Scholl T O, Johnston F E, Cravioto J, Delicardie E R
Acta Paediatr Scand. 1980 May;69(3):331-5. doi: 10.1111/j.1651-2227.1980.tb07088.x.
The effects of severe protein-energy malnutrition (PEM) upon the growth of children was studied in a 13-month cohort. The serial records of 19 PEM children from the cohort were compared to those of cohort children with the same growth history (either failing or non-failing growth), but without severe PEM. When the comparison was made on the basis of age, no differences in growth were found except for arm muscle circumference at one age. Using Z-scores, comparisons were also made according to months before or after the diagnosis of PEM. When compared to children with the same growth history, PEM children showed short-term differences in weight and arm muscle circumference and a mild retardation in growth in length which was not significant. Any growth effects following the episode of severe PEM were accounted for by growth status preceding its onset.
在一个为期13个月的队列研究中，对严重蛋白质 - 能量营养不良（PEM）对儿童生长的影响进行了研究。将该队列中19名PEM儿童的连续记录与具有相同生长史（生长失败或生长正常）但无严重PEM的队列儿童的记录进行比较。当按年龄进行比较时，除了在一个年龄时的上臂肌肉周长外，未发现生长方面的差异。使用Z评分，还根据PEM诊断前后的月份进行了比较。与具有相同生长史的儿童相比，PEM儿童在体重和上臂肌肉周长方面表现出短期差异，并且在身长生长方面有轻度迟缓，但不显著。严重PEM发作后的任何生长影响都由其发作前的生长状态所决定。
