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在孟加拉国儿童中,痢疾而非水样腹泻与发育迟缓有关。

Dysentery, not watery diarrhoea, is associated with stunting in Bangladeshi children.

作者信息

Henry F J, Alam N, Aziz K M, Rahaman M M

出版信息

Hum Nutr Clin Nutr. 1987 Jul;41(4):243-9.

PMID:3623987
Abstract

To study the interaction between diarrhoea and malnutrition, an average of 300 children aged 5-24 months were followed from January 1981 to January 1983 in Teknaf, Bangladesh. Diarrhoea episodes, differentiated according to stool appearance, were recorded weekly while weight and height measurements were taken every 6 months. Results showed no relationship between the nutritional indicators and diarrhoea incidence recorded within 60 d after anthropometric assessment. However, the duration of dysentery was significantly longer in the severely malnourished children who were stunted but not for those wasted. Although many children with watery diarrhoea had episodes of long duration, these were not associated with any nutritional indicator. We conclude that the key factors in this interaction are the invasive type of pathogen and chronic malnutrition.

摘要

为研究腹泻与营养不良之间的相互作用,1981年1月至1983年1月期间,在孟加拉国的特克纳夫对平均300名5至24个月大的儿童进行了跟踪研究。根据粪便外观区分的腹泻发作情况每周记录一次,而体重和身高测量每6个月进行一次。结果显示,人体测量评估后60天内记录的营养指标与腹泻发病率之间没有关系。然而,发育迟缓的严重营养不良儿童的痢疾持续时间明显更长,但消瘦儿童则不然。尽管许多患水样腹泻的儿童病程较长,但这些与任何营养指标均无关联。我们得出结论,这种相互作用的关键因素是侵袭性病原菌类型和慢性营养不良。

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