危地马拉轻度至中度消瘦儿童的康复：增强补充喂养效果的因素
The recovery of Guatemalan children with mild to moderate wasting: factors enhancing the impact of supplementary feeding.
作者信息
Rivera J A, Habicht J P
机构信息
Instituto Nacional de Salud Publica, Ithaca, NY, USA.
出版信息
Am J Public Health. 1996 Oct;86(10):1430-4. doi: 10.2105/ajph.86.10.1430.
OBJECTIVES
The purpose of this study was to identify factors that enhance the recovery due to supplementary feeding in wasted children.
METHODS
Recovery rates were obtained in mild to moderately wasted 6- to 48-month-old rural Guatemalan children living in four villages. Children in two villages received a high protein-energy supplement (supplemented children), while children in the other villages received a low protein-energy supplement (nonsupplemented children). The difference in recovery rates between the groups was the attributable benefit. The net supplementation amounted to 11% of the recommended energy intake and its associated nutrients.
RESULTS
Attributable supplement benefits were achieved in younger children (6 to 24 months old) and increased with decreasing weight for length, longer duration of supplementation, and duration of diarrhea, but not with chronicity of wasting.
CONCLUSIONS
Supplementation's effectiveness can be improved in similar populations by programs targeted according to these findings.
目的
本研究旨在确定有助于改善消瘦儿童补充喂养后恢复情况的因素。
方法
在危地马拉农村四个村庄6至48个月大的轻度至中度消瘦儿童中获取恢复率。两个村庄的儿童接受高蛋白能量补充剂（补充组儿童），而其他村庄的儿童接受低蛋白能量补充剂（非补充组儿童）。两组恢复率的差异即为补充喂养的可归因益处。补充量相当于推荐能量摄入量及其相关营养素的11%。
结果
年龄较小（6至24个月）的儿童实现了补充喂养的可归因益处，且随着身长别体重降低、补充持续时间延长和腹泻持续时间延长而增加，但与消瘦的慢性程度无关。
结论
根据这些研究结果制定针对性项目，可提高类似人群中补充喂养的效果。
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