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首页> 外文期刊>Journal of paediatrics and child health >Child nutrition and lower respiratory tract disease burden in New Zealand: a global context for a national perspective.
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Child nutrition and lower respiratory tract disease burden in New Zealand: a global context for a national perspective.

机译：新西兰的儿童营养和下呼吸道疾病负担：国家观点的全球背景。

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AIM: To consider the contribution of malnutrition to acute lower respiratory infection (ALRI) disease burden in children <5 years old in New Zealand (NZ). METHODS: The contribution of maternal and child malnutrition to ALRI disease burden in early childhood globally was described. A literature review was conducted to describe the nutritional status and ALRI disease burden of NZ children <5 years old. RESULTS: The four key nutritional risk factors for ALRI disease burden globally are macronutrient undernutrition, low birthweight, zinc deficiency and suboptimal breastfeeding. In addition, maternal nutritional status and vitamin D deficiency are potentially important nutritional determinants of ALRI disease burden. Relative to other developed countries, NZ has a large ALRI disease burden in pre-school-aged children. Pneumonia and bronchiolitis hospitalisation rates are two to four times greater than other developed countries. The ALRI disease burden varies with ethnicity, being highest in Pacific, intermediate in Maori and lowest in European children. Three of the four key nutritional risk factors for global ALRI disease burden--low birthweight, zinc deficiency and suboptimal breastfeeding--are potential contributors to ALRI disease burden in NZ. In addition to these factors, vitamin D deficiency during early childhood and maternal vitamin D deficiency are also potentially important particularly with respect to the larger disease burden in Pacific and Maori children. CONCLUSION: The contribution of malnutrition to ALRI disease burden in NZ requires greater clarification. Such clarification is necessary to inform the development of nutritional policy, which seeks to improve early child health.
机译：目的：考虑营养不良对新西兰（NZ）<5岁儿童急性下呼吸道感染（ALRI）疾病负担的影响。方法：描述了全球范围内母婴营养不良对ALRI疾病负担的贡献。进行了文献综述，以描述5岁以下新西兰儿童的营养状况和ALRI疾病负担。结果：全球范围内导致ALRI疾病负担的四个主要营养风险因素是大量营养素缺乏营养，低出生体重，锌缺乏和母乳喂养不足。此外，孕妇的营养状况和维生素D缺乏可能是ALRI疾病负担的重要营养决定因素。相对于其他发达国家，新西兰在学龄前儿童中患有较大的ALRI疾病负担。肺炎和细支气管炎的住院率是其他发达国家的2至4倍。 ALRI疾病负担因种族而异，在太平洋地区最高，在毛利人中处于中等，在欧洲儿童中最低。全球ALRI疾病负担的四个关键营养风险因素中的三个-低出生体重，锌缺乏和母乳喂养不良-是造成新西兰ALRI疾病负担的潜在因素。除这些因素外，幼儿期的维生素D缺乏症和母亲的维生素D缺乏症也可能特别重要，特别是对于太平洋地区和毛利族儿童中较大的疾病负担而言。结论：营养不良对新西兰ALRI疾病负担的影响需要进一步阐明。这种澄清对于促进营养政策的发展是必要的，该政策旨在改善幼儿的健康。

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