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冈比亚城市儿童营养状况的季节性变化。

Seasonal variations in the nutritional status of urban Gambian children.

作者信息

Tomkins A M, Dunn D T, Hayes R J, Bradley A K

机构信息

Medical Research Council Laboratories, The Gambia.

出版信息

Br J Nutr. 1986 Nov;56(3):533-43. doi: 10.1079/bjn19860134.

DOI:10.1079/bjn19860134
PMID:3676229
Abstract
  1. Children aged 6-35 months in an urban community in The Gambia, West Africa, were weighed and their lengths measured at four surveys over an 18-month period, twice towards the end of the rains, and twice during the dry season. 2. Relative to international standards, height-for-age deteriorated steadily with age, while weight-for-age fell sharply in the second-half of infancy but showed no further deterioration from 12 to 35 months of age. 3. Height-for-age showed little seasonal variation, but weight-for-age and weight-for-height were lower at the end of the rains than during the dry season. Weight and height velocities were much lower during the rains than in the dry season, with more than 20% of the children losing weight during the rains. Possible reasons for these seasonal variations are discussed. Compensatory weight gain in the dry season exceeded the velocity expected from the standards in children aged 12 months or more, but height velocity fell below the standards all year. 4. The results are compared with previous findings from Keneba, a rural Gambian village. Weight velocity during the dry season was similar in the two communities, but the village children experienced a sharper decline in weight gain during the rains. 5. These results suggest that seasonal ecological factors may seriously influence the nutritional status of children living in an urban environment with adequate availability of food.
摘要
  1. 在西非冈比亚一个城市社区,对6至35个月大的儿童在18个月内进行了四次测量,测量他们的体重和身高。两次测量在雨季末期进行,另外两次在旱季进行。2. 相对于国际标准,年龄别身高随着年龄增长持续恶化,而年龄别体重在婴儿期后半段急剧下降,但在12至35个月龄时没有进一步恶化。3. 年龄别身高几乎没有季节性变化,但年龄别体重和身高别体重在雨季末期低于旱季。雨季期间体重和身高增长速度远低于旱季,超过20%的儿童在雨季体重下降。文中讨论了这些季节性变化的可能原因。12个月及以上儿童在旱季的代偿性体重增加超过了标准预期的速度,但身高增长速度全年都低于标准。4. 将这些结果与冈比亚农村村庄凯内巴之前的研究结果进行比较。两个社区旱季的体重增长速度相似,但农村儿童在雨季体重增加下降更为明显。5. 这些结果表明,季节性生态因素可能严重影响生活在食物供应充足的城市环境中儿童的营养状况。

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