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儿童营养不良的定义与测量

Definition and measurement of child malnutrition.

作者信息

Ge K Y, Chang S Y

机构信息

Institute of Nutrition and Food Hygiene, Chinese Academy of Preventive Medicine, Beijing 100050, China.

出版信息

Biomed Environ Sci. 2001 Dec;14(4):283-91.

Abstract

Child Malnutrition has been defined or described in many ways. To summarize the common points, child malnutrition may be defined as a pathological state resulting from inadequate nutrition, including undernutrition (protein-energy malnutrition) due to insufficient intake of energy and other nutrients; overnutrition (overweight and obesity) due to excessive consumption of energy and other nutrients; deficiency diseases due to insufficient intake of one or more specific nutrients such as vitamins or minerals. In the assessment of child malnutrition, a large number of measures are available. Among these measuring methods, Z-score, growth charts, weight-for-length index (WLI), height standard weight, body mass index, skin fold thickness and clinical grading diagnosis standard for child malnutrition are selected for discussion. The same set of anthropometry data of a group of preschool children was analyzed by using different methods. The results showed that it was very difficult to determine the nutritional state of children using a single index. For a given group of children, Z-score method is recommended to observe their height, weight and weight for height at the same time in order to have a comprehensive understanding.

摘要

儿童营养不良有多种定义或描述方式。概括其共同点,儿童营养不良可定义为因营养不足导致的一种病理状态,包括由于能量和其他营养素摄入不足引起的营养不足(蛋白质 - 能量营养不良);由于能量和其他营养素摄入过量导致的营养过剩(超重和肥胖);因一种或多种特定营养素(如维生素或矿物质)摄入不足引起的营养缺乏病。在儿童营养不良的评估中,有大量的测量方法。在这些测量方法中,选择Z评分、生长曲线、身长别体重指数(WLI)、身高标准体重、体重指数、皮褶厚度以及儿童营养不良临床分级诊断标准进行讨论。采用不同方法对一组学龄前儿童的同一组人体测量数据进行分析。结果表明,使用单一指标很难确定儿童的营养状况。对于给定的一组儿童,建议采用Z评分法同时观察其身高、体重和身高别体重,以便全面了解情况。

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