Richardson S A, Koller H, Katz M, Albert K
Early Hum Dev. 1978 Jul;2(2):163-70. doi: 10.1016/0378-3782(78)90008-7.
The purpose of this paper is to determine whether differing degrees and types of malnutrition cause differing degrees of mental impairment. Subjects were 59 Jamaican boys hospitalized for malnutrition in infancy and whose intelligence was assessed at school age. The measure used for degree of chronic malnutrition was height for age and for acute malnutrition weight for height. The measure of intelligence was the I.Q. (WISC). Because the social environment in which a child lives influences his intellectual development, a measure of social background was used as an independent variable in addition to the nutrition measures. Social background showed a significant effect on I.Q. but neither measure of nutrition was significant. A further analysis using comparisons who had not been hospitalized for malnutrition suggests that malnutrition may contribute to mental impairment, through a threshold effect rather than acting as a continuous variable where increasing degrees of malnutrition cause increasing degrees of mental impairment.
本文的目的是确定不同程度和类型的营养不良是否会导致不同程度的智力损害。研究对象为59名牙买加男孩,他们在婴儿期因营养不良住院,并在学龄期接受了智力评估。用于衡量慢性营养不良程度的指标是年龄别身高,急性营养不良程度的指标是身高别体重。智力测量指标是智商(韦氏儿童智力量表)。由于儿童生活的社会环境会影响其智力发育,除营养指标外,还将社会背景指标作为自变量。社会背景对智商有显著影响,但两种营养指标均无显著影响。一项针对未因营养不良住院的人群进行比较的进一步分析表明,营养不良可能通过阈值效应导致智力损害,而非作为一个连续变量,即营养不良程度增加会导致智力损害程度增加。