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Relationship between Coarse Cereals Consumption and Body Fat Percentage among Chinese School-aged Children 认领 引用 被引量：1
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作者 Tingting Gao Wei Cao +11 位作者 Titi Yang Peipei Xu Juan Xu Qian Gan Hongliang Wang Hui Pan Yingying Zhao Kai You Qingbin Xing Wenhua Zhao Zhenyu Yang Qian Zhang 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2026年第1期73-81,共9页
Objective The rising prevalence of childhood obesity is closely associated with suboptimal dietary patterns.To address this public health concern,we conducted a comprehensive study to examine the association between c... Objective The rising prevalence of childhood obesity is closely associated with suboptimal dietary patterns.To address this public health concern,we conducted a comprehensive study to examine the association between coarse cereals consumption and body fat percentage(BFP)in Chinese children and adolescents.Methods The study included 48,305 children aged 6–17 years from 28 districts/counties in 14 provinces across seven regions of China(24,152 girls and 24,153 boys).BFP was examined using bioelectrical impedance analysis in the early morning.Coarse cereals consumption was assessed using a Food Frequency Questionnaire and categorized into three groups:0 g/1,000 kcal per day,0–10 g/1,000kcal per day,and>10 g/1,000 kcal per day(daily consumption of coarse cereals×1,000otal energy consumption).Quantile regression model was used to analyze the association between coarse cereals and BFP,adjusting for potential confounders such as age,pubertal development stage,urbanural and regional factors,total daily dietary energy consumption,sedentary time,moderate-to-high physical activity,household income,parental education,and consumption of other foods.Results Boys aged 6–10,11–14,and 15–17 years had median daily coarse cereals consumptions of6.6 g,7.1 g,and 5.7 g,with BFP of 19.6%,19.5%,and 17.5%(all P<0.05).Girls in the same age groups showed consumption of 7.1 g,8.4 g,and 6.7 g,with BFP of 20.3%,26.4%,and 31.0%(all P<0.05).The quantile regression results for boys showed that daily consumption of coarse cereals was significantly correlated with their BFP in the 0.15,0.25,and 0.50 quartiles,with regression coefficients of-0.257,-0.221,and-0.330,respectively,after adjusting for potential confounders(P<0.05).For girls,there was a significant correlation with PBF at the 0.05,0.15,0.25,0.50,0.75,and 0.85 quartiles,with regression coefficients of-0.258,-0.366,-0.372,-0.431,-0.472,and-0.503(P<0.05 for all).Conclusions Coarse cereals consumption among Chinese children and adolescents remains relatively low.Higher consumption was inversely associated with BFP in children aged 6–17 years.Future interventional studies should assess how increased coarse cereals consumption prevents childhood obesity. 展开更多
关键词 Children Coarse cereals Body fat percentage
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Variability in moderate-to-vigorous physical activity assessment:Comparing tri-axial accelerometry cut-off points in children 认领 引用
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作者 Aristides.M.Machado-Rodrigues Daniela Rodrigues +5 位作者 Thales.P.R.da Silva Larissa Mendes Pedro Silva Helena Nogueira Augusta Gama Cristina Padez 《Sports Medicine and Health Science》 CAS CSCD 2026年第4期440-448,共9页
The present study aimed to investigate the effect of the most frequently used cut-points(CoPs)on quantification of active children,as well as to analyse children physical activity(PA)quantification using vertical axis... The present study aimed to investigate the effect of the most frequently used cut-points(CoPs)on quantification of active children,as well as to analyse children physical activity(PA)quantification using vertical axis and vector magnitude(VM).The sample comprised 303 children(160 girls)aged 6 years–10 years.Height,weight and BMI were assessed to control for confounding variables related to PA levels.The tri-axial accelerometer was used for seven consecutive days of moderate-to-vigorous physical activity(MVPA)and sedentary behaviour(SB);especific pediatric cutpoints for children(Evenson;Freedson;Puyau;Pulsford;and Mattocks)were used.A general linear model was used;the agreements of all CoPs were analyzed by Kappa index.Freedson CoPs presented the highest percentage of active children(100%)for males and females during the weekdays,weekend,and for total assessed days.The Mattocks CoPs revealed the lowest proportion of active children for the weekdays(2.97%),weekend days(3.30%),and for the seven assessed days(1.65%).The interpretation of accelerometer results must be critiqued in respect to whether children are meeting publicly adopted PA guidelines.The growing variety of analytical approaches and CoPs employed to analyse and evaluate accelerometer data in children makes it difficult to compare findings across different studies. 展开更多
关键词 Accelerometer Public health Physical activity Children Guidelines Cut-points
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A Cross-lagged Panel Analysis of Sleep and Behavioral Problems in Children and Adolescents with Overweight and Obesity 认领 引用
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作者 Dongmei Wang Wanling Zhang +5 位作者 Hui Xu Na Hu Xiao Leng Aihua Wang Di Wu Ying Li 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2026年第6期736-741,共6页
The global incidence of pediatric obesity has increased rapidly over the past few decades.Scientific evidence has repeatedly shown that behavioral and emotional challenges are frequently observed in children with over... The global incidence of pediatric obesity has increased rapidly over the past few decades.Scientific evidence has repeatedly shown that behavioral and emotional challenges are frequently observed in children with overweight or obesity[1-2],as evidenced by a landmark case-control design study revealing that obese children have 7.15 times higher odds of developing mental health disorders in adolescence than their normal-weight peers[1]. 展开更多
关键词 adolescents obesity sleep mental health disorders children behavioral emotional challenges behavioral problems overweight
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Levels and Disparities of 24-hour Movement Behaviors of Chinese Children Aged 3-5 Years:A Nationally Representative Cross-sectional Study(2019-2021) 认领 引用
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作者 Yifan Duan Ji Zhang +7 位作者 Linxiao Guo Xuehong Pang Qian Zhang Yuying Wang Tao Xu Bowen Chen Zhenyu Yang Wenhua Zhao 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2026年第3期285-296,共12页
Objective This study aimed to describe 24-hour movement behaviors,including physical activity,sedentary behavior,and sleep period,among Chinese preschoolers using nationally representative data,and examine disparities... Objective This study aimed to describe 24-hour movement behaviors,including physical activity,sedentary behavior,and sleep period,among Chinese preschoolers using nationally representative data,and examine disparities by age,gender,and residence.Methods A cross-sectional analysis was conducted using data from the China National Nutrition and Health Systematic Survey for Children(2019–2021),including 10,935 children aged 3–5 years.Daily total time of physical activity(TPA),total time of sedentary behaviors(TSB),and total sleep period(TSP)was collected via validated structured questionnaires.Physical inactivity was defined as<180 minutes of TPA per day.Results Median TPA was 121.4(IQR:71.4−209.6)minutes/day,and TSB was 231.4(IQR:175.0−304.3)minutes/day,with 11.46±1.00 hours/day average TSP.Overall,68.8%were physically inactive,with higher prevalence in rural(73.3%)versus urban areas(64.8%,P<0.001).TPA and TSB increased with age,while TSP decreased(all P<0.001).No significant gender differences were observed.Conclusion Most Chinese preschoolers exhibit insufficient physical activity and excessive sedentary behaviors,with notable urban–rural disparities and an escalating trend of ageing.Continuous monitoring and targeted interventions,especially in rural areas,are urgently needed. 展开更多
关键词 Physical activity Sedentary behavior Sleep duration Preschool children Urban-rural disparity Physical inactivity
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Assessing urban park services for children’s wellbeing using user-generated content(UGC):A case study of Shanghai,China 认领 引用
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作者 Peipei Tang Zhang Qu +1 位作者 Chenhao Duan Zhixin Xu 《Frontiers of Architectural Research》 EI CSCD 2026年第3期874-892,共19页
Urban parks play a crucial role in children’s development.With UGC demonstrating their value in capturing granular user experiences,they have become an increasingly impor-tant data source in park research.However,the... Urban parks play a crucial role in children’s development.With UGC demonstrating their value in capturing granular user experiences,they have become an increasingly impor-tant data source in park research.However,their application remains preliminary and chal-lenging when studying children.This study investigates urban park services related to children’s wellbeing through user-generated content from 46 parks in Shanghai.It developed a structured lexicon by integrating 11 established audit tools with UGC,quantifying public perception of services across 9 dimensions(including 44 indicators)of children’s well-being.Through BERT sentiment analysis,regression modeling,and machine learning,this study as-sessed service performance,identified key services influencing perceptions of children’s well-being,and captured their non-linear and interaction patterns.Findings indicate that Education services show substantial variation across parks;Safety,Nature,Comfort,and Play services significantly influence perceptions,with Play dominating in parks with sufficient facilities.Interaction effects between Play-Nature and Play-Safety combinations highlight the impor-tance of integrated design.Additionally,the analysis revealed a conflict between safety man-agement practices and user expectations in Shanghai parks,suggesting a shift from restrictive to supportive safety practices.These findings provide practical insights for park optimization and demonstrate the potential of UGC in child-friendly environment research. 展开更多
关键词 Children’s wellbeing Urban parks User-generated content Public perception Shanghai
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Investigating the Mental Health of Left-Behind Children in China’s Rural Areas:A Systematic Review Approach 认领 引用
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作者 Jian Li Yide Chen +1 位作者 Xinyi Zhao Eryong Xue 《International Journal of Mental Health Promotion》 2026年第3期1-25,共25页
Background:The mobility of people in rural areas may lead to more and more left-behind children(LBC)appearing,and being an LBC brings a lot of risks to mental health,which could greatly hinder children’s development ... Background:The mobility of people in rural areas may lead to more and more left-behind children(LBC)appearing,and being an LBC brings a lot of risks to mental health,which could greatly hinder children’s development and undermine their happiness and safety in life.Previous scholars have conducted plenty of studies that focused on Chinese rural LBCs’mental health issues,such as what they exactly look like and some potential factors,but there remains a paucity of reviews about the relationship among certain mental health issues.We will try to figure out how the most common mental health issues of LBC in China’s rural areas correlate with each other,as well as their related factors.Methods:In this study,we used a systematic review approach to analyze 35 publications from Web of Science and EBSCO(to August 2025),followed by the sorting standards of Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)2020.Results:By mainly using quantitative techniques,we found that Chinese rural LBC are more likely to have mental health issues than children who have no experience of being left behind,and they often suffer from depression,social anxiety,internet addiction,and suicidal ideation.These four mental health issues share influencing factors and positively correlate with each other.We also found that Chinese rural LBCs are somewhat resilient towards the risk factors of mental health issues,and national or social policies and interventions can really help them a lot.Conclusion:For Chinese rural LBC,there are important relationships among the common psychological disorders they often suffer,along with multiple factors that affect their mental health,which can help related scholars and practitioners pay attention to such mechanisms and think more comprehensively when they try to help the children who are left behind. 展开更多
关键词 Left-behind children rural area China mental health systematic review
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Parental involvement and social skills of school-aged children with intellectual disabilities:The role of parenting stress and social support 认领 引用
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作者 Yuting Han Nana Jiang Yuan Yuan 《Journal of Psychology in Africa》 2026年第1期79-87,共9页
This study investigated the effects of parental involvement,parenting stress,and social support on the social skills of school-aged children(6-18 years old)with intellectual disabilities(ID).Data were collected from 2... This study investigated the effects of parental involvement,parenting stress,and social support on the social skills of school-aged children(6-18 years old)with intellectual disabilities(ID).Data were collected from 280 Chinese parents(mothers=70.0%,fathers=30.0%)of children with ID through purposive sampling and analyzed using partial least squares structural equation modeling(PLS-SEM).The results indicated that parental involvement not only directly enhanced children’s social skills but also indirectly improved them by alleviating parenting stress,which acted as a partial mediator.Contrary to the stress-buffering hypothesis,social support did not moderate the negative impact of parenting stress on social skills.Theoretically,this study contributes by validating ecological systems theory through a shift in focus from individual deficits to family systems,while also challenging the conventional view of stress-buffering theory.Accordingly,parent-support programs should integrate practical involvement training with systematic stress reduction and provide tailored assistance such as behavior-management training and respite care. 展开更多
关键词 Children with intellectual disabilities social skills parental involvement parenting stress social support
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Health-related physical fitness in children and adolescents and the United Nations Sustainable Development Goals:Signals of convergence 认领 引用
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作者 Diego Augusto Santos Silva Mark S.Tremblay 《Journal of Sport and Health Science》 SCIE CAS CSCD 2026年第3期6-12,共7页
1.Background The United Nations(UN)2030 Agenda for Sustainable Development,adopted in 2015,established the Sustainable Development Goals(SDGs)as a comprehensive framework to address global challenges through interconn... 1.Background The United Nations(UN)2030 Agenda for Sustainable Development,adopted in 2015,established the Sustainable Development Goals(SDGs)as a comprehensive framework to address global challenges through interconnected social,economic,and environmental targets. 展开更多
关键词 sustainable development goals sdgs sustainable developmentadopted agenda children adolescents address global challenges united nations sustainable development goals
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Physical Activity or Organized Sport, Which Is Better for Depression? A Perspective on Attributable Healthcare Costs in Chinese Children and Adolescents 认领 引用
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作者 Xiaojiao Sun Shuge Zhang 《International Journal of Mental Health Promotion》 2026年第3期118-130,共13页
Background:Depression is a growing public health concern among Chinese children and adolescents,with substantial healthcare costs.Physical activity(PA)and organized sport are modifiable behaviours protective against d... Background:Depression is a growing public health concern among Chinese children and adolescents,with substantial healthcare costs.Physical activity(PA)and organized sport are modifiable behaviours protective against depression.This study,therefore,estimated the healthcare costs of depression attributable to insufficient PA and organized sport participation.Methods:A cost-of-illness approach with population attributable fraction(PAF)was applied.Relative risks were derived from longitudinal evidence,prevalence estimates from national Chinese surveys,and depression case numbers from the Global Burden of Disease 2021.Direct healthcare costs were extrapolated from European Union estimates,adjusted to 2024 US dollars(USD),and Chinese expenditure.Sex-stratified analyses were conducted.Results:Estimated depression-related healthcare costs attributable to insufficient PA were approximately 81 million USD,compared with around 84 million USD attributable to insufficient organized sport participation.At the population level,the economic burden attributable to insufficient PA and organized sport was of a similar order of magnitude.Among boys,costs attributable to insufficient organized sport participation(approximately 57 million USD)exceeded those attributable to insufficient PA(around 39 million USD),whereas among girls,costs attributable to insufficient PA(approximately 42 million USD)were higher than those related to organized sport(around 27 million USD).These sex-specific patterns were consistent across sensitivity analyses examining uncertainty in key model parameters.Conclusions:Both insufficient PA and organized sport contribute substantially to depression-related healthcare costs,with sex-specific differences.Policies should prioritise promoting overall PA in girls and organized sport in boys to reduce depression burden and associated expenditures.The magnitude of these attributable costs indicates an economically meaningful burden that is potentially modifiable through behavioural interventions. 展开更多
关键词 Physical activity organized sport depression healthcare costs children and adolescents China sex differences
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Maternal depression during pregnancy and children's physical development 认领 引用 被引量：1
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作者 Di Pi Shuifang Lei +20 位作者 Wenjing Chang Cong Liu Yangqian Jiang Yuanyan Dou Jinghan Wang Chang Wang Haowen Zhang Xin Xu Hong Lyu Bo Xu Xiumei Han Xiaoyu Liu Kun Zhou Tao Jiang Jiangbo Du Guangfu Jin Hongxia Ma Hongbing Shen Zhibin Hu Kan Ye Yuan Lin 《Journal of Biomedical Research》 CAS CSCD 2026年第1期1-10,共10页
Prenatal maternal psychological distress,particularly depression,has been increasingly recognized as a factor that influences fetal growth;however,its impact on early childhood development remains less well understood... Prenatal maternal psychological distress,particularly depression,has been increasingly recognized as a factor that influences fetal growth;however,its impact on early childhood development remains less well understood.The present study investigated the association between prenatal depression and children's growth trajectories,as well as the odds of overweight and obesity from 1 to 36 months,while also accounting for maternal anxiety and stress.We analyzed data from 4710 mother-child dyads in the Jiangsu Birth Cohort,assessing maternal psychological distress across trimesters and categorizing participants into groups with mild,moderate,and severe depressive symptomatology.Children's weight-for-length z-scores(WLZ)were used to assess overweight/obesity prevalence,and growth patterns were identified through trajectory models.The results from the generalized estimating equations analysis showed that greater depressive symptomatology during pregnancy was associated with a 28%to 41%increase in the odds of childhood overweight/obesity across all three trimesters,compared with mild depressive symptomatology.We identified five distinct WLZ growth trajectory patterns,and found that mothers with greater depressive symptomatology were 39%–47%more likely to have children who followed a very-high-stable growth trajectory,compared with mothers with mild depressive symptomatology.These findings highlight the significant impact of prenatal depression on adverse growth patterns and childhood overweight/obesity,underscoring the need for early intervention. 展开更多
关键词 prenatal distress children overweight and obesity cohort study
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A novel full-thickness skin graft technique for the surgical management of congenital buried penis in children 认领 引用
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作者 Hang Wu Yue Yang +2 位作者 Jing-Jing Li Jin-Long Yang Xiao-Liang Fang 《Asian Journal of Andrology》 SCIE CAS CSCD 2026年第2期213-218,共6页
Buried penis in children presents significant surgical challenges,particularly in severe cases involving skin deficiency and fascial abnormalities.Traditional fixation(TF)-based techniques often yield suboptimal cosme... Buried penis in children presents significant surgical challenges,particularly in severe cases involving skin deficiency and fascial abnormalities.Traditional fixation(TF)-based techniques often yield suboptimal cosmetic and functional outcomes.This study evaluated a novel full-thickness skin graft(FTSG)technique using inner preputial skin for congenital buried penis.A retrospective analysis was conducted on boys aged 4–7 years who underwent surgical management between January 2020 and December 2024 at the Department of Urology,Children’s Hospital of Fudan University,National Children’s Medical Center(Shanghai,China).Patients were divided into FTSG(n=132)and TF(n=141)groups.The FTSG technique achieved greater penile length at 6 months(mean±standard deviation[s.d.]:3.52±0.51 cm vs 3.21±0.59 cm,P<0.001)and 12 months(mean±s.d.:3.88±0.61 cm vs 3.39±0.69 cm,P<0.001)postoperatively,with lower rates of skin contracture(0.8%vs 6.4%,P=0.020)and retraction(1.5%vs 7.8%,P=0.015),compared to TF group.Operative time in FTSG group was slightly longer than that in TF group(mean±s.d.:70.92±9.10 min vs 65.70±8.66 min,P<0.001)without additional burden.Parental satisfaction for penile size and morphology was higher(P<0.001 for both)in FTSG group than TF group,while voiding satisfaction was comparable(P=0.239).These findings suggest that an FTSG using inner preputial tissue is a safe and effective alternative to TF techniques for children with severe congenital buried penis,providing improved penile exposure,enhanced cosmetic outcomes,and a reduced risk of recurrence.Longer-term studies are warranted to evaluate graft adaptation during penile growth and puberty. 展开更多
关键词 buried penis children full-thickness skin graft penile morphology reconstructive surgery surgical outcome
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Characterizing Age Effects on Wideband Absorbance in Normal-Hearing Children Via-Statistical and Machine Learning Analyses 认领 引用
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作者 Jie Qiu Chanfeng Shen +5 位作者 Yan Wang Xiaohui Lai Yi Mu Fei Zhao Wen Liu Wen Jiang 《Journal of Otology》 CSCD 2026年第3期183-190,共8页
Objective:To characterize age-related changes in wideband absorbance(WBA)among normal-hearing children aged 0-6 years through combined statistical and machine learning analyses,and to establish developmental reference... Objective:To characterize age-related changes in wideband absorbance(WBA)among normal-hearing children aged 0-6 years through combined statistical and machine learning analyses,and to establish developmental reference patterns supporting pediatric middle-ear diagnostics.Methods:A cross-sectional study was conducted on 579 children(1158 ears)categorized into five age groups.All participants passed age-appropriate hearing screenings.WBA was measured under both ambient pressure(AP)and tympanometric peak pressure(TPP)conditions across 16 frequencies(226-8000 Hz).Repeated-measures analysis of variance examined the effects of age,ear side,and gender,while Random Forest classifiers and principal component analysis(PCA)explored the discriminative structure and feature importance of WBA data.Results:Neither gender nor ear side had a sig-nificantly effect on WBA patterns(p>0.05).In constrast,Age significantly influenced WBA patterns(p<0.001).Younger infants(<6 months)exhibited dual-peaked“M-shaped”curves,whereas older children(3-6 years)showed single-peaked,inverted“U-shaped”profiles centered near 1600 Hz,reflecting progressive middle-ear maturation.The Random Forest model achieved a mean accuracy of 0.73(balanced accuracy=0.58),with the top-ranked predictors(AP_1000,and AP_793)emphasizing low-to-mid frequency absorbance and pressure-compensation effects as key age indicators.PCA with k-means clustering further revealed partially distinct groupings aligned with chronological age,supporting the developmental encoding of WBA responses.Conclusion:WBA demonstrates distinct,age-dependent acoustic characteristics that correspond to physiological maturation of the middle ear.These findings provide a quantitative reference for pediatric wideband acoustic immittance and highlight the potential of machine learning in delineating developmental auditory patterns. 展开更多
关键词 Wideband absorbance Children Middle-ear maturation Machine learning Normative data
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3D choroidal vascularity index in hyperopic amblyopic eyes of preschool children:a case-control study using SS-OCTA 认领 引用
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作者 Yao-Ling Li Ning Hua +3 位作者 Xiao-Yu Zeng An-Qi Wang Hui-Yu Wang Xue-Han Qian 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2026年第4期757-763,共7页
AIM:To evaluate the three-dimensional choroidal vascularity index(3D-CVI)in amblyopic eyes of preschool children compared with age-matched healthy controls using swept-source optical coherence tomography angiography(S... AIM:To evaluate the three-dimensional choroidal vascularity index(3D-CVI)in amblyopic eyes of preschool children compared with age-matched healthy controls using swept-source optical coherence tomography angiography(SS-OCTA).METHODS:A cross-sectional case-control study was conducted.Children aged between 4y and less than 7y diagnosed with hyperopic amblyopia were consecutively recruited between January 1,2021 and May 30,2024.Age-matched controls were selected from healthy children without ocular or systemic diseases.All participants underwent SS-OCTA scanning,and choroidal parameters-including 3D-CVI,choroidal vessel volume(CVV),and choroidal thickness(CT)-were analyzed in both foveal and parafoveal regions.Comparative and correlational analyses were conducted to examine differences between groups and to explore the relationship between best-corrected visual acuity(BCVA)and 3D-CVI.RESULTS:A total of 80 eyes(40 amblyopic and 40 agematched controls)were included.3D-CVI was significantly lower in the amblyopic group compared to controls in both the foveal[0.318(0.2885-0.3525)vs 0.381(0.3460-0.4212),P0.05).Furthermore,multivariate regression analysis showed that BCVA was positively associated with foveal 3D-CVI(P=0.024),whereas no such association was found in the parafoveal region.CONCLUSION:Hyperopic amblyopic eyes in preschool children show significantly lower foveal and parafoveal 3D-CVI compared to normal controls,suggesting a potential reduction in 3D-CVI during early refractive development.Lower foveal 3D-CVI is also associated with poorer BCVA,suggesting that 3D-CVI may serve as a valuable parameter for monitoring structural changes in hyperopic amblyopia. 展开更多
关键词 choroidal vascularity index amblyopia optical coherence tomography angiography choroid children
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Epidemiological investigative report on ocular morbidity in children in rural Kenya 认领 引用
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作者 Marlene E.Long Lily A.Nyamai +3 位作者 Marina Marinkovic Nanda Horeweg Brian W.Fleck Martine J.Jager 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2026年第1期115-122,共8页
AIM:To ascertain the pattern of ocular morbidity in a population of primary school children in rural Kenya as it is a prerequisite for planning effective preventive and therapeutic strategies.METHODS:A cross-sectional... AIM:To ascertain the pattern of ocular morbidity in a population of primary school children in rural Kenya as it is a prerequisite for planning effective preventive and therapeutic strategies.METHODS:A cross-sectional survey of ocular symptoms and clinical eye examinations were performed in a sample of 35 rural primary schools in the semi-arid region of Kajiado West sub-county in S.W.Kenya,amongst a seminomadic tribe(Maasai).Students in Grades 1-8 were included.Visual acuity was measured using the Snellen“tumbling E”chart at 6 m.Children with symptoms of refractive error underwent non-cycloplegic refraction.RESULTS:A total of 2036 children(1084 males)between the ages of 4-20y were examined.Conjunctival actinic changes were present in 22%(442/2036).Nine cases were seen with a potential squamous carcinoma.No overt classical ocular signs of vitamin A deficiency were noted,although 181(8.9%)children complained of nyctalopia.Three hundred thirty-six(16.5%)children had a visual acuity worse than 6/12 in either eye,were unable to read N10 near text at 40 cm or had symptoms suggestive of refractive error.Refractive data led to an estimate of hyperopia of+1.00 D or more in 3.9%and of myopia of-0.50 D or more in either eye in 3.0%of the study population.CONCLUSION:Solar exposure-and dust-related conjunctival pathology is common.As this may develop into potentially sight-or even life-threatening conditions,it warrants further study,and preventive strategies may be needed.Complaints of nyctalopia were common and could suggest vitamin A deficiency.The prevalence of refractive errors is low in this rural African population. 展开更多
关键词 ocular morbidity epidemiological investigation actinic conjunctival changes refractive error rural Kenyan children
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Incidence and determinants of acute stress disorder after supracondylar humeral fracture surgery in school-age children 认领 引用
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作者 Guang-Jian Yan Tao Cheng +2 位作者 Chun-Xiao Liu Ji-Xin Shan Yi Cen 《World Journal of Psychiatry》 SCIE 2026年第6期262-274,共13页
BACKGROUND Supracondylar humeral fracture surgery represents a potential medical traumatic stressor in school-age children,yet data on the incidence of postoperative acute stress disorder(ASD)and its determinants in t... BACKGROUND Supracondylar humeral fracture surgery represents a potential medical traumatic stressor in school-age children,yet data on the incidence of postoperative acute stress disorder(ASD)and its determinants in this population remain limited.AIM To determine the incidence of ASD after supracondylar humeral fracture surgery in school-age children and to identify independent risk and protective factors to support early risk stratification and targeted psychological interventions.METHODS A retrospective study design was employed,including 284 school-age children(aged 6-12 years)who underwent supracondylar humeral fracture surgery in the orthopedic department of our hospital from June 2023 to March 2025.Demographic characteristics,disease-related factors,and psychosocial factors were collected through a self-designed general information questionnaire.The Child ASD Scale was used to assess ASD symptoms.The Screen for Child Anxiety Related Emotional Disorders and Children’s Depression Inventory were employed to evaluate comorbid conditions.Multivariate logistic regression analysis was performed to identify independent risk factors and establish a predictive model.RESULTS Among 284 children,23.6%developed ASD.The ASD group showed highest scores in intrusive symptoms and negative alterations in cognitions and mood dimensions.The detection rate of anxiety disorder was 55.2%,and depression symptoms was 46.3%,both significantly higher than the non-ASD group(P<0.001).Multivariate logistic regression analysis revealed that Gartland type III fracture,severe pain intensity,postoperative complications,and previous trauma history were independent risk factors,while good family support was a protective factor.The predictive model showed good discrimination with an area under the curve of 0.823.CONCLUSION School-age children have a high incidence of ASD following supracondylar humeral fracture surgery,often accompanied by anxiety and depression symptoms.Fracture severity,pain intensity,postoperative complications,and previous trauma history are major risk factors,while good family support serves as a protective factor.Clinical practice should focus on high-risk patients,strengthen pain management,prevent complications,and provide family support interventions. 展开更多
关键词 Supracondylar humeral fracture Acute stress disorder School-age children Risk factors Psychological trauma
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Epstein-Barr virus infection in children with liver transplantation 认领 引用
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作者 Norrapat Onpoaree Nattinee Leelakanok +1 位作者 Anapat Sanpavat Palittiya Sintusek 《World Journal of Hepatology》 2026年第2期63-78,共16页
Epstein-Barr virus(EBV)infection commonly occurs in children,particularly in developing countries.Most children infected with EBV are asymptomatic,though some develop significant complications,including EBV-associated... Epstein-Barr virus(EBV)infection commonly occurs in children,particularly in developing countries.Most children infected with EBV are asymptomatic,though some develop significant complications,including EBV-associated malignancies,hemophagocytic lymphohistiocytosis,and multiple sclerosis.In immunocompromised children,including those with liver transplantation,EBV infection manifests with a diverse spectrum of presentations,varying from asymptomatic to post-transplant lymphoproliferative disorder,which can evolve into lymphoma.Therefore,close monitoring,early detection,and prompt management are crucial.This review aimed to investigate the pathogenesis and manifestations of EBV in healthy children and those who underwent liver transplantation.The proposed algorithm for early EBV detection and management,along with case studies,is provided to help pediatricians increase their index of suspicion. 展开更多
关键词 Epstein-Barr virus Liver transplantation Infection Children Post-transplant lymphoproliferative disorder Lymphoma Pediatric Immunosuppressive drug Immunocompromised Rituximab
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Interpersonal Disturbance and Psychological Security among China’s Left-Behind Children:The Serial Mediation Effect of Resilience and Self-Esteem 认领 引用
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作者 Yazhou Huang Xing Yi +1 位作者 Xiaoyun Huang Ruoya Li 《International Journal of Mental Health Promotion》 2026年第7期224-237,共14页
Backgrounds:Left-behind children are particularly vulnerable to emotional and social maladjustment due to prolonged parental absence,yet the psychological mechanisms linking interpersonal disturbance to their psycholo... Backgrounds:Left-behind children are particularly vulnerable to emotional and social maladjustment due to prolonged parental absence,yet the psychological mechanisms linking interpersonal disturbance to their psychological security remain insufficiently understood.Guided by the Conservation of Resources Theory,this research aims to explore how interpersonal disturbance influcence psychological security among left-behind children,specifically through the serial mediation effect of resilience and self-esteem.Methods:Survey questionnaires were distributed via convenience sampling to left-behind children whose age ranging from 10 to 13 years old in Guangxi,China,finally,696 valid responses(Mean age=11.40,Standard Deviation(SD)=0.98)were retained for analysis to test the hypothesized mediation model.Results:Interpersonal disturbance showed a significant negative association with psychological security among left-behind children(β=−0.493,95%Confidence Interval(CI)[−0.548,−0.438],p<0.001).Resilience and self-esteem functioned as key links within the connection between these two variables(β=−0.101,95%CI[−0.134,−0.068];β=−0.058,95%CI[−0.080,−0.036],both p<0.001,respectively).This relationship was also characterized by the serial mediation effect of resilience and self-esteem(β=−0.052,95%CI[−0.069,−0.035],p<0.001).Conclusions:Interpersonal disturbance is not only directly associated with lower psychological security among left-behind children but also relates to it through its connection with diminished resilience and self-esteem.This research highlights the complex interface of factors surrounding the psychological security of left-behind children in school environment,indicating that educational support might be most effective when focusing on interpersonal environments and the stability of children’s internal resources. 展开更多
关键词 Interpersonal disturbance resilience self-esteem psychological security left-behind children
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Treatment of chronic hepatitis B infection in infants and young children:A systematic review 认领 引用
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作者 Simona Carrera Chiara Rubino +1 位作者 Elisa Bartolini Giuseppe Indolfi 《World Journal of Hepatology》 2026年第4期200-209,共10页
BACKGROUND Chronic hepatitis B(CHB)is a significant public health problem.Most of the global burden of CHB is due to mother-to-child transmission,since perinatal infections lead to a high rate of chronicity.Spontaneou... BACKGROUND Chronic hepatitis B(CHB)is a significant public health problem.Most of the global burden of CHB is due to mother-to-child transmission,since perinatal infections lead to a high rate of chronicity.Spontaneous seroclearance of hepatitis B surface antigen(HBsAg)in CHB happens at a rate of 1%per year.Treatment options for CHB in children are available starting at 1 year of age.Current paediatric guidelines recommend treating children with hepatitis B envelope antigen(HBeAg)positive hepatitis with elevated serum transaminases levels for at least 6 months.Treatment is not indicated for children with HBeAg positive infection and normal transaminases.In 2024,the World Health Organization unified criteria for initiating antiviral treatment in children older than 12 years and in adults.Recent,preliminary evidence showed that antiviral therapy in infants and children younger than 2 years to 3 years of age with CHB infection led to higher rates of HBsAg loss than in adults and older children.AIM To evaluate the available evidence about treatment of CHB in young children and discuss the potential impact of early treatment.METHODS We searched the literature to identify studies reporting cases of HBsAg loss in children treated with antiviral drugs.We included only studies in which treatment-naïve patients started treatment before 2 years of age.RESULTS We identified 6 studies reporting results of CHB treatment,particularly HBsAg loss rates,hepatitis B virus DNA undetectability,and HBeAg loss.CONCLUSION Studies conducted on young children showed a higher HBsAg loss rate compared to those reached in older children and adults,offering new perspectives on the treatment of CHB.Further studies are needed to assess the effect of early treatment in larger populations and over a longer follow-up period. 展开更多
关键词 Chronic hepatitis B virus infection Children Functional cure Hepatitis B surface antigen loss Antiviral treatment
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Determinants of Stunting,Wasting,and Underweight Among Children Under 5 Years in India:Evidence From 2019 to 2021 Demographic Health Survey 认领 引用
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作者 Rohel Sk Nasrin Banu 《Health Care Science》 CSCD 2026年第3期207-222,共16页
Background:Early childhood malnutrition is a serious public health issue in India,contributing to stunting,wasting,and underweight among children under 5 years.The study aims to explore the factors influencing these c... Background:Early childhood malnutrition is a serious public health issue in India,contributing to stunting,wasting,and underweight among children under 5 years.The study aims to explore the factors influencing these conditions and highlight the region most affected.Methods:This study uses secondary data collected from National Family Health Survey 2019–21.Multivariate logistic regression has been run to identify the risk factors associated with malnutrition conditions among children under age five including stunting,wasting,and underweight based on Composite Index of Anthropometric Failure(CIAF)measures.To explore the hot spot zone for stunting,wasting and underweight,cluster analysis has been done applying univariate local Moran's I.Results:The study explores a significant proportion of children in India suffering from malnutrition,particularly stunting is more prevalent than of underweight and wasting.Out of 25 indicators,age,sex,birth size of child and the mother's body mass index and current employment status have been identified as key predictors of malnutrition status.The children aged 25 to 36 months are more likely to be stunted,wasted and underweight than the other age groups which is consistent with CIAF with adjusted odds ratio(AOR)of 3.92(95%confidence interval[CI]:1.92–7.99,p<0.01).A sex-based analysis shows females are less likely to be malnourished than male child which is also evident in CIAF(AOR:0.66;95%CI:0.55–0.80,p<0.01).The children having normal or larger sized at birth are less likely to suffer from stunting,wasting and underweight and even in CIAF than the small size children at birth.The children of underweight mother are more likely to be malnourished than the children of mother having normal body mass index which is also reported in CIAF(AOR:1.34;95%CI:1.05–1.72,p=0.02).Additionally,economic status and geographical region significantly impact malnutrition with children with wealthier households faring better which is consistent in CIAF(AOR:0.63;95%CI:0.45–0.88 for richest).Univariate local indicators of spatial association cluster analysis reveals that the western,eastern,and central zones are particularly vulnerable to child malnutrition.Conclusion:Combating prevailing malnutrition in India requires collective responsibility and collaboration among policy-makers,geographers,healthcare professionals,and communities. 展开更多
关键词 children under five determinant malnutrition stunting underweight wasting
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Food protein-induced enterocolitis syndrome in children:An updated review on pathogenesis,diagnosis,and management 认领 引用
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作者 Khadija Alshehhi Rana Bitar +3 位作者 Rahaf Abughosh Gawahir Abdelrahman Abdalqader Abujouda Ahmed Elghoudi 《World Journal of Clinical Pediatrics》 2026年第2期88-95,共8页
Food protein-induced enterocolitis syndrome(FPIES)is a severe non-IgE-mediated food allergy with unclear prevalence and pathophysiology.FPIES typically presents in the first year of life but can present later in adult... Food protein-induced enterocolitis syndrome(FPIES)is a severe non-IgE-mediated food allergy with unclear prevalence and pathophysiology.FPIES typically presents in the first year of life but can present later in adulthood in an acute or chronic manner.Acute FPIES manifests 1-4 hours after ingestion of foods such as rice,oats,and cow's milk,causing repetitive vomiting,diarrhea,lethargy,dehydration,and hypovolemic shock.Interestingly,affected infants are generally mistakenly diagnosed with sepsis or viral gastroenteritis.Chronic FPIES presents with episodic vomiting,watery diarrhea,and poor growth,potentially leading to dehydration and hypovolemic shock over days to weeks in infants under 3 months who are receiving cow's milk or soy formula.Unlike classic food allergies,FPIES does not present with rash,urticaria,or respiratory symptoms,and specific blood IgE and skin prick tests are negative for the culprit food.While most cases resolve by the age of 3–5 years,some may persist into adulthood,particularly in individuals allergic to cow's milk and soy.Aside from avoiding offending foods,no specific treatment exists.The first international consensus guideline for diagnosing and managing FPIES was established in 2017,marking a vital advancement in the field.However,further research is needed to better understand the pathogenesis,diagnosis,and treatment options for the disease. 展开更多
关键词 Food allergy Allergy Children Enterocolitis Protein-induced enterocolitis
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