母亲心理健康与婴幼儿营养不足：系统评价方案。

Maternal mental health and infant and young child undernutrition: protocol for a systematic review.

机构信息

School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK

Department of Nursing and Midwifery, University of Huddersfield, Huddersfield, UK.

出版信息

BMJ Open. 2021 Sep 13;11(9):e044989. doi: 10.1136/bmjopen-2020-044989.

DOI:10.1136/bmjopen-2020-044989

PMID:34518243

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8438753/

Abstract

INTRODUCTION

Mental health disorder, particularly depression, is one of the leading causes of 'disease related disability' in women that both affects the women but has adverse effect on their children. This can have an impact on mothers' capacity of child care which ultimately increases the risk of infection, malnutrition, impaired growth and behavioural problems in children that might extend to adulthood too. Diminished child growth has an irreversible effect both short and long terms, affecting physical growth, brain development, performance in education, working capacity and increased risks to non-communicable diseases. To date, the reviews conducted are only limited to few countries or maternal depression or certain age group of children. Our aim is to provide a global perspective focusing on all early childhood undernutrition (under 5 years) and to see if the association between maternal mental health and child undernutrition has yielded similar or different result. Furthermore, we intend to explore the risk factors associated with copresence of maternal mental health issues and undernutrition in children.

METHODS AND ANALYSIS

MEDLINE (PubMed), PsycINFO, CINAHL, Cochrane Library, Global Health Library Relevant reports from the WHO, United Nations of Children Education Fund and organisations working in maternal and child health will also be searched. Database of systematic reviews and database of abstracts of reviews of effects will also be searched for relevant literature. Papers published from 1995 to 2020 in English will be included. Title, abstract or both will be screened independently by reviewers. For data analysis and synthesis, we will present all the outcomes mentioned in the studies and a subgroup analysis for age and sex will be conducted. This study aims to conduct a meta-analysis.

ETHICS AND DISSEMINATION

Ethical approval is not required to conduct this review.

PROSPERO REGISTRATION NUMBER

CRD42020189315.

摘要

简介

精神健康障碍，尤其是抑郁症，是导致女性“与疾病相关的残疾”的主要原因之一，它不仅影响女性，而且对其子女也有不良影响。这可能会影响母亲照顾孩子的能力，从而增加儿童感染、营养不良、生长受损和行为问题的风险，这些问题甚至可能会延续到成年期。儿童生长发育不良会对短期和长期都产生不可逆转的影响，影响身体发育、大脑发育、教育表现、工作能力以及增加患非传染性疾病的风险。迄今为止，所进行的审查仅局限于少数几个国家或母亲抑郁或特定年龄组的儿童。我们的目的是提供一个全球性的视角，关注所有幼儿期营养不良（5 岁以下），并观察母亲的心理健康与儿童营养不良之间的关联是否产生了相似或不同的结果。此外，我们还打算探讨与母亲心理健康问题和儿童营养不良同时存在相关的风险因素。

方法和分析

将在 MEDLINE（PubMed）、PsycINFO、CINAHL、 Cochrane 图书馆、全球卫生图书馆、世界卫生组织、联合国儿童基金会和从事母婴健康工作的组织的相关报告中搜索相关信息。还将在系统评价数据库和效果评价摘要数据库中搜索相关文献。将纳入 1995 年至 2020 年期间以英文发表的论文。将由评审员独立筛选标题、摘要或两者。为了数据分析和综合，我们将呈现研究中提到的所有结果，并进行年龄和性别亚组分析。本研究旨在进行荟萃分析。