Schoepfer M, Garnier R, Ropero P, Traore M, Gateff C
Med Trop (Mars). 1981 Jul-Aug;41(4):393-402.
The present study was carried out in order to determine new biochemical or immunological parameters which would be used to make an early diagnosis of protein-caloric malnutrition. For the first phase of the research, based on antropometrics (circumference of the arm, head, weight) and on the quantitative evaluation of daily nutritional food intake, three groups of children between the ages of 1 and 3 were selected according to the following criteria: -- Properly nourished children, -- Malnourished children without physical signs of malnutrition, -- Malnourished children with malnutrition signs. The description of these three groups using the forementioned indicators is reported. This work performed on 652 infants shows the following results: -- Whatever the age, mid-arm circumference and weight are significantly reduced in confirmed cases of malnutrition, but are not useful in detecting malnutrition at an early stage. -- Whatever the age, head circumference does not change with the nutritional status, but it is reduced when the malnutrition has set in. -- Whatever the age, the caloric ration (25% deficit) and the proteic ration (35% deficit) of a malnourished child without signs of malnutrition and those of a well nourished child are different. But those ration does not change with an increasing degree of malnutrition.
本研究旨在确定可用于早期诊断蛋白质 - 热量营养不良的新的生化或免疫参数。在研究的第一阶段,基于人体测量学(手臂、头部周长、体重)以及每日营养食物摄入量的定量评估,根据以下标准选取了三组1至3岁的儿童:——营养良好的儿童;——无营养不良体征的营养不良儿童;——有营养不良体征的营养不良儿童。报告了使用上述指标对这三组儿童的描述。对652名婴儿开展的这项研究得出以下结果:——无论年龄大小,确诊的营养不良病例中上臂围和体重显著降低,但在早期检测营养不良时并无用处。——无论年龄大小,头围不随营养状况变化,但在出现营养不良时会减小。——无论年龄大小,无营养不良体征的营养不良儿童与营养良好儿童的热量摄入量( deficit 25%)和蛋白质摄入量( deficit 35%)不同。但这些摄入量不会随着营养不良程度的加重而改变。 (注:原文中“25% deficit”和“35% deficit”表述不太准确,可能是想说“25%的不足”和“35%的不足”之类的意思,但不影响整体理解和翻译。)