Szaflarska-Popławska Anna, Soroczyńska-Wrzyszcz Anetta
Department of Pediatric Endoscopy and Gastrointestinal Function Testing, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland.
Department of Pediatrics, Gastroenterology, Neurology, Endocrinology and Diabetology, Dr Władysław Biegański Regional Specialist Hospital in Grudziądz, Poland.
Gastroenterol Res Pract. 2021 Mar 30;2021:6678687. doi: 10.1155/2021/6678687. eCollection 2021.
Data on an association between (. ) and nutritional status in children are conflicting. We designed a large-sampled prospective community-based study to examine the differences in average body indices among Polish teenagers depending on their . status.
From September 2008 to June 2015, 3067 second junior high school students aged between 13 and 17 years (mean age: 14.5) from 11 randomly selected schools from Grudziadz, Poland, were recruited. For the cohort, C urea breath test for current . infection was performed and data on anthropometric measurements and sociodemographic characteristics were collected. scores of height for age (HAZ), weight for age (WAZ), and BMI for age (BMIZ) were calculated.
The . colonisation rate was 23.6% with no gender difference. Compared to noninfected, . infected had significantly lower mean WAZ (0.0085) and BMIZ scores ( = 0.0246). Univariate linear regression models showed that living in the old town district and consumption of tap water were negative predictors of HAZ, living in the old town district, using collective catering facilities, and . infection were negative predictors of WAZ, and using collective catering facilities and . infection were negative predictors of BMIZ. In the multiple regression analyses, living in the old town district ( = 0.0039), using collective catering facilities ( < 0.0001), and infection ( = 0.0269) were confirmed to be independently associated with lower WAZ, whereas using collective catering facilities ( < 0.0001) and infection ( = 0.0265) were confirmed to be independently associated also with lower BMIZ.
Our finding confirms the evidence on independent negative influence of . infection on nutritional status in Polish teenagers.
关于（.）与儿童营养状况之间关联的数据存在矛盾。我们设计了一项基于社区的大样本前瞻性研究，以探讨波兰青少年根据其（.）状况在平均身体指标上的差异。
从2008年9月至2015年6月，招募了来自波兰格鲁德齐亚兹11所随机选取学校的3067名13至17岁的初中二年级学生（平均年龄：14.5岁）。对该队列进行了用于检测当前（.）感染的C尿素呼气试验，并收集了人体测量和社会人口学特征数据。计算了年龄别身高（HAZ）、年龄别体重（WAZ）和年龄别BMI（BMIZ）得分。
（.）定植率为23.6%，无性别差异。与未感染相比，（.）感染的平均WAZ得分（0.0085）和BMIZ得分显著更低（=0.0246）。单变量线性回归模型显示，居住在老城区和饮用自来水是HAZ的负预测因素，居住在老城区、使用集体餐饮设施和（.）感染是WAZ的负预测因素，使用集体餐饮设施和（.）感染是BMIZ的负预测因素。在多变量回归分析中，居住在老城区（=0.0039）、使用集体餐饮设施（<0.0001）和（.）感染（=0.0269）被证实与较低的WAZ独立相关，而使用集体餐饮设施（<0.0001）和（.）感染（=0.0265）也被证实与较低的BMIZ独立相关。
我们的研究结果证实了（.）感染对波兰青少年营养状况有独立负面影响的证据。
