Oninla S O, Owa J A, Onayade A A, Taiwo O
Department of Paediatrics, College of Health Sciences, Ladoke Akintola University of Technology, Osogbo, Nigeria.
J Trop Pediatr. 2007 Feb;53(1):39-43. doi: 10.1093/tropej/fml051. Epub 2006 Oct 17.
Nutritional assessment in the community is essential for accurate planning and implementation of intervention programmes to reduce morbidity and mortality associated with under-nutrition. The study was, therefore, carried out to determine and compare the nutritional status of children attending urban and rural public primary schools in Ife Central Local Government Area (ICLGA) of Nigeria. The schools were stratified into urban and rural, and studied schools were selected by balloting. Information obtained on each pupil was entered into a pre-designed proforma. The weight and height were recorded for each pupil, and converted to nutritional indices (weight for age, weight for height, height for age). A total of 749 pupils (366 and 383 children from the rural and urban communities, respectively) were studied. The overall prevalent rates of underweight, wasting and stunting were 61.2, 16.8 and 27.6%, respectively. In the rural area these were 70.5, 17.8 and 35.8%, while in the urban they were 52.2, 15.9 and 19.8%, respectively. The mean nutritional indices (Weight for Age, Weight for Height and Height for Age) were found to be significantly lower among the rural pupils than urban pupils (P < 0.001 in each case). The present study shows that malnutrition (underweight, wasting and stunting) constituted major health problems among school children in Nigeria. This is particularly so in the rural areas. Therefore, prevention of malnutrition should be given a high priority in the implementation of the ongoing primary health care programmes with particular attention paid to the rural population.
社区营养评估对于准确规划和实施旨在降低与营养不良相关的发病率和死亡率的干预计划至关重要。因此,开展了这项研究,以确定和比较尼日利亚伊费中部地方政府辖区(ICLGA)城乡公立小学儿童的营养状况。学校被分为城市和农村两类,并通过抽签方式选择研究学校。收集到的每个学生的信息被录入预先设计的表格。记录每个学生的体重和身高,并换算为营养指数(年龄别体重、身高别体重、年龄别身高)。共研究了749名学生(分别来自农村和城市社区的366名和383名儿童)。体重不足、消瘦和发育迟缓的总体患病率分别为61.2%、16.8%和27.6%。农村地区的这些患病率分别为70.5%、17.8%和35.8%,而城市地区分别为52.2%、15.9%和19.8%。发现农村学生的平均营养指数(年龄别体重、身高别体重和年龄别身高)显著低于城市学生(每种情况P < 0.001)。本研究表明,营养不良(体重不足、消瘦和发育迟缓)是尼日利亚学童中的主要健康问题。在农村地区尤其如此。因此,在实施现行初级卫生保健计划时,应高度重视预防营养不良,尤其要关注农村人口。