Moderate thinness and its association with muscle strength of children 5-7 years in Ethiopia: a comparative cross-sectional study.

IF 3 3区 医学 Q2 NUTRITION & DIETETICS
Melese Sinaga Teshome, Eden Alemayehu, Evi Verbecque, Sarah Mingels, Marita Granitzer, Eugene Rameckers, Teklu Gemechu Abessa, Tefera Belachew
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Abstract

Objective: This study aimed to investigate the association between moderate thinness (MT) and muscle strength among children aged 5-7 years old in Ethiopia.

Design: A school-based comparative cross-sectional study was conducted between June and July 2022. Their nutritional status (MT v. well-nourished (WN) was identified using BMI-for-age-and-sex; hand grip was measured using a digital grip strength dynamometer, and biceps, quadriceps and gastrocnemius strength were measured with Digital (Handheld) Dynamometry. Independent predictors of muscle strength were identified using a multivariable linear regression model.

Setting: The study was conducted in Kindergarten and primary schools of Jimma Town, located in Southwest Ethiopia.

Participants: Children 5-7 years old (n 388) with moderate thinness (MT = 194) and well-nourished peers (WN = 194).

Results: Children with MT (n 198) had significantly lower grip strength, biceps, quadriceps and gastrocnemius muscle groups than WN children (n 198) (P < 0·001). The mean and sd of grip strength were 4·15 (sd 2·56) kg for MT and 5·6 (sd 2·04) kg for WN children. Biceps strength was 34·3 (sd 7·34) Newton (N) for MT and 48 (11·69) N for WN children. Gastrocnemius strength was 30·1 (6·9) N for MT and 45·1 (sd 9·7) N for WN children. After adjusting for background characteristics, WN children had 1·38 times higher grip strength (β = 1·38, P < 0·001), 11·22 times higher biceps strength (β = 11·22, P < 0·001), 16·70 times higher quadriceps strength (β = 16·70, P < 0·001) and 12·75 times higher gastrocnemius strength (β = 12·75, P < 0·001) than MT children.

Conclusion: Children with MT had significantly lower muscle strength than their WN counterparts. This highlights the negative functional effect of wasting.

埃塞俄比亚5至7岁儿童的适度消瘦及其与肌力的关系:一项比较横断面研究
目的:本研究旨在探讨埃塞俄比亚5-7岁儿童适度瘦(MT)与肌肉力量之间的关系。设计:在2022年6月至7月期间进行了一项以学校为基础的比较横断面研究。他们的营养状况(MT与营养良好(WN))是通过年龄和性别的bmi来确定的;使用数字握力测定仪测量握力,使用数字(手持式)测定仪测量肱二头肌、股四头肌和腓肠肌强度。使用多变量线性回归模型确定肌肉力量的独立预测因子。环境:本研究在位于埃塞俄比亚西南部的Jimma镇的幼儿园和小学进行。参与者:5-7岁的儿童(n=388),中等体重(MT=194)和营养良好的同龄人(WN=194)。结果:MT患儿(n=198)握力、肱二头肌、股四头肌和腓肠肌群明显低于WN患儿(n=198) (p< 0.001)。MT组握力均值为4.15±(2.56)kg, WN组握力均值为5.6±(2.04)kg。MT组肱二头肌力量为34.3±(7.34)牛顿(N), WN组为48(11.69)牛顿(N)。MT患儿腓肠肌强度为30.1 (6.9)N, WN患儿腓肠肌强度为45.1±(9.7)N。在调整背景特征后,有肌肉痉挛的儿童握力是正常儿童的1.38倍(β=1.38, p)。结论:有肌肉痉挛的儿童握力明显低于正常儿童。这突出了浪费的负面功能效应。
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来源期刊
Public Health Nutrition
Public Health Nutrition 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.10
自引率
6.20%
发文量
521
审稿时长
3 months
期刊介绍: Public Health Nutrition provides an international peer-reviewed forum for the publication and dissemination of research and scholarship aimed at understanding the causes of, and approaches and solutions to nutrition-related public health achievements, situations and problems around the world. The journal publishes original and commissioned articles, commentaries and discussion papers for debate. The journal is of interest to epidemiologists and health promotion specialists interested in the role of nutrition in disease prevention; academics and those involved in fieldwork and the application of research to identify practical solutions to important public health problems.
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