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经历自然灾害的印度母婴二元组的营养和体重状况

Nutritional and weight status of Indian mother-child dyads experienced by a natural disaster.

作者信息

Nowak-Szczepanska Natalia, Gomula Aleksandra, Chakraborty Raja, Koziel Slawomir

机构信息

Department of Anthropology, Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wroclaw, Poland.

Department of Anthropology, Dinabandhu Mahavidyalaya, Bongaon, West Bengal, India.

出版信息

Matern Child Nutr. 2021 Jul;17(3):e13164. doi: 10.1111/mcn.13164. Epub 2021 Feb 25.

Abstract

Natural disasters have detrimental effects not only on local infrastructure in an affected population but may also have an impact on the human biological condition, particularly during critical periods of life. This study aimed to assess the nutritional and weight status of women and their children who had experienced cyclone Aila prenatally and postnatally in comparison with a non-affected neighbouring group. The study sample involved N = 597 dyads consisting of mothers and their prepubertal children prenatally or postnatally (during infancy) exposed to a natural disaster and a control group from a neighbouring region (West Bengal, India). The analysed anthropometric indices involved body mass index (BMI) and mid-upper arm circumference (MUAC). Moreover, several socioeconomic characteristics were collected (mother's and father's education, family size and family income). Analyses revealed that the group factor (Aila-exposed or non-exposed groups) had the highest impact on both children's and their mothers' BMI and MUAC (p < 0.001) in comparison with socioeconomic variables. Surprisingly, both mothers and their children revealed deteriorated nutritional and relative weight status several years after the occurrence of cyclone Aila, which is in opposition to the results obtained in developed countries, where prenatal maternal stress caused by the natural disaster led to the subsequent higher risk of excessive weight in affected children.

摘要

自然灾害不仅会对受灾地区的当地基础设施造成不利影响,还可能对人类的身体状况产生影响,尤其是在生命的关键时期。本研究旨在评估在产前和产后经历气旋艾拉的妇女及其子女的营养和体重状况,并与未受影响的邻近群体进行比较。研究样本包括N = 597对母婴,其中母亲及其青春期前的孩子在产前或产后(婴儿期)遭受了自然灾害,以及来自邻近地区(印度西孟加拉邦)的对照组。分析的人体测量指标包括体重指数(BMI)和上臂中部周长(MUAC)。此外,还收集了一些社会经济特征(母亲和父亲的教育程度、家庭规模和家庭收入)。分析表明,与社会经济变量相比,群体因素(暴露于气旋艾拉或未暴露的群体)对儿童及其母亲的BMI和MUAC影响最大(p < 0.001)。令人惊讶的是,在气旋艾拉发生几年后,母亲及其子女的营养和相对体重状况均出现恶化,这与发达国家的研究结果相反,在发达国家,自然灾害导致的产前母亲压力会使受影响儿童随后出现超重的风险增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f186/8189233/5dbda049aede/MCN-17-e13164-g001.jpg

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