Bosch Alinda M, Baqui Abdullah H, van Ginneken Jeroen K
Department of Population and Development, Netherlands Interdisciplinary Demographic Institute, The Hague, The Netherlands.
J Health Popul Nutr. 2008 Jun;26(2):189-99.
This paper presents the results of a longitudinal study, conducted in Matlab, Bangladesh, that examined to what extent the level of stunting in adolescence can be predicted by nutritional status in early childhood and maternal height. A linked set of data collected from the same individuals at two moments in time, i.e. early childhood (1988-1989) and adolescence (2001), was analyzed. The study found that the odds of being stunted in adolescence could be explained by the combined effect of being stunted in childhood and having a mother whose height was less than 145 cm. Also, girls were more likely than boys to be stunted in childhood, whereas boys were more likely than girls to be stunted in adolescence. The latter is probably attributable to differences in the pace of maturation. In terms of policy and (reproductive health) programmes, it is important to recall that adolescent girls whose height and weight were subnormal (weight <45 kg and height <145 cm) might run an obstetric risk. Following these cut-off points, 83% and 23% of 16-year-old girls in this study would face obstetric risk, respectively, for weight and height if they marry and become pregnant soon.
本文介绍了在孟加拉国马特莱开展的一项纵向研究的结果，该研究考察了儿童早期营养状况和母亲身高在多大程度上能够预测青少年发育迟缓水平。分析了在两个时间点（即儿童早期（1988 - 1989年）和青少年期（2001年））从同一批个体收集的一组关联数据。研究发现，青少年发育迟缓的几率可以由儿童期发育迟缓和母亲身高低于145厘米的综合影响来解释。此外，女孩在儿童期比男孩更易发育迟缓，而男孩在青少年期比女孩更易发育迟缓。后者可能归因于成熟速度的差异。就政策和（生殖健康）项目而言，重要的是要记住，身高和体重未达标准（体重<45千克且身高<145厘米）的青春期女孩可能面临产科风险。按照这些临界值，如果本研究中16岁的女孩很快结婚并怀孕，她们分别有83%和23%会因体重和身高面临产科风险。
