustion, T. trichiura-infected children had completed 6.14 20-m laps less (P = 0.004). Additionally, the mean VO2 max estimate of stunted children was lowered by 1.63 ml kg-1 min-1 (P = 0.002) and they completed 5.32 20-m laps less (P = 0.001) compared to children of normal stature. No significant association between stunting and infection with any STH species could be established. Implementation of physical fitness tests in rural, resource-constraint settings is feasible. The physical fitness of children who are stunted or infected with STHs, particularly T. trichiura, is significantly impaired. We have launched a larger study and will determine the dynamics of school-aged children's physical fitness over a 7-month period after administration of anthelminthic drugs.
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