发育迟缓对 1-3 岁儿童发育的影响。
Impact of Stunting on Development of Children between 1-3 Years of Age.
机构信息
Department of Child Health, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.
出版信息
Ethiop J Health Sci. 2022 May;32(3):569-578. doi: 10.4314/ejhs.v32i3.13.
BACKGROUND
Stunting occurs due to chronic malnutrition and is a major problem for children in developing countries. It is important to evaluate the impact of stunting on the development of children. This study aimed to investigate the impact of stunting on the development of children between 1-3 years of age.
METHODS
This cross-sectional study was conducted from July 2020 to March 2021 in Surabaya, Indonesia. A questionnaire and growth assessment were done, following the development measurement to stunted and non-stunted children who met the inclusion and exclusion criteria. Development was measured by the Denver Developmental Screening Test II (DDST-II), and Cognitive Adaptive Test/Clinical Linguistic & Auditory Milestone (CAT/CLAMS) scales.
RESULTS
Three hundred children are included in this study, consisting of 150 stunted and 150 non-stunted children. Stunted children had a higher risk to be suspected of delayed development compared to non-stunted children. The Crude Odd Ratio was 2.98, 4.24, 4.75 with the p-value 0.006, 0.001. and 0.001 respectively. The Adjusted Odd Ratio was 0.34, 0.24, 0.21 with p-value of 0.008, 0.001, and 0.001 respectively.
CONCLUSION
Stunting is associated with suspected development delay among children 1-3 years of age. Initiatives related to prevention need to be established and nutrition advice needs to be provided.
背景
发育迟缓是由于慢性营养不良引起的，是发展中国家儿童的一个主要问题。评估发育迟缓对儿童发育的影响很重要。本研究旨在调查发育迟缓对 1-3 岁儿童发育的影响。
方法
这是一项 2020 年 7 月至 2021 年 3 月在印度尼西亚泗水进行的横断面研究。对符合纳入和排除标准的发育迟缓儿童和非发育迟缓儿童进行问卷调查和生长评估，同时进行发育测量。发育通过丹佛发育筛查测试第二版（DDST-II）和认知适应测试/临床语言和听觉里程碑（CAT/CLAMS）量表进行测量。
结果
本研究共纳入 300 名儿童，包括 150 名发育迟缓儿童和 150 名非发育迟缓儿童。发育迟缓儿童比非发育迟缓儿童更有可能被怀疑发育迟缓。粗比值比分别为 2.98、4.24 和 4.75，p 值分别为 0.006、0.001 和 0.001。调整比值比分别为 0.34、0.24 和 0.21，p 值分别为 0.008、0.001 和 0.001。
结论
发育迟缓与 1-3 岁儿童发育迟缓的怀疑有关。需要制定相关预防措施，并提供营养建议。
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