江西省农村贫困地区6～18月龄婴幼儿营养干预效果分析

发布时间：2018-05-28 08:27

本文选题：婴幼儿 + 营养包　；参考：《现代预防医学》2016年20期

【摘要】：目的了解江西省赣州市农村贫困地区6~18月龄婴幼儿的生长发育和营养健康状况,并对干预组婴幼儿发放婴幼儿辅食营养包(简称营养包)实施营养干预,经过6个月的营养干预以后,评价营养包的干预效果。方法采用多阶段分层随机抽样方法,在江西省赣州市抽取经济水平相当的3个县分别是赣县、于都和兴国县,其中赣县和于都的483名婴幼儿为干预组进行营养包发放,兴国县的248名婴幼儿为对照组暂不发放营养包。采用自制问卷调查婴幼儿家庭及父母的基本情况,分别测量干预前后2组婴幼儿的身长、体重和血红蛋白浓度,采用WHO Anthro软件测评婴幼儿的生长发育状况,分析干预组和对照组婴幼儿年龄别身高(HAZ)、年龄别体重(WAZ)、身高别体重(WAZ)分值的差异以及2组之间低体重率、生长迟缓率和消瘦率之间的差异,并采用SPSS21.0进行数据统计分析。结果经过6个月的营养干预后,干预组婴幼儿平均身长增加8.2 cm、平均体重增长了2.0 kg,与对照组相比,差异有统计学意义(t=6.25,P=0.03;t=8.53,P0.01);干预组的HAZ和WHZ与对照组相比差异有统计学意义(t=7.23,P=0.02;t=9.67,P0.01);干预组婴幼儿血红蛋白平均浓度由(108.5±14.4)g/L增加到(117.4±12.1)g/L,并且高于对照组婴幼儿,干预组贫血检出率由53.9%降至24.8%(χ~2=15.49,P=0.04),差异有统计学意义。结论通过实施营养干预给婴幼儿添加营养包,能够明显的改善婴幼儿的营养不良现状和贫血状况,促进婴幼儿体格发育。
[Abstract]:Objective to investigate the growth, development and nutritional health of infants aged 6 ~ 18 months in rural poor areas of Ganzhou City, Jiangxi Province, and to carry out nutritional intervention on infants and infants in intervention group. After 6 months of nutrition intervention, the intervention effect of nutrition package was evaluated. Methods using the method of multi-stage stratified random sampling, three counties with similar economic level were selected from Ganzhou, Jiangxi Province, which were Ganxian County, Yudu County and Xingguo County. 483 infants from Ganxian County and Yudu County were selected as intervention groups for nutrition package distribution. Xingguo County 248 infants for the control group not to distribute nutrition package. Self-made questionnaire was used to investigate the basic situation of family and parents. The body length, body weight and hemoglobin concentration of the two groups were measured before and after intervention, and the growth and development of infants were measured by WHO Anthro software. The differences of age specific height, age specific weight, height and weight between intervention group and control group were analyzed, and the differences of low weight rate, growth retardation rate and wasting rate between two groups were analyzed. The data were statistically analyzed by SPSS21.0. Results after 6 months of nutrition intervention, the average body length of infants and infants in the intervention group increased by 8.2 cm, and the average body weight increased by 2.0 kg, compared with the control group. The HAZ and WHZ of the intervention group were significantly higher than that of the control group, and the mean concentration of hemoglobin in the intervention group was increased from 108.5 卤14.4)g/L to 117.4 卤12.1g / L, and higher than that in the control group. The incidence rate of anemia in the intervention group was reduced from 53.9% to 24.8% (蠂 ~ (2 +) 15.49) P 0.04, the difference was statistically significant. Conclusion the nutritional intervention can obviously improve the status of malnutrition and anemia and promote the physical development of infants.
【作者单位】：武汉大学公共卫生学院;
【基金】：江西省赣州市贫困地区婴幼儿营养改善项目(250000076) 湖北省人文社会科学重点基地专项资助课题(3055276001) 国家自然科学基金青年基金(81402668)
【分类号】：R153.1

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