Wu L, Katz J, Mullany L C, Haytmanek E, Khatry S K, Darmstadt G L, West K P, LeClerq S C, Tielsch J M
Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205-2103, USA.
J Health Popul Nutr. 2010 Dec;28(6):585-94. doi: 10.3329/jhpn.v28i6.6607.
The study was conducted to examine the association between the indicators of malnutrition and disability of children as reported by caregivers. The Ten Questions Plus questionnaire was administered to caregivers of 1,902 children aged 1-9 years, during August 2007-March 2008, in rural Nepal. Height and weight of children were also measured. The main outcome was a positive response to one or more questions. In total, 514 (27%) children had a positive response to at least one question. Moderate stunting [odds ratio (OR)=1.47, 95% confidence interval (CI) 1.02-2.12) and severe (OR=2.39, 95% CI 1.60-3.57) stunting were independently associated with reported delay in sitting, standing, or walking. Severe stunting was also associated with report of delayed learning compared to other children of similar age (OR=2.01, 95% CI 1.27-3.20). Parental report of disability was quite prevalent in this setting, with over a quarter of the sample screening positive. Chronic malnutrition may be associated with delayed motor and mental development.
该研究旨在调查照护者报告的儿童营养不良指标与残疾之间的关联。2007年8月至2008年3月期间，在尼泊尔农村地区，对照护1902名1至9岁儿童的照护者进行了“十问加”问卷调查。同时还测量了儿童的身高和体重。主要结果是对一个或多个问题的肯定回答。总共有514名（27%）儿童对至少一个问题给出了肯定回答。中度发育迟缓（优势比[OR]=1.47，95%置信区间[CI] 1.02 - 2.12）和重度发育迟缓（OR=2.39，95% CI 1.60 - 3.57）与报告的坐、站或行走延迟独立相关。与其他同龄儿童相比，重度发育迟缓还与学习延迟的报告相关（OR=2.01，95% CI 1.27 - 3.20）。在这种情况下，照护者报告的残疾情况相当普遍，超过四分之一的样本筛查呈阳性。慢性营养不良可能与运动和智力发育迟缓有关。
