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降雨冲击不一定是消瘦流行率变化的敏感早期指标。

Rainfall shocks are not necessarily a sensitive early indicator of changes in wasting prevalence.

机构信息

International Food Policy Research Institute (IFPRI), Washington, DC, USA.

出版信息

Eur J Clin Nutr. 2018 Jan;72(1):177-178. doi: 10.1038/ejcn.2017.144. Epub 2017 Sep 13.

DOI:10.1038/ejcn.2017.144
PMID:28901334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5765168/
Abstract

Evidence on the impact of weather shocks on child nutrition focuses on linear growth retardation (stunting) and thus, associates the effect of a short-term measure (weather events) on a cumulative measure (attained height). Relatively little is known on how weather shocks predict increases in wasting in a population. This study explores whether deviation in rainfall in Ethiopia, a drought prone country, is a sensitive indicator of future increases in wasting. Around 12% of children 0-23 months were wasted, but we found no consistent association between the rainfall shock variables and child weight-for-height Z-scores. The results indicate that monitoring rainfall does not provide a practical early warning to use for scaling up financing and management of preventative measures without additional information to increase precision.

摘要

有关天气冲击对儿童营养影响的证据主要集中在生长迟缓(发育不良)上,因此,将短期措施(天气事件)对累积措施(身高)的影响联系起来。关于天气冲击如何预测人群中消瘦的增加,人们知之甚少。本研究探讨了埃塞俄比亚(一个干旱多发国家)的降雨量偏差是否是未来消瘦增加的敏感指标。在 0-23 个月大的儿童中,约有 12%的儿童消瘦,但我们没有发现降雨量冲击变量与儿童身高体重 Z 分数之间存在一致的关联。结果表明,在没有额外信息提高精度的情况下,监测降雨量并不能为扩大融资和管理预防措施提供实用的早期预警。

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本文引用的文献

1
Systematic review of current efforts to quantify the impacts of climate change on undernutrition.对当前量化气候变化对营养不良影响的各项努力的系统评价。
Proc Natl Acad Sci U S A. 2015 Aug 18;112(33):E4522-9. doi: 10.1073/pnas.1409769112. Epub 2015 Jul 27.
2
Maternal and child nutrition.母婴营养
Lancet. 2013 Nov 9;382(9904):1549. doi: 10.1016/S0140-6736(13)62315-6.
3
Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost?循证干预措施改善母婴营养:有哪些措施可以实施,成本是多少?
Lancet. 2013 Aug 3;382(9890):452-477. doi: 10.1016/S0140-6736(13)60996-4. Epub 2013 Jun 6.
4
Associations of suboptimal growth with all-cause and cause-specific mortality in children under five years: a pooled analysis of ten prospective studies.五岁以下儿童生长不良与全因和死因特异性死亡率的关联:十项前瞻性研究的汇总分析。
PLoS One. 2013 May 29;8(5):e64636. doi: 10.1371/journal.pone.0064636. Print 2013.