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重度急性营养不良儿童能否在营养康复中心实现身体、生化指标及发育方面的有效康复:来自乌贾因的一项随访研究

Can Sever Acute Malnourished children be effectively rehabilitated physically, biochemically and developmentally at nutritional rehabilitation centers: A follow up study from Ujjain.

作者信息

Bhujade Rashmi, Mishra Badrin N, Ibrahim Tarique, Sinha Abhinav, Chouhan Dharampal S

机构信息

Department Community Medicine, Index Medical College Hospital and Research Centre, Indore, Madhya Pradesh, India.

Department of Community Medicine, R.D. Gardi Medical College and Hospital, Ujjain, Madhya Pradesh, India.

出版信息

J Family Med Prim Care. 2021 Jan;10(1):343-349. doi: 10.4103/jfmpc.jfmpc_1268_20. Epub 2021 Jan 30.

Abstract

BACKGROUND

Under-nutrition has got serious and lasting impact on health, development, society and economy. It may result in poor growth, development of child and can cause increase mortality, morbidity, health care cost, low productivity and economic growth. Nutritional rehabilitation is one of key intervention to address the under nutrition. It is questionable that nutritional intervention has potential to improve multiple domains.

METHODS

Follow up study evaluated the multi-domain impact of nutritional interventions on 204 admitted Severe Acute Malnutrition (SAM) children. Data was analyzed with SPSS version 20.

RESULTS

Significant positive changes were observed in physical, biochemical, developmental domains. Macnemar, paired t- test, co relation, z test were applied for data analysis.

CONCLUSION

Nutritional intervention was found to be effective in improving selected physical, biochemical and developmental parameters. After discharge rate of improvement in anthropometric parameters was less. Actual quantification of recovery especially in biochemical and developmental parameters due to nutritional intervention is difficult.

摘要

背景

营养不良对健康、发育、社会和经济产生严重且持久的影响。它可能导致儿童生长发育不良,并可致使死亡率和发病率上升、医疗保健成本增加、生产力低下以及经济增长受限。营养康复是解决营养不良问题的关键干预措施之一。营养干预是否有潜力改善多个领域仍存在疑问。

方法

随访研究评估了营养干预对204名入院的重度急性营养不良(SAM)儿童的多领域影响。使用SPSS 20版对数据进行分析。

结果

在身体、生化、发育领域观察到显著的积极变化。采用麦克尼马尔检验、配对t检验、相关性分析、z检验进行数据分析。

结论

发现营养干预在改善选定的身体、生化和发育参数方面是有效的。出院后人体测量参数的改善率较低。由于营养干预导致的恢复情况,尤其是生化和发育参数的实际量化较为困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9c0/8132833/ba6b673b219c/JFMPC-10-343-g001.jpg

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