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Journal of pediatrics and child nutrition最新文献

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Weight Trajectory in Refugee Children after Resettling in the United States: A Pilot Study. 难民儿童在美国重新定居后的体重轨迹:一项试点研究。
Pub Date : 2016-01-01 Epub Date: 2016-11-10
Akhila Shapiro, George A Datto, Jobayer Hossain, Sandra G Hassink, Christopher Raab, Thao-Ly T Phan

Background: The objective of this study is to describe the weight trajectory of refugee children after resettlement in the US.

Methods: A pilot study was conducted, utilizing longitudinal data obtained from the electronic health record of 129 children between 2 and 18 years of age (54% female, mean age 10 years) from the 3 primary countries of origin presenting to a refugee clinic (Bhutan, N = 71; Burma, N = 36, and Iraq, N = 22).. Mixed effects model analyses were utilized to characterize weight trajectory with calculation of a per year change in BMI-z score, adjusting for baseline BMI-z score, age, and time.

Results: There was a significant increase in BMI-z (mean 0.15 units/year, p=0.04) among refugee children during their initial period after resettlement. Female children from Bhutan demonstrated the most rapid increase in weight, with a mean BMI-z gain of 1.00 units/year.

Conclusion: Female children from Bhutan demonstrated rapid weight gain after resettlement in the US. Further studies are needed to describe weight trajectory trends and evaluate possible reasons for rapid weight gain in this population.

背景:本研究的目的是描述难民儿童在美国重新安置后的体重轨迹。方法:进行了一项试点研究,利用从3个主要来源国难民诊所就诊的129名2至18岁儿童(54%为女性,平均年龄10岁)的电子健康记录中获得的纵向数据(不丹,N = 71;缅甸,N = 36,伊拉克,N = 22)。利用混合效应模型分析,通过计算BMI-z评分的年变化来描述体重轨迹,调整基线BMI-z评分、年龄和时间。结果:难民儿童在重新安置后的最初阶段,BMI-z显著增加(平均0.15单位/年,p=0.04)。不丹的女童体重增长最为迅速,平均BMI-z增加1.00单位/年。结论:不丹女童在美国定居后体重迅速增加。需要进一步的研究来描述体重轨迹趋势,并评估这一人群体重迅速增加的可能原因。
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Journal of pediatrics and child nutrition
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