低乳糖喂养对预防儿童营养不良和反复腹泻病造成的长期肠道损伤的作用

Nurul Islam, Biplob Raha, Samia Chharra, Shamsuzzaman Prodhan, Ariful Haque, Nazmul Hassan
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引用次数: 0

摘要

尽管在过去三十年里,腹泻病有所减少,但它仍然是全球儿童死亡的主要原因。儿童轮状病毒、腹泻、气候因素和营养不良之间存在密切联系。另一方面,据记录,在过去十年中,五岁以下儿童的营养状况发生了显著变化(营养不良程度降低),特别是在孟加拉国等发展中国家,轮状病毒感染也呈上升趋势。鉴于轮状病毒的病理生理学,在孟加拉国达卡等城市地区,饮食、环境和其他人为因素的变化与轮状病毒感染率的上升之间可能存在联系。五岁以下儿童营养不良仍然是孟加拉国的一个主要问题,尽管该国在社会经济方面取得了重大进展,而且十年来一直在采取各种措施减少营养不良现象。为了确定营养不良的主要风险因素,已经开展了许多研究;但是,这些研究都没有探讨出生体重不足(LBW)的重要性。近几十年来,孟加拉国的小儿腹泻死亡率明显下降。在过去的几十年里,孟加拉国这个人口众多、资源有限的国家已成功地显著降低了小儿腹泻的死亡率。为了进一步降低腹泻带来的疾病负担和死亡率,仍需克服一些障碍,包括加强手部卫生习惯、扩大腹泻治疗的锌覆盖面以及保持营养改善。为了扩大干预措施的覆盖面,加速降低孟加拉国儿童腹泻死亡率,有必要与非政府组织和私营部门持续合作,并采用多元化的卫生系统平台来提供预防和治疗服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Role of Low Lactose Feeding for Preventing Childhood Malnutrition and Long-Term Gut Damage Caused by Recurrent Diarrhoeal Disease
Even though it has decreased over the past three decades, diarrheal sickness continues to be a major global cause of death for children. There is a strong correlation between childhood rotavirus, diarrhea, climate factors, and malnutrition. On the other hand, a significant nutritional shift (lower levels of undernutrition) among children mal five has been documented in the last ten years, especially in developing nations like Bangladesh, where rotavirus infection has also been on the rise. Given the pathophysiology of rotavirus, there may be a link between the changing diet, the environment, and other artificial factors in urban areas such as Dhaka, Bangladesh, and the rise in rotavirus infections. Under-five malnutrition is still a major problem in Bangladesh, despite significant socioeconomic progress and ten years of initiatives to reduce it. Many research have been conducted in an attempt to identify the primary risk factors for malnutrition; however, none of these have looked into the importance of low birth weight (LBW) 36%. Bangladesh has seen a notable decline in the incidence of pediatric diarrhea deaths in recent decades. Over the past few decades, Bangladesh, a heavily populated country with limited resources, has managed to achieve a notable reduction in the death rate of pediatric diarrhea. Some of the obstacles that still need to be overcome in order to further lower the burden of disease and mortality brought on by diarrhea are enhancing hand hygiene practices, expanding zinc coverage for diarrhea treatment, and maintaining nutritional improvement. To increase intervention coverage and hasten the end of diarrheal mortality among children in Bangladesh, ongoing collaboration with non-governmental organizations and the private sector is necessary, as is the adoption of pluralistic health system platforms for the delivery of preventative and curative services.
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