居住在哈萨克斯坦克孜勒奥尔达州的6至59个月大哈萨克族儿童的身高、体重和血红蛋白状况。

Dangour A D, Hill H L, Ismail S J

Public Health Nutrition Unit, Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.

Eur J Clin Nutr. 2002 Oct;56(10):1030-8. doi: 10.1038/sj.ejcn.1601448.

OBJECTIVE

To estimate the prevalence of stunting, wasting and anaemia among children aged 6-59 months in the Kzyl-Orda region of Kazakhstan, and to determine the association between childhood height and haemoglobin concentration and a range of environmental and biological factors.

DESIGN

A cross-sectional study using a randomly selected sample. The mothers of children were interviewed, and finger-prick blood samples and anthropometric measurements were collected on both mothers and their children. Associations between haemoglobin (Hb) concentration, anthropometric measurements and questionnaire data were evaluated by multivariate analysis.

SETTING

Health centres in Kazalinsk, Djalagash and Zhanakorgan districts of Kzyl-Orda region, Kazakhstan.

SUBJECTS

Two-thousand and twenty-four children aged between 6 and 59 months born to 1501 mothers who were randomly selected from health centre records.

RESULTS

The overall prevalence of stunting (<-2.0 Z-scores height for age), wasting (<-2.0 Z-scores weight for height) and anaemia (Hb<11.0 g/dl) in the study children was found to be 15.8, 0.8 and 50.1%, respectively. However, analysis demonstrated considerable variation by age, with the second year of life showing the highest prevalence of both stunting and anaemia. Both childhood height and haemoglobin concentration were found to be significantly associated with a range of environmental and maternal variables.

CONCLUSIONS

This study demonstrates that the prevalence of both stunting and anaemia among Kazakh children in the Kzyl-Orda region is considerable, and similar to that of other Central Asian children. These findings highlight Central Asia as a region with levels of childhood nutritional status that are of concern.

SPONSORSHIP

Funding was provided by the United States Agency for International Development, Office of Nutrition, the United Kingdom Department for International Development, and the Polden-Puckham Trust.

目的

评估哈萨克斯坦克孜勒奥尔达州6至59个月儿童发育迟缓、消瘦和贫血的患病率，并确定儿童身高与血红蛋白浓度以及一系列环境和生物学因素之间的关联。

设计

采用随机抽样的横断面研究。对儿童母亲进行访谈，并采集母亲及其子女的指尖血样和人体测量数据。通过多变量分析评估血红蛋白（Hb）浓度、人体测量数据和问卷调查数据之间的关联。

地点

哈萨克斯坦克孜勒奥尔达州卡扎林斯克、贾拉加什和扎纳科尔甘区的健康中心。

研究对象

从健康中心记录中随机选取的1501名母亲所生的2024名6至59个月的儿童。

结果

研究儿童中发育迟缓（年龄别身高Z评分＜-2.0）、消瘦（身高别体重Z评分＜-2.0）和贫血（Hb＜11.0 g/dl）的总体患病率分别为15.8%、0.8%和50.1%。然而，分析表明患病率随年龄有显著差异，生命的第二年发育迟缓和贫血的患病率最高。儿童身高和血红蛋白浓度均与一系列环境和母亲变量显著相关。