学龄前发育不良儿童的环境性肠病和营养不良

P. Mahmoud, Hoda Salah Elden, G. Ahmed, Azza Lofty
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摘要

发育迟缓是一种常见的健康问题,影响着发展中国家约三分之一的儿童。环境性肠病被定义为一种肠道炎症,常见于低收入国家,可导致肠道吸收不良。目的探讨学龄前(2 ~ 5岁)营养不良所致发育迟缓儿童发生环境性肠病的危险因素。患者和方法我们的研究是一项横断面研究,对一组80名2至5岁的儿童进行了研究,这些儿童被诊断为因营养不良而发育迟缓。根据WHO生长曲线,他们的年龄身高低于- 2 SD,性别和年龄相匹配。他们来自国家营养研究所,从2017年7月到2019年10月,每周一和周四都会去发育迟缓诊所。结果粪便分析与新蝶呤水平比较,差异有统计学意义(P=0.0035)。溶组织内阿米巴感染患者的新蝶呤水平较高。此外,甜食和零食摄入频率与新蝶呤水平之间存在统计学差异(P=0.001)。在每天摄入甜食的人群中,其含量较高。新蝶呤水平与断奶年龄呈正相关(P=0.006),与绝对母乳喂养时间呈负相关(P=0.049)。结论溶组织芽胞杆菌肠道感染患儿中新蝶呤水平较高,其次为氧和贾第鞭毛虫肠道感染。每日摄入不健康甜食的饮食习惯显示出高水平的新蝶呤。纯母乳喂养6个月与新蝶呤水平呈负相关。
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Environmental enteropathy and malnutrition in pre-school stunted children
Background Stunting is a common health problem that affects approximately one-third of children in developing countries. Environmental enteropathy is defined as an inflammatory condition of the gut, which is commonly presented in low-income countries that leads to intestinal malabsorption. Aim To study some risk factors of Environmental enteropathy in stunted children owing to malnutrition in the pre-school age (2–5 years). Patients and methods Our study was a cross-sectional study that was conducted on one group of 80 children aged from 2 to 5 years, who were diagnosed to have stunting owing to malnutrition. Their height-for-age was below −2 SD according to the WHO growth curves, matched regarding sex and age. They were from the National Nutrition Institute and attended the stunting clinic every Monday and Thursday from July 2017 to October 2019. Results There was a statistically significant difference between stool analysis and neopterin level (P=0.0035). A higher level of neopterin was among those with Entamoeba histolytica infection. Moreover, there was a statistically significant difference between the frequency of sweets and snack intake and neopterin level (P=0.001). Higher levels were among daily sweet intake. There was a positive correlation between neopterin level and age of starting weaning (P=0.006), whereas a negative correlation with duration of absolute breastfeeding (P=0.049). Conclusion Neopterin level was high among children with intestinal infection of E. histolytica followed by oxyrious and giardia. Dietary habits of daily intake of unhealthy sweety snacks showed a high level of neopterin. Exclusive 6 months of breastfeeding had a negative correlation with neopterin level.
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