2009—2015年江苏太仓地区3岁以下儿童生长发育及贫血状况变化趋势

发布时间：2018-01-31 11:01

本文关键词： 生长发育营养不良贫血　出处：《卫生研究》2017年03期 　论文类型：期刊论文

【摘要】：目的分析江苏太仓地区2009—2015年3岁以下儿童生长发育状况和贫血的变化趋势。方法利用江苏省太仓市妇幼保健电子病历系统中2009—2015年间的3岁以下儿童体检数据,根据2006年WHO儿童生长发育标准和2001年WHO贫血诊断标准,评价儿童的营养不良率和贫血患病率,并分析其在7年间的变化趋势。计数资料的差异比较采用Mantel-Haenszel卡方检验,贫血患病率在不同年份间的变化趋势采用Cochran-Armitage检验。结果2009—2015年太仓地区儿童的年龄别体重Z评分(WAZ)均值为0.51,年龄别身高(或身长)Z评分(HAZ)均值为0.23,身高(或身长)别体重Z评分(WHZ)均值为0.56,平均低体重率为0.65%,平均生长迟缓率为1.54%,平均消瘦率为0.56%,平均超重率为6.37%,平均肥胖率为1.03%,在2009—2015年间低体重、生长迟缓、消瘦、肥胖无明显变化,超重率从2009年的5.84%增长到2012年的6.99%,2015年下降到6.12%(MHχ~2=5.41,P0.05)。男孩的营养不良率均高于女孩,外来儿童的生长迟缓、超重、肥胖率高于本地儿童。3岁以下儿童的贫血患病率从2009年的24.02%下降到了2015年的9.25%(Cochran-Armitage Z=29.41,P0.05)。男孩的贫血率高于女孩,本地儿童的贫血率高于外来儿童。结论2009—2015年太仓地区3岁以下儿童体格发育水平较好,超重率在2009—2012年间呈上升趋势,在2012—2015年间呈下降趋势;贫血率呈下降趋势。控制儿童超重和贫血是该地区今后儿童营养改善的两个主要方向。
[Abstract]:Objective to analyze the growth and development status of children under 3 years old and the trend of anemia in Taicang area of Jiangsu Province from 2009 to 2015. Methods using the electronic medical record system of maternal and child health care in Taicang City of Jiangsu Province 2009-201. Medical examination data for children under 3 years of age over a period of five years. According to the criteria of WHO growth and development in 2006 and WHO anemia diagnosis in 2001, the malnutrition rate and the prevalence of anemia in children were evaluated. The variation trend in 7 years was analyzed. The difference of counting data was compared by Mantel-Haenszel chi-square test. Cochran-Armitage test was used to test the trend of anemia prevalence in different years. Results the age and weight of children in Taicang area from 2009 to 2015 were assessed with Z score (WAZ). The mean value is 0.51. The average height (or body length) score was 0.23, the average height (or body length) Z score was 0.56, and the average low weight rate was 0.65%. The average growth retardation rate was 1.54, the average weight loss rate was 0.56, the average overweight rate was 6.37 and the average obesity rate was 1.03. There was no significant change in growth retardation, weight loss and obesity. The overweight rate increased from 5.84% in 2009 to 6.99% in 2012. In 2015, the rate of malnutrition in boys was higher than that in girls, and the growth retardation and overweight of foreign children. The prevalence rate of obesity was higher than that of local children under the age of 3 years from 24.02% in 2009 to 9.25 on 2015 (. Cochran-Armitage ZN 29.41. The anemia rate of boys is higher than that of girls, and the anemia rate of local children is higher than that of foreign children. Conclusion the physical development level of children under 3 years old in Taicang area from 2009 to 2015 is better. The overweight rate increased in 2009-2012 and decreased in 2012-2015. The control of overweight and anemia in children are the two main directions of nutritional improvement in the future.
【作者单位】：中国疾病预防控制中心营养与健康所;太仓市妇幼保健所;
【分类号】：R153.2
【正文快照】： 生命早期营养状况,尤其是胚胎期和出生后民健康素质的提升。婴儿与幼儿期的营养状况,决定着儿童体格与智本文通过分析中国经济水平较高地区江苏省力发育潜力和慢性病发生风险[1]。若儿童期营太仓市2009—2015年3岁以下儿童营养不良和养不良未得到及时纠正,营养不良延续到成年

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