四川省多民族农村地区儿童膳食多样性与生长发育的相关性
Association of Dietary Diversity with Growth and Development of Children in Multi-ethnic Rural Areas of Sichuan Province
查看参考文献30篇
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文摘
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目的了解四川省多民族农村地区儿童膳食多样性及生长发育现状,探究膳食多样性与生长发育指标的关系。方法采用多阶段随机整群抽样方法,选取四川省汉族、藏族和彝族农村地区18~36月龄儿童及其主要看护人为研究对象。采用自行设计的问卷收集儿童及其看护人的社会人口学特征和家庭基本情况。按照联合国粮食及农业组织《衡量家庭和个人膳食多样性的准则》计算儿童膳食多样性得分(DDS)。采用标准的人体学测量设备测量儿童的身高(长)和体重,依据世界卫生组织标准计算儿童的年龄别身高Z评分(HAZ)、年龄别体重Z评分(WAZ)、身高别体重Z评分(WHZ)。运用多元线性回归分析儿童膳食多样性与生长发育指标的关系。结果共纳入1092名儿童,DDS为(4.8±1.7)分,低膳食多样性(DDS≤4)的儿童所占比例为45.3%。汉族儿童的DDS[(5.8±1.4)分]均高于藏族儿童[(4.9±1.6)分]和彝族儿童[(3.9±1.6)分](P均<0.001)。儿童生长迟缓(HAZ<-2)率、低体重(WAZ<-2)率以及消瘦(WHZ<-2)率分别为21.1%、4.9%、2.5%。多元线性回归结果显示,在调整了儿童性别、月龄、出生体重、是否早产、父母身高因素后,DDS与HAZ呈正相关(β=0.206,95%CI=0.158~0.254,P<0.001),进一步调整家庭固定资产、民族、看护人类型、看护人文化程度因素后,DDS与HAZ仍呈正相关(β=0.077,95%CI=0.026~0.128,P=0.003)。结论四川省多民族农村地区儿童的膳食多样性情况较差,且存在明显的民族差异,其中彝族农村地区问题尤为突出。儿童DDS与HAZ呈正相关。建议针对四川省多民族农村地区的儿童膳食特征,开展营养健康教育指导,从而改善儿童的生长发育状况。 |
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其他语种文摘
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Objective To understand the growth and dietary diversity status of children in multi-ethnic areas of Sichuan province,and to explore the associations of dietary diversity with growth and development indicators.Methods Children of 18-36 months old and their primary caregivers were selected with multi-stage cluster random sampling method from rural areas of Han,Tibetan,and Yi ethnic groups in Sichuan province.The sociodemographic information of children and their caregivers was collected using self-designed questionnaire.The dietary diversity score(DDS)was calculated according to the criteria in the Guidelines for Measuring Household and Individual Dietary Diversity released by the Food and Agriculture Organization of the United Nations.The body height(length)and body weight of each child were measured by standard equipment for anthropological measurement,and the height for age Z score(HAZ),weight for age Z score(WAZ),and weight for height Z score(WHZ) were calculated.Multivariate linear regression was performed to analyze the relationship between dietary diversity and growth indicators of children.Results A total of 1092 children were enrolled in this study,and the prevalence of stunting(HAZ<-2),underweight(WAZ<-2),and wasting(WHZ<-2)was 21.1%,4.9%,and 2.5%,respectively.The children had the mean DDS of 4.8±1.7,and 45.3% of children had poor dietary diversity(DDS≤4).The children of Han ethnic group(5.8±1.4)had higher DDS than those of Tibetan ethnic group(4.9±1.6)and Yi ethnic group(3.9±1.6)(P<0.001).The results of multivariate linear regression indicated that DDS was positively correlated with HAZ(β=0.206,95%CI=0.158-0.254,P<0.001)after adjustment of sex,age,birth weight,preterm birth,and parental body height.After further adjustment of family fixed assets,ethnic group,caregiver's type,and caregiver's education background,the correlation between DDS and HAZ remained significant(β=0.077,95%CI=0.026-0.128,P=0.003).Conclusions The children in the multi-ethnic rural areas of Sichuan province showed troublesome growth and development status and low dietary diversity,which were conspicuously different between ethnic groups,especially in the rural areas of Yi ethnic group.The dietary diversity was positively associated with HAZ.It is recommended to carry out nutrition and health education according to the local dietary characteristics and thus improve the growth and development of children in multi-ethnic rural areas in Sichuan. |
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来源
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中国医学科学院学报
,2022,44(2):236-243 【核心库】
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DOI
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10.3881/j.issn.1000-503X.14272
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关键词
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生长发育
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膳食多样性
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儿童
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民族差异
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农村地区
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地址
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四川大学华西公共卫生学院/四川大学华西第四医院健康行为与社会医学系, 成都, 610041
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四川大学华西公共卫生学院/四川大学华西第四医院儿少卫生与妇幼保健学系, 成都, 610041
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四川大学华西公共卫生学院/四川大学华西第四医院流行病与卫生统计学系, 成都, 610041
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语种
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中文 |
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文献类型
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研究性论文 |
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ISSN
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1000-503X |
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学科
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预防医学、卫生学 |
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基金
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国家自然科学基金
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文献收藏号
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CSCD:7216956
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参考文献 共
30
共2页
|
|
1.
Bhutta Z A. Evidence-based interventions for improvement of maternal and child nutrition:what can be done and at what cost?.
Lancet,2013,382(9890):452-477
|
CSCD被引
13
次
|
|
|
|
|
2.
Unicef.
The state of the world's children 2019 children,food and nutrition:growing well in a changing world,2019
|
CSCD被引
1
次
|
|
|
|
|
3.
中国营养学会.
中国0~12岁儿童营养状况流行趋势(2002-2014)图解,2018
|
CSCD被引
1
次
|
|
|
|
|
4.
Yu D M. Comparison of Undernutrition Prevalence of Children under 5 Years in China between 2002 and 2013.
Biomed Environ Sci,2016,29(3):165-176
|
CSCD被引
11
次
|
|
|
|
|
5.
屈鹏飞. 中国西部地区农村3岁以下婴幼儿营养状况民族差异的调查.
中华流行病学杂志,2013,4:346-350
|
CSCD被引
1
次
|
|
|
|
|
6.
Zhang Y. Double burden of malnutrition among children under 5 in poor areas of China.
PLoS One,2018,13(9):0204142
|
CSCD被引
1
次
|
|
|
|
|
7.
Yakoob M Y. Nutrition(micronutrients)in child growth and development:a systematic review on current evidence,recommendations and opportunities for further research.
J Dev Behav Pediatr,2017,38(8):665-679
|
CSCD被引
4
次
|
|
|
|
|
8.
Zhao W. Dietary diversity scores:an indicator of micro-nutrient inadequacy instead of obesity for Chinese children.
BMC Public Health,2017,17(1):440
|
CSCD被引
5
次
|
|
|
|
|
9.
Meng L. Dietary diversity and food variety in Chinese chlidren aged 3-17 years:are they negatively associated with dietary micronutrient inadequacy.
Nutrients,2018,10(11):1674
|
CSCD被引
4
次
|
|
|
|
|
10.
Frempong R B. Dietary diversity and child malnutrition in Ghana.
Heliyon,2017,3(5):00298
|
CSCD被引
1
次
|
|
|
|
|
11.
Perkins J M. Dietary diversity and anthropometric status and failure among infants and young children in Sri Lanka.
Nutrition,2018,55/56:76-83
|
CSCD被引
2
次
|
|
|
|
|
12.
Arimond M. Dietary diversity is associated with child nutritional status:evidence from 11 Demographic and Health Surveys.
Narnia,2004,134(10):2579-2585
|
CSCD被引
5
次
|
|
|
|
|
13.
Mallard S R. Micronutrient adequacy and dietary diversity exert positive and distinct effects on linear growth in urban Zambian infants.
J Nutr,2016,146(10):2093-2101
|
CSCD被引
1
次
|
|
|
|
|
14.
Jiang H. Do Chinese preschool children eat a sufficiently diverse diet? A cross-sectional study in China.
Nutrients,2018,10(6):794
|
CSCD被引
3
次
|
|
|
|
|
15.
Bi J. Dietary diversity among preschoolers:a cross-sectional study in poor,rural,and ethnic minority areas of central south China.
Nutrients,2019,11(3):558
|
CSCD被引
1
次
|
|
|
|
|
16.
戴一鸣. 学龄期儿童膳食多样化与微量营养素摄入量的关联性分析.
中国儿童保健杂志,2020,2:183-186
|
CSCD被引
4
次
|
|
|
|
|
17.
Geng S. Lack of dietary diversity contributes to the gaps in micronutrient status and physical development between urban and rural infants.
Iran J Public Health,2018,47(7):958-966
|
CSCD被引
1
次
|
|
|
|
|
18.
Li S. Dietary diversity and mental health in preschoolers in rural China.
Public Health Nutr,2020,24(7):1869-1876
|
CSCD被引
1
次
|
|
|
|
|
19.
Yang Q. Household food insecurity,dietary diversity,stunting,and anaemia among left-behind children in poor rural areas of China.
Int J Environ Res Public Health,2019,16(23):4778
|
CSCD被引
1
次
|
|
|
|
|
20.
WHO Multi-center Growth Reference Study Group.
WHO child growth standards:length/height-for-age,weight-for-age,weight-for-length,weight-for-height and body mass index-for-age:methods and developmen,2006
|
CSCD被引
1
次
|
|
|
|
|
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