2019年甘肃省临夏回族自治州10-12岁农村儿童营养状况、身高发育及其与智商的关系

Yanling Wang, Qinglin Li, Limei Yin, Jing Zheng, Wei Sun, Aiwei He, Xiulan Fei, Yongqin Cao
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引用次数: 0

摘要

目的:了解甘肃省临夏回族自治州10 ~ 12岁农村儿童的营养状况、身高发育和智力发展水平,分析当地学童营养状况、身高发育与智力发展的关系。方法:2019年在甘肃省临夏州下辖8个县(市)抽取1721名学生,在东、西、南、北、中5个方向,每个县抽取1个乡镇。每个乡镇随机抽取1所小学,每所小学抽取10-12岁学生45名。测量儿童的身高和体重数据,计算身体质量指数(BMI)。采用《中国联合渡鸦测验(农村版)》进行智力测试,并采用常模计算其智商。根据国家儿童营养、身高发育和智力标准,探讨儿童营养状况、身高发育和智力之间的关系。结果:中重度体重减轻、轻度体重减轻、正常、超重、肥胖患儿的智商分别为102.7、102.8、103.3、102.5、106.9。儿童营养状况越好,其智商值越高,儿童智力差异有统计学意义(H=602.816, P<0.001)。超重儿童智力残疾检出率为0%,肥胖儿童智力低下、边缘和极优检出率为0%。生长发育迟缓组和非生长发育迟缓组儿童智商分别为99.5和103.3,差异有统计学意义(U=171.000, P<0.05)。不同身高发育水平儿童智力差异有统计学意义(H=55.174, P<0.001),儿童平均智力随身高水平的增加而增加。高身高儿童低、边缘智力检出率为0%,超高智力检出率为0%,中等及以上智力检出率为90.9%。有序logistic回归分析显示,身高水平高于平均水平(OR=0.598, 95%CI 0.397 ~ 0.899, P<0.05)、高于平均水平(OR=0.002, 95%CI 0.027 ~ 0.747, P<0.05)、营养状况正常(OR=0.633, 95%CI 0.484 ~ 0.980, P<0.05)、超重(OR=0.487, 95%CI 0.299 ~ 0.795, P<0.05)、肥胖(OR=0.569, 95%CI 0.358 ~ 0.907, P<0.05)、无生长发育迟缓(OR=0.578, 95%CI 0.371 ~ 0.901, P<0.05)均为局部。儿童智力的保护因素。结论:甘肃省临夏回族自治州农村儿童的营养状况和身高发育与智力有关。正常及以上的营养状况和正常的身高发育有利于儿童智力的发展,但肥胖和身高发育过高可能会影响儿童优秀智力的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Nutritional status and height development of rural children aged 10-12 years in Linxia Hui Autonomous Prefecture, Gansu Province, and the relationship with intelligence quotient in 2019].

Objective: To investigate the nutritional status, height development and intellectual development level of rural children aged 10-12 years in Linxia Hui Autonomous Prefecture, Gansu Province, and to analyze the relationship between the nutritional status and height development of local schoolchildren and their intellectual development.

Methods: In 2019, a total of 1721 students were selected from 8 counties(cities) under the jurisdiction of Linxia Prefecture in Gansu Province, with 1 township selected from each county in 5 directions: east, west, south, north, and central. One primary school was randomly selected from each township, and 45 students aged 10-12 were selected from each primary school. Measure children's height and weight data, calculate body mass index(BMI). Using the Chinese Joint Raven Test(Rural Edition) for intelligence testing and using the norm to calculate their intelligence quotient(IQ). Based on national standards for children's nutrition, height development, and intelligence, explore the relationship between children's nutritional status, height development, and intelligence.

Results: The IQ of children with moderate to severe weight loss, mild weight loss, normal, overweight, and obesity were 102.7, 102.8, 103.3, 102.5 and 106.9, respectively. The better the nutritional status of children, the higher their IQ values, and the intelligence of children was statistically significant(H=602.816, P<0.001). The detection rate of intellectual disability in overweight children was 0%, while the detection rate of low, marginal, and extremely excellent intelligence in obese children was 0%. The IQ of children in the growth retardation group and non growth retardation group were 99.5 and 103.3, respectively, and the difference was statistically significant(U=171.000, P<0.05). The intelligence of children with different height development levels is statistically significant(H=55.174, P<0.001), and the average intelligence of children increases with the increase of height levels. The detection rate of low and marginal intelligence among children with upper height was 0%, the detection rate of extremely high intelligence was also 0%, and the detection rate of average and above intelligence was 90.9%. Ordered logistic regression analysis showed that the height level was above average(OR=0.598, 95%CI 0.397-0.899, P<0.05), above average(OR=0.002, 95%CI 0.027 2-0.747, P<0.05), nutritional status was normal(OR=0.633, 95%CI 0.484-0.980, P<0.05), overweight(OR=0.487, 95%CI 0.299-0.795, P<0.05), obesity(OR=0.569, 95%CI 0.358-0.907, P<0.05), and non growth and developmental delay(OR=0.578, 95%CI 0.371-0.901, P<0.05) were all local. Protective factors for the intelligence of children.

Conclusion: The nutritional status and height development of rural children in Linxia Hui Autonomous Prefecture, Gansu Province are related to intelligence. Normal or above nutritional status and normal height development are beneficial for the development of children's intelligence, but obesity and superior height development may affect the development of excellent intelligence in children.

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