美国重新安置后的难民儿童体重轨迹：一项试点研究。
Weight Trajectory in Refugee Children after Resettling in the United States: A Pilot Study.
作者信息
Shapiro Akhila, Datto George A, Hossain Jobayer, Hassink Sandra G, Raab Christopher, Phan Thao-Ly T
机构信息
Department of General Pediatrics, The Children's Hospital of Philadelphia, USA.
Nemours Department of General Pediatrics, Wilmington, USA.
出版信息
J Pediatr Child Nutr. 2016;2(3). Epub 2016 Nov 10.
BACKGROUND
The objective of this study is to describe the weight trajectory of refugee children after resettlement in the US.
METHODS
A pilot study was conducted, utilizing longitudinal data obtained from the electronic health record of 129 children between 2 and 18 years of age (54% female, mean age 10 years) from the 3 primary countries of origin presenting to a refugee clinic (Bhutan, N = 71; Burma, N = 36, and Iraq, N = 22).. Mixed effects model analyses were utilized to characterize weight trajectory with calculation of a per year change in BMI-z score, adjusting for baseline BMI-z score, age, and time.
RESULTS
There was a significant increase in BMI-z (mean 0.15 units/year, p=0.04) among refugee children during their initial period after resettlement. Female children from Bhutan demonstrated the most rapid increase in weight, with a mean BMI-z gain of 1.00 units/year.
CONCLUSION
Female children from Bhutan demonstrated rapid weight gain after resettlement in the US. Further studies are needed to describe weight trajectory trends and evaluate possible reasons for rapid weight gain in this population.
背景
本研究的目的是描述难民儿童在美国重新安置后的体重变化轨迹。
方法
进行了一项试点研究，利用从一家难民诊所就诊的129名2至18岁儿童（54%为女性，平均年龄10岁）的电子健康记录中获取的纵向数据，这些儿童来自三个主要原籍国（不丹，N = 71；缅甸，N = 36；伊拉克，N = 22）。采用混合效应模型分析来描述体重变化轨迹，计算BMI-z评分的年变化量，并对基线BMI-z评分、年龄和时间进行调整。
结果
难民儿童在重新安置后的初始阶段，BMI-z有显著增加（平均每年0.15个单位，p = 0.04）。来自不丹的女童体重增加最为迅速，平均BMI-z每年增加1.00个单位。
结论
来自不丹的女童在美国重新安置后体重迅速增加。需要进一步研究来描述体重变化轨迹趋势，并评估该人群体重迅速增加的可能原因。
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