Childhood stunting: a global perspective.
Childhood stunting: a global perspective.
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DOI：
10.1111/mcn.12231
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发表时间：
2016-05
影响因子：
3.4
通讯作者：
Branca F
中科院分区：
文献类型：
--
作者：
de Onis M;Branca F
儿童发育迟缓是儿童福祉的最佳总体指标，也是社会不平等的准确反映。发育迟缓是最普遍的儿童营养不良形式，据估计，2013年全世界有1.61亿儿童低于世界卫生组织儿童生长标准中位数的−2 SD。随着整个年龄长度/年龄高度z分数分布向左移动，更多的数百万人遭受某种程度的增长停滞，这表明所有儿童都受到影响，而不仅仅是那些低于特定分界点的儿童。尽管全球就如何定义和衡量发育迟缓达成了共识，但在身材矮小是常态的社区，发育迟缓往往得不到承认，因为在初级卫生保健环境中，不会定期评估线性增长，而且很难在视觉上识别它。发育迟缓通常开始于子宫内，并至少持续到产后生命的头2 年。线性生长障碍是多种病理疾病的标志，与发病率和死亡率增加、身体生长潜力丧失、神经发育和认知功能降低以及成年后慢性病风险增加有关。伴随着发育迟缓而来的严重的不可逆转的身体和神经认知损害对人类的发展构成了重大威胁。人们对发育迟缓的严重程度和毁灭性后果的认识不断提高，导致其被确定为主要的全球卫生优先事项，并成为最高级别国际关注的焦点，全球目标设定为2025年及以后。挑战是在防止儿童超重和肥胖的同时防止线性增长失败。
Childhood stunting is the best overall indicator of children's well‐being and an accurate reflection of social inequalities. Stunting is the most prevalent form of child malnutrition with an estimated 161 million children worldwide in 2013 falling below −2 SD from the length‐for‐age/height‐for‐age World Health Organization Child Growth Standards median. Many more millions suffer from some degree of growth faltering as the entire length‐for‐age/height‐for‐age z‐score distribution is shifted to the left indicating that all children, and not only those falling below a specific cutoff, are affected. Despite global consensus on how to define and measure it, stunting often goes unrecognized in communities where short stature is the norm as linear growth is not routinely assessed in primary health care settings and it is difficult to visually recognize it. Growth faltering often begins in utero and continues for at least the first 2 years of post‐natal life. Linear growth failure serves as a marker of multiple pathological disorders associated with increased morbidity and mortality, loss of physical growth potential, reduced neurodevelopmental and cognitive function and an elevated risk of chronic disease in adulthood. The severe irreversible physical and neurocognitive damage that accompanies stunted growth poses a major threat to human development. Increased awareness of stunting's magnitude and devastating consequences has resulted in its being identified as a major global health priority and the focus of international attention at the highest levels with global targets set for 2025 and beyond. The challenge is to prevent linear growth failure while keeping child overweight and obesity at bay.
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影响因子：
168.9
作者：
Adair, Linda S.;Fall, Caroline H. D.;Osmond, Clive;Stein, Aryeh D.;Martorell, Reynaldo;Ramirez-Zea, Manuel;Sachdev, Harshpal Singh;Dahly, Darren L.;Bas, Isabelita;Norris, Shane A.;Micklesfield, Lisa;Hallal, Pedro;Victora, Cesar G.
通讯作者：
Victora, Cesar G.
影响因子：
168.9
作者：
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者：
Uauy, Ricardo
影响因子：
8
作者：
de Onis, Mercedes;Siyam, Amani;Garza, Cutberto
通讯作者：
Garza, Cutberto
影响因子：
7.7
作者：
Christian P;Lee SE;Donahue Angel M;Adair LS;Arifeen SE;Ashorn P;Barros FC;Fall CH;Fawzi WW;Hao W;Hu G;Humphrey JH;Huybregts L;Joglekar CV;Kariuki SK;Kolsteren P;Krishnaveni GV;Liu E;Martorell R;Osrin D;Persson LA;Ramakrishnan U;Richter L;Roberfroid D;Sania A;Ter Kuile FO;Tielsch J;Victora CG;Yajnik CS;Yan H;Zeng L;Black RE
通讯作者：
Black RE
影响因子：
8
作者：
Benítez-Bribiesca, L;De la Rosa-Alvarez, I;Mansilla-Olivares, A
通讯作者：
Mansilla-Olivares, A