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Determinants of nutrition-related ri...

Strand, Mark Allan.

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Determinants of nutrition-related rickets in Chinese children and associated health outcomes.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Determinants of nutrition-related rickets in Chinese children and associated health outcomes./
Author:	Strand, Mark Allan.
Description:	300 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-02, Section: B, page: 0852.
Contained By:	Dissertation Abstracts International66-02B.
Subject:	Health Sciences, Public Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3164753
ISBN:	0496998951

Determinants of nutrition-related rickets in Chinese children and associated health outcomes.
Strand, Mark Allan.

Determinants of nutrition-related rickets in Chinese children and associated health outcomes. - 300 p.

Source: Dissertation Abstracts International, Volume: 66-02, Section: B, page: 0852.

Thesis (Ph.D.)--University of Colorado at Denver, 2004.

Combining the methods of epidemiology and the behavioral sciences, this study was designed to determine the prevalence of rickets in rural Chinese children and to ascertain the determinants of rickets in these children. Additionally, the perceptions of mothers and Chinese health workers of this disease were determined.

ISBN: 0496998951Subjects--Topical Terms:

1017659
Health Sciences, Public Health.

Determinants of nutrition-related rickets in Chinese children and associated health outcomes.
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100 1 $a Strand, Mark Allan. $3 1933160
245 1 0 $a Determinants of nutrition-related rickets in Chinese children and associated health outcomes.
300 $a 300 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-02, Section: B, page: 0852.
500 $a Director: David P. Tracer.
502 $a Thesis (Ph.D.)--University of Colorado at Denver, 2004.
520 $a Combining the methods of epidemiology and the behavioral sciences, this study was designed to determine the prevalence of rickets in rural Chinese children and to ascertain the determinants of rickets in these children. Additionally, the perceptions of mothers and Chinese health workers of this disease were determined.
520 $a Subjects were 250 children age 12--24 months in rural Shanxi Province, China and their mothers. Children were examined physically for the presence of rickets, blood was drawn for laboratory analysis and x-rays were taken of each child's wrists. Mothers were administered a 33-question survey of the nutritional, behavioral and environmental influences on the child.
520 $a Relying on an integrated method of clinical signs, x-ray and alkaline phosphatase levels, the prevalence of rickets was found to be 3.7%. Furthermore, it was demonstrated that only five clinical signs reflect active rickets---wide wrists, frontal bossing, pearling, Harrison's sulcus, and O-shaped legs. These results have important implications for the method of diagnosing rickets in China because using the standard Chinese method of clinical signs alone determined a rickets prevalence of 41.6%.
520 $a Children with rickets were found to have increased rates of diarrhea and upper respiratory tract infection. Vitamin D-deficiency in April was found among 65.3% of children. Low calcium intake was found to be correlated with low 25-OH-D. Iron and protein intake were also negatively associated with rickets. This reflects the multifactorial nature of rickets, and children with rickets suffer from a host of other nutrition deficiencies.
520 $a Maternal knowledge of how to prevent rickets is not associated with preventing rickets in her child and mothers do not consider rickets to be a serious disease. The intensity with which the Chinese practice of zuoyuezi (cloistering of mother-infant pair for >100 days) is practiced contributes to rickets. Intensity of zuoyuezi is unrelated to family SES, maternal education, or the role of po-po, so it is a practice embraced by the young mothers themselves and not related to being uneducated or poor. Children whose fathers spend more time away from home have higher rates of rickets and poorer health.
590 $a School code: 0765.
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Health Sciences, Nutrition. $3 1017801
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710 2 0 $a University of Colorado at Denver. $3 1018567
773 0 $t Dissertation Abstracts International $g 66-02B.
790 1 0 $a Tracer, David P., $e advisor
790 $a 0765
791 $a Ph.D.
792 $a 2004
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3164753