Stunting associated with poor socioeconomic and maternal nutrition status and respiratory morbidity in Colombian schoolchildren
Stunting associated with poor socioeconomic and maternal nutrition status and respiratory morbidity in Colombian schoolchildren
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DOI：
10.1177/156482651003100207
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发表时间：
2010-06-01
影响因子：
1.9
通讯作者：
Villamor, Eduardo
中科院分区：
文献类型：
--
作者：
Dekker, Louise H.;Mora-Plazas, Mercedes;Villamor, Eduardo
背景最近很少有关于拉丁美洲学童发育迟缓和瘦弱的流行率和风险因素的报告。确定哥伦比亚波哥大学龄儿童发育迟缓和消瘦的患病率和社会人口学相关性，并研究这些营养指标是否与呼吸道和呼吸道疾病症状的风险相关，在一项前瞻性研究中，去看医生和在学年中旷课。我们获得了2006年就读于公立小学的3 100名5至12岁儿童的人体测量和母亲社会人口学特征的信息，这些儿童来自低收入和中等收入家庭。在全年的发病率日记中前瞻性收集常见胃肠道和呼吸道症状的发病率数据。发育迟缓和消瘦的患病率分别为9.9%和8.7%。按儿童出生和目前体重、母亲教育水平、身高和体重指数以及家庭社会经济阶层分类，发育迟缓的流行率呈相反的统计学显著趋势。发现与产妇产次有很强的正相关性（趋势p < .0001）。瘦与孩子和母亲的年龄呈正相关，与出生体重和母亲BMI呈负相关。在学年中，发育迟缓与咳嗽伴发热的发病率增加44%相关（p = 0.04）。波哥大的儿童发育不良与社会经济和母亲营养状况差有关，并预示着呼吸道感染的症状。
Background. There are few recent reports on the prevalence and risk factors of stunting and thinness among schoolchildren in Latin America.Objective. To determine the prevalence and sociodemographic correlates of stunting and thinness among school-age children in Bogota, Colombia, and to examine whether these nutritional indices are associated with the risk of respiratory and diarrheal morbidity symptoms, visits to the doctor, and school absenteeism during the school year in a prospective studyMethods. We obtained information on anthropometric and maternal sociodemographic characteristics of 3,100 children 5 to 12 years of age who attended public primary schools in 2006 and who came from low- and middle-income households. Data on the incidence of common gastrointestinal and respiratory symptoms were collected prospectively on morbidity diaries throughout the year.Results. The prevalence rates of stunting and thinness were 9.9% and 8.7%, respectively. There were inverse, statistically significant trends in the prevalence of stunting by categories of child's birth and current weight; maternal education level, height, and body mass index (BMI); and household socioeconomic stratum. A strong positive association was found with maternal parity (p for trend < .0001). Thinness was positively associated with the child's and the mother's age and inversely associated with birthweight and maternal BMI. Stunting was associated with a 44% increase in the incidence of cough with fever during the school year (p = .04).Conclusions. Child stunting in Bogota is associated with poor socioeconomic and maternal nutritional status and predicts symptoms of respiratory infection.