Kolsteren P W
Nutrition Unit, Institute of Tropical Medicine, Antwerp, Belgium.
Ann Trop Paediatr. 1996 Sep;16(3):233-42. doi: 10.1080/02724936.1996.11747832.
Weight and height data of Madurese children from two longitudinal studies, the East Java Pregnancy Studies I and II, are analyzed cross-sectionally and compared with the NCHS reference and a rural population in Kasongo, Zaire. A total of 1945 children are included in the analysis, giving 25,202 weight and 17,196 height measurements. Madurese children start to accumulate a weight deficit compared with NCHS data at the age of 4 months. A linear deficit is already noticeable at 1 month, increasing rapidly in the 1st year of life. This period is responsible for most of the linear deficit accumulated by the age of 5 years. Madurese children are relatively fatter than NCHS children up to the age of 12 months. Comparing the Madurese children with those in Kasongo reveals that the accumulation of their linear deficit occurs at a period when weight increments follow those of Kasongo. Since in the studied population food intake and breastfeeding could not explain the growth dynamics in the 1st year of life, it is suggested that the explanation may lie in micro-nutrient deficiency and intra-uterine development.
对来自两项纵向研究——东爪哇孕期研究I和II的马都拉儿童的体重和身高数据进行横断面分析，并与美国国家卫生统计中心（NCHS）的参考数据以及扎伊尔卡松戈的农村人口数据进行比较。共有1945名儿童纳入分析，得出25202次体重测量数据和17196次身高测量数据。与NCHS数据相比，马都拉儿童在4个月大时开始出现体重不足。在1个月大时线性不足就已明显，在生命的第一年迅速增加。到5岁时积累的线性不足大部分是在这个时期造成的。12个月大之前，马都拉儿童比NCHS儿童相对更胖。将马都拉儿童与卡松戈的儿童进行比较发现，他们线性不足的积累发生在体重增加与卡松戈儿童同步的时期。由于在所研究的人群中，食物摄入和母乳喂养无法解释生命第一年的生长动态，因此有人提出，解释可能在于微量营养素缺乏和宫内发育。
