云南省贫困地区6～23月龄婴幼儿营养生长状况调查

发布时间：2018-07-03 11:58

本文选题：营养不良 + 贫血　；参考：《中国儿童保健杂志》2016年01期

【摘要】：目的了解及分析云南省贫困地区兰坪县和鹤庆县6~23月龄婴幼儿的营养与生长发育状况,为营养包的进一步发放提供理论依据。方法采取分层整群抽样的方法,以兰坪县和鹤庆县共10个乡24个村642名婴幼儿作为研究对象,进行问卷调查、体格指标测定和指血血红蛋白检测。采用WHO 2006的身高标准体重参考值作为评价标准计算Z评分,应用SPSS 17.0软件进行统计分析。结果云南省贫困地区兰坪县和鹤庆县仅有不到6%的乳母在1h内开奶,且婴幼儿出生4个月内母乳喂养率为72.1%;同时,该地区6~23月龄婴幼儿生长迟缓率为14.2%,低体重率为7.9%,消瘦率为5.1%,均低于2002年贫困农村的总体水平,且生长迟缓率在三个年龄段之间差异有统计学意义。在各不同年龄段仍然存在重度消瘦和低体重的婴幼儿比例,这可能与看护人的文化程度有一定的影响;贫血率为35.2%,低于2009年调查的中西部地区46县6~35月龄的婴幼儿贫血患病率(45.9%),6~11月龄婴幼儿贫血发病率相对较高,并且随着年龄的增大贫血率呈现逐渐降低的趋势。结论云南省兰坪县和鹤庆县6~23月龄婴幼儿的营养不良率较高,需采取措施改善婴幼儿的营养健康状况。
[Abstract]:Objective to investigate and analyze the nutrition and growth status of infants aged 6 to 23 months in Lanping County and Heqing County, Yunnan Province, so as to provide a theoretical basis for the further distribution of nutrition package. Methods 642 infants from 24 villages in 10 villages in Lanping County and Heqing County were studied by stratified cluster sampling. Questionnaire survey, physical index measurement and hemoglobin detection were carried out. The Z score was calculated by using the reference value of height and weight of WHO 2006 as the evaluation standard, and the statistical analysis was carried out by using the software SPSS17.0. Results less than 6% of nursing mothers in Lanping County and Heqing County, Yunnan Province, were breast-fed within 1 hour, and the breast-feeding rate was 72.1% within 4 months of birth. The growth retardation rate, low body weight rate and wasting rate of infants aged 6 to 23 months in this area were 14. 2, 7. 9 and 5. 1 respectively, which were lower than the overall level of poor rural areas in 2002, and the difference of growth retardation rate among the three age groups was statistically significant. The proportion of infants with severe weight loss and low body weight still exists in different age groups, which may have some influence on the education level of caregivers. The anemia rate was 35.2m, which was lower than that of 635 months old infants (45.9%) in 46 counties of central and western China in 2009, and the incidence of anemia was relatively high in 611-month-old infants, and the anemia rate decreased gradually with the increase of age. Conclusion the malnutrition rate of infants aged 623 months in Lanping County and Heqing County Yunnan Province is high. Measures should be taken to improve the nutritional health status of infants.
【作者单位】：中国疾病预防控制中心营养与健康所;国家卫生计生委微量元素重点实验室;云南省怒江州兰坪县妇幼保健院;云南省大理州鹤庆县妇幼保健院;
【基金】：科研院所技术开发研究专项(2013EG150138)
【分类号】：R179

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