中国科学院机构知识库网格
Chinese Academy of Sciences Institutional Repositories Grid
Education, Altitude, and Humidity Can Interactively Explain Spatial Discrepancy and Predict Short Stature in 213,795 Chinese School Children

文献类型:期刊论文

作者Ma, Jia4,5; Zhang, Zhixin5; Niu, Wenquan6; Chen, Jie1; Guo, Sihui1; Liu, Shufang4,5; Dong, Yanhui2,3; Yang, Zhaogeng2,3; Wang, Wenlai1; Song, Ci1
刊名FRONTIERS IN PEDIATRICS
出版日期2019-10-30
卷号7页码:10
关键词short stature prevalence risk factor spatial discrepancy prediction
ISSN号2296-2360
DOI10.3389/fped.2019.00425
通讯作者Zhang, Zhixin(zhangzhixin032@163.com) ; Ma, Jun(majunt@bjmu.edu.cn) ; Pei, Tao(peit@lreis.ac.cn)
英文摘要Backgrounds and Objectives: The north-south height distinctions in Chinese children suggest that some geographical-climatic factors could determine height variation of short stature. In a national health survey, we aimed to explore the spatial distribution of short stature on city scales, and detect its socio-economic and geographical-climatic factors. Methods: Data on the prevalence of short stature were obtained from a 2014 cross-sectional survey of China (CNSSCH). In total, 213,795 Han Chinese students aged 7-18 years, from 106 cities across 30 provinces, were included. Both China and World Health Organization (WHO) growth references were adopted to define short stature. Results: A spatial clustering was apparent in the distribution of short stature. After multivariable adjustment, altitude and humidity significantly increased the risk of high prevalence in short stature, according to the WHO (odds ratio [OR] = 1.61 and 1.26, 95% confidence interval [CI]: 1.20-2.17 and 1.03-1.54) and China (OR = 1.54 and 1.26; 95% CI: 1.15-2.05 and 1.02-1.55) growth references. Additionally, education significantly decreased the risk of high prevalence in short stature according to the WHO (OR = 0.40; 95% CI: 0.22-0.74) and China (OR = 0.42; 95% CI: 0.22-0.77) growth references. Combining both altitude >400 m and education <9 years, as well as education <9 years and humidity >70%, received the largest effect-size estimate, and significance retained after multivariable adjustment. Conclusions: Our findings indicate that high altitude and humidity increased the risk of high prevalence in short stature, high education was associated with low prevalence. Additionally, we observed possible interactions between education and altitude/humidity. They may interactively explain spatial discrepancy and predict short stature in Chinese school children. Further validations are necessary.
WOS关键词BIRTH-WEIGHT ; GROWTH RESTRICTION ; FETAL-GROWTH ; ASSOCIATION ; MALNUTRITION ; PREVALENCE ; OVERWEIGHT ; PROTECTION ; SIGNATURES ; OBESITY
资助项目National Natural Science Foundation of China[41525004] ; National Natural Science Foundation of China[41571376]
WOS研究方向Pediatrics
语种英语
WOS记录号WOS:000497389800001
出版者FRONTIERS MEDIA SA
资助机构National Natural Science Foundation of China
源URL[http://ir.igsnrr.ac.cn/handle/311030/132019]  
专题中国科学院地理科学与资源研究所
通讯作者Zhang, Zhixin; Ma, Jun; Pei, Tao
作者单位1.Chinese Acad Sci, Inst Geog Sci & Nat Resources Res, State Key Lab Resources & Environm Informat Syst, Beijing, Peoples R China
2.Peking Univ, Inst Child & Adolescent Hlth, Beijing, Peoples R China
3.Peking Univ, Sch Publ Hlth, Beijing, Peoples R China
4.Beijing Univ Chinese Med, Grad Sch, Beijing, Peoples R China
5.China Japan Friendship Hosp, Dept Pediat, Beijing, Peoples R China
6.China Japan Friendship Hosp, Inst Clin Med Sci, Beijing, Peoples R China
推荐引用方式
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Ma, Jia,Zhang, Zhixin,Niu, Wenquan,et al. Education, Altitude, and Humidity Can Interactively Explain Spatial Discrepancy and Predict Short Stature in 213,795 Chinese School Children[J]. FRONTIERS IN PEDIATRICS,2019,7:10.
APA Ma, Jia.,Zhang, Zhixin.,Niu, Wenquan.,Chen, Jie.,Guo, Sihui.,...&Pei, Tao.(2019).Education, Altitude, and Humidity Can Interactively Explain Spatial Discrepancy and Predict Short Stature in 213,795 Chinese School Children.FRONTIERS IN PEDIATRICS,7,10.
MLA Ma, Jia,et al."Education, Altitude, and Humidity Can Interactively Explain Spatial Discrepancy and Predict Short Stature in 213,795 Chinese School Children".FRONTIERS IN PEDIATRICS 7(2019):10.

入库方式: OAI收割

来源:地理科学与资源研究所

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