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1.
Zhonghua Yu Fang Yi Xue Za Zhi ; 58(2): 191-195, 2024 Feb 06.
Artículo en Chino | MEDLINE | ID: mdl-38387949

RESUMEN

Refractive error is a common ophthalmic disease in children. It refers to the mismatch between the axial length and the refractive power that results in visual blur, which is usually driven by the interaction of genetic and environmental factors. The impacts of pregnancy and puerperium-related factors on refractive error in children have gradually gained attention. According to the different stages of pregnancy, this review summarizes the impacts of four aspects on refractive error in children, including lifestyle during pregnancy, complications and comorbidities during pregnancy, adverse pregnancy outcomes and other factors, which aims to provide perinatal healthcare clues for the prevention and control of refractive error in children, achieve prevention beforehand and reduce the public health burden of refractive error in children.


Asunto(s)
Errores de Refracción , Niño , Femenino , Humanos , Embarazo , Refracción Ocular , Periodo Posparto
2.
Zhonghua Yu Fang Yi Xue Za Zhi ; 58(2): 208-212, 2024 Feb 06.
Artículo en Chino | MEDLINE | ID: mdl-38387952

RESUMEN

Objective: To understand the prevalence of occasional hypertension in preschool children in three provinces in the middle and lower reaches of the Yangtze River in China, and analyze the relationship between their sleep status and occasional hypertension. Methods: From October to November 2017, a total of 24 842 preschool children from 109 kindergartens in 11 cities in Hubei, Anhui and Jiangsu provinces were selected by intentional sampling method. A self-made questionnaire was used to collect basic information about the subjects, and the sleep status data was collected by the Children's Sleep Habits Questionnaire. Physical examinations were performed on the subjects, and height, weight and blood pressure were measured on-site. The difference in occasional hypertension detection rate among preschool children with different characteristics was compared, and the correlation between sleep status and occasional hypertension detection rate was analyzed by the multivariate logistic regression model. Results: The age of the subjects was (4.4±1.0) years, including 12 729 boys (51.2%). The prevalence of occasional hypertension was 31.8% (7 907/24 842). The prevalence of occasional hypertension among preschool children in three provinces of the middle and lower reaches of the Yangtze River was 31.8%. There were statistically significant differences in the detection rate of occasional hypertension among preschool children of different genders, age groups, family residence, family economic status and parents' education level (all P values<0.05). The detection rate of occasional hypertension in children with less than 10 hours of sleep was higher than those with sufficient sleep, and the difference was statistically significant (P<0.05). The results of multivariate logistic regression analysis showed that after adjusting for factors such as gender, age, family residence, family economic status, parental education level, parental smoking history, and physical constitution, the ORs (95%CI) for less than 10 hours of sleep, turning on the lights while sleeping, and poor sleep quality were 1.09 (1.03-1.15), 1.17 (1.07-1.28) and 1.04 (0.91-1.18), respectively, compared with the corresponding reference group. Conclusion: The detection rate of occasional hypertension is high in preschool children in the middle and lower reaches of the Yangtze River and there is a positive correlation between insufficient sleep and turning on the light when sleeping and occasional hypertension in preschool children.


Asunto(s)
Hipertensión , Ríos , Humanos , Masculino , Preescolar , Femenino , Sueño , Hipertensión/epidemiología , Presión Sanguínea , China/epidemiología
3.
Zhonghua Liu Xing Bing Xue Za Zhi ; 44(9): 1491-1496, 2023 Sep 10.
Artículo en Chino | MEDLINE | ID: mdl-37743287

RESUMEN

During pregnancy, as a special period, mother is vulnerable to adverse exposure, affecting the health of offspring. Maternal immune activation (MIA) due to maternal immune imbalance during pregnancy can affect the neurodevelopment of offspring. Evidence from epidemiological studies and animal studies supports an association between MIA and neurodevelopmental disorders (NDDs) in offspring. A variety of factors, such as genetic background, maternal nutritional status and maternal gut microbes, can influence the strength of the association. Studies have shown that MIA affects synapsis formation and pruning in offspring through a variety of pathways, and the placenta also plays a role in such association. This article summarizes the recent research of the association between MIA and neurodevelopmental disorders in children, and provides suggestion for the prevention of the incidence of NDDs.


Asunto(s)
Trastornos del Neurodesarrollo , Animales , Femenino , Embarazo , Humanos , Niño , Fenómenos Fisiologicos Nutricionales Maternos , Madres , Placenta
4.
Zhonghua Yu Fang Yi Xue Za Zhi ; 57(9): 1469-1474, 2023 Sep 06.
Artículo en Chino | MEDLINE | ID: mdl-37743310

RESUMEN

Adolescents are in a transition period from children to adults, during which they are prone to a variety of emotional disorders, with anxiety and depression being the most common disorders. Anxiety and depressive symptoms are highly correlated and the comorbidity of anxiety and depression is common. At the same time, the most prominent behavioral changes in adolescence are the emergence of getting up late and sleeping late, and the circadian rhythm begins to delay. Previous studies have shown that circadian rhythm is closely related to anxiety and depression, but the association between circadian rhythm disorder and comorbidity of anxiety and depression remains unclear. This article reviews the prevalence, association and potential biological mechanism of circadian rhythm disorder and comorbidity of anxiety and depression in adolescents, so as to provide a possible reference for the prevention and control of comorbidity of anxiety and depression in adolescents.


Asunto(s)
Trastornos Cronobiológicos , Depresión , Adulto , Niño , Adolescente , Humanos , Depresión/epidemiología , Ansiedad/epidemiología , Comorbilidad , Sueño
5.
Zhonghua Yu Fang Yi Xue Za Zhi ; 57(7): 997-1003, 2023 Jul 06.
Artículo en Chino | MEDLINE | ID: mdl-37482736

RESUMEN

Objective: To comprehensively evaluate the physical health level of students of different school-age segments in four regions of Anhui province using the entropy weight approximation ideal solution ranking method (TOPSIS), and to provide a scientific method and basis for conducting school health work evaluation. Methods: Using the physical fitness survey data of four regions in Anhui province, the entropy weight method was used to draw the weights of various indicators for different school-age segments of men and women. Then, the TOPSIS method was used to evaluate the school-age segments of men and women in the four regions. Finally, the physical health level of students in four regions was classified according to the results of entropy weight TOPSIS and the rank sum ratio method. Results: A total of 10 127 students were included in this study, with an average age of (11.85±3.82) years, including 5 050 males (49.8%) and 5 072 urban students (50.1%). The results of the entropy weight method showed that the weight of body mass index of boys was similar to that of girls in each school-age segment. According to the TOPSIS and rank sum ratio analysis, the physical health level of students in the four regions of Anhui province was different. The physical health score of Suzhou was 0.617 4 points, which was classified as the best grade. The scores of Hefei and Wuhu were 0.556 3 and 0.411 2, which were classified as middle. Jiju City scored 0.381 9 points, which was classified as poor. Conclusion: TOPSIS combined with rank sum ratio can reflect the level of students' physical health, which can be applied to the evaluation of students' physical health and provide a basis for monitoring students' physical health.


Asunto(s)
Estado de Salud , Aptitud Física , Masculino , Humanos , Femenino , Niño , Adolescente , Entropía , Estudiantes , Índice de Masa Corporal
6.
Zhonghua Yu Fang Yi Xue Za Zhi ; 57(3): 438-442, 2023 Mar 06.
Artículo en Chino | MEDLINE | ID: mdl-36922180

RESUMEN

Implementation research is a discipline that attempts to promote the application of evidence-based interventions in different settings and populations by using various methods and measures. Implementation strategies are the central part of implementation research, and as the field of implementation science evolves, more and more implementation strategies have been developed to facilitate the application of evidence-based interventions in the real world. To help researchers better understand and apply implementation strategies, this study will introduce implementation strategies in three aspects: classification, selection and application, and report.


Asunto(s)
Ciencia de la Implementación , Humanos
7.
Zhonghua Yu Fang Yi Xue Za Zhi ; 57(2): 208-214, 2023 Feb 06.
Artículo en Chino | MEDLINE | ID: mdl-36797578

RESUMEN

Objective: To investigate the role of methylation of placental glucocorticoid response gene in the association between pregnancy-related anxiety in the third trimester and birth outcomes. Methods: Based on a prospective cohort study, singleton live births and their mothers from the Ma'anshan Birth Cohort Study (MABC) were included as participants in this study. The maternal pregnancy-related anxiety symptoms in the third trimester of pregnancy were evaluated by using the Pregnancy-related Anxiety Questionnaire. The neonatal birth outcomes were collected from medical records. The placental tissues from 300 pregnant women with pregnancy-related anxiety and 300 without pregnancy-related anxiety were collected to detect the methylation of FKBP5, NR3C1 and HSD11B2 genes using the Methyl Target approach. The methylation factors were extracted by exploratory factor analysis. Linear regression or logistic regression models were used to analyze the association between pregnancy-related anxiety in the third trimester, methylation factor scores, and birth outcomes. The mediating role of methylation factors in the association between pregnancy-related anxiety in the third trimester and birth outcomes was analyzed by using the Process procedure. Results: The mean age of 2 833 pregnant women was (26.60±3.60) years old. After adjusting for confounding factors, pregnancy-related anxiety in the third trimester increased the risk of small-for-gestational-age (OR=1.32, 95%CI:1.00-1.74). A total of 5 methylation factors were extracted, and the factor 5 was loaded with FKBP5 CpGs 18-21. Pregnancy-related anxiety in the third trimester was negatively correlated with the factor 5 (ß=-0.24,95%CI:-0.44--0.05). The factor 5 was positively correlated with the gestational age (ß=0.17, 95%CI:0.06-0.27). In addition, the factor 2 (ß=0.02,95%CI:0.00-0.04) and factor 3 (ß=0.03,95%CI:0.01-0.05) were positively correlated with 5-min Apgar score after delivery. However, this study did not found the mediating role of the scores of the factor characterized by FKBP5 in the relationship between pregnancy-related anxiety and birth outcomes. Conclusion: Pregnancy-related anxiety in the third trimester may reduce the methylation level of FKBP5 CpGs 18-21 in placental tissues and is associated with the risk of small-for-gestational-age.


Asunto(s)
Glucocorticoides , Placenta , Recién Nacido , Embarazo , Femenino , Humanos , Adulto Joven , Adulto , Tercer Trimestre del Embarazo , Glucocorticoides/metabolismo , Estudios de Cohortes , Estudios Prospectivos , Metilación , Factor V/metabolismo , Ansiedad/genética
8.
Zhonghua Yu Fang Yi Xue Za Zhi ; 57(1): 86-90, 2023 Jan 06.
Artículo en Chino | MEDLINE | ID: mdl-36655263

RESUMEN

With the increasing rate of overweight and obesity in children worldwide, adiposity rebound(AR)closely related to obesity has become the spotlight, and early AR phase has a broad impact on pubertal development in girls, but the specific mechanism of action isn't very clear.This paper is review of the prevalence of early AR at home and abroad, and its influencing factors, the impact of AR on the adolescent development of girls and related mechanisms, to identify high-risk individuals with early AR, early AR to identify early adolescent development, and take early intervention measures to promote children's health.


Asunto(s)
Adiposidad , Obesidad Infantil , Femenino , Adolescente , Niño , Humanos , Obesidad Infantil/epidemiología , Desarrollo del Adolescente , Índice de Masa Corporal , Sobrepeso/epidemiología
9.
Zhonghua Yu Fang Yi Xue Za Zhi ; 57(12): 2196-2200, 2023 Dec 06.
Artículo en Chino | MEDLINE | ID: mdl-38186176

RESUMEN

The behavioral problems of children and adolescents are becoming more and more serious, and the prevalence rate is increasing year by year. The overall trend is increasing, which has become one of the important public health issues of global concern. There are many influencing factors for behavioral problems in children and adolescents, including genetic, psychosocial, family and early life environment. Among them, maternal screen exposure during pregnancy is a contributing factor that deserves attention and has practical intervention significance. This study systematically evaluated the association between maternal mobile phone screen time during pregnancy and children's internalizing and externalizing behavioral problems, its potential biological mechanisms and relevant intervention measures, in order to create a good intrauterine environment for fetal neurodevelopment and further reduce the occurrence of children's behavioral problems.


Asunto(s)
Teléfono Celular , Problema de Conducta , Adolescente , Niño , Femenino , Embarazo , Humanos , Tiempo de Pantalla , Familia , Exposición Materna
10.
Zhonghua Liu Xing Bing Xue Za Zhi ; 43(10): 1671-1676, 2022 Oct 10.
Artículo en Chino | MEDLINE | ID: mdl-36456502

RESUMEN

In recent years, myopia among children and adolescents has become widespread, younger, and more severe in China. As the predecessor of the onset of myopia, hyperopia reserve has received increasing attention. Premature depletion of the hyperopia reserve predicts myopia's rapid and premature onset. Depleting the hyperopia reserve in children is influenced by many factors, such as pregnancy complications, pregnancy nutrition, premature birth, breastfeeding, growth velocity, outdoor activities, prolonged work and sleeping. This paper reviews the physiological changes in children's hyperopia reserve and the factors influencing children's hyperopia reserve, aiming to provide evidence for the prevention and control of myopia in children and adolescents at an early age.


Asunto(s)
Hiperopía , Miopía , Nacimiento Prematuro , Adolescente , Niño , Femenino , Embarazo , Humanos , Lactancia Materna , China
11.
Zhonghua Yu Fang Yi Xue Za Zhi ; 56(12): 1828-1833, 2022 Dec 06.
Artículo en Chino | MEDLINE | ID: mdl-36536573

RESUMEN

Objective: To investigate the current situation of cell phone use and sleep quality among college students, establish a sleep quality trajectory model and explore the influence of cell phone use on the sleep quality trajectory. Methods: Based on data from the College Student Behavior and Health Cohort Study 2019-2020, a latent class growth modeling was used to establish a sleep quality trajectory model among college students. The baseline influencing factors of sleep quality trajectories among college students were analyzed by χ2 test, and the effects of cell phone use on sleep quality trajectories were analyzed by binary logistic regression. Results: A total of 1 092 college students were included in the analysis. The detection rates of cell phone use and poor sleep quality were 24.5% and 13.3%. Latent class growth model identified two groups of sleep quality trend trajactories: an improved sleep quality group (86.0%) and a decreased sleep quality group (14.0%). The result of binary logistic regression showed that the cell phone use was a risk factor of sleep quality trajectories. Conclusion: The cell phone use during college period could increase the risk of poor sleep quality. Targeted intervention measures about cell phone use should be adopted to improve the sleep quality among college students.


Asunto(s)
Uso del Teléfono Celular , Teléfono Celular , Trastornos del Inicio y del Mantenimiento del Sueño , Humanos , Calidad del Sueño , Estudios de Cohortes , Encuestas y Cuestionarios , Estudiantes , Sueño
12.
Zhonghua Yu Fang Yi Xue Za Zhi ; 56(7): 1011-1016, 2022 Jul 06.
Artículo en Chino | MEDLINE | ID: mdl-35899357

RESUMEN

Anxiety and depression, as two emotional disorders with high incidence in children and adolescents, have become major public health issues for health and life safety. Anxiety and depression often exist in the form of comorbidities due to the common clinical manifestations, behavioral characteristics, genetic and environmental etiological mechanisms, which have short-term and long-term adverse health effects. This article summarizes the prevalence and characteristics of the comorbidity of anxiety and depression in children and adolescents, reviews the etiological models and influencing factors of the comorbidity of anxiety and depression, and reveals the underlying etiological mechanism, in order to provide a reference for the prevention and control of the comorbidity of anxiety and depression in children and adolescents.


Asunto(s)
Ansiedad , Depresión , Adolescente , Ansiedad/epidemiología , Trastornos de Ansiedad/epidemiología , Trastornos de Ansiedad/psicología , Niño , Comorbilidad , Depresión/epidemiología , Depresión/psicología , Humanos , Prevalencia
13.
Zhonghua Yu Fang Yi Xue Za Zhi ; 56(6): 847-851, 2022 Jun 06.
Artículo en Chino | MEDLINE | ID: mdl-35785868

RESUMEN

Infertility is a serious social and public health problem, and the causes of infertility are also the focus of many researchers in recent years. Since the invention of the electric light, people's exposure to night light has increased rapidly, and the adverse effects on human health have also begun to enter the vision of researchers. Studies have shown that artificial lighting at night can affect the circadian rhythm of organisms and the secretion of melatonin (melatonin), and regular circadian rhythms and sufficient melatonin are conducive to successful reproduction. This article reviews the current research status of the effects of artificial lighting at night on infertility in recent years, which provides a new direction for researchers to study the influencing factors of infertility.


Asunto(s)
Infertilidad , Melatonina , Ritmo Circadiano , Humanos , Luz , Contaminación Lumínica
14.
Zhonghua Liu Xing Bing Xue Za Zhi ; 43(7): 1162-1166, 2022 Jul 10.
Artículo en Chino | MEDLINE | ID: mdl-35856215

RESUMEN

Sleep regulates many body processes, including neuroendocrine immunity. There is increasing evidence that sleep can affect glucose metabolism. Pregnant women are more prone to sleep problems than the general population, and therefore the relationship between sleep during pregnancy and gestational diabetes mellitus is gradually under attention. This paper reviews the associations between sleep during pregnancy and gestational diabetes mellitus in terms of sleep quality, sleep duration, sleep rhythm, and possible biological mechanisms to provide references for preventing and controlling gestational diabetes mellitus.


Asunto(s)
Diabetes Gestacional , Complicaciones del Embarazo , Diabetes Gestacional/epidemiología , Femenino , Humanos , Embarazo , Sueño/fisiología
15.
Zhonghua Yu Fang Yi Xue Za Zhi ; 56(1): 69-74, 2022 Jan 06.
Artículo en Chino | MEDLINE | ID: mdl-35092994

RESUMEN

The paradox of obesity and metabolically healthy obesity are being challenged. More and more studies have disputed the potential mechanism and prognostic value of metabolically healthy obesity. The study of metabolically healthy obesity is helpful to clarify the potential causes of obesity paradox and the potential mechanism of different degrees of obesity harm to the population. From the perspective of evidence-based medicine, combined with the relevant literature at home and abroad, this study reviewed the new understanding of metabolically healthy obesity, lifestyle factors, the impact of fat factors on metabolically healthy obesity, and the new opportunities of metabolically healthy obesity research, in order to explore whether metabolically healthy obesity can maintain and gradually reduce weight for a long time, so as to improve cardiovascular disease In order to achieve the purpose of primary prevention of related diseases.


Asunto(s)
Enfermedades Cardiovasculares , Obesidad Metabólica Benigna , Humanos , Estilo de Vida , Obesidad/prevención & control
16.
Zhonghua Yu Fang Yi Xue Za Zhi ; 55(11): 1346-1350, 2021 Nov 06.
Artículo en Chino | MEDLINE | ID: mdl-34749480

RESUMEN

Adolescence is not only an important stage of growth and development, but also a critical period for the formation of social and psychological cognition. The increasing incidence rate of depression in adolescents has caused serious global burden of disease. Allostatic load is a comprehensive index including multiple physiological system disorders. In the key stage of brain development, allostatic load plays an important role in the occurrence and development of mental diseases. This paper summarized the evaluation methods and prevalence of adolescent allostatic load, reviewed the relationship between allostatic load and adolescent depression, and revealed the possible physiological and neurobiological mechanisms, in order to provide scientific basis for prevention and control of adolescent depression.


Asunto(s)
Alostasis , Trastornos Mentales , Adolescente , Estudios de Casos y Controles , Cognición , Depresión/epidemiología , Humanos , Estrés Psicológico
17.
Zhonghua Liu Xing Bing Xue Za Zhi ; 42(5): 859-865, 2021 May 10.
Artículo en Chino | MEDLINE | ID: mdl-34814479

RESUMEN

Objective: To examine whether sleep status and social jet lag are related to the mental health behaviors in children and adolescents, providing a reference for preventing and improving children and adolescents' mental health behaviors. Methods: A large cross-section was conducted in Baoan District, Shenzhen, from April to May 2019. A total of 30 188 adolescents and children in grades 1-12 in 14 schools were included. The growth trajectory and health index questionnaire of primary and secondary school students were designed to evaluate the sleep status. Mental health behavior problems among students were accessed using the parents' and students' versions of the Strengths and Difficulties Questionnaire. After controlling for confounding factors of demographic variables, including gender, age, parental education level, academic performance, learning burden, and noise impact, a multivariate logistic regression model was used for statistical analyses. Results: The sleep duration of four grades students were 90.4%,90.1%, 98.2%, and 98.4%, respectively. 19.9% did not have a post-lunch nap. 19.6% had a wake-up delay of more than or equal to 2 h weekend morning. 35.1% had an inconsistent bedtime and 15.5% had an inconsistent awakening time. The multivariate logistic regression model showed that compared with 8-9 h, the sleep duration of elementary school juniors at night less than or equal to 7 h, 7-8 h increased the risk of psychological behavior problems. The sleep time more than 9 h was negatively correlated with psychological behavior problems. The sleep duration of elementary school seniors less than or equal to 7 h increased the risk of psychological behavior problems. The sleep duration of middle school and high school students less than or equal to 6 h increased psychological behavior problems. The ORs (95%CI) appeared as 2.53(1.85-3.47), 2.41(1.11-5.25), respectively. The ones with a sleep time more than 9 h also increased the risk, and ORs (95%CI) appeared as 2.37(1.40-4.01), 5.38 (1.79-16.1), respectively. Both the absence of post-lunch nap and the nap time less than 0.5 h were risk factors for psychological behavior problems in primary and middle school students. The nap time over 1-2 h was also a risk factor for high school students' psychological behavior problems. Waking up at irregular times in the morning, going to bed at varying times in the evening, and delaying getting up for more than or equal to 2 h on weekends were all risk factors for psychological and behavioral problems among primary and middle school students. The ORs (95%CI) of psychological behavior problems of elementary school juniors and seniors, middle school and high school students were 2.07 (1.45-2.97), 1.57 (1.09-2.26), 2.66 (2.06-3.44), 2.48 (1.96-3.15), respectively. Conclusions: Sleep duration, no post-lunch sleep, and daily intraindividual variability of sleep is positively associated with poor mental health. Additionally, social jet lag is associated with mental health problems in students. It is noted that delaying sleep within half an hour on the weekends of elementary school juniors is significantly associated with an increase in bad mental behavior.


Asunto(s)
Problema de Conducta , Adolescente , Niño , Humanos , Padres , Instituciones Académicas , Sueño , Estudiantes , Encuestas y Cuestionarios
18.
Zhonghua Liu Xing Bing Xue Za Zhi ; 42(6): 1139-1142, 2021 Jun 10.
Artículo en Chino | MEDLINE | ID: mdl-34814522

RESUMEN

COVID-19 spreads with strong infectivity and triggered a public health crisis, home and abroad. SARS-CoV-2 has high pathogenic homology with SARS-CoV and MERS-CoV, and the three coronaviruses all belong to the Betacoronavirus family. Due to pregnant women's physical and psychological vulnerability, they are the susceptible and high-risk groups during the epidemic. This article will review the reports on adverse effects of maternal and fetal health during the SARS and MERS and COVID-19 epidemics to provide evidence for the clinical management and prevention and control of pregnant cases in SARS-CoV-2 infection.


Asunto(s)
COVID-19 , Coronavirus del Síndrome Respiratorio de Oriente Medio , Complicaciones Infecciosas del Embarazo , Femenino , Humanos , Salud del Lactante , Transmisión Vertical de Enfermedad Infecciosa , Embarazo , Complicaciones Infecciosas del Embarazo/epidemiología , SARS-CoV-2
19.
Zhonghua Yu Fang Yi Xue Za Zhi ; 55(9): 1051-1058, 2021 Sep 06.
Artículo en Chino | MEDLINE | ID: mdl-34619921

RESUMEN

Objective: To develop the Assessment of Spinal Health of Youths (ASHY), and evaluate its reliability and construct validity and further definite the national norm. Methods: According to literature review and expert consultation, the ASHY included 37 items within 4 dimensions, named symptoms of neck-shoulder and low back, the dysfunction of neck-shoulder and low back, daily risk behaviors and health-seeking behaviors. Between December 2015 and March 2016, a total of 15 096 students were purposively selected from Shenyang, Zhengzhou, Shenzhen and Jiangxi province. Item analysis, factor analysis and reliability evaluation methods were used to select items and evaluate the questionnaire. Between November 2017 and January 2018, a total of 14 500 students were purposively selected from Shenzhen, Zhengzhou, Nanchang and Guiyang. These data were used to develop a national norm of ASHY in adolescents. Results: The ASHY consisted of 4 dimensions covering 34 items. Variance cumulative contribution rate was 68.37%. Internal consistency test showed that Cronbach's α coefficient of the questionnaire was 0.91 and Cronbach's α coefficient of each dimension was between 0.76 and 0.93. The split-half coefficient of the questionnaire was 0.78 and ranged from 0.62 to 0.77 for each dimension. Confirmatory factor analysis results showed that the value of RMSEA was 0.067, and the values of NFI, RFI, CFI, GFI, AGFI were all above 0.80, which had a good fitting degree. The 90th percentile was used as the cutoff point about total scores of 92 for junior high school students, 102 for senior high school students and 98 for the overall middle school students. Conclusions: The ASHY is consistent with the evaluation standard of psychometrics. It can be used as a tool to evaluate the spinal health in adolescents.


Asunto(s)
Reproducibilidad de los Resultados , Adolescente , China , Análisis Factorial , Humanos , Psicometría , Encuestas y Cuestionarios
20.
Zhonghua Yu Fang Yi Xue Za Zhi ; 55(2): 177-183, 2021 Feb 06.
Artículo en Chino | MEDLINE | ID: mdl-34645176

RESUMEN

Objective: To investigate the influence and critical period of pregnancy-related anxiety during pregnancy on the neurobehavioral development of infants. Methods: The subjects of this study were derived from the Ma'anshan Birth Corhot. From May 2013 to September 2014, a total of 3 474 pregnant women who registered in Ma 'anshan Maternal and Child Health Care Center were enrolled in the study. A total of 2 242 mother-infant pairs who completed three times assessments of maternal anxiety and at least once assessment of infants' neurobehavioral development were included in the final analysis. Maternal pregnancy-related anxiety was assessed by the Pregnancy-Related Anxiety Questionnaire during the first, second and third trimesters of pregnancy. When their children were at 6 and 18 months, their neurobehavioral development was evaluated using the Ages & Stages Questionnaire-China. The influence of maternal pregnancy-related anxiety on the neurobehavioral development of infants was analyzed by bi-nominal logistic regression. Results: The age of 2 242 pregnant women was (26.62±3.65) years, and the proportion of boys, low birth weight and exclusive breastfeeding for 6 months was 50% (1 120/2 242), 1.7% (38/2 242) and 11.5% (252/2 191), respectively. The detection rates of pregnancy-related anxiety during the first, second and third trimester were 24.9% (558), 28.6% (642) and 30.3% (674), respectively. After controlling confounding variables and other two trimester's anxiety, only pregnancy-related anxiety during the third trimester (not first or second trimester) significantly increased the risk of developmental delay in the domain of communication (relative risk, RR = 3.52, 95% confidence interval, CI: 1.89-6.58) and personal-social (RR=2.46, 95%CI: 1.10-5.49) at the 6 months of age, as well as in the domain of fine motor (RR=2.07, 95%CI: 1.11-3.85), problem-solving domains (RR=2.31, 95%CI: 1.24-4.31). Conclusion: Maternal pregnancy-related anxiety was associated with the risk of neurobehavioral development of infants, and the third trimester may be the critical period.


Asunto(s)
Ansiedad , Desarrollo Infantil , Adulto , Estudios de Cohortes , Femenino , Humanos , Lactante , Masculino , Embarazo , Tercer Trimestre del Embarazo , Trimestres del Embarazo , Adulto Joven
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