母亲教育对中国 0-18 岁儿童身高的动态影响

IF 3.6 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ssm-Population Health Pub Date : 2024-04-23 DOI:10.1016/j.ssmph.2024.101672

Ruixue Cao , Wenjing Ye , Jinrong Liu , Lili Chen , Zhe Li , Hanshu Ji , Nianjiao Zhou , Qin Zhu , Wenshuang Sun , Chao Ni , Linwei Shi , Yonghai Zhou , Yili Wu , Weihong Song , Peining Liu

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引用次数: 0

摘要

背景母亲教育是影响培养环境的关键因素之一，对儿童整个成长阶段的身高水平有重大影响。然而，有关母亲教育对儿童身高影响的研究较少。本研究旨在探讨母亲教育对中国 0-18 岁儿童身高的动态影响。收集的临床资料包括身高、体重、母亲妊娠史、骨代谢相关指标的血液标本以及母亲受教育程度。按照世界卫生组织 2006 年的生长标准，根据年龄和性别百分位数将儿童身高分为 14 组。数据分析采用了单因素方差分析（ANOVA）、线性回归、卡方检验（chi-square test）和费雪精确检验（Fisher's exact test）。研究发现，母亲教育水平、出生体重、出生顺序、体重百分位数、维生素 D、血清磷、碱性磷酸酶水平与儿童身高之间存在显著相关性。出生体重对不同年龄组身高的影响各不相同。与出生时体重正常的儿童相比，出生时体重偏低的儿童在头 6 年内表现出追赶性生长，随后在 6 至 18 岁期间身高差距逐渐拉大。结论我们发现，体重百分位数、出生体重、出生顺序、骨标志物水平和母亲教育水平对身高有显著影响。孕产妇受教育程度可减轻低出生体重对身高的影响。研究结果表明，孕产妇教育在促进婴儿健康茁壮成长方面发挥着持续而关键的作用。

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Dynamic influence of maternal education on height among Chinese children aged 0–18 years

Background

Maternal education is one of key factors affecting nurturing environment which significantly impacts children's height levels throughout their developmental stages. However, the influence of maternal education on children’s height is less studied. This study aims to investigate the dynamic influence of maternal education on children's height among Chinese children aged 0-18 years.

Methods

Children undergoing health examinations from January 2021 to September 2023 were included in this study. Clinical information including height, weight, maternal pregnancy history, blood specimens for bone metabolism-related indicators and maternal education level was collected. Children's height was categorized into 14 groups based on age and gender percentiles, following WHO 2006 growth standards. One-way analysis of variance (ANOVA), linear regression, chi-square test and Fisher's exact test were applied for data analysis.

Results

A total of 6269 samples were collected, including 3654 males and 2615 females, with an average age of 8.38 (3.97) for males and 7.89 (3.55) for females. Significant correlations between maternal education level, birth weight, birth order, weight percentile, vitamin D, serum phosphorus, alkaline phosphatase levels, and children's height were identified. Birth weight's influence on height varied across age groups. Compared with normal birth weight children, low birth weight children exhibited catch-up growth within the first 6 years and a subsequent gradual widening of the height gap from 6 to 18 years old. Remarkably, the impact of maternal education on height became more pronounced among children above 3–6 years old, which can mitigate the effect of low birth weight on height.

Conclusion

We found that weight percentile, birth weight, birth order, bone marker levels, and maternal education level have significant effect on height. Maternal education attenuates the impact of low birth weight on height. The findings indicated that maternal education plays a consistent and critical role in promoting robust and healthy growth.

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来源期刊

Ssm-Population Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.50

自引率

2.10%

发文量

298

审稿时长

101 days

期刊介绍： SSM - Population Health. The new online only, open access, peer reviewed journal in all areas relating Social Science research to population health. SSM - Population Health shares the same Editors-in Chief and general approach to manuscripts as its sister journal, Social Science & Medicine. The journal takes a broad approach to the field especially welcoming interdisciplinary papers from across the Social Sciences and allied areas. SSM - Population Health offers an alternative outlet for work which might not be considered, or is classed as ''out of scope'' elsewhere, and prioritizes fast peer review and publication to the benefit of authors and readers. The journal welcomes all types of paper from traditional primary research articles, replication studies, short communications, methodological studies, instrument validation, opinion pieces, literature reviews, etc. SSM - Population Health also offers the opportunity to publish special issues or sections to reflect current interest and research in topical or developing areas. The journal fully supports authors wanting to present their research in an innovative fashion though the use of multimedia formats.