Brüssow H, Rytz A, Freire W, Rahim H, Dirren H
Nestlé Research Centre, Nestec Ltd., Lausanne, Switzerland.
J Diarrhoeal Dis Res. 1995 Dec;13(4):212-8.
Risk factors associated with the recall of a recent episode of acute respiratory infection (ARI) were evaluated in 1,553 Ecuadorian preschool children enrolled into a cross-sectional health and nutrition survey. In a univariate analysis, ARI recall was significantly higher in children living in low altitude regions (Relative Risk, RR = 2.4), in younger children (RR = 1.6), in children from larger families (RR = 1.3), in children with diarrhoea recall (RR = 1.9), in children served with poor quality drinking water (RR = 1.3) and in anaemic children (RR = 1.2) than that in the appropriate control groups. After taking into account the confounding effect of altitude, no association was found between ARI recall and low height-for-age values. Stepwise logistic regression analysis identified living in low altitude regions, diarrhoea recall, and younger age as independent factors associated with a higher recall of ARI. In contrast to the recall of acute diarrhoea, no association between ARI recall and nutritional status was found. The impact of nutritional interventions in children from developing countries may be greater on enteric than on respiratory diseases.
在一项针对1553名厄瓜多尔学龄前儿童的横断面健康与营养调查中，对与近期急性呼吸道感染（ARI）发作回忆相关的风险因素进行了评估。在单变量分析中，生活在低海拔地区的儿童（相对风险，RR = 2.4）、年龄较小的儿童（RR = 1.6）、来自大家庭的儿童（RR = 1.3）、有腹泻发作回忆的儿童（RR = 1.9）、饮用低质量饮用水的儿童（RR = 1.3）以及贫血儿童（RR = 1.2）的ARI发作回忆率显著高于相应对照组。在考虑海拔的混杂效应后，未发现ARI发作回忆与年龄别身高值低之间存在关联。逐步逻辑回归分析确定生活在低海拔地区、腹泻发作回忆和年龄较小是与较高ARI发作回忆相关的独立因素。与急性腹泻发作回忆不同，未发现ARI发作回忆与营养状况之间存在关联。营养干预对发展中国家儿童肠道疾病的影响可能比对呼吸道疾病的影响更大。
