Age heterogeneity in the association between malnutrition and early childhood development among children aged 0–5 years in a Chinese plateau area

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-05-05 DOI:10.1016/j.puhe.2025.105737

Meiying Shen , Yajie Li , Zhuhong Cui , Xianzhi Li

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引用次数: 0

Abstract

Objective

Malnutrition damages the physical and cognitive development of children. This study aimed to examine age heterogeneity in the associations of malnutrition with early childhood development (ECD) outcomes in Tibet, China.

Study design

Cross-sectional study.

Methods

ECD was assessed by the Chinese version of the Age and Stage Questionnaires, Third Edition (ASQ-3). Logistic regression models were used to examine the associations between malnutrition and ECD outcomes.

Results

The Z-scores of HFA was significantly negatively associated with failure in any developmental domain (OR = 0.91, 95 % CI: 0.84, 0.99), the fine motor domain (OR = 0.82, 95 % CI: 0.74, 0.91) and the problem-solving domain (OR = 0.89, 95 % CI: 0.81, 0.98), while the Z-scores of WFH was significantly positively associated with failure in the gross motor domain (OR = 1.07, 95 % CI: 1.02, 1.13). Positive associations were observed between stunting and ECD indicators, with ORs of 1.62 (95 % CI: 1.05, 2.51) and 1.70 (95 % CI: 1.07, 2.70) for failing in any developmental domain and the problem-solving domain. Moreover, the effects of stunting on any developmental delay, the gross motor domain delay, and the problem-solving domain delay among children under 36 months of age were significantly higher than that aged 36 months and above (P value for difference <0.05).

Conclusions

Stunting was associated with increased risk of failing in any domain or specific domain for ECD. A compressive intervention about improving the nutritional status of malnutrition children should be conducted to benefit children development, especially for those under 36 months of age.

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中国高原地区0-5岁儿童营养不良与儿童早期发育关系的年龄异质性

目的营养不良损害儿童的身体和认知发育。本研究旨在研究中国西藏儿童营养不良与早期儿童发展（ECD）结果之间的年龄异质性。研究设计横断面研究。方法采用中文版《年龄与阶段问卷第三版》（ASQ-3）进行评估。使用逻辑回归模型来检查营养不良与ECD结果之间的关系。结果HFA的z -score与任何发展领域（OR = 0.91, 95% CI: 0.84, 0.99）、精细运动领域（OR = 0.82, 95% CI: 0.74, 0.91）和问题解决领域（OR = 0.89, 95% CI: 0.81, 0.98）的失败呈显著负相关，而WFH的z -score与大运动领域的失败呈显著正相关（OR = 1.07, 95% CI: 1.02, 1.13）。发育迟缓和ECD指标之间存在正相关，在任何发展领域和问题解决领域失败的or分别为1.62 （95% CI: 1.05, 2.51）和1.70 （95% CI: 1.07, 2.70）。发育迟缓对36月龄以下儿童任何发育迟缓、大运动领域迟缓和问题解决领域迟缓的影响均显著高于36月龄及以上儿童（P值差异<；0.05）。结论发育迟缓与ECD任一领域或特定领域失败的风险增加有关。为改善营养不良儿童的营养状况，应采取压缩干预措施，以促进儿童的发育，特别是对36个月以下的儿童。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.