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首页> 外文期刊>Proceedings of the Nutrition Society >Child undernutrition in affluent societies: what are we talking about?
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Child undernutrition in affluent societies: what are we talking about?

机译：富裕社会中的儿童营养不良：我们在说什么？

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In this paper we set out to explore the prevalence of child undernutrition found in community studies in affluent societies, but a preliminary literature review revealed that, in the absence of a gold standard method of diagnosis, the prevalence largely depends on the measure, threshold and the growth reference used, as well as age. We thus go on to explore describe the common clinical "syndromes" of child undernutrition: wasting, stunting and failure to thrive (weight faltering) and how we have used data from two population-based cohort studies, this paper to explore how much these different "syndromes" overlap and the extent to which they reflect true undernutrition. This analysis revealed that when more than one definition is applied to the same children, a majority are below the lower threshold for only one measure. However, those with both weight faltering and low BMI in infancy, go on in later childhood to show growth and body composition patterns suggestive of previous undernutrition. In older children there is even less overlap and most children with either wasting or low fat seem to be simply growing at one extreme of the normal range. We conclude that in affluent societies the diagnosis of undernutrition is only robust when it relies on a combination of both, that is decline in weight or BMI centile and wasting. copyright The Authors 2012.
机译：在本文中，我们着手探讨在富裕社会的社区研究中发现的儿童营养不良的患病率，但初步的文献综述显示，在缺乏金标准诊断方法的情况下，患病率主要取决于措施，阈值和使用的增长参考以及年龄。因此，我们继续探索描述儿童营养不良的常见临床“症候群”：消瘦，发育迟缓和ive壮成长（体重下降），以及我们如何使用两项基于人群的队列研究的数据，本文探讨了这些差异有多大“综合症”重叠以及它们反映真正营养不足的程度。该分析表明，当对同一个孩子应用多个定义时，大多数仅在一项措施下低于下限。然而，那些体重不稳且婴儿期BMI较低的人，在童年后期继续表现出生长发育和身体组成模式，提示先前的营养不良。在年龄较大的儿童中，重叠甚至更少，大多数肥胖或低脂的儿童似乎只是在正常范围的一个极端处生长。我们得出的结论是，在富裕的社会中，只有依靠体重下降或BMI百分率下降和浪费这两者的结合，对营养不足的诊断才是可靠的。版权所有The Authors 2012。

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