Ahmed H M, el-Sherbini A F, Fahmy S I, Mortada M M, Nosseir S A, Elsahn F F
J Egypt Public Health Assoc. 1991;66(1-2):253-77.
The present work was planned to study morbidity pattern and nutritional status of a group of healthy new borns in a rural area near Alexandria (Abbis II, VIII villages) through a prospective follow up approach. Eighty two infants were followed up for 12 months. Each infant was subjected to 15 visits within the first year of life. Morbidity was recorded either from mother's history, records from rural health centres or detected by the researcher and expressed as morbidity risk exposures based on a tested scoring system. Anthropometric standards issued by WHO were used to classify the children's length for age, weight for age and weight for length in terms of a cut off point of 2 SD below the median of that of the reference. Gomez classification was used to diagnose undernutrition and Waterlow system was used to diagnose growth stunting. Socioeconomic status of infants' families was also assessed. Results indicated a high prevalence of morbidity risk exposure, growth retardation and under nutrition with a tendency for gradual increase towards the end of the follow up. The results also proved that diarrheal diseases were still the most common illness among infants followed by respiratory tract infections. Investigation of the effects of socioeconomic status on morbidity risk exposure proved its significance at the end of the follow up. The results also illustrated a significant effect of morbidity risk exposure on the nutritional status at the end of the first year.
本研究旨在通过前瞻性随访方法，对亚历山大附近农村地区（阿比斯二世村、八村）的一组健康新生儿的发病模式和营养状况进行研究。82名婴儿接受了为期12个月的随访。每个婴儿在出生后的第一年内接受了15次访视。发病情况通过母亲的病史、农村卫生中心的记录或由研究人员检测记录，并根据经过测试的评分系统表示为发病风险暴露。采用世界卫生组织发布的人体测量标准，根据低于参考中位数2个标准差的切点，对儿童的年龄别身长、年龄别体重和身长别体重进行分类。采用戈麦斯分类法诊断营养不良，采用沃特洛系统诊断生长发育迟缓。还评估了婴儿家庭的社会经济状况。结果表明，发病风险暴露、生长发育迟缓及营养不良的患病率较高，且在随访末期有逐渐上升的趋势。结果还证明，腹泻病仍是婴儿中最常见的疾病，其次是呼吸道感染。对社会经济状况对发病风险暴露影响的调查证明，在随访末期其具有显著性。结果还表明，发病风险暴露在第一年末对营养状况有显著影响。
