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作 者:席焕久 李文慧 温有锋 刘堃 任甫 赵立光 XI Huan-jiu;LI Wen-hui;WEN You-feng;LIU Kun;REN Fu;ZI-IAO Li-guang(Institute of Anthropology,Jinzhou Medical University,Liaoning Jinzhou 121001,China)
机构地区:[1]锦州医科大学生物人类学研究所,辽宁锦州121001
出 处:《解剖学报》2018年第6期770-781,共12页Acta Anatomica Sinica
基 金:National Natural Science Foundation of China(30270696)
摘 要:目的探讨环境因素特别是高原对生长发育的影响程度,以此作为改善高原儿童青少年健康的依据。方法收集14个省会城市7~18岁107 986名(男56 300;女51 686)健康儿童青少年的身高、体重和胸围资料以及这些城市的自然和社会环境变量。结果 4项体质指数与海拔高度、人均GDP(GDPpc)、成人识字率(ALR)、期望寿命(LE)、期望寿命指数(HEI)、教育指数(EI)、GDP指数(GDPI)和人类发展指数(HDI)相关(P<0.01)。3项主成分解释了82.75%的变异。综合入学率(CER),人类发展指数(HDI)和海拔高度是3个影响生长发育的主要影响因素。海拔高度对生长发育影响更大。社会环境的变化可能主要解释了环境对儿童青少年生长发育的影响。结论海拔高度是影响儿童青少年生长发育的基本因素,它代表了一组影响变量,社会环境因素起到重要作用,其中教育更为突出。Objective To answer the question of how much environmental factors influence growth and development (GD). Methods Height, weight and chest circumference of 107 986 healthy children and adolescents(CA) aged 7-18 years old living in 14 provincial capital cities of China, and natural and social environmental variables of the cities were collected to study the impact of environmental factors on GD. Results Four body mass index were related to GDP per capita (GDPpc) , adult literacy rate (ALR) , life expectancy(LE) , life expectancy index(LEI) , education index (El), GDP index(GDPI) and human development index (HDI) (P 〈 0.01 ). Three principal components accounted for 82.75% of the variations. Comprehensive enrollment rate (CER) of college, middle and primary schools, HDI, altitude were the three main influencing factors on GD. Conclusion Altitude is essential in influencing factors on GD of CA and it representes a group of influencing factors. Social environmental variables for GD of CA play an important role, in which education is more outstanding.
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